USMLE Step 2 CK September 2020 Recalls USMLE Recalls USMLE, USMLE Step 2, USMLE CK, USMLE Recalls, Uworld

1. September 2020
Recall Collection
Actual Exam Questions
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2. GHAWAR
Awal shi sam7ouni rah ektob bel English la2ani ma3andi 3arabi bel keyboard.
Hamdila the exam is over. It was as expected, not easy, not impossible.
I will write all questions I remember even easy one for you to review also.
One advice, do not solely rely on dawra answers without reading fully the stem ( as I found
some mistakes, so rely on your knowledge not memory :).
Thank you all and Good luck !!
1) Patient has a broken tooth, smelling bad, has purulent discharge, pain in submandibular
area, fever 38C ( Ludwig’s angina), what is the treatment?
A) Clindamycin
B) Vancomycin
C) Ciprofloxacin
2) Patient has burning in left side of his face, he also has facial weakness on left side, drooping
corner of mouth, can’t wrinkle left side, He also has hearing problems on same side and they
ask what is the patient is going to develop in the next 48 h ( Ramsay hunt syn) ?
A) Purulant discharge of ear
B) Perforation of tympanic membrane
C) Vesicles on ear
3) Army soldier goes to Congo Africa, walks in the lake, he has fever, malaise and itchy rash +
EOSINOPHILIA 25%. Organism responsible?
A) Leptospirosis
B) Schistosomiasis
C) Others all bacterial
4) Patient cough, smoker for 40 yrs, STABLE ( no confusion nothing metal el erd) , BP 147/98,
his NA is 118 (exactly). What is the best next initial step of dx?
A) Iv 0.9 saline
B) Iv 3% saline
C) Water restriction
5) Patient forgot what he has honestly but I remember is serum Na is 168 ( sure), Urine osm
456 (sure) , Urine Na 30 ( it was hight), next step?
A) Iv 0.9 saline
B) Water deprivation test
C) Water restriction
6) patient with duchenne ( they tell you dystrophin is absent), what is he going to develop?
A) Heart Failure
B) Amnesia
C) Restrictive lung disease
7) patient with Freidrich ataxia, what is he going to develope?
a) heart failure
b) Diabetes
(both options were there)
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3. 8) Weirdo Question about Patient has cerebral palsy, he doing ok, he is going to
physiotherapy. He has a sister as well. The question is to which school he should go?
A) same school as his sister and place special accommodation for him
B) School for people with special needs
C) Don’t send him to school
D) Let him stay at home and bring teacher with him
9) X-ray femur of kid maybe 11 years, I only looked at the pic (its shouting osteosarcoma with
sunburst lesion) picked that and didn’t even read the rest.
10) Pt 18 years, has migraine and she tells the physician I need A HIGHLY EFFECTIVE
contraception without relying on my partner ( don’t know what does that supposed to mean,
maybe he is the one who go buys her ??), which you should give?
A) OCP (duuuh ofcorse not, so fight between b and c :) )
B) Progestin only PILLS
C) Levogesteoen IUD
D) Vaginal ring
E) Vaginal something
11) 13 year old female, she says that she feel she is gender neutral ( wallah shi helu, 5lesna
men gender dysphoria tele3elna gender neutral), she spoke with her parents and they got
made, also her friends didn’t accept it, she says she doesn’t like her body ( she didn’t specify if
she doesn’t like it because its a female body) el mohem, the question is what will she develop
in the future?
a) Anxiety disorder
b) Agoraphobia
c) Body dysmorphic disorder
d) MDD
e) Antisocial personality disorder
12) The q everyone likes, I will make your life easier! So the famous prophylaxis for dental stuff.
The Question is, a patient had a valve replacement surgery years ago ( so she has prostatic
valve) and they tell you on auscultation there is a mechanical systolic murmer ( incase u didn’t
realize it is prosthetic) and she is NOT allergic to penicillin and she will do GINGIVAL cleaning
(ya3ni invasive stuff), what is your NS?
