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 1 Review- 131- Pharmacology

Q- A 64-year-old man with atrial fibrillation is started on warfarin therapy. After 3 days, he develops skin necrosis. Which of the following best explains this complication? A- Direct inhibition of thrombin B- Immediate depletion of clotting factors II, VII, IX, X C- Rapid decline in protein C leading to transient hypercoagulability D- Vitamin K … Read more

Repeated USMLE Questions Step 1 Review- 130- Pathology

Q- A 55-year-old man with a long history of alcohol use presents with abdominal distension. Physical exam reveals shifting dullness and spider angiomas on the chest. His lab results are: total bilirubin 3.2 mg/dL, albumin 2.1 g/dL, and an INR of 1.9. Which of the following best explains the pathophysiology of his condition? A- Autoimmune … 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 1 Review- 129- Pharmacology

Q- Which of the following best describes the mechanism of action of carvedilol in treating high blood pressure? A- Calcium channel blocker in vascular smooth muscle B- Central α₂-adrenergic stimulation C- Nonselective β-adrenergic blockade with α₁-adrenergic blockade D- Selective β₁-adrenergic blockade only   Q- Which of the following best describes the mechanism of action of … Read more

Repeated USMLE Questions Step 1 Review- 128- Pharmacology

Q- A patient with hypertension and gout needs a prescription for a diuretic. Which one of the following drugs should be avoided? A- Amiloride B- Furosemide C- Hydrochlorothiazide D- Spironolactone   Q- Which of the following antibiotics is most likely to cause pseudomembranous colitis due to Clostridium difficile? A- Ampicillin B- Ciprofloxacin C- Clindamycin D- … Read more