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Question 1
A 58-year-old man presents with crushing chest pain radiating to his left arm. The pain started 30 minutes ago while he was at rest. He is diaphoretic and short of breath. Vital signs: BP 100/60 mmHg, HR 110 bpm, RR 22/min, SpO2 92% on room air. ECG shows ST-segment elevation in leads II, III, and aVF. Which is the most appropriate next step in management?
Correct Answer:
Immediate percutaneous coronary intervention (PCI) within 90 minutes
Question 2
A 72-year-old woman with hypertension and diabetes presents with dyspnea on exertion and orthopnea. On examination, she has bibasilar crackles, an S3 gallop, and 2+ pitting edema in her lower extremities. Echocardiography shows a left ventricular ejection fraction of 35%. Which medication has been shown to reduce mortality in this patient?
Correct Answer:
Lisinopril
Question 3
A 45-year-old man is brought to the emergency department with palpitations and lightheadedness. His pulse is irregularly irregular at 140 bpm. ECG shows no P waves and irregularly irregular QRS complexes. His blood pressure is 110/70 mmHg. Which of the following is the most appropriate initial management?
Correct Answer:
Intravenous beta-blocker for rate control
Question 4
A 65-year-old man with a history of atrial fibrillation presents with sudden-onset right-sided weakness and aphasia. CT scan of the head shows no hemorrhage. The patient is outside the window for thrombolysis. Which of the following is the most appropriate next step?
Correct Answer:
Emergent endovascular thrombectomy if large vessel occlusion
Question 5
A 28-year-old athlete collapses during a basketball game. He is found to be pulseless. AED analysis shows ventricular fibrillation. Which of the following is the most important factor in determining survival from sudden cardiac arrest?
Correct Answer:
Time to defibrillation
Question 1
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Prepare with the USMLE Step 2 CK Practice Questions - USMLE Step 2 Clinical Knowledge Exam practice quiz. This question bank includes 100 questions covering year-old, presents, shows, woman, and next. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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USMLE Step 2 CK Practice Questions - USMLE Step 2 Clinical Knowledge Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, shows, woman, and next. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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