Repeated USMLE Questions Step 2 CK- Review- 42

Q- A 35-year-old man presents with palpitations, sweating, and episodic headaches. Blood pressure is persistently high. Urinary catecholamines and metanephrines are elevated. Which of the following is the best initial management before surgery? A- ACE inhibitor B- Alpha-blocker C- Beta-blocker D- Calcium channel blocker   Q- A 23-year-old woman presents with fever, dysuria, and flank … Read more

Repeated USMLE Questions Step 2 CK- Review- 41

Q- A 25-year-old woman presents with sudden-onset shortness of breath and pleuritic chest pain. She started oral contraceptive pills 3 months ago. On exam, she is tachycardic and has mild hypoxia. CT pulmonary angiography shows multiple filling defects. Which of the following is the best initial treatment? A- Aspirin B- Heparin infusion C- Thrombolysis D- … Read more

Repeated USMLE Questions Step 2 CK- Review- 40

Q- A 25-year-old woman presents with a sudden-onset severe headache, photophobia, and neck stiffness. She has a fever of 38.9°C (102°F). Lumber puncture shows: Opening pressure: 280 mm H₂O WBC count: 2200/mm³ (90% neutrophils) Protein: 220 mg/dL Glucose: 30 mg/dL Which of the following is the most likely diagnosis? A- Bacterial meningitis B- Fungal meningitis … Read more

Repeated USMLE Questions Step 2 CK- Review- 39

Q- A 72-year-old man with chronic obstructive pulmonary disease (COPD) presents with worsening dyspnea and cough producing purulent sputum. His O₂ saturation is 85% on room air. Which of the following is the best initial treatment? A- Oral prednisone and broad-spectrum antibiotics B- Oxygen to maintain SpO₂ between 88% and 92% C- Immediate intubation and … Read more

Repeated USMLE Questions Step 2 CK- Review- 36

Q- Which of the following is the initial treatment of choice for a case of hyperkalemia accompanied by ECG changes? A- Calcium gluconate B- Furosemide C- Insulin with glucose D- Sodium polystyrene sulfonate   Q- Which of the following laboratory values is most commonly elevated in cases of obstructive jaundice? A- ALT B- AST C- … Read more

Repeated USMLE Questions Step 2 CK- Review- 35

Q- which of the following is the most common infectious cause of dilated cardiomyopathy in Central and South America? A- Coxsackievirus B B- Human immunodeficiency virus (HIV) C- Rickettsia D- Trypanosoma cruzi   Q- Which of the following is the most sensitive test to order in a suspected case of myocardial sarcoidosis? A- Angiography B- … Read more