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Repeated USMLE Questions Step 2 CK- Highlights- 1

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Q- After normal delivery of an infant, which of the following is the first step of management?

A- Clamping and cutting of the umbilical cord

B- Gentle rubbing of the feet

C- Suction of the mouth and nose

D- Wrapping the infant in clean towels

C- Suction of the mouth and nose- Right after delivery, the mouth and nose are suctioned then, clamping and cutting of the umbilical cord followed by wrapping the infant in clean towels then, gentle rubbing of the feet to stimulate crying and breathing.



Q- A 76-year- old man presents to the emergency room with paralysis of his right upper and lower extremities, aphasia, and left-sided facial droop. During examination, he developed a sudden headache and increased respiratory effort. Which of the following is the best next step of action?

A- Administer aspirin

B- Administer thrombolytic therapy

C- Immediate intubation

D- MRI of the head

C- Immediate intubation- This patient most likely develops cerebral hemorrhage per se or following a thrombotic stroke. CT scan would confirm the diagnosis. Airway management through immediate intubation is the best next step of action.



Q- A fetus is born now with spina bifida, myelomeningocele form. Which of the following is the next step of management?

A- Antibiotic therapy to protect against infection

B- Lumber puncture to check ICF

C- Manual compression of the contents of the sac

D- Surgical intervention as soon as possible

D- Surgical intervention as soon as possible- Myelomeningocele is the severe form of spina bifida. It presents with dyspnea and paralytic lower extremities. Surgical intervention as soon as possible is the only treatment for this condition.



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