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USMLE-Rx Step 2 Practice Q's
USMLE-Rx Step 2 Qmax Challenge #23775
126 days ago
Check out today’s Step 2 Qmax Question Challenge.
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A 65-year-old man with a long history of hypertension and cocaine abuse presents to the emergency department unconscious and unresponsive. His companion reports that just after taking a dose of cocaine, the patient complained of an excruciating headache, vomited, and a few seconds later became unconscious. The patient is pronounced dead soon after arrival. An axial section of the patient’s brain at autopsy is shown in the image.
Which of the following describes the most likely pathogenesis of this patient’s death?
A. Ischemic stroke with subsequent reperfusion and hemorrhage
B. Rupture of massive saccular aneurysm
C. Subdural hemorrhage leading to increased intracranial pressure, herniation, and death
D. Epidural hemorrhage leading to increased intracranial pressure, herniation, and death
E. Massive intraparenchymal hemorrhage in the area of the thalamus
F. Massive intraparenchymal hemorrhage in the area of the cortical grey matter
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This practice question is an actual question from the USMLE-Rx Step 2 test bank. Get more Step 2 study help at USMLE-Rx.com.
USMLE-Rx Step 2 Qmax Challenge #23734
142 weeks ago
Check out today’s Step 2 Qmax Question Challenge.
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A 70-year-old man is seen in the emergency department because of lower left quadrant abdominal pain that he describes as “crampy.” He states that he has been able to tolerate foods and liquids. He has no past medical history of any gastrointestinal disease or surgery. Upon physical examining he is afebrile and has mild diaphoresis and abdominal pain without rebound. There is no bleeding per rectum; however, the stool is guaiac positive. CT of the abdomen is shown in the image.
Which of the following is the most appropriate management?
A. Outpatient treatment
B. Immediate surgery
C. Hospitalization for monitoring
D. Double contrast enema
E. Immediate change to a high-fiber diet
———————–
Want to know the ‘bottom line?’ Purchasing a USMLE-Rx Subscription provides many more features, more questions, and passages from First Aid, including images, references, and other facts relevant to this question.
This practice question is an actual question from the USMLE-Rx Step 2 test bank. Get more Step 2 study help at USMLE-Rx.com.
USMLE-Rx Step 2 Qmax Challenge #23682
141 month ago
Check out today’s Step 2 Qmax Question Challenge.
Know the answer? Post it in the comments below! Don’t forget to check back for an update with the correct answer and explanation.
A 16-year-old girl who recently immigrated to the United States presents to her pediatrician with complaints of fever, nausea, and a rash all over her body. She describes the rash as fluid-filled lesions that are very itchy and crust over when she scratches them. Her younger brother had a similar rash 2 weeks ago. On examination the patient is febrile with normal findings except for the presence of fluid-filled vesicles on her trunk, face, and extremities that are in various stages of healing (see image).
Which of the following is the most appropriate next step in treatment?
A. Acyclovir
B. Amantadine
C. Supportive therapy only
D. Foscarnet
E. Immune globulin against the causative agent
———————–
Want to know the ‘bottom line?’ Purchasing a USMLE-Rx Subscription provides many more features, more questions, and passages from First Aid, including images, references, and other facts relevant to this question.
This practice question is an actual question from the USMLE-Rx Step 2 test bank. Get more Step 2 study help at USMLE-Rx.com.
USMLE-Rx Step 2 Qmax Challenge #23642
71 month ago
Check out today’s Step 2 Qmax Question Challenge.
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Four hours after birth, a neonate without dysmorphic features has noticeable periorbital and perioral cyanosis, markedly so when crying. The pregnancy was uncomplicated, the infant was born at term, and her mother was negative for Group B Streptococcus. Vital signs are stable, but the infant’s oxygen saturation is 86% on room air. The lungs are clear to auscultation, but a continuous, machinelike murmur is heard along the left sternal border. Arterial partial pressure of oxygen increases to 110 mm Hg on 100% oxygen for 10 minutes. An echocardiogram is obtained and is shown in the image.
