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Free 120  NBME 25NEW!  NBME 24  NBME 23  NBME 22  NBME 21  NBME 20  NBME 19  NBME 18  NBME 17  NBME 16  NBME 15  NBME 13 ⋅ Step 2 CK Free 120  Step 2 CK Form 6  Step 2 CK Form 7  Step 2 CK Form 8 
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Step 2 CK Form 7 Answers

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

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

Question#4 (reveal difficulty score)
A 14-month-old boy is brought for a ...
Reassurance ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#5 (reveal difficulty score)
A 24-year-old man has shortness of breath 2 ...
Fat embolism syndrome ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#6 (reveal difficulty score)
A 4-year-old boy has had increasing fatigue ...
Bone marrow aspiration ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

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

Question#8 (reveal difficulty score)
A 47-year-old woman comes to the physician ...
CT scan of the head ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#9 (reveal difficulty score)
A 32-year-old woman is brought to the ...
Triglycerides ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

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

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


Question#13 (reveal difficulty score)
Over the past month, a 72-year-old woman has ...
Exercise stress test ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



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

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


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



Question#22 (reveal difficulty score)
A 4-month-old infant is brought to the ...
Child abuse ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ






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

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







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

Question#38 (reveal difficulty score)
A 4-year-old girl is brought to the physician ...
T-lymphocyte dysfunction ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

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

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


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



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

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


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

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

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

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




Question#11 (reveal difficulty score)
Over the past 2 years, a 67-year-old man has ...
Abstinence from alcohol ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#12 (reveal difficulty score)
Six hours after undergoing left thoracotomy ...
Analgesic therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#13 (reveal difficulty score)
A 27-year-old male physician is inadvertently ...
No treatment necessary ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#14 (reveal difficulty score)
A 32-year-old man with major depressive ...
Methamphetamine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ




Question#18 (reveal difficulty score)
A 55-year-old woman with known metastatic ...
Increased calcium ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#21 (reveal difficulty score)
A 57-year-old woman comes to the physician ...
Osteoarthritis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ





Question#26 (reveal difficulty score)
A 32-year-old nulligravid woman with ...
Clomiphene ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ








Question#34 (reveal difficulty score)
An 8-hour-old newborn develops jaundice and ...
Rh incompatibility ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ





Question#39 (reveal difficulty score)
A 12-month-old boy is brought to the ...
Neutrophil ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#40 (reveal difficulty score)
A 15-year-old boy is brought to the physician ...
Major depressive disorder ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#41 (reveal difficulty score)
A previously healthy 57-year-old woman with ...
Botulism ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

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

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



Question#46 (reveal difficulty score)
An asymptomatic 27-year-old woman who is HIV ...
Pneumococcal vaccine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

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






Question#7 (reveal difficulty score)
A 72-year-old man comes to the physician ...
Aortic stenosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#8 (reveal difficulty score)
A 24-year-old primigravid woman at 38 weeks' ...
Intravenous penicillin G ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#10 (reveal difficulty score)
An otherwise healthy 40-year-old woman comes ...
Physiologic discharge ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#11 (reveal difficulty score)
An 18-year-old woman has had fever for 12 ...
Meningococcemia ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#12 (reveal difficulty score)
A 32-year-old man comes to the physician with ...
Acute stress disorder ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#13 (reveal difficulty score)
Two days after admission to the hospital for ...
Vitamin B1 (thiamine) ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#14 (reveal difficulty score)
A 37-year-old woman, gravida 3, para 3, comes ...
Bartholin duct cyst ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


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


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




Question#22 (reveal difficulty score)
A 42-year-old man has had a pruritic rash on ...
Cutaneous larva migrans ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#24 (reveal difficulty score)
An otherwise healthy 42-year-old woman comes ...
Reassurance ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


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



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

Question#30 (reveal difficulty score)
An 8-year-old boy is brought to the physician ...
C1 esterase inhibitor ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

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





Question#36 (reveal difficulty score)
A 72-year-old man comes to the physician for ...
Psychogenic polydipsia ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#37 (reveal difficulty score)
A 23-year-old man is brought to the physician ...
Brief psychotic disorder ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



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


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

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

Question#44 (reveal difficulty score)
A 14-year-old boy who has sickle cell trait ...
X-ray of the left hip ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


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




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

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






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

Question#15 (reveal difficulty score)
A 7-month-old boy is brought to the physician ...
Wiskott-Aldrich syndrome ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


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



Question#20 (reveal difficulty score)
A 52-year-old woman comes to the physician ...
Pleural metastases ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#23 (reveal difficulty score)
A 55-year-old man comes to the physician ...
Viral infection ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ




Question#28 (reveal difficulty score)
A previously healthy 21-year-old woman comes ...
Viral pleurisy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#31 (reveal difficulty score)
A 32-year-old woman is brought to the ...
Appendicitis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

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

Question#33 (reveal difficulty score)
A previously healthy 67-year-old man has had ...
Bronchogenic carcinoma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ




Question#37 (reveal difficulty score)
An 87-year-old man comes to the physician ...
Finasteride ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#38 (reveal difficulty score)
An unconscious 22-year-old man is brought to ...
Intravenous 0.9% saline ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

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


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

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

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

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

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








Question#13 (reveal difficulty score)
A 57-year-old man comes to the physician ...
Interferon-alpha ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ




Recent comments ...

... โˆ—seagull made a comment (step2ck_form7)
 +16  submitted by seagull(1912)

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)
 +10  submitted by athleticmedic(17)

"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 +1
... โˆ—yotsubato made a comment (step2ck_form7)
 +9  submitted by yotsubato(1195)

This one made no sense. Celecoxib is already the strongest NSAID. I would rather give Dexamethasone. Which works along a seperate mechanism of action.

jaypat  Indomethacin is typically the first choice NSAID for acute gout flares. Then glucocorticoids. Lastly Colchicine +1
seagull  I also choose steroids since they were on a NSAID. fml +2
creamy  Naw dawg. Celecoxib has anti-inflammatory efficacy hence the categorization as a NSAID. In fact, gout patients treated with Celecoxib have the same treatment response as Indomethacin. Celecoxib is actually listed as an alternative to nonselective NSAIDs for acute gouty flares. This was just a bumbass question. +7
dreamyyn  I also chose Dexamethasone, but uptodate says the glucocorticoid choice is prednisone not dexamethasone. Indomethacin is typically the DOC, better than celecoxib. Not a good question, but a good review of details in the medication! +2
henoch280  ikr.... this was a stupid question +
... โˆ—seagull made a comment (step2ck_form7)
 +9  submitted by seagull(1912)

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. +7
etherbunny  That'll be RAZR phone and Windows 98. FIFY, f**king millenials. :roll_eyes: ;) +5


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