A) 3 days PO of ciprofloxacin
B) 1 shot of Amoxicillin the morning of dental procedure
C) No prophylaxis needed
13) (Question level more basic than step 1, ya3ni step 1 ma sa2alu shi), the Question is…. A
patient 6 years old has teeth pain, so the mother gave him benzocaine, and then he had
cyanosis. ( ya3ni methoglobunemia), the question is what is the pathophysiology ( there is
nothing about Fe2 to Fe3 change, they want more details) the answers were ?
A) something related to Cyanide
B) methemoglobin production due to increase in b2 oxisynthase
C) Methemoglobin production due to inhibition of cytochrome 5 p something
D) Methemoglobin production due to stimulate of cyclchrome 5 p something
( read the detailed pathophysiology of this)
14) Patient has a diarhhea, travelled to south america, they put a huge picture of Giarda.
Asking about pathopsyiology?
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4. A) Infectious agent in the gastrointesinal tract that cause malabsorption and osmotic load
B) Infection agent in the Jejujenum that cause blunting of villi
( options were exactly like that)
15) patient admitted for some reason, anyway, they put you 2 ct scans of head at level of
pituitary, and the question solely rely on the CT scans, you see a lesion In the frontal lobe ( after
spending 3 minutes trying to find out where is frontal and where is posterior I noticed they put
letter A at top and P down, so u know !!) , so there is an obvious lesion frontal lobe, and ask
what will the patient has?
A) wernicke aphagia
B) Aggressive behavior
C) Visual issues
D) Hyporeflexia
16) patient with Parkinson, he doesn’t have inbalance, he stops and turns while physican by his
side, type of gait?
A) Agnotic
B) Apraxic
C) Ataxic
D) Something starts with A. ( only 4 options in this Q)
17) X ray like this, patient has sclerosis of his hand with a cord
formation, and can’t fully extend. Dx?
a) dupuytren's contracture
b) bouchard's nodes
c) heberden's nodes
2 other things I’ve never seen before
18) Super fun sequence q,
First Q, a patient coms with a 20 mm in diameter purulent lesion on thigh draining, smells bad,
pus, patient has fever oo signs of infection? Next step?
a) Cefalozin (only ABx)
B) Flucanozole
c) some antiviral
d) B blocker
19) So u choose a, then they tell you, we gave the patient cefalozin ( this moment u feel a relief
for 1 min) then they tell you after giving cefalozin the lesion became 40 mm and necrotic tissue
around it, what is the causal organism?
a) Exotoxin from a gram - bacteria
b) Endotoxin from a gram + bacteria
c) Exotoxin from a gram - bacteria
d) Endotoxin from a gram + bacteria
e) Neurotoxin from a gram + bacteria
( here your 1 min of relief has evaporated)
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MAGNETIC

5. 20) biostat Q calculate PPV and Specifity something related to parkinson. You have to
construct the 2x2 table shown below ( btw the numbers are exactly like that)
They tell you total are 300, 100 had Parkinson and 200 did not have. Among who had 90 of
them tested positive and among of the ones who did not have 170 tested negative. And
answer choices like that
Speicifity PPV
a) 90 85
b) 75 90
c) 95 75
d) 85 75
Answer was D there also.
21) a 14 yrs old boy was caught by police with bunch of friends in an old house, he had a new
group of friends for the past 6 mo, he is always on his cellphone, he doesn’t talk to his family
about things, he is doing well in school and overall, dx?
a) Conduct
b) Avoidant personality disorder
c) Anxiety disorder
d) Normal development
22) 2 pictures of a kid maybe 6 years naked fully. One facing us, the other showing his butt. He
has rash on all his body, u noticed that he doesn’t have rash in underwear area or thorax.
