UWORLD Biostats USMLE Step
2 CK, UWORLD Surgery Step 2
CK, UWORLD Rheumatology
Step 2 CK, Psychiatry - Emma
Ramahi, UWORLD Psychiatry
Step 2 CK, Incorrect Uworld CK,
Biostat (Combined in One
Document of Close to 800
Correctly Answered Questions)
Update 2023.
,An immigrant pt comes in presents with hemoptysis, severe cough, and upper
lobe opacity. What is the possible cause? - Exact Answer Tuberculosis
What is the initial step of management for pts suspected for TB? - Exact Answer
Respiratory Isolation
What is considered massive hemoptysis? - Exact Answer >600 mL/24hr OR
100mL/hr
What is the first step in management in MASSIVE hemoptysis? What to do if
bleeding persist? - Exact Answer Secure Airway, Breathing, and Circulation
If *bleeding persists*, do a *bronchoscopy* to find source of bleed.
If it continues to persist then do a *Pulmonary Arteriography*
What is the first step of management if the patient has massive hemoptysis from a
coagulopathy? - Exact Answer If pt has a suspected *coagulopathy*, the first
step is to give *fresh frozen plasma*
Pt presents with pain and swelling over the coccyx. What is the possible Dx? -
Exact Answer Infection of Pilonidal Cyst
,How do you tx Pilonidal Cyst? - Exact Answer Drainage of abscess and excision
of sinus tracts
Pt presents with anal pain and tender, erythematous bulge at the anal verge.
Whats the likely Dx? - Exact Answer Perianal abscess
A pt after a MVA arrives with hpotension and tachypnea. PE reveals that his
trachea is deviated left, and breath sounds are absent on the right side. Neck veins
are distended bilaterally. What is the Dx and the best next step? - Exact Answer
Tension Pneumothorax
Emergency Needle Thoracostomy in the 2nd intercostal space in the mid-clavicular
line.
A pt presents with hypotension, and JVD. During PE it was noted that his systolic
BP drops more than 10 mmHg during inspiration. What is the first step in
management to verify Dx? - Exact Answer Echocardiogram to rule out Cardiac
Tamponade
A military recruit comes in complaining of pain in her right foot. Worse with
activity and but improves with rest. She has no history of trauma. What is the
likely location of her pain and what is the possible Dx? - Exact Answer She most
likely has stress fracture of the 2nd metatarsal of her foot.
, What is the most appropriate initial management of pts with metatarsal stress
fractures? - Exact Answer Rest and Analgesics
*Plaster Casting* for pts with persistent pain after conservative tx fails
What is the function of the gluteus medius and minimus muscles? What nerve
supplies them? - Exact Answer Responsible for hip abduction.
Innervated by superior gluteal nerve
An 18 yr old male notices a bulge in his left scrotum. Its not painful. It gets bigger
with standing and valsalva, but reduces in size when supine. The pt does not play
sports or lift weights. On exam, it does NOT transilluminate. What is the Dx and
what is the cause of the pts condition? - Exact Answer Varicocele, caused by
dilation of the pampiniform plexus
*common in the left side due to the left renal vein (supplies left gonadal vein)
being compressed between SMA and aorta*
An 18 year old presents with a painless bulge on the superior portion of his testes.
The bulge does not change in shape with position. What is the probable Dx? -
Exact Answer Spermatocele
-a fluid-filled cyst on the superior pole of the testes