USMLE step 2 EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS LATEST UPDATE!!!!

USMLE EXAM zm




Exam Solution
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USMLE Step 2 CK Internal Medicine 2026 A+ GRADE AS
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SURED COMPLETE SOLUTIONS AND VERIFIED ANSWER
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S (9FD8F)
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QUESTION 1 zm




Leukemoid reaction zm




ANSWER

Patient has leukocyte count >50k, high LAP score, more metamyelocytes than myelocytes
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QUESTION 2 zm




Chronic myeloid leukemia
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ANSWER

Patient has leukocyte count often >100k, low LAP score, fewer metamyelocytes than myelocytes, abs
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olute basophilia
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QUESTION 3 zm




Cyclosporine
ANSWER

Drug that inhibits transcription of IL-
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2, causes nephrotoxicity, htn, neurotoxicity, glucose intolerance, infection, malignancy, gingival hypert
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rophy and hirsutism
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QUESTION 4 zm




Tacrolimus
ANSWER

Drug that inhibits transcription of IL-2 but does not cause hirsutism or gum hypertrophy
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,QUESTION 5 zm




Mycophenolate
ANSWER

Drug that is a reversible inhibitor of inosine monophosphate dehydrogenase (rate-
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limiting enzyme in de novo purine synthesis), causes bone marrow suppression
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QUESTION 6 zm




Acute pericarditis
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ANSWER

Patient presents with sharp, pleuritic chest pain that is relieved by leaning forward
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QUESTION 7 zm




Diabetic ketoacidosis zm




ANSWER

Patient with DM presents with hyperventilation, glucose 250-
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500, bicarb <18, elevated anion gap, serum osmolality <320
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QUESTION 8 zm




Hyperosmolar hyperglycemic state zm zm




ANSWER

Patient with DM presents with altered mentation, glucose >600, bicarb >18, normal anion gap, seru
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m osmolality >320
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QUESTION 9 zm




Hyperglycemia, ketonemia and anion gap metabolic acidosis
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ANSWER

DKA Triad
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QUESTION 10 zm




Autoantibodies to platelet factor 4 zm zm zm zm

, ANSWER

Genetic susceptibility to heparin-induced thrombocytopenia
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QUESTION 11 zm




Cholesterol embolism zm




ANSWER

Patient with history of comorbid conditions presents with livedo reticularis, Hollenhorst plaques (ey
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es), eosinophilia, renal injury after cardiac catheterization
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QUESTION 12 zm




Statin
ANSWER

Drug used in therapy for patient with estimated 10-year ASCVD risk >=7.5%
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QUESTION 13 zm




Triglycerides
ANSWER

Lipid level reduced by use of fish oil
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QUESTION 14 zm




Niacin
ANSWER

Drug that is effective in raising HDL and has a modest effect of lowering VLDL and LDL
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QUESTION 15 zm




Aortic stenosis
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ANSWER

Murmur in which patient has pulsus parvus et tardus (small amplitude and delayed upstroke)
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QUESTION 16 zm




Pyramidal tract disease zm zm