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Step 2 CK Form 7 Answers

Block 1/Question#2
A 27-year-old man comes to the physician with his 27-year-old ...
Bilateral varicoceles

Block 1/Question#3
A 52-year-old man comes to the physician because of ...
Indomethacin

Block 1/Question#4
A 14-month-old boy is brought for a well-child examination. ...
Reassurance

Block 1/Question#5
A 24-year-old man has shortness of breath 2 days after open ...
Fat embolism syndrome

Block 1/Question#6
A 4-year-old boy has had increasing fatigue since a viral ...
Bone marrow aspiration

Block 1/Question#7
Two days after beginning ACTH therapy for multiple sclerosis, ...
Haloperidol

Block 1/Question#8
A 47-year-old woman comes to the physician because of fever, ...
CT scan of the head

Block 1/Question#9
A 32-year-old woman is brought to the emergency department ...
Triglycerides

Block 1/Question#10
A previously healthy 42-year-old woman has had generalized ...
Thymoma

Block 1/Question#11
A homeless 66-year-old man is admitted to the hospital ...
Decreased calcium

Block 1/Question#12
A 62-year-old woman is admitted to the hospital because of ...
Intravenous fluid therapy

Block 1/Question#13
Over the past month, a 72-year-old woman has had indigestion ...
Exercise stress test

Block 1/Question#14
Six hours after coronary artery bypass grafting, a ...
Surgical exploration of the mediastinum

Block 1/Question#15
A 42-year-old man comes to the emergency department at ...
Discharge and encourage fluid intake

Block 1/Question#16
A 19-year-old man is brought to the emergency department by ...
PCP

Block 1/Question#17
An 18-year-old woman comes to the physician because of a ...
Splenectomy

Block 1/Question#18
An 18-year-old primigravid woman at 37 weeks' gestation is ...
Amniotomy and vaginal delivery

Block 1/Question#19
A 72-year-old man comes to the physician because of a 3-month ...
Muscle

Block 1/Question#20
A previously healthy 4-year-old boy is brought to the ...
Upper respiratory tract infection

Block 1/Question#21
An 82-year-old woman is brought to the emergency department ...
Central retinal vein occlusion

Block 1/Question#22
A 4-month-old infant is brought to the emergency department ...
Child abuse

Block 1/Question#23
A 16-year-old girl is brought to the physician by her mother ...
Family therapy

Block 1/Question#24
A previously healthy 9-year-old boy is brought to the ...
Ankylosing spondylitis

Block 1/Question#25
A 15-year-old girl is brought to the physician because of low ...
Compression fracture

Block 1/Question#26
A 47-year-old woman comes to the physician because of fatigue ...
Intravascular volume depletion

Block 1/Question#28
A 47-year-old woman is brought to the emergency department 30 ...
Thoracic aorta

Block 1/Question#29
A 6-month-old boy is brought to the physician because of a ...
Mupirocin ointment

Block 1/Question#30
A previously healthy 62-year-old woman comes to the physician ...
Barium swallow

Block 1/Question#31
An asymptomatic 23-year-old man comes to the physician for a ...
Treatment of latent tuberculosis now

Block 1/Question#32
A 52-year-old woman is brought to the physician by her ...
Bipolar disorder

Block 1/Question#33
During examination prior to participation in school sports, a ...
Repeat blood pressure measurement in 4 weeks

Block 1/Question#34
A previously healthy 24-year-old woman comes to the physician ...
Decreased acetylcholine receptors

Block 1/Question#35
A 37-year-old man comes to the physician because of ...
Demyelination of axons

Block 1/Question#36
A 37-year-old woman has had malaise, muscle aches, painful ...
Culture for herpes simplex

Block 1/Question#37
A 22-year-old primigravid woman at term is admitted to the ...
Urinary stasis

Block 1/Question#38
A 4-year-old girl is brought to the physician because of ...
T-lymphocyte dysfunction

