Exam (elaborations)
USMLE Step 2 CK Questions And Answers All Are Correct Tests
- Course
- Institution
USMLE Step 2 CK Questions And Answers All Are Correct Tests
[Show more]
Seller
Follow
Classroom
Reviews received
Content preview
USMLE Step 2 CK Questions And Answers All AreCorrect Tests
pregnant with active HBV Correct Answer: tx newborn with HBIG and HBV vaccine
Beck's triad for tamponade Correct Answer: hypotension, JVD, muffled heart sounds (also pulsus
paradoxus). Electrical alternans
subarachnoid hemorrhage Correct Answer: increased ADH and BNP --> hyponatremia. Tx - water
restriction
coccidioidomycosis Correct Answer: SW US, central/south America. Pulm infection - dry cough, weight
loss, pleuritic chest pain, erythema multiforme/nodosum, arthralgias
histoplasmosis Correct Answer: SE US, mid Atlantic, central US, caves. Acute PNA, but usually
asymptomatic. HIV disseminated infection- hilar LAD, pneumonitis, pancytopenia, hepatosplenomegaly,
palatal ulcers. tx- IV amphotericin B followed by lifelong itraconazole.
Blastomycosis Correct Answer: central US (most in Wisconsin). Often asymptomatic or flu-like Sx.
Systemic disease- lytic bone lesions, pulmonary infection, skin lesions. Dx- broad-based budding yeast.
Tx- itraconazole, amphotericin B
aspergillosis Correct Answer: invasive in IMCD. CXR - cavitary lesions. CT - pulm nodules, halo sign, air
crescent
sporotrichosis Correct Answer: subcutaneous infection. Gardeners. Travel up lymphatics for nodules on
forearms
cryptococcus Correct Answer: pulm infection often asymptomatic. Usually meningoencephalitis in HIV
with CD4<200
hemochromatosis infections Correct Answer: Listeria monocytogenes, Yersinia enterocolitica,
septicemia - Vibrio vulnificus
Narcolepsy treatment Correct Answer: methyldphenidate, modafinil, antidepressants (for cataplexy)
galactorrhea Correct Answer: test B-HCG, prolactin, TSH
septic abortion Correct Answer: cervical/blood cultures, antibiotics, gentle suction currettage
Lesch-Nyhan Correct Answer: x-linked recessive, HPRT deficiency, increased uric acid. Sx - self
mutilation, dystonia, spacticity, gout. Presents at 6 months.
minimal change disease Correct Answer: tx - prednisone, cyclophosphamide for resistant
cases/frequent relapse
,Sturge-Weber Correct Answer: seizures, retardation, trigeminal port-wine stain, hemi neuro findings,
tramline intracranial calcifications
tuberous sclerosis Correct Answer: seizures, retardation, intracranial calcifications (tubers), ashleaf
spots, adenoma sebaceum (red papules on face)
osteogenesis imperfecta Correct Answer: autosomal dominant. Type 1 collagen problem. Type 2 most
severe with perinatal fractures and often intrauterine death. Blue sclera, fractures, hypotonia, hearing
loss, joint hypermobility, dentinogenesis imperfecta
polymyalgia rheumatica Correct Answer: neck/shoulder/hip pain/stiffness. >50 years old, high ESR. Tx-
low dose prednisone, high dose for temporal arteritis
massive blood transfusion Correct Answer: citrate anticoagulant --> chelates Ca and Mg --> low Ca -->
paresthesias, hyperactive reflexes
nephrotic syndrome Correct Answer: dyslipidemia, accelerated atherosclerosis, hypercoagulable, risk
for MI/stroke, higher infxn susceptibility. Can have renal vein thrombosis, usually with membranous GN
aortic regurgitation Correct Answer: early diastolic (mild) to holodiastolic (severe) murmur. Bounding
pulses. Tx- decrease afterload with DHP Ca-channel blockers, ACEi, NOT beta blockers.
mycoplasma PNA Correct Answer: erythema multiforme. No cell wall so not on gram stain
candidal vulvovaginitis Correct Answer: pseudohyphae. In IMCD and Abx treated people. Tx- oral
fluconazole, topical nystatin
nonseminomatous germ cell tumor Correct Answer: large anterior mediastinal mass, young males. High
HCG and AFP.
seminoma Correct Answer: high HCG but normal AFP
thymoma Correct Answer: associated with myasthenia gravis, pemphigus
hepatocellular carcinoma Correct Answer: high AFP but normal HCG
choriocarcinoma Correct Answer: gestational trophoblastic disease usually in molar pregnancy. Very
high HCG
C. dif diagnosis Correct Answer: cytotoxin assay of stool
Erb-Duchenne palsy Correct Answer: C5, C6. waiter's tip, absent Moro but intact grasp
Klumpke's paralysis Correct Answer: C7, C8, T1. hand paralysis, Horner's (ptosis, miosis)
dermatitis herpetiformis Correct Answer: papulovesicular, pruritic. Associated with Celiac. Dx - IgA anti-
endomysial Ab, anti-gliadin
, phenelzine Correct Answer: MAOi antidepressant. Avoid tyramine (aged meat/cheese) --> HTN crisis
CMV esophagitis Correct Answer: in HIV. Dysphagia, odynophagia, shallow ulcers,
intranuclear/cytoplasmic inclusions. Tx- ganciclovir IV
HSV esophagitis Correct Answer: in HIV. Small ulcers with volcano-like appearnace. Eosinophilic
intranuclear inclusions. Tx- acyclovir
candidal esophagitis Correct Answer: most common HIV esophagitis. Tx - oral fluconazole
splenic rupture Correct Answer: ex-lap if unstable. CT if stable
pseudocyesis Correct Answer: pregnancy conversion disorder
prolactin Correct Answer: stimulated by serotonin and TRH, inhibited by dopamine. Hypothyroid -->
amenorrhea/galactorrhea
adenomyosis Correct Answer: endometrial glands in myometrium. Usually > 40yo, dysmenorrhea,
menorrhagia, enlarged symmetric uterus. Must curettage to r/o endometrial carcinoma
leiomyoma/fibroids Correct Answer: irregular shaped uterus
endometriosis Correct Answer: uterus not enlarged. Dysmenorrhea, dyspareunia, dyschezia. Dx-
laparoscopy. Tx- OCPs
aminoglycosides Correct Answer: amikacin, gentamicin, tobramicin. ototoxic, nephrotoxic. Gentamicin
very ototoxic
hydroxychloroquine Correct Answer: DMARD. Treats SLE. SE - retinopathy/corneal damage (need
q6month eye exams), GI, hemolysis in G6PD
methotrexate SE Correct Answer: DMARD. Inhibits folate metabolism. Macrocytic anemia, GI,
hepatotoxic, ILD, alopecia, pancytopenia
premature ovarian failure Correct Answer: low estrogen, high FSH > LH, <40yo
hyperparathyroidism Correct Answer: hypercalcemia - stones, bones, groans, psyciatric overtones,
polydipsia, polyuria. pseudogout. Also sometimes HTN
low-grade (without mets) gastric MALT lymphoma Correct Answer: H pylori association. Tx- PPI,
clarithromycin, amoxicillin
Jarisch-Herxheimer rxn Correct Answer: primary/secondary syphilis treated with penicillin -->
spirochetes die --> immune complexes --> looks like syphilis flare-up
INH SE Correct Answer: hepatitis, peripheral neuropathy/ataxia (give pyridoxine)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81989 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now