USMLE Step 2 CK High-Yield Complete Test With
Questions And Answers 2022
Classic EKG finding in atrial flutter Correct Answer: "Sawtooth" p waves
Definition of unstable angina Correct Answer: Angina that is new, is worsening, or occurs at rest
Antihypertensive for a diabetic patient with proteinuria Correct Answer: ACEI
Beck's triad for cardiac tamponade Correct Answer: Hypotension, distant heart sounds, and JVD
Drugs that slow heart rate Correct Answer: Beta-blockers, CCBs, digoxin, amiodarone
Hypercholesterolemia treatment that leads to flushing and pruritus Correct Answer: Niacin
Murmur - hypertrophic obstructive cardiomyopathy Correct Answer: A systolic ejection murmur heard
along the lateral sternal border that increases with decreased preload (i.e. Valsalva maneuver)
Murmur - aortic insufficiency Correct Answer: Austin Flint murmur, a diastolic, decrescendo, low-
pitched, blowing murmur that is best heard sitting up; increases with increased afterload (i.e. handgrip)
Murmur - aortic stenosis Correct Answer: A systolic crescendo/decrescendo murmur that radiates to
the neck; increases with increased preload (i.e. squatting)
Murmur - mitral regurgitation Correct Answer: A holosystolic murmur that radiates to the axillar;
increases with increased afterload (handgrip)
Murmur - mitral stenosis Correct Answer: A diastolic, mid to late, low-pitched murmur preceded by an
opening snap
Treatment for atrial fibrillation and atrial flutter Correct Answer: If unstable, cardiovert. If stable or
chronic, rate control with CCBs or beta-blockers
Treatment for ventricular fibrillation Correct Answer: Immediate cardioversion
Dressler's syndrome Correct Answer: An autoimmune reaction with fever, pericarditis and increased
ESR occurring 2-4 weeks post-MI
IV drug use with JVD and holosystolic murmur at left sternal border. Treatment? Correct Answer: Treat
existing heart failure and replace tricuspid valve
Diagnostic test for hypertrophic cardiomyopathy Correct Answer: Echocardiogram (showing a thickened
left ventricular wall and outflow obstruction)
Pulsus paradoxus Correct Answer: A decrease in systolic BP of > 10 mmHg with inspiration; seen in
cardiac tamponade
,Classic ECG finding in pericarditis Correct Answer: Low-voltage, diffuse ST-segment elevation
Definition of hypertension Correct Answer: BP > 140/90 on 3 separate occasions 2 weeks apart
Eight surgically correctable causes of HTN Correct Answer: Renal artery stenosis, coarc of aorta, pheo,
Conn's, Cushing's syndrome, unilateral renal parenchymal dz, hyperthyroid, hyperparathyroid
Evaluation of pulsatile abdominal mass and bruit Correct Answer: Abdominal U/S and CT
Indications for surgical repair of abdominal aortic aneurysm Correct Answer: >5.5cm, rapidly enlarging,
symptomatic, ruptured
Treatment for acute coronary syndrome Correct Answer: ASA, heparin, clopidogrel, morphine, oxygen,
sublingual nitro, IV beta-blockers
Metabolic syndrome Correct Answer: Abdominal obesity, high triglycerides, low HDL, hypertension,
insulin resistance, prothrombotic or proinflammatory states
Appropriate diagnostic test: 50yo male with stable angina can exercise to 85% of maximum predicted
heart rate Correct Answer: Exercise stress treadmill with ECG
Appropriate diagnostic test: 65yo female with LBBB and severe OA has unstable angina Correct Answer:
Pharmacologic stress test (e.g. dobutamine echo)
Target LDL in a patient with diabetes Correct Answer: <70mg/dL
Signs of active ischemia during stress testing Correct Answer: Angina, ST-segment changes on ECG or
decreased BP
ECG findings suggestive of MI Correct Answer: ST-segment elevation (depression means ischemia),
flattened T waves, Q waves
Coronary territories in MI Correct Answer: Anterior wall (LAD/diagonal), inferior (PDA), posterior (left
circumflex/oblique, RCA/marginal), septum (LAD/diagonal)
A young patient with angina at rest and ST-segment elevation with normal cardiac enzymes Correct
Answer: Prinzmetal's angina
Common symptoms associated with silent MIs Correct Answer: CHF, shock, AMS
