FREE AND STUDY GAMES ABOUT STEP 2 MEHLMAN EXAM

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FREE AND STUDY GAMES ABOUT STEP 2 MEHLMAN EXAM

QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -463 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: Tx of cystitis

Answer:

nitrofurantoin (need not be pregnant)

Question 2: Platelet problem?

Answer:

epistaxis, bruising, petechiae

Question 3: SCID AR variant

Answer:

adenosine deaminase deficiency

Question 4: HY drugs that cause agranulocytosis

Answer:

clozapine, ganciclovir, propylthiouracil, methimazole, methotrexate, ticlopidine

Question 5: Dyspnea late in pregnancy

Answer:

peripartum cardiomyopathy

Question 6: Narrow-complex tachy

Answer:

SVT

Question 7: Give killed IM influenza vaccine when?

Answer:

Every year in fall/winter only; start from 6 months of age

Question 8: Heart problem in neonate of mom with SLE

Answer:

congenital third-degree heartblock

Question 9: Tx of tinea corporis (ring worm)

Answer:

topical azole (clotrimazole or miconazole)

Question 10: Suspected spinal mets

Answer:

MRI

Question 11: Diabetic gastroparesis before giving med

Answer:

endoscopy first to rule out physical obstruction

Question 12: Few organisms causing bloody diarrhea

Answer:

Shigella

Question 13: High ALP + high direct bilirubin + high amylase or lipase + remote Hx of cholecystectomy

Answer:

sphincter of Oddi dysfunction (can't be a stone cuz the gallbladder was removed ages ago) Question 14: Low hematocrit + low MCV + increased red cell distribution width (RDW)

Answer:

iron deficiency anemia

Question 15: "Step-off" of one vertebra relative to another

Answer:

spondylolisthesis

Question 16: Costovertebral angle tenderness + granular casts

Answer:

pyelonephritis (correct, super-weird; NOT acute tubular necrosis; this is on 2CK NBME)

Question 17: Pruritis after shower

Answer:

basophilia

Question 18: Viral infection + low platelets

Answer:

ITP (immune thrombocytopenic purpura) Question 19: High BP + smoker + TIA or stroke or retinal artery occlusion. How to best decrease stroke risk

Answer:

Answer = lisinopril, not smoking cessation

Question 20: Dx of

• diff

Answer:

stool AB toxin test, not stool culture

Question 21: chicken + bloody diarrhea

Answer:

campylobacter or salmonella

Question 22: bloody + "appendicitis"

Answer:

yersinia

Question 23: Tx of prostate cancer

Answer:

flutamide + leuprolide together (if they force a sequence, choose F then L).

Question 24: Mini-mental state exam score low + patient tries to do well

Answer:

Alzheimer

Question 25: Metastases to long bones in prostate cancer

Answer:

osteoblastic (Dx with bone scan); spine do MRI

Question 26: Why is FEV1/FVC normal or high in restrictive?

Answer:

radial traction on outside of airways is sticky (keeps airways from closing) Question 27: High ALP + high direct bilirubin + normal amylase or lipase in someone with remote cholecystectomy + CT is negative

Answer:

cholangiocarcinoma

Question 28: Dyspnea in second trimester of pregnancy

Answer:

mitral stenosis