Block 1/Question#39
A 24-year-old woman comes to the physician because she has ...
Osteoporosis

Block 1/Question#40
A 50-year-old woman with a 5-year history of metastatic ...
Pericardial window

Block 1/Question#41
A 27-year-old woman comes to the physician because of a 5-day ...
Small-bowel obstruction

Block 1/Question#42
A previously healthy 26-year-old man comes to the emergency ...
Increased calcium

Block 1/Question#44
A 17-year-old girl comes to the physician because of a ...
Pilosebaceous follicles

Block 1/Question#45
A previously healthy 6-year-old boy is brought to the ...
Operative procedure

Block 1/Question#46
One day after removal of a large meningioma, a 42-year-old ...
Diabetes insipidus

Block 2/Question#1
A 75-year-old man is brought to the emergency department ...
Heat stroke

Block 2/Question#2
A 54-year-old man comes to the physician because of weakness ...
Carotid endarterectomy

Block 2/Question#3
A sexually active 24-year-old man has had increasingly ...
Genital herpes

Block 2/Question#5
A 22-year-old man is brought to the emergency department ...
Atropine

Block 2/Question#6
A 32-year-old woman comes to the physician because of ...
Amoxicillin

Block 2/Question#7
A 36-year-old woman, gravida 1, para 1, has had heavy vaginal ...
Uterine atony

Block 2/Question#8
A previously healthy 47-year-old man comes to the physician ...
Fibrillation potentials in multiple muscles of multiple extremities

Block 2/Question#9
An afebrile 32-year-old woman comes to the physician because ...
Enterotoxic Escherichia coli

Block 2/Question#10
A 67-year-old man comes to the emergency department because ...
No cleaving of C-terminal peptides on angiotensin I

Block 2/Question#11
Over the past 2 years, a 67-year-old man has had gradually ...
Abstinence from alcohol

Block 2/Question#12
Six hours after undergoing left thoracotomy for a coarctation ...
Analgesic therapy

Block 2/Question#13
A 27-year-old male physician is inadvertently stuck with a ...
No treatment necessary

Block 2/Question#14
A 32-year-old man with major depressive disorder has had the ...
Methamphetamine

Block 2/Question#15
An asymptomatic 22-year-old nulligravid woman comes to the ...
Oral contraceptive therapy

Block 2/Question#16
A 43-year-old man comes to the physician because of a 3-day ...
Haemophilus influenzae

Block 2/Question#17
Two hours after emergency repair of a perforated gastric ...
Decreased potassium

Block 2/Question#18
A 55-year-old woman with known metastatic breast cancer is ...
Increased calcium

Block 2/Question#19
A previously healthy 32-year-old woman at 16 weeks' gestation ...
Thrombotic thrombocytopenic purpura

Block 2/Question#20
A 62-year-old woman is admitted to the hospital for surgical ...
Renal ultrasonography

Block 2/Question#21
A 57-year-old woman comes to the physician because of ...
Osteoarthritis

Block 2/Question#22
A previously healthy 57-year-old man comes to the emergency ...
Increased urinary excretion of calcium

Block 2/Question#23
Four days after undergoing a right hemicolectomy for cecal ...
Wound dehiscence

Block 2/Question#24
A 37-year-old man comes to the physician because of a 6-month ...
Alveolar hypoventilation

Block 2/Question#25
A 52-year-old woman comes to the emergency department because ...
Endoscopic retrograde cholangiopancreatography

Block 2/Question#26
A 32-year-old nulligravid woman with polycystic ovarian ...
Clomiphene

Block 2/Question#27
A 37-year-old woman with alcoholism is admitted to the ...
Acute respiratory distress syndrome

Block 2/Question#28
A 7-year-old boy is brought for an examination prior to a ...
Viridans streptococcus

Block 2/Question#29
A 25-year-old primigravid woman at 27 weeks' gestation is ...
Intramuscular administration of betamethasone

