USMLE Step 2 Sample Question 1
A 7-year-old female presents shortly after her birthday with erythematous, indurated, scaly plaques over her earlobes in a symmetric pattern. Her mother reports that the patient recently received a pair of earrings from her older cousin as a birthday present. What is the mechanism of this reaction?
- AAnaphylactic (type I)
- BCytotoxic (type II)
- CImmune complex-mediated (type III)
- DCell-mediated/delayed (type IV)
- EAutoimmune disease (type V)
USMLE Step 2 Sample Question 2
A 57-year-old female presents for a second opinion of a left breast lesion that had been diagnosed as “eczema” by her regular nurse practitioner, which briefly improved after a short course of topical steroids. On physical exam, there is an erythematous, scaly lesion involving the left breast nipple-areolar complex with weeping drainage. What is the next step in the patient’s management?
- ABilateral breast ultrasound
- BPunch biopsy of nipple, followed by bilateral mammography
- CMaintenance of regular annual mammography appointments
- DOral corticosteroids
- ELeft breast MRI
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