USMLE STEP 2 CK HIGH-YIELD EXAM 2024 WITH
100% CORRECT ANSWERS
•
1. Classic EKG finding in atrial flutter: "Sawtooth" p waves
2. Definition of unstable angina: Angina that is new, is worsening, or
occurs at rest
3. Antihypertensive for a diabetic patient with proteinuria:
ACEI
4. Beck's triad for cardiac tamponade: Hypotension, distant heart sound
and JVD
5. Drugs that slow heart rate: Beta-blockers, ccbs, digoxin, amiodarone
6. Hypercholesterolemia treatment that leads to flushing an
pruritus: Niacin
Murmur - hypertrophic obstructive cardiomyopathy: A
7.
systolic ejection murmur heard along the lateral sternal border that increases
with decreased preload (i.e. Valsalva maneuver)
8.Murmur - aortic insufficiency: Austin Flint murmur, a diastolic,
decrescendo, low-pitched, blowing murmur that is best heard sitting up;
increases with increased afterload (i.e. Handgrip)
9.Murmur - aortic stenosis: A systolic crescendo/decrescendo murmur that
radiates to the neck; increases with increased preload (i.e. Squatting)
, Murmur - mitral regurgitation: A holosystolic murmur that radiates to
10.
the axillar; increases with increased afterload (handgrip)
11. Murmur - mitral stenosis: A diastolic, mid to late, low-pitched murmur
preceded by an opening snap
Treatment for atrial fibrillation and atrial flutter: If unstable,
12.
cardiovert. If stable or chronic, rate control with ccbs or beta-blockers
13. Treatment for ventricular fibrillation: Immediate cardioversio
14.Dressler's syndrome: An autoimmune reaction with fever, pericarditis and
increased ESR occurring 2-4 weeks post-MI
15.IV drug use with JVD and holosystolic murmur at left
sternal border. Treat- ment?: Treat existing heart failure and replace
tricuspid valve
Diagnostic test for hypertrophic cardiomyopathy:
16.
Echocardiogram (showing a thickened left ventricular wall and outflow
obstruction)
17. Pulsus paradoxus: A decrease in systolic BP of > 10 mmhg with inspiration;
seen in cardiac tamponade
18. Classic ECG finding in pericarditis: Low-voltage, dittuse ST-segmen
elevation
,19. Definition of hypertension: BP > 140/90 on 3 separate occasions 2
weeks apart
20.Eight surgically correctable causes of HTN: Renal artery stenosis,
coarc of aorta, pheo, Conn's, Cushing's syndrome, unilateral renal parenchymal
dz, hyperthyroid, hyperparathyroid
21. Evaluation of pulsatile abdominal mass and bruit: Abdomina
U/S and CT
Indications for surgical repair of abdominal aortic
22.
aneurysm: >5.5cm, rapidly enlarging, symptomatic, ruptured
, Treatment for acute coronary syndrome: ASA, heparin, clopidogrel,
23.
morphine, oxygen, sub- lingual nitro, IV beta-blockers
Metabolic syndrome: Abdominal obesity, high triglycerides, low HDL,
24.
hypertension, insulin resistance, prothrombotic or proinflammatory states
Appropriate diagnostic test: 50yo male with stable
25.
angina can exercise to 85% of maximum predicted heart rate:
Exercise stress treadmill with ECG
26.Appropriate diagnostic test: 65yo female with LBBB
and severe OA has unstable angina: Pharmacologic stress test
(e.g. Dobutamine echo)
27. Target LDL in a patient with diabetes: <70mg/dl
Signs of active ischemia during stress testing: Angina, ST-
28.
segment changes on ECG or decreased BP
ECG findings suggestive of MI: ST-segment elevation (depression
29.
means ischemia), flattened T waves, Q waves
Coronary territories in MI: Anterior wall (LAD/diagonal), inferior
30.
