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Free STEP2 Exam Braindumps (page: 25)

Page 25 of 185
PDF with 738 Questions

Select the ONE best lettered option that is most closely associated with the question below. A40-year- old male with purulent, bloody sinus drainage, hemoptysis, and rising creatinine

  1. rheumatoid arthritis
  2. SLE
  3. Wegener's granulomatosus
  4. polyarteritis nodosa
  5. Goodpasture syndrome
  6. fibromyalgia
  7. osteoarthritis (OA)
  8. giant cell arteritis
  9. sarcoidosis

Answer(s): C

Explanation:

Wegener granulomatosis affects males and females equally, can occur at any age, and is extremely rare in African Americans. Patients typically present with severe upper respiratory tract symptoms. Nasal perforation and saddle nose deformity may occur. Pulmonary involvement (cough, hemoptysis, or dyspnea are common presenting symptoms/signs) is present in 8590% of patients, renal disease in 7080% of patients, eye involvement in 5055%, and skin lesions in 4050%. Antineutrophil cytoplasmic antibodies (C- ANCA) is positive in 90% of patients. ESR typically is high.



Select the ONE best lettered option that is most closely associated with the question below. A 32-year-old White female with anemia, arthralgia, alopecia, and RBC casts on urinalysis.

  1. rheumatoid arthritis
  2. SLE
  3. Wegener's granulomatosus
  4. polyarteritis nodosa
  5. Goodpasture syndrome
  6. fibromyalgia
  7. osteoarthritis (OA)
  8. giant cell arteritis
  9. sarcoidosis

Answer(s): B

Explanation:

SLE is characterized by tissue and cell damage from pathogenic autoantibodies and immune complexes.
Ninety percent of patients are women in childbearing years and the disease is more common in African Americans. Multiple organ system manifestations can occur, including musculoskeletal (arthralgias, myalgias), cutaneous (malar rash, photosensitivity, hair loss), renal (nephritis, nephritic syndrome), nervous (seizures, headaches), cardiopulmonary (pericarditis, pleuritis), hematologic (anemia, leukopenia)



Select the ONE best lettered option that is most closely associated with the question below. A 38-year-old African American female with shortness of breath and bilateral hilar adenopathy on CXR.

  1. rheumatoid arthritis
  2. SLE
  3. Wegener's granulomatosus
  4. polyarteritis nodosa
  5. Goodpasture syndrome
  6. fibromyalgia
  7. osteoarthritis (OA)
  8. giant cell arteritis
  9. sarcoidosis

Answer(s): I

Explanation:

Sarcoidosis is a relatively common disease. In the United States, most patients are African American (ratio ranges from 10:1 to 17:1). The disease is systemic, and the lung is almost always affected (primarily an ILD). Seventyfive to ninety percent of patients have enlarged intrathoracic lymph nodes, usually the hilar nodes



Select the ONE best lettered option that is most closely associated with the question below.

A 45-year-old female with pain and visible swelling in her metacarpal-phalangeal joints bilaterally. Her distal interphalangeal joints (DIPs) appear normal.

  1. rheumatoid arthritis
  2. SLE
  3. Wegener's granulomatosus
  4. polyarteritis nodosa
  5. Goodpasture syndrome
  6. fibromyalgia
  7. osteoarthritis (OA)
  8. giant cell arteritis
  9. sarcoidosis

Answer(s): A

Explanation:

Rheumatoid arthritis affects approximately 0.8% of the population. Women are affected three times more often than men. Synovial inflammation causes tenderness, swelling, and limitation of motion. Most often the arthritis is symmetric and characteristically involves joints such as the wrist and the proximal interphalangeal and metacarpophalangeal joints.



Page 25 of 185



Post your Comments and Discuss USMLE STEP2 exam with other Community members:

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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