1|Page
USMLE STEP 2 CK HIGH-YIELD EXAM |
COMPREHENSIVE Q&A FOR GUARANTEED
SUCCESS
Classic EKG finding in atrial flutter - correct-answer-"Sawtooth" p waves
Definition of unstable angina - correct-answer-Angina that is new, is worsening, or
occurs at rest
Maternal mortality rate? - correct-answer-Number of deaths during pregnancy to
90 days postpartum per 100,000 live births in 1 year
True or false: once patients sign a statement giving consent they must continue
treatment - correct-answer-False. Patients may change their minds at any time.
Exceptions to the requirement of informed consent include emergency situations
and patients without decision-making capacity
A 15yo pregnant girl requires hospitalization for preeclampsia. Is parental consent
required? - correct-answer-No. Parental consent is not necessary for the medical
treatment of pregnant minors
,2|Page
A doctor refers a patient for an MRI at a facility he/she owns - correct-answer-
Conflict of interest
Involuntary psychiatric hospitalization can be undertaken for which 3 reasons? -
correct-answer-The patient is a danger to self, a danger to others, or gravely
disabled (unable to provide for basic needs)
True or false: it is more difficult to justify the withdrawal of futile care than to have
withheld the treatment in the first place - correct-answer-False. Withdrawing a
nonbeneficial treatment is ethically similar to withholding a nonindicated one
A mother refuses to allow her child to be vaccinated - correct-answer-A parent has
the right to refuse treatment for his/her child as long as it does not pose a serious
threat to the well-being of the child
When can a physician refuse to continue treating a patient on the grounds of
futility? - correct-answer-When there is no rationale for treatment, maximal
intervention is failing, a given intervention has already failed, and treatment will
not achieve the goals of care
,3|Page
An 8-year-old child is in a serious accident. She requires emergent transfusion, but
her parents are not present - correct-answer-Treat immediately. Consent is
implied in emergency situations
A 15yo girl seeking treatment for an STD asks that her parents not be told about
her condition - correct-answer-Minors may consent to care for STDs without
parental consent or knowledge
Conditions in which confidentiality must be overridden - correct-answer-Real
threat of harm to third parties; suicidal intentions; certain contagious diseases,
elder and child abuse
Involuntary commitment or isolation for medical treatment may be undertaken
for what reason? - correct-answer-When treatment noncompliance represents a
serious danger to public health (eg TB)
A 10yo child presents in status epilepticus, but her parents refuse treatment on
religious grounds - correct-answer-Treat because the disease represents an
immediate threat to the child's life. Then seek a court order
, 4|Page
A son asks that his mother not be told about her recently discovered cancer -
correct-answer-A physician can withhold information from the patient only in the
rare case of therapeutic privilege or if the patient requests not to be told. A
patient's family cannot require the physician to withhold information from the
patient
A patient p/w sudden onset severe, diffuse abdominal pain. Exam reveals
peritoneal signs, and AXR reveals free air under the diaphragm. Management? -
correct-answer-Emergent laparotomy to repair perforated viscus
The most likely cause of acute lower GI bleed in patients > 40yoa - correct-answer-
Diverticulosis
Diagnostic modality used when ultrasound is equivocal for cholecystitis - correct-
answer-HIDA scan
Risk factors for cholelithiasis - correct-answer-Fat, female, forty, fertile
Inspiratory arrest during palpation of RUQ - correct-answer-Murphy's sign, seen in
acute cholecystitis
USMLE STEP 2 CK HIGH-YIELD EXAM |
COMPREHENSIVE Q&A FOR GUARANTEED
SUCCESS
Classic EKG finding in atrial flutter - correct-answer-"Sawtooth" p waves
Definition of unstable angina - correct-answer-Angina that is new, is worsening, or
occurs at rest
Maternal mortality rate? - correct-answer-Number of deaths during pregnancy to
90 days postpartum per 100,000 live births in 1 year
True or false: once patients sign a statement giving consent they must continue
treatment - correct-answer-False. Patients may change their minds at any time.
Exceptions to the requirement of informed consent include emergency situations
and patients without decision-making capacity
A 15yo pregnant girl requires hospitalization for preeclampsia. Is parental consent
required? - correct-answer-No. Parental consent is not necessary for the medical
treatment of pregnant minors
,2|Page
A doctor refers a patient for an MRI at a facility he/she owns - correct-answer-
Conflict of interest
Involuntary psychiatric hospitalization can be undertaken for which 3 reasons? -
correct-answer-The patient is a danger to self, a danger to others, or gravely
disabled (unable to provide for basic needs)
True or false: it is more difficult to justify the withdrawal of futile care than to have
withheld the treatment in the first place - correct-answer-False. Withdrawing a
nonbeneficial treatment is ethically similar to withholding a nonindicated one
A mother refuses to allow her child to be vaccinated - correct-answer-A parent has
the right to refuse treatment for his/her child as long as it does not pose a serious
threat to the well-being of the child
When can a physician refuse to continue treating a patient on the grounds of
futility? - correct-answer-When there is no rationale for treatment, maximal
intervention is failing, a given intervention has already failed, and treatment will
not achieve the goals of care
,3|Page
An 8-year-old child is in a serious accident. She requires emergent transfusion, but
her parents are not present - correct-answer-Treat immediately. Consent is
implied in emergency situations
A 15yo girl seeking treatment for an STD asks that her parents not be told about
her condition - correct-answer-Minors may consent to care for STDs without
parental consent or knowledge
Conditions in which confidentiality must be overridden - correct-answer-Real
threat of harm to third parties; suicidal intentions; certain contagious diseases,
elder and child abuse
Involuntary commitment or isolation for medical treatment may be undertaken
for what reason? - correct-answer-When treatment noncompliance represents a
serious danger to public health (eg TB)
A 10yo child presents in status epilepticus, but her parents refuse treatment on
religious grounds - correct-answer-Treat because the disease represents an
immediate threat to the child's life. Then seek a court order
, 4|Page
A son asks that his mother not be told about her recently discovered cancer -
correct-answer-A physician can withhold information from the patient only in the
rare case of therapeutic privilege or if the patient requests not to be told. A
patient's family cannot require the physician to withhold information from the
patient
A patient p/w sudden onset severe, diffuse abdominal pain. Exam reveals
peritoneal signs, and AXR reveals free air under the diaphragm. Management? -
correct-answer-Emergent laparotomy to repair perforated viscus
The most likely cause of acute lower GI bleed in patients > 40yoa - correct-answer-
Diverticulosis
Diagnostic modality used when ultrasound is equivocal for cholecystitis - correct-
answer-HIDA scan
Risk factors for cholelithiasis - correct-answer-Fat, female, forty, fertile
Inspiratory arrest during palpation of RUQ - correct-answer-Murphy's sign, seen in
acute cholecystitis
