STEP 2CK EXAMINATION SET 2026 SOLVED
QUESTIONS GRADED A+
● Left Bundle Branch Block
*WiLLiam*. Answer: V1 = *W* QRS Pattern
V6 = *M* QRS Pattern
● Right Bundle Branch Block
*MaRRoW*. Answer: V1 = *M* QRS Pattern
V6 = *W* QRS Pattern
● Management Options for Atrial Fibrillation
*ABCD*. Answer: *A*nticoagulate
*B*-blockers to control rate
*C*ardiovert/ *C*alcium channel blockers
*D*igoxin (in refractory cases
● CXR findings in CHF Diagnosis
,*ABCDE*. Answer: *A*lveolar edema ("bat wings")
Kerley *B* lines (interstitial edema)
*C*ardiomegaly
*D*ilated prominent upper lobe vessels
*E*ffusion (pleural)
● Acute CHF Management
*LMNOP*. Answer: *L*asix (furosemide)
*M*orphine
*N*itrates
*O*xygen
*P*osition (sit upright)
● Treatment for MI
Patient is *MOAN*ing *B*ig from MI. Answer: *M*orphine
*O*xygen (to maintain saturations
*A*SA + *A*dditional second antiplateley agent (NSTEMI)
*N*itrates
*B*-blockers
,● Complications of MI
*DARTH VADER*. Answer: *D*eath
*A*rrhythmia
*R*upture (ventricular wall, septum, or papillary muscle)
*T*amponade
*H*eart Failure
*V*alvular Disease
*A*neurysm of ventricle
*D*ressler's syndrome
*E*mboli (mural thrombosis)
*R*ecurrence/ *R*einfarction/ *R*egurgitation (mitral)
● Treatment of HTN
*ABCD*. Answer: *A*CEIs/*A*RBs
*B*-blockers
*C*CB
*D*iuretics *typically thiazide
● Causes of Secondary HTN
, *CHAPS RECENT*. Answer: *C*ushing Syndrome
*H*yperaldosteronism (Conn Syndrome)
*A*ortic coarctation
*P*heocromocytoma
*S*tenosis of rental arteries
*R*enal causes (renal artery stenosis, PKD)
*E*ndocrine (Conn Syndrome, Cushing syndrome,
hyperparathyroidism, pheochromocytoma)
*C*oarctation of the aorta
*E*strogen (OCP)
*N*eurologic (ICP)
*T*hyroid Disorder
● Causes of Pericarditis
*CARDIAC RINDS*. Answer: *C*ollagen vascular disease
*A*ortic dissection
*R*adiation
*D*rugs
*I*nfections
*A*cute renal failure
QUESTIONS GRADED A+
● Left Bundle Branch Block
*WiLLiam*. Answer: V1 = *W* QRS Pattern
V6 = *M* QRS Pattern
● Right Bundle Branch Block
*MaRRoW*. Answer: V1 = *M* QRS Pattern
V6 = *W* QRS Pattern
● Management Options for Atrial Fibrillation
*ABCD*. Answer: *A*nticoagulate
*B*-blockers to control rate
*C*ardiovert/ *C*alcium channel blockers
*D*igoxin (in refractory cases
● CXR findings in CHF Diagnosis
,*ABCDE*. Answer: *A*lveolar edema ("bat wings")
Kerley *B* lines (interstitial edema)
*C*ardiomegaly
*D*ilated prominent upper lobe vessels
*E*ffusion (pleural)
● Acute CHF Management
*LMNOP*. Answer: *L*asix (furosemide)
*M*orphine
*N*itrates
*O*xygen
*P*osition (sit upright)
● Treatment for MI
Patient is *MOAN*ing *B*ig from MI. Answer: *M*orphine
*O*xygen (to maintain saturations
*A*SA + *A*dditional second antiplateley agent (NSTEMI)
*N*itrates
*B*-blockers
,● Complications of MI
*DARTH VADER*. Answer: *D*eath
*A*rrhythmia
*R*upture (ventricular wall, septum, or papillary muscle)
*T*amponade
*H*eart Failure
*V*alvular Disease
*A*neurysm of ventricle
*D*ressler's syndrome
*E*mboli (mural thrombosis)
*R*ecurrence/ *R*einfarction/ *R*egurgitation (mitral)
● Treatment of HTN
*ABCD*. Answer: *A*CEIs/*A*RBs
*B*-blockers
*C*CB
*D*iuretics *typically thiazide
● Causes of Secondary HTN
, *CHAPS RECENT*. Answer: *C*ushing Syndrome
*H*yperaldosteronism (Conn Syndrome)
*A*ortic coarctation
*P*heocromocytoma
*S*tenosis of rental arteries
*R*enal causes (renal artery stenosis, PKD)
*E*ndocrine (Conn Syndrome, Cushing syndrome,
hyperparathyroidism, pheochromocytoma)
*C*oarctation of the aorta
*E*strogen (OCP)
*N*eurologic (ICP)
*T*hyroid Disorder
● Causes of Pericarditis
*CARDIAC RINDS*. Answer: *C*ollagen vascular disease
*A*ortic dissection
*R*adiation
*D*rugs
*I*nfections
*A*cute renal failure