Diagnostic test for PE Correct Answer: Spiral CT with contrast
Protamine Correct Answer: Reverses effects of heparin
Prothrombin time Correct Answer: Coagulation paramter affected by warfarin
A young patient with FHx of sudden death collapses and dies while exercising Correct Answer:
Hypertrophic cardiomyopathy
, Endocarditis prophylaxis regimens Correct Answer: Oral surgery - amoxicillin for certain situations; GI or
GU procedures - not recommended
Virchow's triad Correct Answer: Stasis, hypercoagulability, endothelial damage
The most common cause of HTN in young women Correct Answer: OCPs
The most common cause of HTN in young men Correct Answer: Excessive EtOH
Figure 3 sign Correct Answer: Aortic coarctation
Water-bottle shaped heart Correct Answer: Pericardial effusion, look for pulsus paradoxus
"Stuck-on" appearance Correct Answer: Seborrheic keratosis
Red plaques with silvery-white scales and sharp margins Correct Answer: Psoriasis
The most common type of skin cancer; lesion is pearly-colored papule with translucent surface and
telangiectasias Correct Answer: Basal cell carcinoma
Honey-crusted lesions Correct Answer: Impetigo
A febrile patient with h/o diabetes presents with red, swollen, painful lower extremity Correct Answer:
Cellulitis
Positive Nikolsky's sign Correct Answer: Pemphigus vulgaris
Negative Nikolsky's sign Correct Answer: Bullous pemphigoid
A 55yo obese patient presents with dirty, velvety patches on the back of the neck Correct Answer:
Acanthosis nigricans. Check FBG to r/o diabetes
Dermatomal distribution Correct Answer: Varicella zoster
Flat-topped papules Correct Answer: Lichen planus
Iris-like target lesions Correct Answer: Erythema multiforme
A lesion characteristically occurring in a linear pattern in areas where skin comes into contact with
clothing or jewelry Correct Answer: Contact dermatitis
Presents with a herald patch, Christmas-tree pattern Correct Answer: Pityriasis rosea
Pinkish, scaling, flat lesions on the chest and back; KOH prep has a "spaghetti-and-meatballs"
appearance Correct Answer: Tinea versicolor
Questions And Answers 2022
Classic EKG finding in atrial flutter Correct Answer: "Sawtooth" p waves
Definition of unstable angina Correct Answer: Angina that is new, is worsening, or occurs at rest
Antihypertensive for a diabetic patient with proteinuria Correct Answer: ACEI
Beck's triad for cardiac tamponade Correct Answer: Hypotension, distant heart sounds, and JVD
Drugs that slow heart rate Correct Answer: Beta-blockers, CCBs, digoxin, amiodarone
Hypercholesterolemia treatment that leads to flushing and pruritus Correct Answer: Niacin
Murmur - hypertrophic obstructive cardiomyopathy Correct Answer: A systolic ejection murmur heard
along the lateral sternal border that increases with decreased preload (i.e. Valsalva maneuver)
Murmur - aortic insufficiency Correct Answer: Austin Flint murmur, a diastolic, decrescendo, low-
pitched, blowing murmur that is best heard sitting up; increases with increased afterload (i.e. handgrip)
Murmur - aortic stenosis Correct Answer: A systolic crescendo/decrescendo murmur that radiates to
the neck; increases with increased preload (i.e. squatting)
Murmur - mitral regurgitation Correct Answer: A holosystolic murmur that radiates to the axillar;
increases with increased afterload (handgrip)
Murmur - mitral stenosis Correct Answer: A diastolic, mid to late, low-pitched murmur preceded by an
opening snap
Treatment for atrial fibrillation and atrial flutter Correct Answer: If unstable, cardiovert. If stable or
chronic, rate control with CCBs or beta-blockers
Treatment for ventricular fibrillation Correct Answer: Immediate cardioversion
Dressler's syndrome Correct Answer: An autoimmune reaction with fever, pericarditis and increased
ESR occurring 2-4 weeks post-MI
IV drug use with JVD and holosystolic murmur at left sternal border. Treatment? Correct Answer: Treat
existing heart failure and replace tricuspid valve
Diagnostic test for hypertrophic cardiomyopathy Correct Answer: Echocardiogram (showing a thickened
left ventricular wall and outflow obstruction)