( ya3ni he was protected somehow men el clothing). The rash was not sharply demarcated,
ya3ni its not above along the whole underwear lining. For me it looked 3cm in diameter with
redness on boarder ( looks like tinea but its not cuz its
everywhere). How would have he protected himself from this
rash?
A) Sunblock protection
B) Prophylaxis with fluconazole before going outside
C) Mosquito and bug repelent spray ( I chose this as it
looked
Like uritarcia for me) (picture similar but of older kid)
23) patient with scid, multiple otitis media, white spots in
mucose, which cell is affected?
a) Neutrophils
b) Basophils
c) Lymphocytes
d) Macrophages
+ _
+ 90 30 120
_ 10 170 180
100 200 300
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6. 24) patient 5 years old, emigrated form India, he stayed with his grandfather for 2 weeks, his
grandpa has tb, they did PPD and is 6 and Xray is negative. NS?
A) repeat PPD after 2 weeks
B) INH
C) RIPE
D) Reassure
25) picture of lichen sclerosis of vulva, asking for tx?
A) high dose steroid ( forgot the name something like cobetazol)
26) SINGLE Seborrheic dermatitis picture, asking for ns?
A) Reassure
27) patient is 60 white lady, she did mammogram 1 year ago was normal, she doesn’t smoke,
she doesn’t drink alcohol, she did pap 2 years normal, menopause at 52, she used OCP from
age 25 till 45, Nulligravid, she is not taking hormone replacement therapy, colonscopy age 5
years ago normal ( ya3ni ya reet el kel metel heek marida), no family history of any cancer.
Question is, which of the following in her history makes her at lower risk of having ovarian
cancer?
A) Age
B) Race
C) Previous OCP use
D) Nulligravid
E) No family Hx of cancer
28) Patient 60 F with adenocarcinoma of lung (they say it frankly), her husband has small cell
carcinoma, he smokes 40 packs, the house they live has radon in it, she doesn’t smoke. Which
of the following predisposed her for the current conditions.?
a) Age
b) Gender
c) Second hand smoking
d) Radon exposure
29) patient has DM typ 2 , which of the following is decreased?
A) HbA1C
B) Insulin
C) Insulin like peptide
D) Glucagon
E) Cortisol
30) patient has acanthuses nigrans, they put picture, what is DECREASED?
a) Insulin
b) Hba1c
c) LDL
d) Triglyceride
e) HDL
31) Patient 42 year female, she has Rheumatoid arthritis, she is seeing a rheumatologist and
taking Oxycodone from him for a while, he rheumatologist is out of town, she took oxycodone
today morning. She comes to you (her primary) telling you I will run of oxycodone and I have a
narcotic agreement with my Rheumatologist but he is out of town and asking for oxycodone.
What you do?
a) Give her oxycodone and first dose starting today
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7. b) Tell her wait until your dr is back
c) Do not prescribe her
d) Prescribe naltrexone and first dose today
e) Prescribe methadone and give her instruction to take it once her oxycodone is out
32) Patient did a kidney transplant, few days later his Cr and Bun are increasing. Which cells
resposible?
A) Neutrophil
B) Cytotoxic T cell
C) CD4+ T cell
D) Histiocytes
E) Basophils
F) Natural killer cell
33) patient in her 40s, has obvious urge incontience case. No burning with urination, no fever,
no signs of cystitis no suprapubic pain. Next step? ( there was no anticholinergics, there was
no bladder training)
A) Kegel excersice
B) Pelvic ( or genital) exam
C) Urine analysis
34) patient 60 yrs, has hearing loss, they put X ray of leg with multiple sclerotic and lytic
lesions. (obviously Paget). What is increased?
A) Ca
B) Vit D
C) Calcitonin
D) ALP
35) Patient infant with an Xray and you see the HUGE boot sign. Automatically u think TOF. And
they ask what he has?