Block 2/Question#30
A previously healthy 27-year-old man is brought to the ...
Vasovagal syncope

Block 2/Question#31
A 32-year-old man comes to the physician because of a 3-month ...
Trial of omeprazole therapy

Block 2/Question#32
A 57-year-old woman with factor XI and IgA deficiencies is ...
Anaphylactic transfusion reaction

Block 2/Question#33
A 42-year-old woman comes to the physician because of ...
Urethral diverticulum

Block 2/Question#34
An 8-hour-old newborn develops jaundice and respiratory ...
Rh incompatibility

Block 2/Question#35
A previously healthy 4-year-old boy is brought to the ...
Supination of the forearm with the elbow in slight flexion

Block 2/Question#36
A 32-year-old man is brought to the emergency department ...
Hypertrophic obstructive cardiomyopathy

Block 2/Question#37
An 11-year-old girl is brought to the physician by her ...
Education about puberty for the child and parents

Block 2/Question#38
A 12-month-old boy is brought to the emergency department ...
B lymphocyte

Block 2/Question#39
A 12-month-old boy is brought to the physician because of a ...
Neutrophil

Block 2/Question#40
A 15-year-old boy is brought to the physician by his mother ...
Major depressive disorder

Block 2/Question#41
A previously healthy 57-year-old woman with hypertension is ...
Botulism

Block 2/Question#42
A 72-year-old man is admitted to the hospital because of ...
Diuretic therapy

Block 2/Question#43
A 17-year-old boy is brought to the emergency department 20 ...
Naloxone

Block 2/Question#44
A 17-year-old girl is brought to the emergency department ...
Cricothyrotomy

Block 2/Question#45
A 50-year-old woman with a history of hypothyroidism has had ...
Atrophic gastritis

Block 2/Question#46
An asymptomatic 27-year-old woman who is HIV positive comes ...
Pneumococcal vaccine

Block 3/Question#1
A 72-year-old man is hospitalized because of dyspnea for 6 ...
Cor pulmonale

Block 3/Question#2
Three days after undergoing total hip replacement, a ...
Epidural hematoma

Block 3/Question#3
Five days after undergoing an open splenectomy for immune ...
X-rays of the chest

Block 3/Question#4
Three days after hospitalization for treatment of severe ...
Elevation of the head of the bed

Block 3/Question#5
A 19-year-old African American man comes to the physician ...
Digestive enzyme deficiency

Block 3/Question#6
A previously healthy 14-year-old boy is brought to the ...
Repeated microfracture at the tendon insertion

Block 3/Question#7
A 72-year-old man comes to the physician because of ...
Aortic stenosis

Block 3/Question#8
A 24-year-old primigravid woman at 38 weeks' gestation is ...
Intravenous penicillin G

Block 3/Question#9
An otherwise healthy 70-year-old woman comes to the physician ...
Paget disease of the breast

Block 3/Question#10
An otherwise healthy 40-year-old woman comes to the physician ...
Physiologic discharge

Block 3/Question#11
An 18-year-old woman has had fever for 12 hours and ...
Meningococcemia

Block 3/Question#12
A 32-year-old man comes to the physician with his wife ...
Acute stress disorder

Block 3/Question#13
Two days after admission to the hospital for detoxification, ...
Vitamin B1 (thiamine)

Block 3/Question#14
A 37-year-old woman, gravida 3, para 3, comes for a routine ...
Bartholin duct cyst

Block 3/Question#15
An 18-year-old woman has had fever, mild nonproductive cough, ...
Epstein-Barr virus infection

Block 3/Question#16
A 16-year-old girl is brought to the emergency department ...
Aspirin

Block 3/Question#17
A 62-year-old man comes to the physician because of ...
Colonoscopy to the cecum

Block 3/Question#18
Three days after open reduction and internal fixation of a ...
Duplex scan

Block 3/Question#19
A 37-year-old woman comes to the physician because of a ...
Bromocriptine therapy

