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 High Yield 2026 A+ GRADE ASSURED
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COMPLETE SOLUTIONS AND VERIFIED ANSWERS (23D zm zm zm zm zm




41)




QUESTION 1 zm




Classic EKG finding in atrial flutter
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ANSWER

"Sawtooth" p waves zm zm




QUESTION 2 zm




Definition of unstable angina
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ANSWER

Angina that is new, is worsening, or occurs at rest
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QUESTION 3 zm




Antihypertensive for a diabetic patient with proteinuria
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ANSWER

ACEI



QUESTION 4 zm




Beck's triad for cardiac tamponade
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ANSWER

Hypotension, distant heart sounds, and JVD
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,QUESTION 5 zm




Drugs that slow heart rate
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ANSWER

Beta-blockers, CCBs, digoxin, amiodarone
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QUESTION 6 zm




Hypercholesterolemia treatment that leads to flushing and pruritus zm zm zm zm zm zm zm




ANSWER

Niacin



QUESTION 7 zm




Murmur - hypertrophic obstructive cardiomyopathy
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ANSWER

A systolic ejection murmur heard along the lateral sternal border that increases with decreased prel
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oad (i.
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e. Valsalva maneuver)
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QUESTION 8 zm




Murmur - aortic insufficiency
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ANSWER

Austin Flint murmur, a diastolic, decrescendo, low-
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pitched, blowing murmur that is best heard sitting up; increases with increased afterload (i.
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e. handgrip)
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QUESTION 9 zm




Murmur - aortic stenosis
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ANSWER

A systolic crescendo/decrescendo murmur that radiates to the neck; increases with increased preloa
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d (i.
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e. squatting)
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QUESTION 10 zm




Murmur - mitral regurgitation
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,ANSWER

A holosystolic murmur that radiates to the axillar; increases with increased afterload (handgrip)
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QUESTION 11 zm




Murmur - mitral stenosis
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ANSWER

A diastolic, mid to late, low-pitched murmur preceded by an opening snap
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QUESTION 12 zm




Treatment for atrial fibrillation and atrial flutter
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ANSWER

If unstable, cardiovert. If stable or chronic, rate control with CCBs or beta-blockers
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QUESTION 13 zm




Treatment for ventricular fibrillation
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ANSWER

Immediate cardioversion
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QUESTION 14 zm




Dressler's syndrome zm




ANSWER

An autoimmune reaction with fever, pericarditis and increased ESR occurring 2-4 weeks post-MI
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QUESTION 15 zm




IV drug use with JVD and holosystolic murmur at left sternal border. Treatment?
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ANSWER

Treat existing heart failure and replace tricuspid valve
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QUESTION 16 zm




Diagnostic test for hypertrophic cardiomyopathy
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, ANSWER

Echocardiogram (showing a thickened left ventricular wall and outflow obstruction)
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QUESTION 17 zm




Pulsus paradoxus zm




ANSWER

A decrease in systolic BP of > 10 mmHg with inspiration; seen in cardiac tamponade
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QUESTION 18 zm




Classic ECG finding in pericarditis
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ANSWER

Low-voltage, diffuse ST-segment elevationzm zm zm




QUESTION 19 zm




Definition of hypertension zm zm




ANSWER

BP > 140/90 on 3 separate occasions 2 weeks apart
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QUESTION 20 zm




Eight surgically correctable causes of HTN
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ANSWER

Renal artery stenosis, coarc of aorta, pheo, Conn's, Cushing's syndrome, unilateral renal parenchymal
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dz, hyperthyroid, hyperparathyroid
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QUESTION 21 zm




Evaluation of pulsatile abdominal mass and bruit
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ANSWER

Abdominal U/S and CT zm zm zm




QUESTION 22 zm




Indications for surgical repair of abdominal aortic aneurysm
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