Which of the following is the best next step in management of this patient?
A. Administer prostaglandin E1
B. Administer furosemide
C. Schedule the patient for emergent corrective surgery
D. Obtain an x-ray of the chest
E. Obtain a cardiac catheterization
———————–
Want to know the ‘bottom line?’ Purchasing a USMLE-Rx Subscription provides many more features, more questions, and passages from First Aid, including images, references, and other facts relevant to this question.
This practice question is an actual question from the USMLE-Rx Step 2 test bank. Get more Step 2 study help at USMLE-Rx.com.
USMLE-Rx Step 2 Qmax Challenge #23580
61 month ago
Check out today’s Step 2 Qmax Question Challenge.
Know the answer? Post it in the comments below! Don’t forget to check back for an update with the correct answer and explanation.
A 17-year-old boy presents to the emergency department after being rescued from the scene of a motor vehicle accident. On arrival his temperature is 37°C (98.6°F), blood pressure is 100/60 mm Hg, heart rate is 90/min, respiratory rate is 15/min, and Glasgow Coma Scale score is 15. Physical examination reveals pain and tenderness localized to the suprapubic region, range of motion of lower extremities limited by pain, and no blood at the meatus. Analysis of urine reveals microscopic hematuria. X-ray of the pelvis is shown in the image.
Which of the following is the most likely explanation for these findings?
A. Urethral injury
B. Bladder injury
C. Pelvic hematoma
D. Abdominal trauma
E. Renal contusion
———————–
Want to know the ‘bottom line?’ Purchasing a USMLE-Rx Subscription provides many more features, more questions, and passages from First Aid, including images, references, and other facts relevant to this question.
This practice question is an actual question from the USMLE-Rx Step 2 test bank. Get more Step 2 study help at USMLE-Rx.com.
USMLE-Rx Step 2 Qmax Challenge #23531
101 month ago
Check out today’s Step 2 Qmax Question Challenge.
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A 20-year-old primigravid woman with no significant medical history is 13 weeks’ pregnant. Over the past week, she has experienced some intermittent painless vaginal bleeding. The obstetrician finds that her uterus is measuring larger than expected based on dates. Ultrasound imaging is performed (see image). There are no fetal heart tones.
Which of the following is the best next step in management for this patient?
A. ?-Human chorionic gonadotropin level
B. Methotrexate
C. Suction curettage
D. CT of the chest
E. Hysterectomy
———————–
Want to know the ‘bottom line?’ Purchasing a USMLE-Rx Subscription provides many more features, more questions, and passages from First Aid, including images, references, and other facts relevant to this question.
This practice question is an actual question from the USMLE-Rx Step 2 test bank. Get more Step 2 study help at USMLE-Rx.com.
USMLE-Rx Step 2 Qmax Challenge #23462
82 months ago
Check out today’s Step 2 Qmax Question Challenge.
Know the answer? Post it in the comments below! Don’t forget to check back for an update with the correct answer and explanation.
An 86-year-old man is brought to the emergency department by ambulance after falling in his bathroom. He is unarousable to voice but grimaces on sternal rub and withdraws to pain. On examination he has bruising to his head and injuries to his left arm. His vital signs are stable. CT of the head is shown in the image.
Which of the following is the most likely process underlying his decreased mental status?
A. Laceration of middle meningeal artery
B. Rupture of aneurysm
C. Hemorrhage into a subdural hygroma
D. Tearing of small bridging veins
———————–
Want to know the ‘bottom line?’ Purchasing a USMLE-Rx Subscription provides many more features, more questions, and passages from First Aid, including images, references, and other facts relevant to this question.
This practice question is an actual question from the USMLE-Rx Step 2 test bank. Get more Step 2 study help at USMLE-Rx.com.
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