Block 3/Question#20
For 12 hours, a 25-year-old woman, gravida 2, para 1, at 20 ...
Measurement of serum amylase activity

Block 3/Question#21
A 21-year-old primigravid woman at 37 weeks' gestation has ...
Measurement of platelet count

Block 3/Question#22
A 42-year-old man has had a pruritic rash on his back for 4 ...
Cutaneous larva migrans

Block 3/Question#24
An otherwise healthy 42-year-old woman comes to the physician ...
Reassurance

Block 3/Question#25
A 32-year-old woman with asthma comes to the physician ...
Allergic bronchopulmonary aspergillosis

Block 3/Question#26
A 47-year-old man comes to the physician because of a 9-month ...
Colonoscopy

Block 3/Question#27
A 67-year-old man comes to the physician because of aching in ...
Femoropopliteal arteries

Block 3/Question#28
A previously healthy 37-year-old woman comes to the physician ...
Esophageal peristalsis: decreased;
Lower esophageal sphincter tone: increased


Block 3/Question#29
A 42-year-old man is scheduled to undergo an MRI for ...
Lorazepam therapy

Block 3/Question#30
An 8-year-old boy is brought to the physician 1 hour after ...
C1 esterase inhibitor

Block 3/Question#31
A 34-year-old woman has had pain in the left hemithorax for 2 ...
Costochondritis

Block 3/Question#32
A 15-year-old girl is brought to the physician because of ...
Systemic lupus erythematosus

Block 3/Question#33
A 37-year-old man comes to the physician because of ...
Calcium disodium edetate

Block 3/Question#34
A 27-year-old man comes to the physician because of a 2-month ...
HIV antibody testing

Block 3/Question#35
A previously healthy 82-year-old woman comes to the physician ...
Brisk rotatory nystagmus on left lateral gaze

Block 3/Question#36
A 72-year-old man comes to the physician for a follow-up ...
Psychogenic polydipsia

Block 3/Question#37
A 23-year-old man is brought to the physician by his mother ...
Brief psychotic disorder

Block 3/Question#38
A 72-year-old woman comes to the physician because of an ...
Exploratory laparotomy

Block 3/Question#39
A 67-year-old man comes to the physician because of easy ...
Streptococcus pneumoniae

Block 3/Question#40
Three hours after undergoing emergency repair of a leaking ...
Cardiogenic shock

Block 3/Question#41
A 72-year-old man has decreased urine output 2 days after ...
Blood: 1+;
Protein: 1+;
RBC: 0–5;
WBC: 0–5;
Casts: Pigmented granular;
Other microscopic findings: Renal tubular epithelial cells


Block 3/Question#42
A 27-year-old primigravid woman at 39 weeks' gestation is ...
Cesarean delivery

Block 3/Question#43
A 37-year-old woman with sickle cell disease comes to the ...
Acute cholecystitis

Block 3/Question#44
A 14-year-old boy who has sickle cell trait is brought to the ...
X-ray of the left hip

Block 3/Question#45
A previously healthy 62-year-old man is brought to the ...
Intravenous labetalol

Block 3/Question#46
A 77-year-old man is brought to the physician by family ...
Hypothyroidism

Block 4/Question#1
A 16-year-old girl has had increasingly severe abdominal pain ...
Pelvic inflammatory disease

Block 4/Question#2
A 27-year-old man is brought to the emergency department by ...
Transfusion of group O, Rh-negative packed red blood cells

Block 4/Question#3
A 67-year-old man has had an ulcer on the anterior surface of ...
Stasis dermatitis with ulcer

Block 4/Question#5
A 62-year-old man comes to the physician because of a 12-hour ...
Vancomycin

Block 4/Question#7
A 22-year-old college student is brought to the student ...
Olanzapine therapy

Block 4/Question#9
A previously healthy 18-year-old woman comes to the physician ...
Increased serum lactate dehydrogenase activity

