Clinical neurology presentations and management decisions tested on USMLE Step 2 CK, distinct from the Step 1 tract-and-lesion focus of USMLE Neuro.
About this set
40 mixed cards for USMLE Step 2 CK Neurology. Set 1 of 2 in USMLE Step 2 CK Neurology. It opens with "What is the time window for IV tPA administration in acute ischemic stroke from" and "What is the first imaging study obtained in a patient with suspected acute". Study it alongside the other USMLE Step 2 CK sets below.
40 cards · mixed cards · AI-written, checked twice. Edit anything.
- What is the time window for IV tPA administration in acute ischemic stroke from symptom onset?
Show answer
4.5 hours- What is the first imaging study obtained in a patient with suspected acute ischemic stroke?
Show answer
Noncontrast CT scan of the head- Name one absolute contraindication to giving IV tPA in acute ischemic stroke.
Show answer
Active internal bleeding (or a recent intracranial hemorrhage)- Mechanical thrombectomy for large vessel occlusion stroke can be performed up to ____ hours after last known well in carefully selected patients.
Show answer
24- What clinical scoring system estimates short-term stroke risk after a TIA?
Show answer
ABCD2 score- What is the first-line drug class for terminating status epilepticus?
Show answer
Benzodiazepines (e.g., IV lorazepam)- If benzodiazepines fail to stop status epilepticus, what class of agent is given next?
Show answer
An antiepileptic load such as IV fosphenytoin- What is the first-line treatment for Bell's palsy started within 72 hours of symptom onset?
Show answer
Oral corticosteroids- A facial droop that spares the forehead (patient can still wrinkle it) suggests a lesion where?
Show answer
Central, an upper motor neuron lesion such as stroke- What antibody test is most specific for diagnosing myasthenia gravis?
Show answer
Acetylcholine receptor (AChR) antibody- What bedside test transiently improves ptosis in myasthenia gravis?
Show answer
Ice pack test- What pulmonary function measurement guides the decision to intubate in a myasthenic crisis?
Show answer
Forced vital capacity (FVC)- What are the two first-line treatments for Guillain-Barre syndrome?
Show answer
IVIG or plasmapheresis- Why is respiratory function closely monitored in Guillain-Barre syndrome?
Show answer
Ascending paralysis can progress to respiratory failure needing mechanical ventilation- What MRI finding pattern is required to diagnose multiple sclerosis?
Show answer
Lesions disseminated in time and space
FlashKeepers