UWSA 2 STEP 2 EXAM FINAL PAPER 2026
COMPLETE QUESTIONS AND ANSWERS 100%
CORRECT
◉ Primary Adrenal Insufficiency. Answer: Hypotension,
hyponatremia, hyperkalemia
Skin pigmentation
Leads to loss of cortisol, aldosterone, and sex hormones
Increased ACTH, increased renin
◉ Functional hypothalamic amenorrhea. Answer: Low GnRH-->Low
FSH, LH, estrogen
Normal Prolactin and TSH
Progesterone challenge produces no withdraw bleeding
RF: weight loss, strenuous exercise, chronic illness, stress
◉ Primary ovarian insufficiency. Answer: Increased FSH
◉ Sheehan syndrome. Answer: Decreased TSH and FSH
Inability to breastfeed
,◉ Biliary leakage. Answer: RUQ tenderness, N/V post-laparaoscopic
CCY
Increased WBC, BR, ALP
Imaging: normal appearing bile ducts
◉ Wider CI. Answer: Wider range of effects on a population
◉ Low-grade fever, HA, malaise, myalgias followed by bilateral facial
muscle weakness and resistance to passive neck fexion. Answer:
Lyme disease
Dx: B burgdorferi serology
Tx: doxy or ceftriaxone IV if neuro/cardiac symptoms
◉ Firm nodule in the testis that does not transilluminate. Answer:
Testicular cancer
◉ Tx for bulimia. Answer: Fluoxetine + CBT
◉ Angelman Syndrome. Answer: Deletion of the maternal copy of
15q11-13
,Sx: developmental delay, jerky gait, happy demeanor, hand flapping,
seizures
◉ Management of severe cancer-related pain. Answer: Add
sustained-release morphine
◉ Preload, afterload, and CI with MI. Answer: Preload and afterload
increased, due to decreased SV
CI decreased
◉ Preload, afterload, and CI with hypovolemic shock. Answer:
Preload and CI decreased
Afterload increased
◉ Budding yeasts. Answer: Candida
◉ Diffuse petechial rash, small head circumference, jaundice, and
HSM in newborn. Answer: CMV--> most common
◉ Tx for moderate sunburn. Answer: Oral NSAIDs
◉ CI to NSAIDs. Answer: Renal impairment
CI in people on anticoags
, ◉ Tx for acute gout in patients with CI to NSAIDs. Answer:
Colchicine
◉ Next step in patient with threatened abortion. Answer:
Reassurance and f/u us
◉ Rho gam is given to. Answer: Rh (-) mothers
◉ Ocular rosacea. Answer: erythematous, pustular rash affecting the
central face
Involvement of the cornea, conjunctiva, and lids with burning
sensation, blepharitis, keratitis, and recurrent chalazia
◉ Involuntary detrusor contractions. Answer: Urge incontinence
◉ Urethral hypermobility. Answer: Stress incontinence
◉ Detrusor underactivity. Answer: Overflow incontinence
◉ Findings in acute liver failure. Answer: Prolonged PT/INR
ALT/AST >1000
COMPLETE QUESTIONS AND ANSWERS 100%
CORRECT
◉ Primary Adrenal Insufficiency. Answer: Hypotension,
hyponatremia, hyperkalemia
Skin pigmentation
Leads to loss of cortisol, aldosterone, and sex hormones
Increased ACTH, increased renin
◉ Functional hypothalamic amenorrhea. Answer: Low GnRH-->Low
FSH, LH, estrogen
Normal Prolactin and TSH
Progesterone challenge produces no withdraw bleeding
RF: weight loss, strenuous exercise, chronic illness, stress
◉ Primary ovarian insufficiency. Answer: Increased FSH
◉ Sheehan syndrome. Answer: Decreased TSH and FSH
Inability to breastfeed
,◉ Biliary leakage. Answer: RUQ tenderness, N/V post-laparaoscopic
CCY
Increased WBC, BR, ALP
Imaging: normal appearing bile ducts
◉ Wider CI. Answer: Wider range of effects on a population
◉ Low-grade fever, HA, malaise, myalgias followed by bilateral facial
muscle weakness and resistance to passive neck fexion. Answer:
Lyme disease
Dx: B burgdorferi serology
Tx: doxy or ceftriaxone IV if neuro/cardiac symptoms
◉ Firm nodule in the testis that does not transilluminate. Answer:
Testicular cancer
◉ Tx for bulimia. Answer: Fluoxetine + CBT
◉ Angelman Syndrome. Answer: Deletion of the maternal copy of
15q11-13
,Sx: developmental delay, jerky gait, happy demeanor, hand flapping,
seizures
◉ Management of severe cancer-related pain. Answer: Add
sustained-release morphine
◉ Preload, afterload, and CI with MI. Answer: Preload and afterload
increased, due to decreased SV
CI decreased
◉ Preload, afterload, and CI with hypovolemic shock. Answer:
Preload and CI decreased
Afterload increased
◉ Budding yeasts. Answer: Candida
◉ Diffuse petechial rash, small head circumference, jaundice, and
HSM in newborn. Answer: CMV--> most common
◉ Tx for moderate sunburn. Answer: Oral NSAIDs
◉ CI to NSAIDs. Answer: Renal impairment
CI in people on anticoags
, ◉ Tx for acute gout in patients with CI to NSAIDs. Answer:
Colchicine
◉ Next step in patient with threatened abortion. Answer:
Reassurance and f/u us
◉ Rho gam is given to. Answer: Rh (-) mothers
◉ Ocular rosacea. Answer: erythematous, pustular rash affecting the
central face
Involvement of the cornea, conjunctiva, and lids with burning
sensation, blepharitis, keratitis, and recurrent chalazia
◉ Involuntary detrusor contractions. Answer: Urge incontinence
◉ Urethral hypermobility. Answer: Stress incontinence
◉ Detrusor underactivity. Answer: Overflow incontinence
◉ Findings in acute liver failure. Answer: Prolonged PT/INR
ALT/AST >1000
