USMLE Step 2 CK | Forum profile

The answer is E. A large body of evidence exists to show that children in group day care are significantly more likely to develop otitis media after an upper respiratory tract infection compared to those in home care. One study showed that the rate of tympanostomies and adenoidectomies is 59-67% higher in children younger than 3 who attend day care. In addition, having older siblings, as this child does, has also been shown to significantly...

Which of the following factor is worst single finding predicting high cardiac risk and mortality in preoperative risk assesment? 1. jugular venus distension 2. recent transmural MI 3. severe progressive angina 4. premature ventricular contractions

The answer is A. A minor illness with or without fever is not a contraindication for immunizations. There are often misconceptions about this idea. According to the American Academy of Pediatrics and the Report of the Committee on Infectious Diseases, there is no evidence that indicates that immunizations should not be given during a minor febrile illness. This is important because deferring immunizations to a later date may lead to...

The answer is C. The history given above is a classic presentation of acute post-infectious cerebellar ataxia. 25% of children with this disorder have a history of varicella infection within 1 month prior to the onset of the disorder and 5% of children have a previous history of varicella vaccination. The onset of acute cerebellar ataxia is usually explosive, often with the child awakening from sleep with maximal symptoms of ataxia and...

A worker falls off a ladder and is brought to the clinic complaining of severe heel and low back pain. He denies any trauma to his head or neck, but fell some 20 feet and landed on his feet before falling to the ground. He was able to limp into the office with the aid of his coworker but is in severe pain whenever his left foot touches the ground. His vital signs are stable and within acceptable limits. The only positive physical findings are...

in hirsch the segment position and length is variable, accounting for the different times of presentations of the disease. longer and at a proximal location the segment , earlier the presentation. some show up as late as 5-6 yrs. Here gas is there in small bowel and not in colon,hence segment must be at ileocolic junction- the appendix.

The answer is E. This patient is an elderly female who presented with 2 days of atrial fibrillation and associated symptoms of lightheadedness and nausea. The etiology of the atrial fibrillation is stenosis of her mitral valve. Mitral stenosis with elevated left atrial pressures results in left atrial enlargement, a predisposing factor for the development of atrial fibrillation. Atrial fibrillation, in the context of mitral stenosis, may...

The answer is D. This patient has acne vulgaris, which is a very common problem that often requires treatment for both physical and psychological reasons. Acne is caused by the obstruction of hair follicles with sebum and keratinous material, and the activity of organisms, such as Propionibacterium acnes and P. orbiculare. The open comedones are typically called "blackheads" and the closed comedones are typically called...

The answer is D. Infarct are not always seen on first CT scan where as a haemorage would be therefore treat as Stroke give asprin 300mg and admit to a stroke ward for monitoring,

Toxoplasmosis: During the first few weeks, the infection typically causes a mild flu-like illness or no illness. After the first few weeks of infection have passed, the parasite rarely causes any symptoms in otherwise healthy adults. However, people with a weakened immune system, such as those infected with advanced HIV disease or those who are pregnant, may become seriously ill, and it can occasionally be fatal. The parasite can cause...