Exam (elaborations)
First Aid USMLE Step 2 CS: Challenging Questions And Answers 2024
- Course
- Institution
First Aid USMLE Step 2 CS: Challenging Questions And Answers 2024
[Show more]
Seller
Follow
Content preview
First Aid USMLE Step 2 CS: Challenging Questions And Answers2024
26 yo M presents after falling and losing consciousness at work. He had rhythmic movements of the
limbs, bit his tongue, and lost control of his bladder. He was subsequently confused after regaining
consciousness (as witnessed by his colleagues) - (answer)Differential:
*Generalized tonic-clonic seizure*
Convulsive syncope
Substance abuse/overdose
Malingering
Hypoglycemia
Workup:
CBC
Electrolytes, glucose
Urine toxicology
EEG
MRI—brain
CT—head
LP—CSF analysis
ECG
34 yo F nurse presents with worsening cough of 6 weeks' duration accompanied by weight loss, fatigue,
night sweats, and fever. She has a history of contact with tuberculosis at work. - (answer)Differential:
*Tuberculosis*
Pneumonia
Lung abscess
Vasculitis
Lymphoma
Metastatic cancer
HIV/AIDS
,Sarcoidosis
Workup:
CBC
PPD/QuantiFERON-TB Gold
Sputum Gram stain, acid-fast stain, and culture
CXR
CT-chest
Bronchoscopy
HIV antibody
Lymph node biopsy
55 yo F c/o dizziness for the past day. She feels faint and has severe diarrhea that started 2 days ago. She
takes furosemide for hypertension. On examination, she feels dizzy upon standing. - (answer)Differential:
*Orthostatic hypotension due to dehydration* (diarrhea, diuretic use)
Vertebrobasilar insufficiency
Cardiac arrhythmias
Vestibular neuronitis
Labyrinthitis
Benign positional vertigo
Workup:
Orthostatic vital signs
Rectal exam
CBC
Urea, electrolytes
Stool for occult blood
Stool leukocytes
,65 yo M presents after falling and losing consciousness for a few seconds. He had no warning before
passing out but recently had palpitations. His history includes a coronary artery bypass graft. -
(answer)Differential:
*Cardiac arrhythmia (causing syncope)*
Severe aortic stenosis
Syncope (other causes)
Seizure
Pulmonary embolism
Workup:
ECG
Holter monitoring
CBC
Electrolytes, glucose
Echocardiography
CT—head
12 yo F presents with a 2-month history of fighting in school, truancy, and breaking curfew. Her parents
recently divorced, and she just started school in a new district. Before her parents divorced, she was an
average student with no behavioral problems. - (answer)Differential:
*Adjustment disorder*
Substance intoxication, abuse, or dependence
Oppositional defiant disorder
Conduct disorder
Manic episode
Workup:
Physical exam
Mental status exam
Urine toxicology
, 1-month-old F is brought in because she has been spitting up her milk for the last 10 days. The vomiting
episodes have increased in frequency and forcefulness. Emesis is nonbloody and nonbilious. The
episodes usually occur immediately after breastfeeding. She has stopped gaining weight. -
(answer)Differential:
*Pyloric stenosis*
Partial duodenal atresia
GERD
Gastroenteritis
Hepatitis
UTI
Workup:
CBC
Electrolytes
U/S—abdomen
Barium swallow
Esophageal pH probe
Endoscopy
LFTs, alkaline phosphatase
UA, urine culture
12-month-old M presents with fever for the past 2 days accompanied by a maculopapular rash on his
face and body. He has not yet received the MMR vaccine. - (answer)Differential:
*Measles (or other viral exanthem)*
Rubella
Roseola
Fifth disease
Varicella
Scarlet fever
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 waynev. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now