...USMLE Step 2 Clinical Knowledge (CK) Sample Test Questions A Joint Program of the Federation of State Medical Boards of the United States, Inc., and the National Board of Medical Examiners® This booklet updated July 2015. Copyright © 2015 by the Federation of State Medical Boards of the United States, Inc. (FSMB), and the National Board of Medical Examiners® (NBME®). All rights reserved. Printed in the United States of America. The United States Medical Licensing Examination (USMLE®) is a joint program of the FSMB and the NBME. 1 CONTENTS USMLE Step 2 CK Test Question Formats …………………………………...………. 3 Introduction to USMLE Step 2 CK Sample Test Questions ………………………….. 5 Normal Laboratory Values ………………………………...………..…….….……….. 6 USMLE Step 2 CK Sample Test Questions………………………………………….... 8 Answer Sheet for USMLE Step 2 CK Sample Test Questions……………………….. 52 Answer Key for USMLE Step 2 CK Sample Test Questions……………………….… 53 2 USMLE Step 2 CK Test Question Formats Single-Item Questions This is the traditional, most frequently used multiple-choice format. It consists of a vignette and question followed by three to twenty-six options that are in alphabetical or logical order. The response options in this format are lettered (eg, A, B, C, D, E). You are required to select the one best answer to the question. Other options may be partially correct, but there is only ONE BEST answer. Items with an associated abstract or pharmaceutical...
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...A Medical Examiner is also known as a Forensic Pathologist. A Medical Examiner is a subspecialist in Pathology who has expertise in examining people who die in various ways. The examiner will examine sudden deaths, violent deaths, unexpected deaths, and any other deaths that are possible. They are experts in determining the cause of death and the reason for death. Also, they are responsible for performing an autopsy to help determine the reason for death (Office of the Medical Investigator, n.d.). Medical Examiners need extensive training and training. The job is not for everyone, due to the rigorous coursework and amount of schooling. A high school diploma is required along with a 4-year bachelor's degree from any college or university. After...
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...Summer 2004 GREAT Boards Published by Bader & Associates Governance Consultants, Potomac, MD BOARDROOM BRIEFING CEO selection: getting it right By Sharon O’Malley By the time board Chairman Freddie Burton convened a 12-member search committee to recruit a new chief executive officer for St. John Hospital and Medical Center two years ago, the facility had been through six CEOs in as many years. This time, he vowed, the Detroit hospital’s trustees would take their time deciding on a new CEO and would make that decision using a process agreed to up front by the facility’s 24-member board of trustees, its medical staff and its parent system, St. John Health. • Developing a profile of the ideal CEO, based on a position description, a plan for the hospital’s near-term future and the priorities for the CEO’s first 12 to 18 months. • Identifying and evaluating candidates. “We seized the opportunity to learn from our mistakes.” Freddie Burton • Making the selection. • Negotiating compensation and other terms. • Supporting the transition. “We seized the opportunity to learn from our St. John Hospital & Medical Center Some boards endeavor to manage the search mistakes,” says Burton, a Wayne County, Mich., process themselves, but more often, they select probate judge, who watched a prior search committee of five an outside search firm to facilitate the process, identify trustees and one doctor select a CEO whom the full board did candidates who fit the ideal...
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...graduating high school, I need to go to college to get my bachelors degree. I either want to go to Vanderbilt University or Harvard University. It will take four years to get my bachelors degree. Right after I graduate college with my bachelors, I need to take the MCAT. The MCAT is the Medical College Admission Test, it will determine if I get into medical school. I want to either go to Harvard University Medical School or John Hopkins Medical School. Harvard University...