A) atrial communication with decreased Right heart outflow
B) Ventriclar communication with increased R heart outflow
C) Atrial communication with decreased L heart outflow
D) Ventricular communication with decreased R heart outflow
36) patient is 5years old and has SCID (they tell you). Patient was exposed to someone with
Varicella. What is your next step?
A) Reassure
B) Varicella Immunoglobulin
C) Varicella Vaccine
D) Varicella Vaccine + immunoglobulin
37) old lady maybe 60 fell on outstretched hand, fractured her scaphoid. What will happen to
her?
a) Nonunion (only one I remember, there was no avascular necrosis)
38) PATIENT is admitted after MVA, he was transferred 2 packs of blood, he developed
difficulty breathing and hypotension. (TRALI). They ask next step?
a) Iv fluids
b) Stop transfusion
c) Mechanical ventilation and intubation
39) patient in labor 39 week, the head of baby coming out, they put u tracing ( variable
decelaration ) , her amniotic fluid is low. NS?
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8. a) push head back
b) C sec
c) Amnioinfusion
d) Expecatant management
( there was no reposition patient)
40) patient in labour, 41 weeks, had Diabetes during pregnancy, baby is coming out, the head
coming out but baby got stuck when cheeks came out. Ns?
a) Apply pressure on mother suprapubic area
b) Rotate baby shoulder 90 degree posteriorly
c) C section
d) Expectant management
e) Reposition mother to hyper flexion of legs
41) patient has COPD, his O2 sat 94% (sure), stopped smoking 5 years ago. which of the
following will provide long term benefit for him.?
A) Home O2 therapy
B) Pulmonary rehabilitation
C) Daily prednisone
42) patient diabetic, has hyperlipidemia, has an ulcer on lateral lower leg, on examination,
pedals pulses is +1, tibial pulse 0, and decreased sensation on monofilament test. Dx?
a) ischemic ulcer
b) Neurogenic ulcer
43) patient with RA on entarecpt, x ray shows minimal joint space, she has pain with knee
movement, can flex knee to 90 degree. Which of the following will she benefit the most for long
term?
A) Switching entareccept to infliximab
B) Colexib daily
C) Steriod knee injection
D) Physiotherapy
E) B/L knee replacement
44) two cases about OA, with creptiss on movement. Next step?
A) Quadricept muscle training
B) Track race running
C) Ibuprofen
45) patient maybe 10 years drinks gasoline, what’s gonna happen?
a) cardiac dysrhythmias
b) Seizure
c) Respiratory failure
46) Patient with 2 and 3 degree burns, covering 30 % of his body. NS?
A) 5% dextrose IV
B) 0.45% saline IV
C) 0.9% saline
(no lactate ringer solution)
47) patient has 2 cervics, on USG there are 2 uteruses, what is NS?
A) pelvic and abdominal CT
B) Renal USG
C) Karyotype
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9. 48) patient pregnant vomiting alot, has ketoacidosis, what is the cause?
a) placenta previa
b) Placenta abrupt
c) Normal Gestation
d) Twin gestation
49) patient is 6 years boy, last year regressing at school, his IQ 68, he has palpebral fissure,
epicentral folds, microcephaly and up rising nose ( that’s all what they gave). Dx?
a) Trisomy 18
b) Trisomy 21
c) Alcohol exposure in utero
50) pt has HIV, B/L infiltrates, CD 4 count is 118. Has fever and cough. Tx?
A) Azithromycin
B) Azithromycin + ceftriaxone
C) SMX-TMP + Steriods
51) 69 year old japanese, smokes for 40 years, has difficulty swalling, on scope we saw
ulcerating painless ulcerating lesion, he is loosing weight also. Beside smoking, what is the
greatest RF of having this condition?
A) Age
B) Gender
C) Japanese decent
52) Baby with Galactose 1 uryidyl deficiency ( they say it), what formula to give?
A) Lactose free formula
B) Protein enhanced formula
C) Cows Milk formula
D) Soy based formula
53)Picture of psoriasis on knee, what you will see?
