Test your USMLE Step 2 readiness with this most missed question

If you’re gearing up to take the United States Medical Licensing Examination® (USMLE®) Step 2, this series is for you. Each month, we’re giving you an exclusive scoop on the most missed USMLE Step 2 test prep questions and expert strategies to help you beat them. Check out this month’s most challenging question, and view an expert video explanation of the answer from Kaplan Medical. Think you have what it takes to rise above your peers? Test your USMLE knowledge below. Ready. Set. Go. This month’s question that stumped most students: A 22-year-old African immigrant presents to the hospital with acute abdominal pain. The pain is worst in the left upper quadrant and is described as sharp. She has had this pain for the past several days. She has noticed these episodes frequently in the past but has chosen to ignore them until now. She has not seen a physician in many years, and her past medical history is unknown. She is not taking any medications. On physical examination, vital signs are: temperature 98°F (36.7°C), heart rate 102/min, BP 120/72 mm Hg, RR 18/min. Head and neck examination shows pale mucosa. Chest is clear to auscultation. Heart is tachycardic to auscultation, and a loud systolic murmur is heard throughout the precordium. Pain is elicited upon palpation of the left upper quadrant. Laboratory data are: WBC: 5,700/mm3 Hct: 25 percent Hb: 8 g/dL Platelets: 250.000/mm3 Creatinine: 1.1 mg/dL Total bilirubin: 4.9 mg/dL ...
Source: AMA Wire - Category: Journals (General) Authors: Source Type: news