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Step 2 CK Form 6 Answers

renal surg
genetics peds marked
pulm inc
msk
Question#5 (reveal difficulty score)
During the past 4 months, a 32-year-old woman ...
Sjรถgren syndrome ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

renal marked
Question#6 (reveal difficulty score)
A 5-year-old boy is brought to the emergency ...
Hyaline casts ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Immuno peds
cardio pulm inc
GI vitamins
Question#9 (reveal difficulty score)
A 42-year-old man is brought to the emergency ...
Vitamin B1 (thiamine) ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

MSK
hypothyroid post_partum TSH pregnancy
msk
postop surgery marked
ophtho
derm inc
cardio DDX murmur
Question#17 (reveal difficulty score)
A 28-year-old woman at 28 weeks' gestation ...
Mitral stenosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

cardio
derm
renal DDX
psych
repro
pulm
renal cardio inc
ID
repro endocrine pcos infertility
psych marked
Neuro Aging DDX inc
neuro inc
GI marked
visualfielddefect visual_field_defect Neuro ophtho inc
GI
psych ethics
hemeonc
GI
Neuro DDX inc strokes
milestones peds
pulm marked
cardio marked
MSK Genetics
endo inc
Question#41 (reveal difficulty score)
A previously healthy 52-year-old man comes to ...
Insulin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

toxicity marked
renal GI
pulm
Question#44 (reveal difficulty score)
A 4-year-old boy is brought to the emergency ...
Pulmonary contusion ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

GI inc
Question#45 (reveal difficulty score)
A 77-year-old woman comes to the physician ...
Gallstone ileus ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

toxicity EM
repro
derm inc incorrect
repro
Question#4 (reveal difficulty score)
Four weeks after a low transverse cesarean ...
Reassurance ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

GI
Question#5 (reveal difficulty score)
A 37-year-old man is brought to the emergency ...
Laparotomy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

hemeonc
renal
repro
Question#10 (reveal difficulty score)
A healthy 21-year-old college student comes ...
Pap smear ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

psych
cardio trauma inc
pharm
biochem
trauma
Pulm
rheum
Question#17 (reveal difficulty score)
A 24-year-old woman comes to the physician ...
Fibromyalgia ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

renal
repro
renal repeat inc
Question#20 (reveal difficulty score)
A previously healthy 52-year-old man comes to ...
Fluid restriction ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

cardio inc
GI
endo
surgery inc
pulm repeat
MSK
Immuno
Question#28 (reveal difficulty score)
A 25-year-old woman comes to the physician ...
Latex products ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

repro
Question#29 (reveal difficulty score)
A 32-year-old woman, gravida 2, para 2, comes ...
Anovulation ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

pharm Pulm
peds
neuro
neuro
ID peds
Question#34 (reveal difficulty score)
A 7-year-old girl is brought to the physician ...
Throat culture ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

GI repeat
ID
ID
neuro marked
renal
renal inc
Immuno
psych
cardio
inc Cardio
neuro
ID vaccine
Question#1 (reveal difficulty score)
A 32-year-old woman who is HIV positive has a ...
Influenza virus ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

GI
Question#2 (reveal difficulty score)
A 62-year-old woman comes to the physician ...
Malabsorption ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

pharm inc
repro DDX inc
rheum
Question#5 (reveal difficulty score)
A 67-year-old man comes to the physician ...
Thymoma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Cardio
Cardio
Question#7 (reveal difficulty score)
A 52-year-old man comes to the physician for ...
Exercise stress test ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Immuno
Cardio
MSK
Question#10 (reveal difficulty score)
An asymptomatic 32-year-old woman comes for a ...
Weight-loss program ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

psych
repro
Question#13 (reveal difficulty score)
A 38-year-old woman, gravida 2, para 1, at 38 ...
Nonstress test ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

GI
endo
psych
repro
cardio pulm
psych Aging inc
psych pharm
derm
Question#22 (reveal difficulty score)
A previously healthy 16-year-old high school ...
Eczema herpeticum ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

GI
Question#23 (reveal difficulty score)
A 19-year-old man is brought to the emergency ...
Laparotomy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

endo
repro
pharm inc
Question#26 (reveal difficulty score)
A 17-year-old boy is brought to the emergency ...
PCP ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

cardio Cardio
Neuro
ID
MSK DDX inc
msk inc
renal
ID
Question#33 (reveal difficulty score)
A 32-year-old woman comes to the physician ...
Clue cells ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

GI vitamins
pulm
Question#35 (reveal difficulty score)
A 67-year-old man has had shortness of breath ...
Thoracentesis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

pulm inc
Immuno
ID ENT
GI

MSK hemeonc
cardio trauma Cardio
Question#42 (reveal difficulty score)
A 40-year-old man is brought to the emergency ...
Myocardial contusion ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

renal
cardio
pharm ID
endo
GI
GI
cardio
cardio shock inc
renal GU
renal
Pulm heart_sounds inc Cardio
repro
renal inc surg
ID Neuro Cardio
Question#13 (reveal difficulty score)
A 67-year-old man is brought to the emergency ...
Brain abscess ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Pharm inc
Question#14 (reveal difficulty score)
A 57-year-old man comes to the physician ...
Indomethacin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

repro inc
MSK
MSK msk
Question#17 (reveal difficulty score)
A previously healthy 32-year-old plumber ...
Muscle strain ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Endo
Question#18 (reveal difficulty score)
Over the past 3 months, a 30-year-old woman ...
Adrenal gland ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

hemeonc inc
repro
ID
Question#21 (reveal difficulty score)
A previously healthy 52-year-old woman comes ...
Sporotrichosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

cardio surg
cardio
pulm
Question#25 (reveal difficulty score)
A 42-year-old man comes to the physician ...
Emphysema ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

