USMLE Step 2 Rapid Review All Answers Correct
"Sawtooth" P waves ✔️✔️Classic ECG finding in atrial flutter.
Angina is new, is worsening, or occurs at rest ✔️✔️Definition of unstable angina.
ACEI ✔️✔️Antihypertensive for a diabetic patient with proteinuria.
Hypotension, distant heart sounds, and JVD ✔️✔️Beck's triad for cardiac tamponade.
β-blockers, digoxin, calcium channel blockers ✔️✔️Drugs that slow AV node transmission.
Niacin ✔️✔️Hypercholesterolemia treatment that → flushing and pruritus.
Anticoagulation, rate control, cardioversion ✔️✔️Treatment for atrial fibrillation.
Immediate cardioversion ✔️✔️Treatment for ventricular fibrillation.
Dressler's syndrome: fever, pericarditis, ↑ ESR ✔️✔️Autoimmune complication occurring 2-4 weeks
post-MI.
Treat existing heart failure and replace the tricuspid valve ✔️✔️IV drug use with JVD and holosystolic
murmur at the left sternal border. Treatment?
Echocardiogram (showing thickened left ventricular wall and outflow obstruction) ✔️✔️Diagnostic
test for hypertrophic cardiomyopathy.
Pulsus paradoxus (seen in cardiac tamponade) ✔️✔️A fall in systolic BP of > 10 mmHg with inspiration.
,Low-voltage, diffuse ST-segment elevation ✔️✔️Classic ECG findings in pericarditis.
BP > 140/90 on three separate occasions two weeks apart ✔️✔️Definition of hypertension.
Renal artery stenosis, coarctation of the aorta, pheochromocytoma, Conn's syndrome, Cushing's
syndrome, unilateral renal parenchymal disease, hyperthyroidism, hyperparathyroidism ✔️✔️Eight
surgically correctable causes of hypertension.
Abdominal ultrasound and CT ✔️✔️Evaluation of a pulsatile abdominal mass and bruit.
> 5.5 cm, rapidly enlarging, symptomatic, or ruptured ✔️✔️Indications for surgical repair of abdominal
aortic aneurysm.
Morphine, O2, sublingual nitroglycerin, ASA, IV β-blockers, heparin ✔️✔️Treatment for acute
coronary syndrome.
Abdominal obesity, high triglycerides, low HDL, hypertension, insulin resistance, prothrombotic or
proinflammatory states ✔️✔️What is the metabolic syndrome?
Exercise stress treadmill with ECG ✔️✔️Appropriate diagnostic test? ■ A 50-year-old male with angina
can exercise to 85% of maximum predicted heart rate.
Pharmacologic stress test (e.g., dobutamine echo) ✔️✔️Appropriate diagnostic test? ■ A 65-year-old
woman with left bundle branch block and severe osteoarthritis has unstable angina.
Angina, ST-segment changes on ECG, or ↓ BP ✔️✔️Signs of active ischemia during stress testing.
ST-segment elevation (depression means ischemia), flattened T waves, and Q waves ✔️✔️ECG
findings suggesting MI.
,Prinzmetal's angina ✔️✔️A young patient has angina at rest with ST-segment elevation. Cardiac
enzymes are normal.
CHF, shock, and altered mental status ✔️✔️Common symptoms associated with silent MIs.
V/Q scan ✔️✔️The diagnostic test for pulmonary embolism.
Protamine ✔️✔️An agent that reverses the effects of heparin.
PT ✔️✔️The coagulation parameter affected by warfarin.
Hypertrophic cardiomyopathy ✔️✔️A young patient with a family history of sudden death collapses
and dies while exercising.
Oral surgery—amoxicillin; GI or GU procedures—ampicillin and gentamicin before and amoxicillin after
✔️✔️Endocarditis prophylaxis regimens.
Pain, pallor, pulselessness, paralysis, paresthesia, poikilothermia ✔️✔️The 6 P's of ischemia due to
peripheral vascular disease.
Stasis, hypercoagulability, endothelial damage ✔️✔️Virchow's triad.
OCPs ✔️✔️The most common cause of hypertension in young women.
Excessive EtOH ✔️✔️The most common cause of hypertension in young men.
Seborrheic keratosis ✔️✔️"Stuck-on" appearance.
Psoriasis ✔️✔️Red plaques with silvery-white scales and sharp margins.
, Basal cell carcinoma ✔️✔️The most common type of skin cancer; the lesion is a pearly-colored papule
with a translucent surface and telangiectasias.
Impetigo ✔️✔️Honey-crusted lesions.
Cellulitis ✔️✔️A febrile patient with a history of diabetes presents with a red, swollen, painful lower
extremity.
Pemphigus vulgaris ✔️✔️+ Nikolsky's sign.
Bullous pemphigoid ✔️✔️- Nikolsky's sign.
Acanthosis nigricans. Check fasting blood sugar to rule out diabetes ✔️✔️A 55-year-old obese patient
presents with dirty, velvety patches on the back of the neck.
Varicella zoster ✔️✔️Dermatomal distribution.
Lichen planus ✔️✔️Flat-topped papules.
Erythema multiforme ✔️✔️Iris-like target lesions.
Contact dermatitis ✔️✔️A lesion characteristically occurring in a linear pattern in areas where skin
comes into contact with clothing or jewelry.
Pityriasis rosea ✔️✔️Presents with a herald patch, Christmas-tree pattern.
Alopecia areata (autoimmune process) ✔️✔️A 16-year-old presents with an annular patch of alopecia
with broken-off, stubby hairs.
