Free STEP2 Exam Braindumps (page: 12)

Page 12 of 185

A 43-year-old prison cook becomes ill with jaundice, malaise, and fever. Shortly thereafter, multiple prison inmates develop similar symptoms.
According to the above symptoms, select the most likely type of viral hepatitis.

  1. hepatitis A
  2. hepatitis B
  3. hepatitis C

Answer(s): A

Explanation:

Hepatitis A is transmitted almost exclusively by the fecal-oral route. Large outbreaks have been linked to contaminated food products. Intrafamily and intrainstitutional spread also is common. Clinical severity usually is mild, and hepatitis A does not progress to chronicity. Hepatitis C more commonly progresses to chronicity (5070% develop chronic hepatitis and 8090% of these patients have evidence for chronic infection). Hepatitis C can lead to cirrhosis and hepatocellular carcinoma. Chronicity occurs in only 110% of patients with hepatitis B



For each item, select the ONE best lettered option that is most closely associated with it. Each lettered heading may be selected once, more than once, or not at all. A 42-year-old obese woman complains of hirsutism, amenorrhea, and difficulty becoming pregnant.

  1. Cushing's syndrome
  2. Addison's disease
  3. Klinefelter syndrome
  4. hyperparathyroidism
  5. hypothyroidism
  6. pheochromocytoma
  7. acromegaly
  8. diabetes insipidus
  9. diabetes mellitus
  10. polycystic ovarian disease

Answer(s): J

Explanation:

Polycystic ovarian syndrome is characterized by infertility, hirsutism, obesity, and amenorrhea or oligomenorrhea. These patients have chronic anovulation and experience withdrawal bleeding after progestogen administration.



For each item, select the ONE best lettered option that is most closely associated with it. Each lettered heading may be selected once, more than once, or not at all. A 47-year-old man complains of fatigue and dizziness. On laboratory evaluation, he is noted to have significant hyponatremia and hyperkalemia.

  1. Cushing's syndrome
  2. Addison's disease
  3. Klinefelter syndrome
  4. hyperparathyroidism
  5. hypothyroidism
  6. pheochromocytoma
  7. acromegaly
  8. diabetes insipidus
  9. diabetes mellitus
  10. polycystic ovarian disease

Answer(s): B

Explanation:

Addison disease, or primary adrenocortical deficiency, commonly results in a low serum Na+, a low serum Cl-, and a high serum K+. Aldosterone deficiency causes loss of sodium in the urine and contributes to the hyperkalemia. The original description of Addison disease summarizes well the key clinical findings:
general languor and debility, feebleness of the heart's action, irritability of the stomach, and a peculiar change of the color of the skin. The hyperpigmentation of the skin is often seen on the elbows and in the creases of the hands.



For each item, select the ONE best lettered option that is most closely associated with it. Each lettered heading may be selected once, more than once, or not at all. A 55-year-old woman is having episodic palpitations, headaches, and sweating. On examination, her BP is elevated.

  1. Cushing's syndrome
  2. Addison's disease
  3. Klinefelter syndrome
  4. hyperparathyroidism
  5. hypothyroidism
  6. pheochromocytoma
  7. acromegaly
  8. diabetes insipidus
  9. diabetes mellitus
  10. polycystic ovarian disease

Answer(s): F

Explanation:

Pheochromocytoma is a secondary cause of hypertension. Pheochromocytomas secrete catecholamines; 80% are unilateral, solitary tumors, most often located in the adrenal gland. Patients present with episodes of headache, palpitations, sweats, and a sense of apprehension.



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Alken commented on January 04, 2025
No comments yet Still watching the pattern of exam
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Allen commented on January 04, 2025
Nice approach
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