A) nail pitting
54) picture of psoriasis on Knee also, pathophysiology?
A) neutrophilic invasion
B) Hyperkeratosis
(rest can be eleminated easily)
55) awareness program at school, they want to do Secondary prevention, what they should
do?
A) Encourage kids to eat a healthy diet
B) Encourage the kids to exercise
C) Screen the kids with Hba1c and lipid profile
56) picture of xanthoma on elbow, what is the cause?
A) increased HDL
B) Increased Hba1C
C) Increased Triglyceride
57) Resident A saw Resident B leaving the hospital although it is his shift, when he came back
Residant A told him where did you go it is your shift, he answers I went to the GYM anyways
there was no much patients. What you should do?
A) nothing because no one was harmed
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10. B) Report to program director
C) Report to Medical licence boards
58) patient has Alzheimer not alerted or oriented to anything, he needs a certain procedure
(non emergent) which requires a consent, he has not power of attorney or living or any
assigned person. His EX wife comes and says he has a son who he didn’t see him for more
than one year, what you should do?
a) listen to his EX wife
b) Listen to his son
c) Proceed with procedure
d) Obtain a court order
59) patient had pain in RLQ, they did USG and found a hemorrhagic cyst, NS?
A) Reassure and follow up
B) Laparscopic cystectomy
C) Hysterectomy
60) patient taking SSRI and has fever, confusion , what else you expect to see?
a) decreased bowel sounds
b) Miosis
c) Muscle regidity
d) Hyporeflexia
61) Patient has puffing of his face and flushing of face, smoker for 40 years, loosing weight,
reason?
A) Small cell carcinoma
B) Squamous cell carcinoma
C) Superior venacava syndrome
62) Patient 76 years male with bells palsy on left side, drooping of mouth, and cannot wrinkle
left forehead. ( no headache) Reason?
a) inflammation of a branch of cranial CNVII
b) Temporal artery vasculitis
63) patient 60y male feels dizzy when rolling side to side in bed and when getting up. Doctor
does moves his head side wise and patient feels dizzy. tx?
a) Meclizine
b) Morning head movements training
C) carbonic anhydrase inhibitor
64) patient with massive PE ( they put CT) hypotensive, asking what will you see?
a) Decreased mixed Venous O2 levels
b) Increased PCWP
c) Increased Cardiac index
d) Decreased SVR
65) African American 25 M years old, has Hypertension and he is obese BMI 33. They ask
which of the following greatest risk factors will cause and end organ damage from his
condition?
a) Gender
b) AGE
c) RACE
d) Weight
e) Hypertension
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11. 66) patient with B/L Bilal adenopathy, African american, X ray of sarcidoisis. Asking about FEV
FEV 1 DLCO and FEV/FEV1 %.
67) patient college student age 22, he was getting A and B now getting C and D because he is
loosing tract of time, he is staying up late and sleeping at night. He gained weight last 3
months and his BMI is high. He doesn’t exercise anymore. Dx?
A) Alcohol use
B) Opioid use
C) Marijuana use
D) Cocaine use
68) question about a military engineer works in shipyards, I didn’t finish the story last line says
has subpleuric densities. I picked asbestosis and didn’t read rest.
69) patient young female 23 years old has heavy bleeding changes 6 to 7 tampons every time.
They give labs you see Iron deficiency anemia , PT normal PTT ( high normal value). What do
you expect to see?
a) Hamerthosis
b) Excessive nose bleeds
70)last week a patient 27 y male was on couch when he started shaking, his roommate saw
him, he was confused after and lost urine. They did MRI and EEC was normal. He comes a
week later for follow up, what do you do?
A) tell him to come next year for MRI
B) Inpatient EEC monitor
C) Prescribe Anticonvulsants
D) Advice him not to drive
71) baby new born 2 weeks old has a seizure and start shaking. He has cleft lip. ( only clue in
the whole question). Inbalance of which of the following caused this?
