USMLE CK Quiz # 1
The USMLE Step 2 Examination
Step 2 (two separate exams)—The Step 2 Clinical Knowledge (CK) is a multiple-choice exam designed to determine whether the examinee possesses the medical knowledge and understanding of clinical science considered essential for the provision of patient care under supervision.
Quiz-summary
0 of 1 questions completed
Questions:
- 1
Information
Usmle
You have already completed the quiz before. Hence you can not start it again.
Quiz is loading...
You must sign in or sign up to start the quiz.
You have to finish following quiz, to start this quiz:
Results
0 of 1 questions answered correctly
Your time:
Time has elapsed
You have reached 0 of 0 points, (0)
Categories
- Not categorized 0%
- 1
- Answered
- Review
- Question 1 of 1
1. Question
A 48-year-old man comes to the physician because of a 2-day history of severe low back pain. He states that he has had periodic low back pain for years, but this is more severe than usual and radiates to the buttock and down the right leg. His temperature is 36.8 C (98.2 F). Examination shows some rigidity of the lumbar spine. The pain is exacerbated by applying pressure on the paravertebral region in the lower lumbar spine and by passively raising the leg at 45 degrees while the patient lies supine. A reduced Achilles tendon reflex is noted. Which of the following is the most appropriate next step in management?
CorrectAnswer & Rationale:
Option B is correct answer
The correct answer is B. The clinical picture strongly suggests herniation of an intervertebral disc causing compression of a spinal root (S1, considering radiation of the pain and reflex alterations). Supporting such a diagnosis is also the positive straight leg-raising test (Lasegue sign). When the history and physical examination support a diagnosis of disc herniation, conservative management is all that is needed. Current recommendations include treatment with NSAIDs and bed rest of short duration (no longer than 2 days). Longer periods of bed rest do not provide any additional benefit.
IncorrectAnswer & Rationale:
Option B is correct answer
The correct answer is B. The clinical picture strongly suggests herniation of an intervertebral disc causing compression of a spinal root (S1, considering radiation of the pain and reflex alterations). Supporting such a diagnosis is also the positive straight leg-raising test (Lasegue sign). When the history and physical examination support a diagnosis of disc herniation, conservative management is all that is needed. Current recommendations include treatment with NSAIDs and bed rest of short duration (no longer than 2 days). Longer periods of bed rest do not provide any additional benefit.