Repeated USMLE Questions Step 2 CK (65)

A mother brings her six year-old girl to her pediatrician. She said that her daughter is frequently bumping into chairs while walking or playing. On examination, she is found to have bitemporal hemianopia. CT scan shows calcification in the pituitary fossa. What is the most likely diagnosis of this girl? A- Choriocarcinoma B- Craniopharyngioma C- [...]

By | September 16th, 2016|USMLE Step 2 CK|0 Comments

Repeated USMLE Questions Step 2 CK (64)

A 42-year-old African-American woman presents to the clinic because of dyspnea that worsens over the last 6 months. She has no fever, chest pain or loss of weight. The patient works as a preschool teacher. Physical examination is unremarkable. Chest x-ray shows bilateral hilar lymphadenopathy. What is the most likely diagnosis? A-Asbestosis B-Pneumonia C-Sarcoidosis D-Tuberculosis [...]

By | September 16th, 2016|USMLE Step 2 CK|4 Comments

Repeated USMLE Questions Step 2 CK (63)

A 19-year-old man presents to the clinic with a complaint of tremors and incoordination. Serum transaminases are slightly elevated. Slit lamp examination shows brownish corneal deposits. What is the element directly involved in this condition? A-Arsenic B-Lead C-Copper D-Iron E-Zinc Answer: This is a presentation of Wilson's disease in which cellular copper transport is disturbed [...]

By | September 14th, 2016|USMLE Step 2 CK|0 Comments

Repeated USMLE Questions Step 2 CK (62)

A 40-year-old man complains of jerky uncontrollable movements of his head and trunk and general restlessness for 3 weeks. He mentions that his father had the same condition when he was almost the same age but he developed more severe symptoms later in life. He does not remember the name of this condition. This disorder [...]

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

Repeated USMLE Questions Step 2 CK (61)

Congenital heart diseases are defects of the heart and/or great arteries that are present at birth. They may be manifested at birth or hidden until later in life. Cyanosis is an important sign to diagnose and differentiate between types of congenital heart disease. What is the most common congenital heart disease? A-Atrial septal defect B-Ventricular [...]

By | September 12th, 2016|USMLE Step 2 CK|0 Comments

Repeated USMLE Questions Step 2 CK (60)

A 68-year-old man presents to the emergency room complaining of multiple episodes of fainting since he woke up today. His fainting mainly occurs when he stands up. He has a history of coronary artery disease, diabetes, high cholesterol and hypertension. He takes atenolol, metformin, lovastatin and lisinopril. On physical examination, his blood pressure is 120/75, [...]

By | September 10th, 2016|USMLE Step 2 CK|0 Comments

Repeated USMLE Questions Step 2 CK (59)

A 74-year-old woman visits her physician complaining of a new onset of fatigue and temporal headache. She lost about 5-7 pounds over the last year. She also has morning stiffness for one hour accompanied by aching in the shoulders and hips. Yesterday, she lost her vision in the right eye and got it back in [...]

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

Repeated USMLE Questions Step 2 CK (58)

An 18 year-old man presents to the office for evaluation of multiple swellings in his neck. On examination, he has multiple enlarged cervical lymph nodes. Neurological examination reveals poor coordination on walking. Biopsy of one of the affected lymph nodes is positive for lymphoma. He is diagnosed with ataxia-telangiectasia. What is the etiology of this [...]

By | September 8th, 2016|USMLE Step 2 CK|0 Comments

Repeated USMLE Questions Step 2 CK (57)

  A 22-year-old G2P1 at 28 weeks gestation presents to the emergency room with heavy vaginal bleeding. Which of the following is contraindicated as the next step of action? A-Digital pelvic examination B-Ultrasound examination of the pelvis C-Admit the patient D-Stabilize the patient Answer: Digital pelvic examination is contraindicated unless ultrasound of the pelvis rules [...]

By | September 8th, 2016|USMLE Step 2 CK|0 Comments

Repeated USMLE Questions Step 2 CK (56)

A 4-year-old girl presents with a complaint of fever, cough and shortness of breath for 2 days. Her mother tells you that she had pneumonia last year treated by antibiotics and recurrent episodes of diarrhea. Family history is significant of an uncle died of pneumonia in his forties. On examination, her temperature is 101.3 F; [...]

By | September 7th, 2016|USMLE Step 2 CK|0 Comments