Pulsus paradoxus Correct Answer: A decrease in systolic BP of > 10 mmHg with inspiration; seen in
cardiac tamponade
,Classic ECG finding in pericarditis Correct Answer: Low-voltage, diffuse ST-segment elevation
Definition of hypertension Correct Answer: BP > 140/90 on 3 separate occasions 2 weeks apart
Eight surgically correctable causes of HTN Correct Answer: Renal artery stenosis, coarc of aorta, pheo,
Conn's, Cushing's syndrome, unilateral renal parenchymal dz, hyperthyroid, hyperparathyroid
Evaluation of pulsatile abdominal mass and bruit Correct Answer: Abdominal U/S and CT
Indications for surgical repair of abdominal aortic aneurysm Correct Answer: >5.5cm, rapidly enlarging,
symptomatic, ruptured
Treatment for acute coronary syndrome Correct Answer: ASA, heparin, clopidogrel, morphine, oxygen,
sublingual nitro, IV beta-blockers
Metabolic syndrome Correct Answer: Abdominal obesity, high triglycerides, low HDL, hypertension,
insulin resistance, prothrombotic or proinflammatory states
Appropriate diagnostic test: 50yo male with stable angina can exercise to 85% of maximum predicted
heart rate Correct Answer: Exercise stress treadmill with ECG
Appropriate diagnostic test: 65yo female with LBBB and severe OA has unstable angina Correct Answer:
Pharmacologic stress test (e.g. dobutamine echo)
Target LDL in a patient with diabetes Correct Answer: <70mg/dL
Signs of active ischemia during stress testing Correct Answer: Angina, ST-segment changes on ECG or
decreased BP
ECG findings suggestive of MI Correct Answer: ST-segment elevation (depression means ischemia),
flattened T waves, Q waves
Coronary territories in MI Correct Answer: Anterior wall (LAD/diagonal), inferior (PDA), posterior (left
circumflex/oblique, RCA/marginal), septum (LAD/diagonal)
A young patient with angina at rest and ST-segment elevation with normal cardiac enzymes Correct
Answer: Prinzmetal's angina
Common symptoms associated with silent MIs Correct Answer: CHF, shock, AMS
Diagnostic test for PE Correct Answer: Spiral CT with contrast
Protamine Correct Answer: Reverses effects of heparin
Prothrombin time Correct Answer: Coagulation paramter affected by warfarin
A young patient with FHx of sudden death collapses and dies while exercising Correct Answer:
Hypertrophic cardiomyopathy
, Endocarditis prophylaxis regimens Correct Answer: Oral surgery - amoxicillin for certain situations; GI or
GU procedures - not recommended
Virchow's triad Correct Answer: Stasis, hypercoagulability, endothelial damage
The most common cause of HTN in young women Correct Answer: OCPs
The most common cause of HTN in young men Correct Answer: Excessive EtOH
Figure 3 sign Correct Answer: Aortic coarctation
Water-bottle shaped heart Correct Answer: Pericardial effusion, look for pulsus paradoxus
"Stuck-on" appearance Correct Answer: Seborrheic keratosis
Red plaques with silvery-white scales and sharp margins Correct Answer: Psoriasis
The most common type of skin cancer; lesion is pearly-colored papule with translucent surface and
telangiectasias Correct Answer: Basal cell carcinoma
Honey-crusted lesions Correct Answer: Impetigo
A febrile patient with h/o diabetes presents with red, swollen, painful lower extremity Correct Answer:
Cellulitis
Positive Nikolsky's sign Correct Answer: Pemphigus vulgaris
Negative Nikolsky's sign Correct Answer: Bullous pemphigoid
A 55yo obese patient presents with dirty, velvety patches on the back of the neck Correct Answer:
Acanthosis nigricans. Check FBG to r/o diabetes
Dermatomal distribution Correct Answer: Varicella zoster
Flat-topped papules Correct Answer: Lichen planus
Iris-like target lesions Correct Answer: Erythema multiforme
A lesion characteristically occurring in a linear pattern in areas where skin comes into contact with
clothing or jewelry Correct Answer: Contact dermatitis
Presents with a herald patch, Christmas-tree pattern Correct Answer: Pityriasis rosea
Pinkish, scaling, flat lesions on the chest and back; KOH prep has a "spaghetti-and-meatballs"
appearance Correct Answer: Tinea versicolor
