Repeated USMLE Questions Step 2 CK (75)

A 37 year-old Congress candidate comes to your clinic for a follow-up visit. She had a seizure last week witnessed by her campaign manager. She had stiffness of her whole body followed by jerking movements by her arms, trunk and legs for 30 seconds and then she fell in a deep sleep. Her campaign manager [...]

By | October 24th, 2016|USMLE Step 2 CK|0 Comments

Repeated USMLE Questions Step 2 CK (74)

A 36 year-old man presents to the emergency room with a complaint of severe chest pain, difficulty in breathing and dry cough. He is anxious because his father died of a heart attack in his forties. He is an athlete, never smokes, never drinks alcohol or takes any recreational drugs. His chest pain is sharp [...]

By | October 17th, 2016|USMLE Step 2 CK|0 Comments

Repeated USMLE Questions Step 2 CK (73)

A 27 year-old man complains of 2-week history of watery diarrhea and 5 lb. weight loss. He had no similar episodes in the past, did not travel recently, did not eat out or take antibiotics. He quit smoking last month after 1 PPD for 5 years.  He has a family history of inflammatory bowel syndrome. [...]

By | October 15th, 2016|USMLE Step 2 CK|0 Comments

Repeated USMLE Questions Step 2 CK (72)

A 64-year-old obese man presents to the clinic for a routine check-up. He has type 2 diabetes diagnosed 2 years ago, controlled by exercise, diet and a daily dose of glyburide with a stable hemoglobin A1C in the range of 6.4. Two weeks ago, he started to feel dizzy and his fasting blood sugar readings [...]

By | October 13th, 2016|USMLE Step 2 CK|0 Comments

Repeated USMLE Questions Step 2 CK (71)

A 48-year-old woman with a history of ulcerative colitis visits her physician complaining of passing bright red blood through the rectal vault for 2 weeks. She underwent subtotal colectomy with colostomy last year. On examination, her vital signs are within normal limits. Colostomy site appears clean with healthy skin around it. Digital rectal examination reveals [...]

By | October 9th, 2016|USMLE Step 2 CK|0 Comments

Repeated USMLE Questions Step 2 CK (69)

A 32 year-old man complains of fatigue, weakness, edema and acne for 6 months. He is 70-In tall and weighs 220 Lb. His blood pressure is 148/90 mmHg. He has central obesity, enlarged subclavicular fat pads and prominent abdominal striae. His lab tests are: 24-hour urine cortisol excretion is 288 Serum cortisol level is 18 [...]

By | September 27th, 2016|USMLE Step 2 CK|0 Comments

Repeated USMLE Questions Step 2 CK (68)

A 48-year-old man with a long history of type 1 diabetes and hypertension develops sudden chest pain and dizziness. On examination, pulse is 110, blood pressure is 80/50, no pulsus paradoxus, lungs are clear and jugular veins are dilated. ECG shows sinus tachycardia with ST elevation in leads II, III and AVF. What is the [...]

By | September 24th, 2016|USMLE Step 2 CK|0 Comments

Repeated USMLE Questions Step 2 CK (67)

A 75 year-old man develops sudden onset of shortness of breath at the orthopedic department. He was admitted for suspected pathological fracture of femur 3 days ago. On examination, his pulse is 122, blood pressure 90/60, respiratory rate 34/min and oxygen saturation is 92%. Lung sounds are clear bilaterally. Heart rhythm is regular with no [...]

By | September 21st, 2016|USMLE Step 2 CK|0 Comments

Repeated USMLE Questions Step 2 CK (66)

A 37-year-old previously healthy man is brought to the emergency room for dizziness, chest pain and palpitations. Cardiac chemistry panel is normal. ECG shows a sloping upstroke of the QRS complex. What is the treatment of choice of this condition? A-Atropine B-Digoxin C-Metoprolol D-Procainamide E-Verapamil Answer: This is a case of Wolff-Parkinson-White (WPW). The treatment [...]

By | September 19th, 2016|USMLE Step 2 CK|2 Comments