ID surg
Pulm inc
GI vitamins
Question#28 (reveal difficulty score)
An 80-year-old woman has had bleeding gums ...
C ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

pulm EM
pharm
repro
renal inc
pharm endo
Neuro inc
repro
Question#35 (reveal difficulty score)
A 22-year-old primigravid woman at 16 weeks' ...
Choriocarcinoma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

repro derm
Question#36 (reveal difficulty score)
A previously healthy 87-year-old woman comes ...
Lichen sclerosus ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

GI vitamins
psych
Question#38 (reveal difficulty score)
A 45-year-old woman comes to the emergency ...
Lorazepam ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

GI
Question#39 (reveal difficulty score)
A 47-year-old woman comes to the physician ...
Gastric bypass ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

heart_sounds Cardio
Question#40 (reveal difficulty score)
A 28-month-old boy has a history of cyanosis ...
Tetralogy of Fallot ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Immuno
biochem
GI
Cardio
toxicity inc
Pulm
Question#46 (reveal difficulty score)
A 5-year-old girl is brought to the physician ...
Empyema ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

repro pregnancy
biostats marked
Question#36 (reveal difficulty score)
a program for the primary prevention of ...
Incidence ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

biostats
biostats inc
ethics
ethics
ID inc
Question#19 (reveal difficulty score)
A healthy 5-year-old girl is brought to the ...
E) Mefloquine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

renal
Question#1 (reveal difficulty score)
A 5-year-old boy is brought to the emergency ...
Hyaline casts ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

peds
Question#8 (reveal difficulty score)
A 14-year-old boy is brought to the physician ...
Fragile X syndrome ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Recent comments ...

... โˆ—szsnikaa made a comment (step2ck_form6)
 +12  submitted by szsnikaa(28)

This patient has a testicular mass. Let's examine a few differentials as we go through the answer choices.

Germinal Cell Tumor (Testicular Tumor)

  • Usually painless but dull/achy/heavy sensation; palpation of SOLID mass
  • No change in size when supine
  • No transillumination

Dilated pampiniform venous plexus (Varicocele)

  • Usually painless; "Bag of worms"
  • Reduced swelling when supine
  • No transillumination

Cystic Dilation of the effect ductules (Spermatocele)

  • Typically painless; fluctuant swelling of upper testicular pole
  • No change in size when supine
  • Does transilluminate

Fluid accumulation within the tunica vaginalis testis (Hydrocele)

  • Often painless; fluctuant swelling of scrotum
  • May/May not change in size wrt position
  • Does transilluminate

Vascular Trauma (Hematocele/Ruptured Testis)

  • Extremely painful & tender; visible hematoma
  • May/May not change in size wrt position
  • No transillumination

drdoom  your account has been upgraded to: ATTENDING +6
drmohandes  that's how you do an explanation. cheers m8 +4
... โˆ—sugaplum made a comment (step2ck_form6)
 +7  submitted by sugaplum(487)

This question is tricky. I used to always miss this presentation. This is laterally medullary syndrome- which most of us have memorizes is a PICA infarct. Fun fact, PICA comes off the vertebral artery.

This is how I remember the sx. If this helps at least one person I will be glad I am exposing my twisted brain.

3+5=8 & 9-11 & B-P.

3: Horner's syndrome 5:spinal trigeminal- ipsi face pain and temp loss 8: vestibular signs, vertigo diplopia

9-11: Nucleus ambiguous, diminshed gag, dysphagia B: Cerebellar - inferior cerebellar peduncle, ipsi ataxia P: Contra pain and temp, cuz this shit was so painful to memorize I throw it to the other side.

ronabobonafofona  Thank you for this. +
... โˆ—sugaplum made a comment (step2ck_form6)
 +7  submitted by sugaplum(487)

sclera injection and munchies

In the words of afroman. I was gonnna go to work....but then I got high...

drdoom  I was gonna get up and find the broom but then I got high .. +5
atypicalgowda  My room is still messed up and I know why +3
drdoom  (yeah-he-yeahhhh!) +3
ronabobonafofona  Omg this is so obvious when re-reading it. Can't believe I missed that. +1
jlbae  Woo, good morning, ladies +1
lilmonkey  In mother Russia, we call it a Regular Check-up. +
azibird  I absolutely love the cartoonish descriptions of marijuana intoxication on NBMEs +
... โˆ—qfever made a comment (step2ck_form6)
 +7  submitted by qfever(67)

Warmest welcome back to Step 1 by NBME lol

lilmonkey  Yep, I had almost the same question on Step 1. +


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