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...running a business. Sometimes being friends and engaging in business does not coincide with one another. Dr. Dulac wasn’t fulfilling his job as the medical director, so it was time for a new medical director who was going to get the job done. 2. How should he actually handle this dismissal? Is there anyone that he should consult before dismissing Dulac? Everyone involved has to be on the same page when deciding to get rid of someone. It’s not good business when you go behind someone’s back in order to get the job done, due to the retaliation of the people being left out of the business deal. The CEO went above the Chairman’s head while he was away on vacation, by eliminating Dr. Dulac, and replacing him with Rachel O’Hara. Yes he should have consulted with the other 3 physicians and 3 Nurse Practitioners of Dr. Dulac’s team. He only person they were getting rid of was Dr. Dulac and not his team of physicians. This case study didn’t specify who Rachel was in regards to her profession. So they could have had one of the physicians be an interim physician/medical director until they have a replacement. 3. Are there any documents that he should review or have on hand before the meeting? He should review all of the current policies and procedures for the facility. The CEO should have the current job description for the new interim medical...
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...women have come a long way, they are still being discriminated against in certain fields of work. High-end jobs, most commonly large companies and medical fields, continue to discriminate against women even though they have the same job qualifications as men. This qualifies as a social problem because women deal with discrimination in the workplace especially large corporations and also in the medical field. Many women have the same qualifications but still are paid less than most men. There are many different ways in which women are discriminated against in the workplace. The exclusion of women altogether solely due to their gender is a now rare example of how women are discriminated against. Although women have gained overall access to the workplace, sex discrimination still persists in additional ways. There multiple examples of potentially unlawful gender discrimination that women face. Hiring and firing are the first two problems women often face within the workplace. An example of this is woman applying for a job in which they have experience and excellent qualifications, but are not hired because some of the company's clients are more comfortable dealing with men. Woman often get told that they are laid off or fired due to company cutbacks and reorganization, even though a man in the same job with less seniority than the woman gets to keep the job. These types of things are not right and unfair to women. Many of them are just as qualified as men are sometimes...
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...Abstract The ethics paper that will be conferred today will explain in detail the various situations that most medical employees deal with on a daily basis. The case study will go over in a detail what a medical Doctor, staff members that work for the Doctor or the patients should do in any health care associated situation. Nowadays, providing patients with excellent patient care has become more pertinent to the lives of the patient’s especially if they are dealing with a specific sickness or disease that cannot be treated. The need for a patient to receive medical treatment can be very cost effective, and the insurance companies have made it very challenging for a patient to obtain medical insurance so that they are able to attain the proper care for their sickness. Ethics Case Study Today, most individuals are advised by private direction to be in agreement with performing illegal medical practice actions. However, if they are new to situations like this they will not be aware that making such decisions can lead to ethical and legal issues. In the case of Jerry McCall it gives an excellent explanation of how the health care departments have been modified today. Does Jerry’s medical training qualify him to issue the refill Order? Why or Why not? Jerry is a Licensed Practical Nurse (LPN) and has also had training in Medical Assisting (MA) as well, however even though he is a licensed nurse, he is not qualified to write prescriptions for patients’ medications regardless...
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...communications between leaders of Doctor’s Medical Center, end users, the vendors, and the department staff is important when collecting data. For data transfer, authority need to assure that the new system communicate with the existing system. The administrative leaders guide the project activities, data protocol collection, clearly understand roles and responsibilities, and set up policy and procedure. Leader guide the staff to pursue the desire to achieve the goal. In completion of the system, training is provided by trainers for the to staff to be efficient in using the system. A yearly system evaluation to improve quality performance is mandated. The final process of implementation and revising is to assure that the organization is complied with the Joint Commission and other accreditation agencies. Authority Structure and Organization Authority structure is crucial in implementing and revising plans to be successful. To achieve success in implementing project, roles and responsibilities must be organized. Included in the authority structures to achieve success are as follows: board of directors, executive leadership, quality improvement committee, medical staff, middle management, and department staff. Authority structure is complex with the specific job description, formalization emphasizing the definite procedure and protocol, and central authority and accountability. Authority structure addresses issues of interdependence. Job specialization models relatively...
