(Solved) Step 2 CK NBME 8: USMLE : Questions &
Answers: Updated Solution
Zenker's diagnosis test - ANSWERbarium swallow
achalasia diagnosis test - ANSWERbarium swallow followed by esophageal
manometry
abdominal bruit makes you think - ANSWERfibromuscular dysplasia --> renal artery
stenosis
atherosclerosis --> renal artery stenosis
painful bumps on fingers in a pt in healthcare field - ANSWERherpetic whitlow
low potassium and high BP think - ANSWERprimary hyperaldosteronism-
mineralocorticoid excess
lung infiltrate + eosinophilia in immunocompromised think - ANSWERfungal inf
aspergillosis
how to diagnose aspergillosis - ANSWERbiopsy and culture of mass
if you cant visualize gallstones using US use what - ANSWERCT scan
vesicular painful rash that crosses midline in immunocompromised pt -
ANSWERdisseminated zoster
how to treat aortic stenosis - ANSWERsurgery- replace valve
bone scan vs skeletal survey - ANSWERscan: detects osteoblastic activity (paget,
metastasis)
survery: detects osteolytic lesions (multiple myeloma)
things that present with eosinophilia - ANSWERNAACP
Neoplasm
Addisons
Allergic
Connective tissue disorder
Parasites
hyponatremia, hypotension, hyperkalemia think - ANSWERAddisons
dx: ACTH stimulation test
endomysial IgA Ab - ANSWERceliacs-gluten
, celiac associated with IgA def
non-inflammatory arthritis vs inflammatory arthritis, vs sepsis - ANSWERnon-
inflamm: WBC < 2000
inflamm: WBC between 2000-100,000
septic: > 100,000
tx for prostatitis - ANSWER7 days of ciprofloxacin
male UTI tx - ANSWERciprofloxacin
males considered complicated UTI and cant treat with TMP-SMX, fosfomycin, or
nitro
signs of hemachromatosis - ANSWERbronze skin, DM, joint pain, restrictive
cardiomyopathy
sickle cell dominance - ANSWERAR
ALS vs cervical myelopathy - ANSWERALS: UMN, LMN, no sensory pure motor
cervical myelopathy: UMN, LMN, sensory issues
wide fixed split S2 - ANSWERASD--> volume overload on RV
if pt is not symptomatic give what fluids vs if they are symptomatic -
ANSWERasymptomatic: 5% dextrose in .45 saline
symptomatic: .9% saline
wide QRS complex comes from what area of heart - ANSWERventricles
anaphylaxis during blood transfusion has what deficiency - ANSWERIgA
positive blood by dipstick negative in urinalysis - ANSWERrhabdomyolysis
water deprivation test
if desmopressin raises urine osm by at least 50% think - ANSWERcentral DI
if not--> nephrogenic
primary polydipsia vs DI - ANSWERprimary polydipsia: hyponatremia
Di: hypernatremia
zinc def causes - ANSWERalopecia
pustular skin rash
hypogonadism
impaired would healing
impaired taste
Answers: Updated Solution
Zenker's diagnosis test - ANSWERbarium swallow
achalasia diagnosis test - ANSWERbarium swallow followed by esophageal
manometry
abdominal bruit makes you think - ANSWERfibromuscular dysplasia --> renal artery
stenosis
atherosclerosis --> renal artery stenosis
painful bumps on fingers in a pt in healthcare field - ANSWERherpetic whitlow
low potassium and high BP think - ANSWERprimary hyperaldosteronism-
mineralocorticoid excess
lung infiltrate + eosinophilia in immunocompromised think - ANSWERfungal inf
aspergillosis
how to diagnose aspergillosis - ANSWERbiopsy and culture of mass
if you cant visualize gallstones using US use what - ANSWERCT scan
vesicular painful rash that crosses midline in immunocompromised pt -
ANSWERdisseminated zoster
how to treat aortic stenosis - ANSWERsurgery- replace valve
bone scan vs skeletal survey - ANSWERscan: detects osteoblastic activity (paget,
metastasis)
survery: detects osteolytic lesions (multiple myeloma)
things that present with eosinophilia - ANSWERNAACP
Neoplasm
Addisons
Allergic
Connective tissue disorder
Parasites
hyponatremia, hypotension, hyperkalemia think - ANSWERAddisons
dx: ACTH stimulation test
endomysial IgA Ab - ANSWERceliacs-gluten
, celiac associated with IgA def
non-inflammatory arthritis vs inflammatory arthritis, vs sepsis - ANSWERnon-
inflamm: WBC < 2000
inflamm: WBC between 2000-100,000
septic: > 100,000
tx for prostatitis - ANSWER7 days of ciprofloxacin
male UTI tx - ANSWERciprofloxacin
males considered complicated UTI and cant treat with TMP-SMX, fosfomycin, or
nitro
signs of hemachromatosis - ANSWERbronze skin, DM, joint pain, restrictive
cardiomyopathy
sickle cell dominance - ANSWERAR
ALS vs cervical myelopathy - ANSWERALS: UMN, LMN, no sensory pure motor
cervical myelopathy: UMN, LMN, sensory issues
wide fixed split S2 - ANSWERASD--> volume overload on RV
if pt is not symptomatic give what fluids vs if they are symptomatic -
ANSWERasymptomatic: 5% dextrose in .45 saline
symptomatic: .9% saline
wide QRS complex comes from what area of heart - ANSWERventricles
anaphylaxis during blood transfusion has what deficiency - ANSWERIgA
positive blood by dipstick negative in urinalysis - ANSWERrhabdomyolysis
water deprivation test
if desmopressin raises urine osm by at least 50% think - ANSWERcentral DI
if not--> nephrogenic
primary polydipsia vs DI - ANSWERprimary polydipsia: hyponatremia
Di: hypernatremia
zinc def causes - ANSWERalopecia
pustular skin rash
hypogonadism
impaired would healing
impaired taste
