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USMLE Step 2 CK High-Yield exam with 100% correct and verified answers
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USMLE Step 2 CK High-Yield exam with 100% correct and verified answers
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USMLE Step 2 CK High-Yield exam with100% correct and verified answers
ClassiciEKGifindingiiniatrialiflutteri-
iCorrectiAnswer-"Sawtooth"ipiwaves
Definitioniofiunstableianginai-iCorrectiAnswer-
Anginaithatiisinew,iisiworsening,iorioccursiatirest
Antihypertensiveiforiaidiabeticipatientiwithiproteinur
iai-iCorrectiAnswer-ACEI
Beck'sitriadiforicardiacitamponadei-iCorrectiAnswer-
Hypotension,idistantiheartisounds,iandiJVD
Drugsithatislowiheartiratei-iCorrectiAnswer-Beta-
blockers,iCCBs,idigoxin,iamiodarone
Hypercholesterolemiaitreatmentithatileadsitoiflushin
giandipruritusi-iCorrectiAnswer-Niacin
Murmuri-ihypertrophiciobstructiveicardiomyopathyi-
iCorrectiAnswer-
Aisystoliciejectionimurmuriheardialongitheilateraliste
rnaliborderithatiincreasesiwithidecreasedipreloadi(i.e
.iValsalvaimaneuver)
Murmuri-iaorticiinsufficiencyi-iCorrectiAnswer-
AustiniFlintimurmur,iaidiastolic,idecrescendo,ilow-
pitched,iblowingimurmurithatiisibestiheardisittingiup
;iincreasesiwithiincreasediafterloadi(i.e.ihandgrip)
iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii Vendarsol
,Murmuri-iaorticistenosisi-iCorrectiAnswer-
Aisystolicicrescendo/
decrescendoimurmurithatiradiatesitoitheineck;iincre
asesiwithiincreasedipreloadi(i.e.isquatting)
Murmuri-imitraliregurgitationi-iCorrectiAnswer-
Aiholosystolicimurmurithatiradiatesitoitheiaxillar;iinc
reasesiwithiincreasediafterloadi(handgrip)
Murmuri-imitralistenosisi-iCorrectiAnswer-
Aidiastolic,imiditoilate,ilow-
pitchedimurmuriprecededibyianiopeningisnap
Treatmentiforiatrialifibrillationiandiatrialiflutteri-
iCorrectiAnswer-
Ifiunstable,icardiovert.iIfistableiorichronic,irateicontr
oliwithiCCBsioribeta-blockers
Treatmentiforiventricularifibrillationi-
iCorrectiAnswer-Immediateicardioversion
Dressler'sisyndromei-iCorrectiAnswer-
Aniautoimmuneireactioniwithifever,ipericarditisiandii
ncreasediESRioccurringi2-4iweeksipost-MI
IVidrugiuseiwithiJVDiandiholosystolicimurmuriatileftis
ternaliborder.iTreatment?i-iCorrectiAnswer-
Treatiexistingiheartifailureiandireplaceitricuspidivalv
e
Diagnosticitestiforihypertrophicicardiomyopathyi-
iCorrectiAnswer-
Echocardiogrami(showingiaithickenedileftiventricula
riwalliandioutflowiobstruction)
iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii Vendarsol
,Pulsusiparadoxusi-iCorrectiAnswer-
AidecreaseiinisystoliciBPiofi>i10immHgiwithiinspirati
on;iseeniinicardiacitamponade
ClassiciECGifindingiinipericarditisi-iCorrectiAnswer-
Low-voltage,idiffuseiST-segmentielevation
Definitioniofihypertensioni-iCorrectiAnswer-
BPi>i140/90ioni3iseparateioccasionsi2iweeksiapart
EightisurgicallyicorrectableicausesiofiHTNi-
iCorrectiAnswer-
Renaliarteryistenosis,icoarciofiaorta,ipheo,iConn's,iCu
shing'sisyndrome,iunilateralirenaliparenchymalidz,ih
yperthyroid,ihyperparathyroid
Evaluationiofipulsatileiabdominalimassiandibruiti-
iCorrectiAnswer-AbdominaliU/SiandiCT
Indicationsiforisurgicalirepairiofiabdominaliaortician
eurysmi-iCorrectiAnswer-
>5.5cm,irapidlyienlarging,isymptomatic,iruptured
Treatmentiforiacuteicoronaryisyndromei-
iCorrectiAnswer-
ASA,iheparin,iclopidogrel,imorphine,ioxygen,isubling
ualinitro,iIVibeta-blockers
Metabolicisyndromei-iCorrectiAnswer-
Abdominaliobesity,ihighitriglycerides,ilowiHDL,ihype
rtension,iinsuliniresistance,iprothromboticioriproinfl
ammatoryistates
iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii Vendarsol
, Appropriateidiagnosticitest:i50yoimaleiwithistableian
ginaicaniexerciseitoi85%iofimaximumipredictedihearti
ratei-iCorrectiAnswer-
ExerciseistressitreadmilliwithiECG
Appropriateidiagnosticitest:i65yoifemaleiwithiLBBBia
ndisevereiOAihasiunstableianginai-iCorrectiAnswer-
Pharmacologicistressitesti(e.g.idobutamineiecho)
TargetiLDLiiniaipatientiwithidiabetesi-
iCorrectiAnswer-<70mg/dL
Signsiofiactiveiischemiaiduringistressitestingi-
iCorrectiAnswer-Angina,iST-
segmentichangesioniECGioridecreasediBP
ECGifindingsisuggestiveiofiMIi-iCorrectiAnswer-ST-
segmentielevationi(depressionimeansiischemia),iflatt
enediTiwaves,iQiwaves
CoronaryiterritoriesiiniMIi-iCorrectiAnswer-
Anterioriwalli(LAD/
diagonal),iinferiori(PDA),iposteriori(lefticircumflex/
oblique,iRCA/marginal),iseptumi(LAD/diagonal)
AiyoungipatientiwithianginaiatirestiandiST-
segmentielevationiwithinormalicardiacienzymesi-
iCorrectiAnswer-Prinzmetal'siangina
CommonisymptomsiassociatediwithisilentiMIsi-
iCorrectiAnswer-CHF,ishock,iAMS
DiagnosticitestiforiPEi-iCorrectiAnswer-
SpiraliCTiwithicontrast
iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii Vendarsol
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