A 42-year-old woman is noted to have a multinodular goiter on examination. She has no symptoms and is clinically euthyroid. Which of the following statements about Hashimoto's thyroiditis is true?
Answer(s): E
Hashimoto's thyroiditis, an autoimmune condition, is the leading cause of multinodular goiter in the United States. Although not unique to this condition, antimicrosomal antibodies are found in 7095% of patients.Antinuclear antibodies are associated with SLE. Although an autoimmune process, steroids are of no benefit in this condition. One-third of patients experience progressive loss of glandular function, and eventually become hypothyroid, but there is no increased incidence of thyroid cancer
A 55-year-old man complains of severe headaches over the past few weeks. Similar episodes have occurred in past years. Which of the following supports the diagnosis of cluster headaches?
Answer(s): B
Men are affected by cluster headaches seven to eight times more often than women. Attacks are typically periorbital and may involve the temporal area. Cluster headaches typically occur daily over a 4- to 8-week period followed by pain-free intervals averaging 1 year. The periodicity of the attacks is often striking, with daily recurrences of pain often at the same hour. Pathogenesis is thought to be due to abnormal serotonergic neurotransmission. One hundred percent oxygen inhalation is most effective acutely. Drugs used to prevent cluster attacks include lithium, ergotamine, sodium valproate, and prednisone.
A 46-year-old woman presents with a 4-hour history of left flank pain with fever and chills. On examination, her temperature is 103°F, pulse rate is 120/min, re spiratory rate is 40/min, and supine BP is 80/40 mmHg. She has marked tenderness over the left flank and left upper quadrant of the abdomen without rebound. Urinalysis shows multiple red blood cells (RBCs), multiple WBCs, and WBC casts.Which of the following is the most likely diagnosis?
Detection of leukocyte casts is pathognomonic for pyelonephritis. Common symptoms include fever, shaking chills, nausea, vomiting, and diarrhea. Flank tenderness over the affected kidney is very common
A 45-year-old woman presents with fever, anorexia, nausea, and diarrhea. Other patients in the community have presented similarly and have a common exposure at a local restaurant. In the above case of hepatitis, select the most likely type of viral hepatitis.
Answer(s): A
Hepatitis A is transmitted almost exclusively by the fecal-oral route. Large outbreaks have been linked to contaminated food products. Intrafamily and intrainstitutional spread also is common. Clinical severity usually is mild, and hepatitis A does not progress to chronicity. Hepatitis C more commonly progresses to chronicity (5070% develop chronic hepatitis and 8090% of these patients have evidence for chronic infection). Hepatitis C can lead to cirrhosis and hepatocellular carcinoma. Chronicity occurs in only 110% of patients with hepatitis B.
A 43-year-old prison cook becomes ill with jaundice, malaise, and fever. Shortly thereafter, multiple prison inmates develop similar symptoms.According to the above symptoms, select the most likely type of viral hepatitis.
Hepatitis A is transmitted almost exclusively by the fecal-oral route. Large outbreaks have been linked to contaminated food products. Intrafamily and intrainstitutional spread also is common. Clinical severity usually is mild, and hepatitis A does not progress to chronicity. Hepatitis C more commonly progresses to chronicity (5070% develop chronic hepatitis and 8090% of these patients have evidence for chronic infection). Hepatitis C can lead to cirrhosis and hepatocellular carcinoma. Chronicity occurs in only 110% of patients with hepatitis B
Share your comments for USMLE STEP2 exam with other users:
i need this exam 1z0-1107-2. please.
very useful!
for this question - "which three type of basic patient or member information is displayed on the patient info component? (choose three.)", list of conditions is not displayed (it is displayed in patient card, not patient info). so should be thumbnail of chatter photo
q52 should be d. vm storage controller bandwidth represents the amount of data (in terms of bandwidth) that a vms storage controller is using to read and write data to the storage fabric.
nice questions
very useful
question # 208: failure logs is not an example of operational metadata.
good questions
thank you for the test materials!
its very helpful
good questons
i need the dumb of the hcip security v4.0 exam
upload the dump please
yes, iam looking this
please upload cima e2 managing performance dumps
wonderful questions
i used this site since 2000, still great to support my career
why is the answer to "which of the following is required by scrum?" all of the following stated below since most of them are not mandatory? sprint retrospective. members must be stand up at the daily scrum. sprint burndown chart. release planning.
great job. hope this helps out.
upload please. many thanks!
this is so interesting
great material thanks
anyone who wrote this exam recently
ok they re good
relevant questions
please post
q:42 there has to be a image in the question to choose what does it mean from the options
looking for cphq dumps, where can i find these for free? please and thank you.
@aarun , thanks for the information. it would be great help if you share your email
1z0-1078-23 need this dumps
i gave the microsoft azure az-500 tests and prepared from this site as it has latest mock tests available which helped me evaluate my performance and score 919/1000
i cannot see the button to go to the questions