Common adult inpatient and outpatient presentations with the best next diagnostic or management step, as tested on USMLE Step 2 CK.
49 cards · mixed cards · AI-written, checked twice. Edit anything.
- What is the next step in management for a patient with ST-elevation on ECG and ongoing chest pain?
Show answer
Emergent reperfusion with percutaneous coronary intervention (PCI)- Best initial imaging test for a hemodynamically stable patient with suspected pulmonary embolism?
Show answer
CT pulmonary angiography- Preferred imaging for suspected PE when a patient has severe renal impairment or contrast allergy?
Show answer
Ventilation-perfusion (V/Q) scan- First-line outpatient antibiotic for a healthy adult with community-acquired pneumonia and no comorbidities?
Show answer
Amoxicillin (or a macrolide)- Empiric antibiotic regimen for a hospitalized non-ICU patient with community-acquired pneumonia?
Show answer
A beta-lactam plus a macrolide- Acute pancreatitis is diagnosed when at least ____ criteria are met: characteristic abdominal pain, lipase/amylase over 3 times normal, or imaging findings of pancreatitis.
Show answer
2 of 3- Most useful initial lab test when acute pancreatitis is suspected?
Show answer
Serum lipase- First-line imaging study for suspected acute cholecystitis?
Show answer
Right upper quadrant ultrasound- Best next step when choledocholithiasis is suspected after ultrasound shows a dilated common bile duct but no clear stone?
Show answer
MRCP (magnetic resonance cholangiopancreatography)- Within what time frame should upper endoscopy be performed in a hemodynamically stable patient with an upper GI bleed?
Show answer
Within 24 hours- What drug class is used for primary prophylaxis against variceal hemorrhage in cirrhotic patients with medium or large varices?
Show answer
Nonselective beta blockers- Preferred test to diagnose Clostridioides difficile infection in a symptomatic patient?
Show answer
Stool PCR or toxin assay for C. difficile- First-line treatment for an initial episode of C. difficile colitis?
Show answer
Oral vancomycin or fidaxomicin- Initial management for a hemodynamically stable patient with new-onset atrial fibrillation and rapid ventricular rate?
Show answer
Rate control with a beta blocker or nondihydropyridine calcium channel blocker- Management of atrial fibrillation in a patient who is hemodynamically unstable?
Show answer
Immediate synchronized electrical cardioversion
FlashKeepers