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...PART 2 Job Title: Doctor. Position Purpose: This job requires the skills and expertise needed to deliver high quality medical choices. The position will also require the work with other doctors in determining some of the complicated cases that might happen. The candidate might also need to visit some of the company’s health centers from time to time. Typical Job Duties: • To deliver general check-ups to patients. These check-ups are designed to help the patients know if they are suffering from any condition. Research shows that many patients do not value medical check-ups and so part of this task will be to convince the patients that they need regular medical check-ups (American Medical Association, 2001). • The candidate will be responsible for regular outreach programs that seek to teach the public on reproductive health. These outreaches will be very essential for the success of the company’s outreach medical centers. • To treat and recommend medicine to both in and out-patients. He/she will work with the nurses to ensure that the patient is not only comfortable and well take care of, but he/she will also be the only signatory to release medicine from the hospital’s pharmacy. • To fill the required part in all the forms and records that deal with the patients that he/she has treated. • To reassure and counsel the patients who have doubts and worries about their condition. The focus will be given to patients with different options of treatment...
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...an experience for the first timers. For some it is an opportunity to learn the adventures of questioning and interviewing someone and the curiousness of a person’s answers to the questions asked. It is a new learning experience to ask someone about a person’s career and definitely learn something from it. The interviewee has an amazing learning milestones, achievements, and the vast knowledge of her entire career. The neurologist is the interviewee who is a medical doctor treating the brain and the nervous system disorders. Below are some of the findings, informations, and the discussions about her strong career in neurology. A Description of the Targeted Department or Facility This targeted department or facility is an outpatient clinic in neurology, getting referrals on patients with complaints of headaches, seizures, falls, neck, and low back pains, dizziness, memory loss, strokes, brain tumor, multiple sclerosis, Alzheimer’s disease, and many more. Guerrero et al. (2011) “Headache is a common cause of medical consultation, both in primary care and in specialist neurology outpatient clinics” (p. 226). Headache disorders account for 24% to 36% of first visits to a general neurology outpatient clinic, and migraine accounts for half of consultations because of headache. Between 40% and 45% of migraine patients meet the criteria for chronic migraine and 30% to 70% satisfy the criteria for medication-overuse headache. Some studies show a...
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...------------------------------------------------- Doctors to Bed Ratio ------------------------------------------------- ------------------------------------------------- 1: 5 (Indian Medical Council) ------------------------------------------------- Nurses to Bed Ratio ------------------------------------------------- ------------------------------------------------- 1:3 Bed Recruitment and Selection Procedure Manpower planning calls for the integration of information, formulation of policies and forecasting of future requirements of human resources so that the right personnel are available for the right job at the right time. Planning job requirements and job description Manpower planning consists of studying job requirements and preparing job description. The requirements of each and every job must be thoroughly studied through job analysis. Job Analysis Job analysis is the process of examine a job to identify its component parts and the circumstances in which it is performed. It is necessary to be familiar with these techniques because its application is quite wide and extends across the whole range of staff management function. 1. Recruitment: Its aims at filing jobs by recruitment of the programme. 2. Salary: It is designed for finding the correct grading of individual pasts. 3. Safety: It is meant for identifying job hazards 4. Training: it is intended to decide the...
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...Healthcare Terms Alicia Jones HCS/235 June 17, 2012 Barbara Williamson Healthcare Terms Medicare- Medicare is a type of insurance that is mainly set in place for the elderly, over 65 years of age. You can also qualify for Medicare if you are under the age of 65 years old but you have a certain type of disability. There are four different parts of Medicare coverage. There is Part A which covers the patient’s hospital care, nursing homes, or home health care. With Part A insurance most people do not have to pay a premium. Part B covers the medical side of everything including doctors’ visits, medical equipment, and things of that nature. However, the patient does have to pay a premium each month with this type of insurance. Part C covers both Part A and B insurance. It does come with other benefits but most of the time people have to pay extra for those services. Part D covers prescription drugs. It helps a great deal with the cost of prescription drugs because they can really be costly for people. The fund to keep Medicare going is coming out of taxpayers’ checks every time they get paid. This is called FICA (Federal Insurance Contributions Act). They also get funding from copays, premiums, and deductibles. Medicaid- Medicaid is a type of insurance that is set in place for children, families with low income, pregnant women and other people who qualify. It was established in 1965 by President Johnson to help those that were in need. Medicaid is joined together with both...
