{"id":1274,"date":"2019-08-26T12:09:02","date_gmt":"2019-08-26T17:09:02","guid":{"rendered":"http:\/\/www.kaptest.com\/blog\/prep\/?p=1274"},"modified":"2020-09-11T20:41:13","modified_gmt":"2020-09-11T20:41:13","slug":"usmle-step-1-two-step-questions","status":"publish","type":"post","link":"https:\/\/wpapp.kaptest.com\/study\/usmle\/usmle-step-1-two-step-questions\/","title":{"rendered":"USMLE Step 1 Question Types: Two-Step Questions"},"content":{"rendered":"<p>USMLE two-step (also called double-jump) <a title=\"USMLE Step 1 Question Types\" href=\"https:\/\/www.kaptest.com\/blog\/prep\/usmle\/usmle-step-1-question-types\/\">questions<\/a> require several cognitive steps to arrive at a correct answer. Finding the correct answer requires you to formulate a proper diagnosis and then select the most appropriate pharmacologic treatment. Note that you get no credit for the intermediate step of diagnosis. The correct answer is found only by reasoning all the way through to the treatment.<br \/>\n&nbsp;<br \/>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h3    avia-builder-el-0  el_before_av_promobox  avia-builder-el-first  '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Two-Step Practice Question 1<\/h3><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\n\t<div   class='av_promobox  avia-button-no   avia-builder-el-1  el_after_av_heading  el_before_av_toggle_container '>\t\t<div class='avia-promocontent'><p>\nA 46-year-old, bright, energetic, and overweight man loves to talk and to give his opinion on the world around him. He is always quick with a joke and seems to love a good laugh. Yet, whenever he has to talk in front of more than three or four people, he reports sweating, heart palpitations, and trembling hands. \u201cMy mind just goes blank,\u201d he says, \u201cand I feel that I\u2019m going to say something so stupid that I would rather die.\u201d The most appropriate treatment for this man would be<br \/>\n(A) Alprazolam<br \/>\n(B) Atenolol<br \/>\n(C) Clonidine<br \/>\n(D) Diazepam<br \/>\n(E) Phenelzine<\/p>\n<\/div><\/div><br \/>\n<div  class=\"togglecontainer   toggle_close_all  avia-builder-el-2  el_after_av_promobox  el_before_av_promobox \" >\n<section class=\"av_toggle_section\"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\"  >    <div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  >        <p data-fake-id=\"#toggle-id-1\" class=\"toggler \"  itemprop=\"headline\"    role=\"tab\" tabindex=\"0\" aria-controls=\"toggle-id-1\">Correct Answer<span class=\"toggle_icon\" >        <span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p>        <div id=\"toggle-id-1\" class=\"toggle_wrap \"  >            <div class=\"toggle_content invers-color \"  itemprop=\"text\"   ><p>The correct answer is B, atenolol.<\/p>\n            <\/div>        <\/div>    <\/div><\/section>\n<\/div><br \/>\n\t<div  style='background:#c5c5c5;color:#ffffff;border-color:#c5c5c5;' class='av_promobox  avia-button-no   avia-builder-el-3  el_after_av_toggle_container  el_before_av_heading '>\t\t<div class='avia-promocontent'><p>\n<div  class='avia-video avia-video-16-9   av-lazyload-immediate  av-lazyload-video-embed  '   itemprop=\"video\" itemtype=\"https:\/\/schema.org\/VideoObject\"  data-original_url='https:\/\/www.youtube.com\/watch?v=07-bewyl1bI' ><script type='text\/html' class='av-video-tmpl'><div class='avia-iframe-wrap'><iframe width=\"1500\" height=\"844\" src=\"https:\/\/www.youtube.com\/embed\/07-bewyl1bI?feature=oembed&autoplay=0&loop=0&controls=1&mute=0\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/div><\/script><div class='av-click-to-play-overlay'><div class=\"avia_playpause_icon\"><\/div><\/div><\/div><\/p>\n<\/div><\/div><br \/>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h3    avia-builder-el-5  el_after_av_promobox  el_before_av_promobox  '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Two-Step Practice Question 2<\/h3><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\nIn this next question, you must reason your way to the additional characteristics of the organism in mind by first <a title=\"How to Pass USMLE\u00ae Step 1: 5 Tips\" href=\"https:\/\/www.kaptest.com\/blog\/prep\/usmle\/how-to-pass-usmle-step-1-5-tips\/\">correctly<\/a> identifying what the organism is based on the laboratory data. Again, you get no credit for identifying the correct organism but only for \u201ctwo-stepping\u201d to the additional characteristic.