United State Medical Licensing Examination (Step 2)

A47-year-old man is postoperative day number 2 after an open cholecystectomy. He becomes short of breath and a medicine consultation is called to evaluate. Vital signs include a temperature of 100

A20-year-old female presents to the office complaining that her right eye has been itchy and watery. The patient reports that the onset was abrupt. The patient is noted to be afebrile with normal vital signs. Examination discloses a red eye with watery discharge. Minimal preauricular adenopathy is also found on examination. Tonometry is normal. Profuse tearing is noted. Which of the following is the most likely diagnosis?

A 54-year-old man presents to the emergency department complaining of epigastric discomfort, which began while he was walking his dog after dinner about one-half hour earlier. He has not received medical care for several years. On examination, he is moderately obese and in obvious discomfort and seems restless. His BP is 160/98 mmHg, and his examination is otherwise unremarkable. His ECG is seen in Figure below: Which of the following is the most likely diagnosis?

A 54-year-old man presents to the emergency department complaining of epigastric discomfort, which began while he was walking his dog after dinner about one-half hour earlier. He has not received medical care for several years. On examination, he is moderately obese and in obvious discomfort and seems restless. His BP is 160/98 mmHg, and his examination is otherwise unremarkable. His ECG is seen in Figure below: Which of the following is the most appropriate next step in management?

A59-year-old woman who lives independently and had been healthy, presents to the emergency department with cough and fever. She related she was well until 2 days before when she noted onset of fever, chills, and cough productive of yellow sputum. On examination, you note a tired appearing woman with BP of 160/90, pulse of 105, and respiratory rate of 32. You start her on ceftriaxone and azithromycin and admit her to the hospital. Which of the following factors is a poor prognostic sign in community acquired pneumonia?

A32-year-old woman is referred to you by her dermatologist for further evaluation. She developed these changes gradually in the last year. Her hands are seen in Figure. What other associated disease is most likely?

Which of the following is a useful clue to the diagnosis of Legionella pneumonia?

A60-year-old previously healthy man presents with massive rectal bleeding. Which of the following is the most likely diagnosis?

A 24-year-old man runs a marathon on an unusually hot and muggy day. Several hours later he becomes ill with fever, weakness, and painful swollen legs and passes dark brown urine. Which of the following is a common finding with this disorder?

A 70-year-old man presents with shuffling gait, tremor, masked facies, and rigidity which have progressed over the last 9 months. Parkinson's disease is diagnosed. In this patient, which neurotransmitter deficiency primarily is responsible for his symptoms?