"Sawtooth" P waves ✔️✔️Classic ECG finding in atrial flutter.
Angina is new, is worsening, or occurs at rest ✔️✔️Definition of unstable angina.
ACEI ✔️✔️Antihypertensive for a diabetic patient with proteinuria.
Hypotension, distant heart sounds, and JVD ✔️✔️Beck's triad for cardiac tamponade.
β-blockers, digoxin, calcium channel blockers ✔️✔️Drugs that slow AV node transmission.
Niacin ✔️✔️Hypercholesterolemia treatment that → flushing and pruritus.
Anticoagulation, rate control, cardioversion ✔️✔️Treatment for atrial fibrillation.
Immediate cardioversion ✔️✔️Treatment for ventricular fibrillation.
Dressler's syndrome: fever, pericarditis, ↑ ESR ✔️✔️Autoimmune complication occurring 2-4 weeks
post-MI.
Treat existing heart failure and replace the tricuspid valve ✔️✔️IV drug use with JVD and holosystolic
murmur at the left sternal border. Treatment?
Echocardiogram (showing thickened left ventricular wall and outflow obstruction) ✔️✔️Diagnostic
test for hypertrophic cardiomyopathy.
Pulsus paradoxus (seen in cardiac tamponade) ✔️✔️A fall in systolic BP of > 10 mmHg with inspiration.
,Low-voltage, diffuse ST-segment elevation ✔️✔️Classic ECG findings in pericarditis.
BP > 140/90 on three separate occasions two weeks apart ✔️✔️Definition of hypertension.
Renal artery stenosis, coarctation of the aorta, pheochromocytoma, Conn's syndrome, Cushing's
syndrome, unilateral renal parenchymal disease, hyperthyroidism, hyperparathyroidism ✔️✔️Eight
surgically correctable causes of hypertension.
Abdominal ultrasound and CT ✔️✔️Evaluation of a pulsatile abdominal mass and bruit.
> 5.5 cm, rapidly enlarging, symptomatic, or ruptured ✔️✔️Indications for surgical repair of abdominal
aortic aneurysm.
Morphine, O2, sublingual nitroglycerin, ASA, IV β-blockers, heparin ✔️✔️Treatment for acute
coronary syndrome.
Abdominal obesity, high triglycerides, low HDL, hypertension, insulin resistance, prothrombotic or
proinflammatory states ✔️✔️What is the metabolic syndrome?
Exercise stress treadmill with ECG ✔️✔️Appropriate diagnostic test? ■ A 50-year-old male with angina
can exercise to 85% of maximum predicted heart rate.
Pharmacologic stress test (e.g., dobutamine echo) ✔️✔️Appropriate diagnostic test? ■ A 65-year-old
woman with left bundle branch block and severe osteoarthritis has unstable angina.
Angina, ST-segment changes on ECG, or ↓ BP ✔️✔️Signs of active ischemia during stress testing.
ST-segment elevation (depression means ischemia), flattened T waves, and Q waves ✔️✔️ECG
findings suggesting MI.
,Prinzmetal's angina ✔️✔️A young patient has angina at rest with ST-segment elevation. Cardiac
enzymes are normal.
CHF, shock, and altered mental status ✔️✔️Common symptoms associated with silent MIs.
V/Q scan ✔️✔️The diagnostic test for pulmonary embolism.
Protamine ✔️✔️An agent that reverses the effects of heparin.
PT ✔️✔️The coagulation parameter affected by warfarin.
Hypertrophic cardiomyopathy ✔️✔️A young patient with a family history of sudden death collapses
and dies while exercising.
Oral surgery—amoxicillin; GI or GU procedures—ampicillin and gentamicin before and amoxicillin after
✔️✔️Endocarditis prophylaxis regimens.
Pain, pallor, pulselessness, paralysis, paresthesia, poikilothermia ✔️✔️The 6 P's of ischemia due to
peripheral vascular disease.
Stasis, hypercoagulability, endothelial damage ✔️✔️Virchow's triad.
OCPs ✔️✔️The most common cause of hypertension in young women.
Excessive EtOH ✔️✔️The most common cause of hypertension in young men.
Seborrheic keratosis ✔️✔️"Stuck-on" appearance.
Psoriasis ✔️✔️Red plaques with silvery-white scales and sharp margins.
, Basal cell carcinoma ✔️✔️The most common type of skin cancer; the lesion is a pearly-colored papule
with a translucent surface and telangiectasias.
Impetigo ✔️✔️Honey-crusted lesions.
Cellulitis ✔️✔️A febrile patient with a history of diabetes presents with a red, swollen, painful lower
extremity.
Pemphigus vulgaris ✔️✔️+ Nikolsky's sign.
Bullous pemphigoid ✔️✔️- Nikolsky's sign.
Acanthosis nigricans. Check fasting blood sugar to rule out diabetes ✔️✔️A 55-year-old obese patient
presents with dirty, velvety patches on the back of the neck.
Varicella zoster ✔️✔️Dermatomal distribution.
Lichen planus ✔️✔️Flat-topped papules.
Erythema multiforme ✔️✔️Iris-like target lesions.
Contact dermatitis ✔️✔️A lesion characteristically occurring in a linear pattern in areas where skin
comes into contact with clothing or jewelry.
Pityriasis rosea ✔️✔️Presents with a herald patch, Christmas-tree pattern.
Alopecia areata (autoimmune process) ✔️✔️A 16-year-old presents with an annular patch of alopecia
with broken-off, stubby hairs.