<br \/>\n\t<div   class='av_promobox  avia-button-no   avia-builder-el-6  el_after_av_heading  el_before_av_toggle_container '>\t\t<div class='avia-promocontent'><p>\nA 71-year-old man was admitted from his extended care facility because of recent aggravation of an exfoliative skin condition that has plagued him for several years. He had been receiving a variety of antibiotic regimens, including many topical preparations over the last year or two. He now has a temperature of 38.9 C (102 F). The skin of upper chest, extremities, and neck shows erythema with diffuse epidermal peeling and many pustular lesions. Cultures obtained from these lesions are reported back from the laboratory as yielding a gram-positive organism that is highly salt (NaCl) tolerant. This organism is also most likely<br \/>\n(A) bacitracin sensitive<br \/>\n(B) bile soluble<br \/>\n(C) coagulase positive<br \/>\n(D) optochin sensitive<br \/>\n(E) novobiocin sensitive<\/p>\n<\/div><\/div><br \/>\n<div  class=\"togglecontainer   toggle_close_all  avia-builder-el-7  el_after_av_promobox  el_before_av_hr \" >\n<section class=\"av_toggle_section\"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\"  >    <div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  >        <p data-fake-id=\"#toggle-id-2\" class=\"toggler \"  itemprop=\"headline\"    role=\"tab\" tabindex=\"0\" aria-controls=\"toggle-id-2\">Correct Answer<span class=\"toggle_icon\" >        <span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p>        <div id=\"toggle-id-2\" class=\"toggle_wrap \"  >            <div class=\"toggle_content invers-color \"  itemprop=\"text\"   ><p>The correct answer is C, coagulase positive.<\/p>\n            <\/div>        <\/div>    <\/div><\/section>\n<\/div><br \/>\n<div  style='height:50px' class='hr hr-invisible   avia-builder-el-8  el_after_av_toggle_container  el_before_av_sidebar '><span class='hr-inner ' ><span class='hr-inner-style'><\/span><\/span><\/div><br \/>\nNote that you need to make two correct decisions to arrive at the <a title=\"USMLE Step 1 Strategy: How to Pick the Best Answers\" href=\"https:\/\/www.kaptest.com\/blog\/prep\/usmle\/usmle-step-1-how-to-pick-the-best-answers\/\">correct answer<\/a>, hence the name \u201ctwo-step.\u201d The goal is to guide you away from simple memorization in your learning. Instead, the exam wants you to be able to use the information you have memorized to reason through to a correct answer.<br \/>\nThe correct process for answering these questions is not \u201cread, answer,\u201d but \u201cread, think, answer.\u201d You\u2019ll definitely see your share of these two-step (and even three-step) questions on the Step 1 exam.<br \/>\n<strong>Previous:<\/strong>\u00a0<a title=\"USMLE Step 1: Clinical Case Questions\" href=\"https:\/\/www.kaptest.com\/blog\/prep\/usmle\/usmle-step-1-clinical-case-questions\/\">USMLE Step 1 Question Types: Clinical Case Questions<\/a><br \/>\n<strong>Next:<\/strong> <a title=\"USMLE Step 1 Question Types: Bait and Switch Questions\" href=\"https:\/\/www.kaptest.com\/blog\/prep\/usmle\/usmle-step-1-question-types-bait-and-switch-questions\/\">USMLE Step 1 Question Types: Bait and Switch Questions<\/a><\/p>\n<p class=\"p1\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>USMLE two-step (also called double-jump) questions require several cognitive steps to arrive at a correct answer. Finding the correct answer requires you to formulate a proper diagnosis and then select the most appropriate pharmacologic treatment. Note that you get no credit for the intermediate step of diagnosis. The correct answer is found only by reasoning [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":28603,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[145],"tags":[],"_links":{"self":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts\/1274"}],"collection":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/comments?post=1274"}],"version-history":[{"count":3,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts\/1274\/revisions"}],"predecessor-version":[{"id":34729,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts\/1274\/revisions\/34729"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/media\/28603"}],"wp:attachment":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/media?parent=1274"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/categories?post=1274"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/tags?post=1274"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}