A) Potassium
B) Sodium
C) Calcium
D) Phosphorus
E) Magnesium
( exactly those 5 options)
72) patient 3 weeks post partum comes with her husband, the husband says that she is saying
that god is talking to her and she should hide the baby from evil. The husband doesn’t let her
hold the baby and when the baby cries she tells the husband to shut him up. Ns?
a) Reassure that this Is normal and will go away
b) Follow up in 2 weeks
c) Admit patient involuntary
73) patient 53 year male has pernicious anemia, they give signs fo b12 difiency, his brother had
colon cancer at age 44 and one of his cousins had colon cancer at age 55. Patient drinks
alcohol, does not smoke. Currently takes b12 supplementation. Which of the following put the
patient at high risk for GASTRIC cancer?
A) family history
B) Alcohol
C) Pernicous anemia
74) patient 68 years old diabetic can’t drive at night or day anymore, he also sees Halos around
light sources. His ocular muscles intact. What is the dx ?
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12. a) macular degeneration
b) Diabetic retinopathy
c) Opacification of lens
75) 70 years old male diabetic, hypertensive, smoker and they give
you a pic like this. Morning glucose is 140 and Hba1c is 7.8. what
from patient history supports this image?
A) Glucose of 140
B) Hb1Ac
C) HTN
D) Smoking
76) soldier went to middle east , he came back with a lesion like
this on his nose, the lesion had 2 black eschar on the side? Dx?
a) Cutaneous anthrax
b) leishmaniasis cutaneous
77) patient has cough for 3 months, for the past 3 months he
had heart burn with spicy food, and is worse at night when he lies
down. Antaacid helps him. BMI 30. What is the next step in diagnosis?
a) 24 PH monitering
b) Barium swallow
c) Manometry
d) No further testing needed
78) 2 weeks newborn, is valued shortly after birth, ortholani positive. What is the next step?
a )Put the harness
b) reassure
c) Hip Xray
79) patient 23 year old, having a party at home, he got drunk and went to basement where he
have a liquid for a fog machine (or something like that). 6 hours later Brought by his roommate
because of vomiting confusion bloody urine, Urine Analysis shows RBC , blood gases shows
anion metabolic acidosis, he has calcium oxalate stones on imagining. What did he ingest?
a) Methanol
b) Ethylene glycol
c) Isopropyl
D) ethanol
80) a kid 10 years old sitting on bench watching a baseball game, the trainer didn’t let him play.
Suddenly he collapses while on bench. The trainer brings him to ER and says he did not hit or
injur himself. His temp 40C. Next step?
(no immersion in cold water, no iv fluid, no cooling measures)
a) CT of head ( didn’t say contrast or no)
b) EKG
c) Reassure
d) EEC
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13. 81) 2 years old brought by his mom because of wheezing. Has allergies. They put u two CXR
one in inhalation and one in exhalation. You see there is black on left side on both inhalation
and exhalation but r side only on inhalation. Ascultation show decrease sound on R side. Dx?
a) asthma exacerbation
b) Foreign body ingestion
82) patient 14 years has chronic fatigue, anemia, they put blood work and you see
pancytopenia and increased lymphocytes count. What causes this patient presentation
A) viral infection
B) Abnormal Proliferation of lymphocytes compressing adjacent cells
C) 9, 22 translocation
83) patient 83 presents with confusion and acute abdomen signs. Put you
Xray like this and ask reason?
a) twisting of colon
Sorry didn’t read rest
84) new born female born week 40 has hip dysplasia, she was breech and
delivered C - section. What is the risk factor ?
a) Breech presentation
b) Delivary mode
c) Gestational age
( there was no family hx and no gender so relax ;) )
85) Army soldier lady had above knee amputation, now that area is painful draining pus, smells
bad and she can’t fit her prosthetic leg due to pain. She has NO FEVER, NO SYSTEMIC
SYMPTOMS, VT NORMAL. Question is exactly like this, from which of the following is the best
way to target antibiotic treatment ?
a) blood culture
b) Bone biopsy and culture
c) MRI of leg
86) patient pregnant week 34 had a MVA, she had abdominal pain and bleeding. dx?
