2024 Pass4itsure USMLE-STEP-2 Dumps | Actual Questions and Answers

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USMLE-STEP-2 Online Practice Questions and Answers

Questions 1

A 46-year-old G3P3 woman has had postcoital spotting for 6 months. On pelvic examination, she has a fungating, exophytic lesion arising from her cervix that is approximately 2 cm in diameter. Biopsy of this lesion is interpreted as invasive squamous cell carcinoma of the cervix. There is no evidence of extension of the cancer onto the vagina. The parametria are indurated on bimanual examination, though not to the pelvic sidewall. CT scan of her pelvis and abdomen discloses enlarged paraaortic lymph nodes and metastatic lesions in the parenchyma of her liver. This woman's childbearing is complete. She is a healthy woman who is close to ideal body weight, exercises regularly, and does not smoke. Which of the following is the most appropriate treatment of this woman?

A. TAH-BSO

B. radical hysterectomy with pelvic and paraaortic lymph node dissection

C. pelvic exenteration

D. multiagent chemotherapy

E. combined brachytherapy and external radiation therapy

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Questions 2

A 16-year-old girl presents because she has not begun to menstruate. Also, breast development and pubic hair have not developed. She is 59 in. (150 cm) tall and weighs 115 lbs (52 kg). On examination, her vital signs are normal. She has skin folds on the lateral sides of her neck. She has evidence of cubitus valgus. Breasts are Tanner stage 1 and the nipples appear to be spaced wider than average. Pubic hair is Tanner stage 1. The external genitalia are normal. The vagina is of normal depth and a small cervix is seen on speculum examination. The uterus is present but small. There are no adnexal masses.

What is the most likely karyotype of this 16 year old?

A. 46,XX

B. 46,XY

C. 45,X

D. 47,XX trisomy 21

E. 47,XXY

Show Answer

Questions 3

For each of the following scenarios, select the gas exposure responsible for the signs and symptoms.

A sewer worker has acute onset of nausea, headache, and shortness of breath, and has anosmia.

A. carbon monoxide

B. methane

C. hydrogen sulfide

D. ozone

E. sulfur dioxide

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USMLE-STEP-2 Exam Questions & Answers

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