USMLE STEP 2 HIGH-YIELD STUDY GUIDE QUESTIONS UPDATE , EXAMS OF NURSING

USMLE STEP 2 HIGH-YIELD STUDY GUIDE
QUESTIONS UPDATE 2024-2025, EXAMS OF
NURSING
What's the difference b/t PTSD and acute stress disorder?
Correct Answer Both cause pt to persistently re- experience
event.
Acute stress disorder lasts less than 1 month

Time line of schizophrenia vs schizophreniform Correct Answer
Schizophrenia: >6 months
Schizophreniform: >1 month but <6 months

What anti-depressant is also approved for quitting smoking?
Correct Answer Bupropion

1st line drug for social phobia? Correct Answer SSRI

Adjustment disorder
Timeline?
Define?
Rx? Correct Answer - Develop w/in 3 months of stressor, lasts
under 6 months
- Emotional/behavioral symptoms beyond what is expected of
stressed event.
- Cognitive or psychodynamic psychotherapy

Anterior cord syndrome
Ax w/ what type of fracture?
MOA?
PE?
Rx? Correct Answer Fracture: Ax w/ burst fracture of a vertebrae
MOA: Trauma from a fall

,PE: Loss of motor function below level of lesion + pain and
temperature loss. Proprioception remains intact.
Rx: ABCs -->High-dose corticosteroid --> CT + MRI imaging

Central cord syndrome
PE?
MOA Correct Answer Elderly patient
Burning pain and paralysis in upper limbs.
Lower limbs fine.
MOA: Forced hyperextension type injury to neck

Fracture of mid-shaft of humerus.
MC nerve effected? Correct Answer Radial nerve

PE: popping sound and severe pain in knee.
Swelling occurs hours later
Dx?
Tender?
Clinical test? Correct Answer Medial meniscus tear
Tender on palpation medial side
McMurray's (+)

Leg Calves Perthes
Define?
Patient subtype?
Clinical exam findings?
Imaging? Correct Answer Avascular necrosis of the femoral head
4-10 yo
Limitation of internal rotation and abduction at hip joint
MRI or bone scan will show pathology earlier than XR

Todd's Paralysis
Define Correct Answer Post tonic-clonic seizure transient
unilateral paralysis

,At what rib level is a gunshot wound considered to involve the
abdomen?
After ABCs, BIT? Correct Answer Below 4th intercostal space
(below nipple)
Exploratory laparotomy

**Stab wound or other blunt trauma you do FAST, but not Sp or
Sn to do in gunshot wound

PE: Fever, flank pain, chills, w/in 1 hour of blood tranfusion.
Dx?
Coombs (+) or (-)?
Cx? Correct Answer Acute Hemolytic Transfusion Reaction
(AHTR)
Coombs (+)
Cx: DIC, ARF, shock

Reaction to cytokines stored in blood.
What blood transfusion reaction?
How to prevent? Correct Answer Febrile non-hemolytic reactions
(MCC of bad blood transfusion)
Leukoreduced blood products + washing of RBCs

Reaction to blood transfusion w/in minutes.
What type of blood transfusion rxn? Correct Answer IgA
deficiency

Motor
Femoral:
Tibial:
Obturator:
Common peroneal / Fibular Correct Answer Femoral: Knee
extension, hip flexion
Tibial: Flexion of knee and flexion of foot
Obturator: Adduction of thigh

, Common peroneal: Anterior and lateral leg

Sensory
Femoral:
Tibial:
Obturator:
Common peroneal / Fibular Correct Answer Femoral: anterior
thigh, medial leg
Tibial: leg (except medial) and plantar foot
Obturator: medial thigh
Common peroneal: anterolateral leg and dorsum of foot

Antibiotics for pregnancy Correct Answer Amoxicillin,
nitrofurantoin, oral cephalosporin

Viral meningitis
MCC?
Rx? Correct Answer Enteroviruses (echovirus and coxsackie)

PE: Ab pain, N/V, Diarrhea, red eyes, periorbital edema, muscle
pain, tenderness, splinter hemorrhages?
Dx?
Transmitted?
Elevated WBC? Correct Answer Trichenollosis
Undercooked pork
Eosinophilia

Mucormycosis
Ax w/ what disease?
MCC?
Rx? Correct Answer DM
The Fungus Rhizopus
Surgical debridement + IV amphotericin B

Nosocomial pneumonia in an intubated patient