By Steven L. Berk
Prepare Early…Score Higher
thoroughly revised and sufficiently small to slot in a lab coat pocket, this evaluation of drugs positive aspects 500 questions with solutions and causes, together with 2 hundred new questions in scientific vignette layout. All questions are reviewed through fresh USMLE Step 2 test-takers.
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Example text
A 19-year-old male complains of low back morning stiffness, pain, and limitation of motion of shoulders. He has eye pain and photophobia. Diastolic murmur is present on physical exam. (SELECT 1 DIAGNOSIS) 36 Medicine 91. A 65-year-old woman who has a 12-year history of symmetrical polyarthritis is admitted to the hospital. Physical examination reveals splenomegaly, ulcerations over the lateral malleoli, and synovitis of the wrists, shoulders, and knees. There is no hepatomegaly. Laboratory values demonstrate a white blood cell count of 2500/µL and a rheumatoid factor titer of 1:4096.
Tall and weighs 190 lb. The best way to prevent disease progression is a. b. c. d. e. Weight reduction Calcium supplementation Total knee replacement Aspirin Oral prednisone 77. A 22-year-old male develops the insidious onset of low back pain improved with exercise and worsened by rest. There is no history of diarrhea, conjunctivitis, urethritis, eye problems, or nail changes. On exam the patient has loss of mobility with respect to lumbar flexion and extension. He has a kyphotic posture. A plain film of the spine shows widening and sclerosis of the sacroiliac joints.
A 60-year-old male complains of pain in both knees coming on gradually over the past 2 years. The pain is relieved by rest and worsened by the movement. There is bony enlargement of the knees with mild inflammation. Crepitation is noted on motion of the knee joint. There are no other findings except for bony enlargement at the distal interphalangeal joint. The patient is 5 feet 9 in. tall and weighs 190 lb. The best way to prevent disease progression is a. b. c. d. e. Weight reduction Calcium supplementation Total knee replacement Aspirin Oral prednisone 77.
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