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Step 2 CK Form 7 Answers

repro inc
Question#2 (reveal difficulty score)
A 27-year-old man comes to the physician with ...
Bilateral varicoceles ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

msk
Question#3 (reveal difficulty score)
A 52-year-old man comes to the physician ...
Indomethacin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

peds
msk
hemeonc
psych
Question#7 (reveal difficulty score)
Two days after beginning ACTH therapy for ...
Haloperidol ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

neuro
lipids
msk
Question#10 (reveal difficulty score)
A previously healthy 42-year-old woman has ...
Thymoma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

renal
Question#11 (reveal difficulty score)
A homeless 66-year-old man is admitted to the ...
Decreased calcium ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

renal
cardio
cardio
renal
psych toxicity
Question#16 (reveal difficulty score)
A 19-year-old man is brought to the emergency ...
PCP ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

hemeonc
Question#17 (reveal difficulty score)
An 18-year-old woman comes to the physician ...
Splenectomy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

repro inc
msk
Question#19 (reveal difficulty score)
A 72-year-old man comes to the physician ...
Muscle ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Pulm repeat
ophtho
ped
psych

msk
endo inc
cardio inc
derm
Question#29 (reveal difficulty score)
A 6-month-old boy is brought to the physician ...
Mupirocin ointment ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

GI
Question#30 (reveal difficulty score)
A previously healthy 62-year-old woman comes ...
Barium swallow ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

pulm repeat Micro PPD_test inc infectious_disease

cardio
msk repeat
neuro
infectious_disease
repro
Question#37 (reveal difficulty score)
A 22-year-old primigravid woman at term is ...
Urinary stasis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Immuno
repro
Question#39 (reveal difficulty score)
A 24-year-old woman comes to the physician ...
Osteoporosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

cardio
Question#40 (reveal difficulty score)
A 50-year-old woman with a 5-year history of ...
Pericardial window ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

GI
pulm
Question#42 (reveal difficulty score)
A previously healthy 26-year-old man comes to ...
Increased calcium ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

derm
repro
renal inc
Question#46 (reveal difficulty score)
One day after removal of a large meningioma, ...
Diabetes insipidus ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

heat toxicity
Question#1 (reveal difficulty score)
A 75-year-old man is brought to the emergency ...
Heat stroke ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

cardio
infectious_disease
Question#3 (reveal difficulty score)
A sexually active 24-year-old man has had ...
Genital herpes ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

pharm
Question#5 (reveal difficulty score)
A 22-year-old man is brought to the emergency ...
Atropine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

infectious_disease
Question#6 (reveal difficulty score)
A 32-year-old woman comes to the physician ...
Amoxicillin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

repro inc
Question#7 (reveal difficulty score)
A 36-year-old woman, gravida 1, para 1, has ...
Uterine atony ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

neuro inc
infectious_disease
pharm cardio
toxicity
peds inc
Question#12 (reveal difficulty score)
Six hours after undergoing left thoracotomy ...
Analgesic therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

repeat inc infectious_disease
toxicity
repro inc
pulm infectious_disease
pharm
renal
GI hemeonc DDX
renal inc
msk
Question#21 (reveal difficulty score)
A 57-year-old woman comes to the physician ...
Osteoarthritis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

endo
derm
pulm
GI repeat
repro
pulm
infectious_disease
repro
Neuro
GI
Immuno
renal inc ddx
peds inc
msk
cardio
peds
Immuno
Immuno
psych
infectious_disease
Question#41 (reveal difficulty score)
A previously healthy 57-year-old woman with ...
Botulism ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

cardio
Question#42 (reveal difficulty score)
A 72-year-old man is admitted to the hospital ...
Diuretic therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

pharm toxicity
Question#43 (reveal difficulty score)
A 17-year-old boy is brought to the emergency ...
Naloxone ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

trauma
GI
HIV
pulm
Question#1 (reveal difficulty score)
A 72-year-old man is hospitalized because of ...
Cor pulmonale ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

neuro Neuro
surgery
pulm
GI inc
msk
cardio
repro inc
repro
repro inc
neuro infectious_disease
psych
toxicity
repro
Question#14 (reveal difficulty score)
A 37-year-old woman, gravida 3, para 3, comes ...
Bartholin duct cyst ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

infectious_disease
renal inc
Question#16 (reveal difficulty score)
A 16-year-old girl is brought to the ...
Aspirin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

