Vendor: USMLE
Exam Code: USMLE-STEP-2
Exam Name: United States Medical Licensing Step 2
Certification: USMLE Certifications
Total Questions: 738 Q&A
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Updated on: Jun 17, 2026
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A52-year-old woman has had diabetes mellitus since childhood. She has controlled her glucose well and kept her glycohemoglobin (HgbA1C) below 7% (normal, 26%). For which of the following complications is she still at risk, despite excellent glucose control? A. autonomic dysfunction
A. coronary heart disease
B. blindness
C. peripheral neuropathy
D. peripheral vascular disease
A worker complains of paresthesias, numbness, and tingling that started distally in the lower extremities but that is starting to affect his hands. He is developing muscle weakness. He feels tired, and has a headache and complains of memory deficit. Electromyographic abnormalities suggest axonal degeneration and demyelination. Exposure to which of the following is the most suspect cause of this clinical picture?
A. lead
B. benzene
C. zinc
D. carbon disulfide
E. vibration
A 50-year-old woman with a long history of taking trifluoperazine is noted to have repetitive chewing motions, and periodically protrudes her tongue. Her arms and shoulders seem to jerk fairly often, and there is a peculiar twisting movement in her right hand. She tried several of the "newer" medications that are not supposed to cause the movement problems, but then her auditory hallucinations started again. According to the patient's psychiatric symptoms, select the most appropriate medication. Presume no medical problems other than those mentioned.
A. amitriptyline
B. clozapine
C. divalproex
D. fluoxetine
E. hypericum perforatum
F. olanzapine
G. lorazepam
H. propranolol
I. temazepam
J. thiothixene
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