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...EXPLANATION OF THE ACT AND ITS HISTORY: The Pregnancy Discrimination Act was brought about as a result of the significant discrimination being placed upon woman in the workplace due to pregnancy or pregnancy related medical conditions. This Act was also passed in response to the U.S. Supreme Court holdings in General Electric Company v. Gilbert, that pregnancy discrimination does not violate the Constitution or other federal law. The Act was passed in 1978 as an effort to rebuke this descision and eliminate this discrimination and set guidelines for employers. As provided by the U.S. Equal Employment Opportunity Commission the Pregnancy Discrimination Act of 1978 is described as follows: “An Act to amend Title VII of the Civil Rights Act of 1964 to prohibit sex discrimination on the basis of pregnancy. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That section 701 of the Civil Rights Act of 1964 is amended by adding at the end thereof the following new subsection: "(k) The terms 'because of sex' or 'on the basis of sex' include, but are not limited to, because of or on the basis of pregnancy, childbirth, or related medical conditions; and women affected by pregnancy, childbirth, or related medical conditions shall be treated the same for all employment-related purposes, including receipt of benefits under fringe benefit programs, as other persons not so affected but similar in their ability or inability to...
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... at Apex Hospital, Jaipur (Raj.) | Submitted by - Puneet K Jain III Sem MBA-HHC SIHS, Pune puneetkjain@ymail.com | A Case Study On NABH standard Awareness and Work Satisfaction at Apex Hospital, Jaipur Purpose - Accreditation has become major tool for any hospital to create its brand image in today’s competitive market. Main objectives of getting NABH are providing patients’ safety and quality of medical care to its end users i.e. patients. Purpose of this study is to measure awareness standards of NABH and accreditation to its staff so gap can be bridge, if any, with additional inputs and it becomes easy to include get accreditation(s). Field of research – Apex Hospital is a multi-specialty, 152 bed, state-of-art medical center, boasting of a clean and patient friendly environment, internationally trained clinical & managerial team driven with skilled expertise, high morale, and patient focused care. Established in year 1994, Apex became one of the first institutes in India to attain ISO 9001 under the leadership of the Managing Director, Dr S.B. Jhawar. From 1994, Over the next few years, the hospital gained momentum by leaps and bounds as an impressive team of well-known doctors joined in. | | Hospital is growing with CAGR of 10 %. Different services offered are obesity surgery...
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...What Is a Psychiatrist? A psychiatrist is a medical doctor that specializes in the treatment of mental disorders. Psychiatrists are sometimes confused with psychologists, and while there are many similarities between the two professions, there are also many important differences. Because psychiatrists hold a medical degree and are trained in the practice of psychiatry, they are one of the few professionals in the mental health field able to prescribe medications to treat psychological disorders. Much like a general practice physician, a psychiatrist may also perform physical exams and order diagnostic tests in addition to practicing psychotherapy. Psychiatrists may also work as part of a mental health team, often consulting with primary care physicians, social workers, and psychologists. Job Description of a Psychiatrist The Occupational Outlook Handbook offers the following description: "Psychiatrists are the primary mental health-care givers. They assess and treat mental illnesses through a combination of psychotherapy, psychoanalysis, hospitalization, and medication. Psychotherapy involves regular discussions with patients about their problems; the psychiatrist helps them find solutions through changes in their behavioral patterns, the exploration of their past experiences, or group and family therapy sessions. Psychoanalysis involves long-term psychotherapy and counseling for patients. In many cases, medications are administered to correct chemical imbalances that cause emotional...
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