GI inc
cardio
Question#18 (reveal difficulty score)
Three days after open reduction and internal ...
Duplex scan ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

endo inc
GI
repro
infectious_disease
ophtho
Question#24 (reveal difficulty score)
An otherwise healthy 42-year-old woman comes ...
Reassurance ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

pulm
GI inc
Question#26 (reveal difficulty score)
A 47-year-old man comes to the physician ...
Colonoscopy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

cardio
GI
psych
Question#29 (reveal difficulty score)
A 42-year-old man is scheduled to undergo an ...
Lorazepam therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Immuno
pulm
Question#31 (reveal difficulty score)
A 34-year-old woman has had pain in the left ...
Costochondritis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Immuno msk
toxicity inc
infectious_disease
Aging inc
psych
psych repeat

hemeonc infectious_disease
cardio
Question#40 (reveal difficulty score)
Three hours after undergoing emergency repair ...
Cardiogenic shock ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

renal
repro inc
Question#42 (reveal difficulty score)
A 27-year-old primigravid woman at 39 weeks' ...
Cesarean delivery ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

GI HPB repeat
Question#43 (reveal difficulty score)
A 37-year-old woman with sickle cell disease ...
Acute cholecystitis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

msk inc
cardio
neuro endo Aging inc
Question#46 (reveal difficulty score)
A 77-year-old man is brought to the physician ...
Hypothyroidism ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

repro
surgery inc
derm inc
Question#5 (reveal difficulty score)
A 62-year-old man comes to the physician ...
Vancomycin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

psych
Question#7 (reveal difficulty score)
A 22-year-old college student is brought to ...
Olanzapine therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

hemeonc inc
repro

neuro
renal
msk
Question#14 (reveal difficulty score)
An otherwise healthy 37-year-old man comes to ...
Spondylolisthesis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Immuno DDX
endo
GI inc
Question#17 (reveal difficulty score)
An asymptomatic 60-year-old man comes for a ...
Observation ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

infectious_disease
endo
pulm
peds
endo inc
infectious_disease
hemeonc inc
msk peds
GI inc
rheum rhem infectious_disease
Question#28 (reveal difficulty score)
A previously healthy 21-year-old woman comes ...
Viral pleurisy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

cardio inc
cardio inc ecg
GI inc
toxicity
Question#32 (reveal difficulty score)
A 3-year-old girl is brought to the emergency ...
Organophosphate ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

pulm
pulm DDX
cardio ophtho inc
repeat inc infectious_disease
repro pharm
Question#37 (reveal difficulty score)
An 87-year-old man comes to the physician ...
Finasteride ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

msk treatment
psych
Question#39 (reveal difficulty score)
A 20-year-old man is brought to the physician ...
Schizophrenia ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

cardio
GI inc
Question#41 (reveal difficulty score)
A 47-year-old man comes to the emergency ...
Hypovolemia ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

repro inc
Question#42 (reveal difficulty score)
A 27-year-old nulligravid woman comes for a ...
Colposcopy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

surgery pulm
Question#43 (reveal difficulty score)
A 51-year-old woman had a 15-minute episode ...
Observation ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

GI
Question#44 (reveal difficulty score)
A 56-year-old woman with short-bowel syndrome ...
Zinc ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

psych pharm
Question#45 (reveal difficulty score)
A 32-year-old man is brought to the emergency ...
Dopamine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

peds inc
hemeonc inc
biostats
infectious_disease
GI
ethics
biostats
GI inc
ethics
renal inc
biostats
Recent comments ...

... โˆ—seagull made a comment (step2ck_form7)
 +16  submitted by seagull(1933)

This is a great example of a poorly written question. Is the infant still sedated from the surgery or ventilated? What is even happening to the surgical site? Why is analgesic therapy not already on-board post surgery? Why is this author such a douche-bag?

Perhaps the world will never know.

... โˆ—athleticmedic made a comment (step2ck_form7)
 +11  submitted by athleticmedic(18)

"Placenta appears complete but torn" - if it's torn and only appears complete, rather than being confirmed as complete, how can you rule out retained placental tissue? You wouldn't just assume it was complete at a complex delivery, it would require confirmation.

drmohandes  I feel you man, was guessing between the two answers as well. I think torn but complete means the whole placenta is there, but in pieces? Anyway classic scumbag NBME question writing. +4
sahusema  For NBME questions, I've found that whatever is told in the findings section of a stem should be taken as 100% true even if it's an incomplete description, super confusing, or misleading. So placenta complete? โ†’ uterine atony +2
... โˆ—seagull made a comment (step2ck_form7)
 +10  submitted by seagull(1933)

I love these shit pictures. It's like some old angry dude opened a text book from the 1950s and took a picture with his razor phone then uploaded the picture using windows 99.

seagull  Also, I think pseudomonas would present with hemoptysis and a much worse clinical picture. +2
drmohandes  Community-acquired pneumonia. If it was a CF patient = pseudomonas. In a 25-year smoker (COPD?) = H. influenzae. +8
etherbunny  That'll be RAZR phone and Windows 98. FIFY, f**king millenials. :roll_eyes: ;) +5
... โˆ—jlbae made a comment (step2ck_form7)
 +10  submitted by jlbae(159)

Nothing like force-feeding an Ativan to a patient who already said they are willing to go back into the scanner



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