Block 4/Question#10
A previously healthy 27-year-old African American woman, ...
Abruptio placentae

Block 4/Question#11
A 32-year-old woman, gravida 3, para 1, aborta 1, is brought ...
Magnesium sulfate

Block 4/Question#12
A 42-year-old woman is brought to the emergency department ...
Optic neuritis

Block 4/Question#13
An 82-year-old man with congestive heart failure (CHF) comes ...
Decreased renal blood flow

Block 4/Question#14
An otherwise healthy 37-year-old man comes to the physician ...
Spondylolisthesis

Block 4/Question#15
A 7-month-old boy is brought to the physician because of a ...
Wiskott-Aldrich syndrome

Block 4/Question#16
A 42-year-old woman comes to the physician because of a ...
Oral propylthiouracil therapy

Block 4/Question#17
A 51-year-old woman had a 15-minute episode of acute ...
Observation

Block 4/Question#18
A previously healthy 10-year-old girl is brought to the ...
No pharmacotherapy is indicated at this time

Block 4/Question#19
A 52-year-old woman with a 2-year history of type 2 diabetes ...
Add lisinopril to the medication regimen

Block 4/Question#20
A 52-year-old woman comes to the physician because of a ...
Pleural metastases

Block 4/Question#21
A 2-month-old girl is brought for a routine health ...
Give all recommended immunizations for age

Block 4/Question#22
A 25-year-old woman comes to the physician because of ...
Surreptitious administration of thyroxine

Block 4/Question#23
A 55-year-old man comes to the physician because of fever, ...
Viral infection

Block 4/Question#24
A 62-year-old woman is brought to the emergency department ...
Radiation therapy

Block 4/Question#25
A 6-week-old boy is brought to the physician for his first ...
Fibrosis of the sternomastoid muscle

Block 4/Question#27
A 17-year-old boy comes to the physician because of a 4-day ...
Pill-induced esophagitis

Block 4/Question#28
A previously healthy 21-year-old woman comes to the physician ...
Viral pleurisy

Block 4/Question#29
A previously healthy 68-year-old man is brought to the ...
Acute myocardial infarction

Block 4/Question#30
A 70-year-old woman is brought to the emergency department 3 ...
Ventricular tachycardia

Block 4/Question#31
A 32-year-old woman is brought to the emergency department ...
Appendicitis

Block 4/Question#32
A 3-year-old girl is brought to the emergency department ...
Organophosphate

Block 4/Question#33
A previously healthy 67-year-old man has had an aching ...
Bronchogenic carcinoma

Block 4/Question#34
A 77-year-old man is brought to the emergency department 15 ...
Destruction and dilation of distal airways

Block 4/Question#35
A 65-year-old man comes to the emergency department 30 ...
Internal carotid artery

Block 4/Question#36
A 4-year-old boy develops chickenpox 8 hours after visiting ...
No intervention is necessary

Block 4/Question#37
An 87-year-old man comes to the physician because of a 1-year ...
Finasteride

Block 4/Question#38
An unconscious 22-year-old man is brought to the emergency ...
Intravenous 0.9% saline

Block 4/Question#39
A 20-year-old man is brought to the physician by his parents ...
Schizophrenia

Block 4/Question#40
A 10-year-old girl is admitted to the hospital because of ...
Mitral valve incompetence

Block 4/Question#41
A 47-year-old man comes to the emergency department because ...
Hypovolemia

Block 4/Question#42
A 27-year-old nulligravid woman comes for a routine health ...
Colposcopy

Block 4/Question#43
An asymptomatic 60-year-old man comes for a follow-up ...
Observation

Block 4/Question#44
A 56-year-old woman with short-bowel syndrome caused by ...
Zinc

Block 4/Question#45
A 32-year-old man is brought to the emergency department by a ...
Dopamine

Block 4/Question#46
A male newborn has bilateral clubfoot deformity. He was born ...
Spinal dysraphism

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