(PDA), posterior (left circum- flex/oblique, RCA/marginal), septum
(LAD/diagonal)
100% CORRECT ANSWERS
•
1. Classic EKG finding in atrial flutter: "Sawtooth" p waves
2. Definition of unstable angina: Angina that is new, is worsening, or
occurs at rest
3. Antihypertensive for a diabetic patient with proteinuria:
ACEI
4. Beck's triad for cardiac tamponade: Hypotension, distant heart sound
and JVD
5. Drugs that slow heart rate: Beta-blockers, ccbs, digoxin, amiodarone
6. Hypercholesterolemia treatment that leads to flushing an
pruritus: Niacin
Murmur - hypertrophic obstructive cardiomyopathy: A
7.
systolic ejection murmur heard along the lateral sternal border that increases
with decreased preload (i.e. Valsalva maneuver)
8.Murmur - aortic insufficiency: Austin Flint murmur, a diastolic,
decrescendo, low-pitched, blowing murmur that is best heard sitting up;
increases with increased afterload (i.e. Handgrip)
9.Murmur - aortic stenosis: A systolic crescendo/decrescendo murmur that
radiates to the neck; increases with increased preload (i.e. Squatting)
, Murmur - mitral regurgitation: A holosystolic murmur that radiates to
10.
the axillar; increases with increased afterload (handgrip)
11. Murmur - mitral stenosis: A diastolic, mid to late, low-pitched murmur
preceded by an opening snap
Treatment for atrial fibrillation and atrial flutter: If unstable,
12.
cardiovert. If stable or chronic, rate control with ccbs or beta-blockers
13. Treatment for ventricular fibrillation: Immediate cardioversio
14.Dressler's syndrome: An autoimmune reaction with fever, pericarditis and
increased ESR occurring 2-4 weeks post-MI
15.IV drug use with JVD and holosystolic murmur at left
sternal border. Treat- ment?: Treat existing heart failure and replace
tricuspid valve
Diagnostic test for hypertrophic cardiomyopathy:
16.
Echocardiogram (showing a thickened left ventricular wall and outflow
obstruction)
17. Pulsus paradoxus: A decrease in systolic BP of > 10 mmhg with inspiration;
seen in cardiac tamponade
18. Classic ECG finding in pericarditis: Low-voltage, dittuse ST-segmen
elevation
,19. Definition of hypertension: BP > 140/90 on 3 separate occasions 2
weeks apart
20.Eight surgically correctable causes of HTN: Renal artery stenosis,
coarc of aorta, pheo, Conn's, Cushing's syndrome, unilateral renal parenchymal
dz, hyperthyroid, hyperparathyroid
21. Evaluation of pulsatile abdominal mass and bruit: Abdomina
U/S and CT
Indications for surgical repair of abdominal aortic
22.
aneurysm: >5.5cm, rapidly enlarging, symptomatic, ruptured
, Treatment for acute coronary syndrome: ASA, heparin, clopidogrel,
23.
morphine, oxygen, sub- lingual nitro, IV beta-blockers
Metabolic syndrome: Abdominal obesity, high triglycerides, low HDL,
24.
hypertension, insulin resistance, prothrombotic or proinflammatory states
Appropriate diagnostic test: 50yo male with stable
25.
angina can exercise to 85% of maximum predicted heart rate:
Exercise stress treadmill with ECG
26.Appropriate diagnostic test: 65yo female with LBBB
and severe OA has unstable angina: Pharmacologic stress test
(e.g. Dobutamine echo)
27. Target LDL in a patient with diabetes: <70mg/dl
Signs of active ischemia during stress testing: Angina, ST-
28.
segment changes on ECG or decreased BP
ECG findings suggestive of MI: ST-segment elevation (depression
29.
means ischemia), flattened T waves, Q waves
Coronary territories in MI: Anterior wall (LAD/diagonal), inferior
30.
(PDA), posterior (left circum- flex/oblique, RCA/marginal), septum
(LAD/diagonal)
