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

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Exam Solution
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Step 2 CK 2026 A+ GRADE ASSURED COMPLETE SOLUT
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IONS AND VERIFIED ANSWERS (A158D)
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QUESTION 1 zm




UW 4491 Methods to prevent Constrast neuropathy
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ANSWER

Use minimum amount hydration HOLD NSAIDS DUE TO WORSENING VASOCONSTRICTION
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QUESTION 2 zm




Uw 16229 Blepharospasm and Meig syndrome
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ANSWER

Belepharospasm = bilateral and symmetric, contraction of eyelid muscles Belpharospasm + lower spa
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sm of face = Meige syndrome
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QUESTION 3 zm




QID: 15102: Pt with inability to remember how to enter grocery store, detailed descri
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ption unimportant topics; hx of alcohol use disorder
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ANSWER

Korsakoff syndrome = may develop WITHOUT ACTE DRINKING OR WERNICKE EPISODE
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QUESTION 4 zm




UW 12403 Difference between Multiple myeloma and metastatic pancretatic cancer on
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vertebrae
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ANSWER

MM: hypercalcemia + anemia +LYTIC LESIONS (HYPODENSE) Pancreatic: blastic lesions that presents
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with back pain; increased alkaline phosphatase
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,QUESTION 5 zm




When to get VCUG: UW 15867
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ANSWER

2 febrile UTIs, abnormal renal U/S, fever over 39 with bacteria other than Ecoli, and signs of CKD N
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o additional management is required after a first febrile UTI with a normal U/S
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QUESTION 6 zm




UW 3767: sick sinus syndrome usual presentation?
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ANSWER

elderly patient with bradycardia, fatigue,
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QUESTION 7 zm




UW 15794: normal devo UNTIL 6-
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18 MONTHS , now regression of speech, loss of purposeful hand movements, and devo
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of stereotypical movements, gait abnormalities Breathing episodes of hyperventilation
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or hypoventilation
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ANSWER

Rett Syndrome Angelman syndrome: devo is delayed but not regression
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QUESTION 8 zm




VZIG: prescribed for:
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ANSWER

neonates, pregnant women, and compromised
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QUESTION 9 zm




UW 12118: Peripartium cardiomyopathy vs preeclampsia>
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ANSWER

- mitral regurg - S3 heart sound - Dx with transthroacic U/S - progression of dyspnea
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QUESTION 10 zm




UW 15853: ADHD Sx presentation usually by:
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,ANSWER

before age 12 zm zm




QUESTION 11 zm




UW 15631: OA pathophys:
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ANSWER

altered expression of matrix metalloproteinases and accelerated chondrocyte death
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QUESTION 12 zm




UW 13474: Drowning may lead to which complication if in swimming pool
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ANSWER

Acute respiratory distress syndrome due to water washing away the surfactant; Pneumonia is more
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likely if patietn is submerged in COMTAMINATED water, like a lake
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QUESTION 13 zm




UW 12070: Hep A Vaccination/IMIG When to do postexposure prophylaxis?
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ANSWER

Close personal contacts Child care center contacts Food preparation Those under 40 get Hep A Vacci
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ne and those over 40 get Hep A IG
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QUESTION 14 zm




UW 3053: AFib with P waves of 3 different morphologies in the presentation of COPD?
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ANSWER

NO! This is a presentation of multifocal atrial tachycardia, caused by a underlying pulmonary disease
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, and presents with irregular rhythm. Best treatment is to treat the acute exacerbation of COPD
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QUESTION 15 zm




UW 15686 (Ob/Gyn): Active phase progressed =1cm every 2 hours What if its slower?
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ANSWER

place a IUP; if contractions are not powerful enough, augment labor with oxytocin
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QUESTION 16 zm

, UW 12501: Vasovagal Syncope pathophysiology? SINUS TACHYCARDIA DOES NOT CAUS
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E SYNCOPE
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ANSWER

occurs with parasympathetic activation, leading to cardioinhibitory response --
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> manifests as bradycardia with sinus arrest; may also lead to decreased sympathetic drive Usually t
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riggered by emotional stress and prodrome is present
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QUESTION 17 zm




uW 15101 Pheochromocytoma may be differentiated from panic and general anxiety a
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ttacks via...zm




ANSWER

hyperglycemia and resistant HTN zm zm zm




QUESTION 18 zm




UW 2362 Work up for fat necrosis?
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ANSWER

skin and nipple retraction with calcifications on mammography; excise lesion and then no further w
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orkup



QUESTION 19 zm




uw 2354 How to work up breast lump??
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ANSWER

1st: imaging in a woman over 30 ; if suspicious, THEN CORE BIOPSY
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QUESTION 20 zm




UW 15888: Associated signs with aortic dissection
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ANSWER

Increased D-dimer pleureal effusion Horner syndrome
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QUESTION 21 zm




UW 6942 Phases of septic shock
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ANSWER