A) uterine rupture
B) Placenta previa
C) Placenta abruptia
87) 11 year old female fell off while riding a bicycle. Her family brought her to the ER. We did a
CT head it looks normal. The patient seems fine, after 6 hours she develops vomiting and
nausea. ( looks like deudonal hematoma case).pt is stable. NS?
A) USG abdomen
B) CT abdomen
C) Reassure
88) patient 60 you female on physical exam you find an adnexal mass. which of the following
will support your dx?
a) Ca 19
b) CEA
c) CA-125
d) Inhibin A
e) Inhibin B
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14. 89) newborn baby is vomiting and spitting and chocking when feeding him. He is also becoming
cyanotic. The tried to pass NG tub it failed. Dx?
A) congenital abdominal hernia
B) Esophageal stenosis ( that’s how they wrote it )
90) patient 14 years old he has bubbles his urine. They put u a picture of a gallon that has urine
and top of it bubbles. Protein +4, blood none in Urinanalysis. How to confirm?
a) Biopsy
b) US kidneys
c) 24 hour protein collection
d) microalbumin/creatinine ratio
91) patient maybe 50 male, he is doing great. On urinalysis he had protien +1. They checked in
the morning he had protein in urine < 0.2, they checked in afternoon it was 0.8. NS?
a) Reassure
b) Biopsy
c) Protein electropheresis
92) african American patch on head with image. Didn’t read rest. I Chose oral griseofulvin.
93) patient fell on his arm. He can lift his up to 15 degree, he has pain after lifting above 15
degrees. He was asked to hold his arm to the horizontal he couldn’t keep it and it dropped. Loss
of sensation on superior arm. Nerve damaged?
A) upper thoracic trunk
B) Axillary N
C) Supraspinatous nerve
D) Long thoracic
94) patient went to latin america. Came back with diarrhea. He has hepatomegaly. What is the
tx?
a) Clinda
b) metronidazole
c) Vanco
95) patient had meningitis , they did LP and found using methalimine silver stain yeast like
helmet shaped organs. tx?
a) Ceftriaxone
b) Caspofungin
c) Fluconazole
d) Acyclovir
96) young lady with thick white vaginal discharge ph 4.5. she has acne and taking minocyline
and topical retinols. She is sexually active with one BF and uses condoms. She smokes. What
caused her vaginal secretions?
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15. A) sexual behavior
B) Use of minocyline
C) Smoking
D) Use of retinol
97) pregnant patient week 22. At week 10 she did hepB test and it was negative for HepB
antigen. Now she got exposed to someone with Hep b ( I believe she is a nurse), they did blood
work they found HepB antigen negative Hep Core antibody negative and Hep B surface antibody
positive. NS?
A) Vaccinate
B) Give immunoglobulin
C) Nothing
98) Patient on had a kidney transplant and taking immunosuppresation. He has CMV infection in
his history. They ask if he got infected with which of the following he will develop malignancy?
A) EBV
B) CMV
C) PCP
99) patient post partum asking for contraception. She used to take medroxyprogesterone and she
likes it. Now she is using condoms. She is currently breast feeding. Which of the following do u
give her?
a) Medroxyprogesterone
b) OCPS
c) Keep using condoms in lieu of hormonal contraception ( I know what u thinking, I have no
idea what in lieu means as well)
d) Vaginal ring
100) patient aged 11 mo, multiple Skin infections. He has a brother who died at age 8 month
because of infection. He has a cousin who also died because of infections. His two sisters are fine
and growing well. Dx?
A) CVID
B) SCID
C) CGD
D) X-linked gammaglobuninemia
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