Kim! Hi! It’s your dad!πŸ‘‹ ▪ Khalilah, I’m proud of you for taking a risk for your dream.Everyone’s explanations tend to be so on-point, and the commiseration makes me feel better, too!Hi Hira. You are doing a good job!Hey Shariq! Doing a great job!                       want to add a fly-by? email us! 😊
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Step 2 CK Form 8 Answers




Question#4 (reveal difficulty score)
A 67-year-old woman comes to the physician ...
Pulmonary function testsπŸ”,πŸ“Ί

Question#5 (reveal difficulty score)
A 37-year-old woman, gravida 2, para 2, comes ...
AdenomyosisπŸ”,πŸ“Ί



Question#8 (reveal difficulty score)
A 62-year-old man comes for evaluation prior ...
Parenteral cefazolinπŸ”,πŸ“Ί

Question#9 (reveal difficulty score)
An otherwise healthy 37-year-old woman comes ...
Endometrial biopsyπŸ”,πŸ“Ί

Question#10 (reveal difficulty score)
A 72-year-old man is transferred to the ...
Arterial embolusπŸ”,πŸ“Ί

Question#11 (reveal difficulty score)
An 87-year-old man comes to the physician ...
Normal agingπŸ”,πŸ“Ί

Question#12 (reveal difficulty score)
A 37-year-old nulligravid woman comes to the ...
Intraductal papillomaπŸ”,πŸ“Ί

Question#13 (reveal difficulty score)
A 47-year-old man comes to the emergency ...
Air embolismπŸ”,πŸ“Ί

Question#14 (reveal difficulty score)
A 19-year-old man is brought to the emergency ...
Psychogenic polydipsiaπŸ”,πŸ“Ί


Question#16 (reveal difficulty score)
A previously healthy 23-year-old man comes to ...
Consistent use of condomsπŸ”,πŸ“Ί

Question#17 (reveal difficulty score)
A 16-year-old girl comes for a routine health ...
Transesophageal echocardiographyπŸ”,πŸ“Ί

Question#18 (reveal difficulty score)
A 32-year-old man comes to the physician ...
PropranololπŸ”,πŸ“Ί



Question#21 (reveal difficulty score)
A 12-year-old boy with Marfan syndrome is ...
Mitral valve prolapseπŸ”,πŸ“Ί

Question#22 (reveal difficulty score)
A 3-year-old girl is brought to the emergency ...
Intramuscular epinephrineπŸ”,πŸ“Ί

Question#23 (reveal difficulty score)
Twelve days after undergoing an orthotopic ...
Allograft rejectionπŸ”,πŸ“Ί

Question#24 (reveal difficulty score)
A 9-year-old girl is brought to the physician ...
SertralineπŸ”,πŸ“Ί


Question#26 (reveal difficulty score)
A 7-year boy is brought to the physician ...
Topical antibiotic therapyπŸ”,πŸ“Ί

Question#27 (reveal difficulty score)
A 52-year-old man is brought to the emergency ...
Thoracoabdominal aortic dissectionπŸ”,πŸ“Ί

Question#28 (reveal difficulty score)
A previously healthy 72-year-old man comes to ...
PneumoconiosisπŸ”,πŸ“Ί

Question#29 (reveal difficulty score)
A comatose 29-year-old woman is brought to ...
PneumothoraxπŸ”,πŸ“Ί

Question#30 (reveal difficulty score)
A 37-year-old woman comes to the physician ...
Use of a wrist splintπŸ”,πŸ“Ί

Question#31 (reveal difficulty score)
The physician reads a news report about a 50% ...
Relative risk reductionπŸ”,πŸ“Ί

Question#32 (reveal difficulty score)
A 25-year-old man is brought to the emergency ...
AspirinπŸ”,πŸ“Ί

Question#33 (reveal difficulty score)
A 27-year-old man comes to the physician ...
AIDSπŸ”,πŸ“Ί


Question#35 (reveal difficulty score)
A 72-year-old woman is undergoing inpatient ...
Flaccid neurogenic bladderπŸ”,πŸ“Ί

Question#36 (reveal difficulty score)
A 9-year-old boy is brought to the physician ...
Tourette disorderπŸ”,πŸ“Ί

Question#37 (reveal difficulty score)
A 72-year-old man with lung cancer comes to ...
Repetitive nerve stimulationπŸ”,πŸ“Ί

Question#38 (reveal difficulty score)
A 42-year-old man comes to the physician ...
Nothing here right nowπŸ”,πŸ“Ί

Question#39 (reveal difficulty score)
A previously healthy 32-year-old woman comes ...
Irritable bowel syndomeπŸ”,πŸ“Ί

Question#40 (reveal difficulty score)
A 42-year-old woman, gravida 4, para 4, comes ...
Detrusor hyperactivityπŸ”,πŸ“Ί

Question#41 (reveal difficulty score)
A 42-year-old woman comes to the physician ...
Nonalcoholic steatohepatitisπŸ”,πŸ“Ί


Question#43 (reveal difficulty score)
A 37-year-old woman comes to the emergency ...
Cardiac tamponadeπŸ”,πŸ“Ί

Question#44 (reveal difficulty score)
A 25-year-old woman comes to the physician to ...
Nothing here right nowπŸ”,πŸ“Ί

Question#45 (reveal difficulty score)
A 2-month-old boy is brought to the physician ...
Use of protective clothingπŸ”,πŸ“Ί

Question#46 (reveal difficulty score)
A 37-year-old man comes to the emergency ...
EchocardiographyπŸ”,πŸ“Ί



Question#3 (reveal difficulty score)
A 32-year-old woman has had fatigue, fever ...
Penicillin G benzathineπŸ”,πŸ“Ί

Question#4 (reveal difficulty score)
A 37-year-old man comes to the physician 24 ...
Small-bowel strictureπŸ”,πŸ“Ί

Question#5 (reveal difficulty score)
A previously healthy 17-year-old girl is ...
Spiral CT scan of the chestπŸ”,πŸ“Ί

Question#6 (reveal difficulty score)
A 1-day-old male newborn had the onset of ...
Pancreatic enzymeπŸ”,πŸ“Ί

Question#7 (reveal difficulty score)
A 32-year-old woman comes to the physician ...
Interferon beta therapyπŸ”,πŸ“Ί

Question#8 (reveal difficulty score)
A 30-year-old primigravid woman with systemic ...
Complete atrioventricular blockπŸ”,πŸ“Ί

Question#9 (reveal difficulty score)
A 52-year-old man who is HIV positive comes ...
Squamous cell carcinomaπŸ”,πŸ“Ί


Question#11 (reveal difficulty score)
A 52-year-old woman with type 2 diabetes ...
HyperosmolalityπŸ”,πŸ“Ί

Question#12 (reveal difficulty score)
A 20-year-old man is brought to the emergency ...
Retrograde urethrographyπŸ”,πŸ“Ί

Question#13 (reveal difficulty score)
A 2-year-old African girl is brought to the ...
Serum niacin concentrationπŸ”,πŸ“Ί

Question#14 (reveal difficulty score)
A 4-year-old girl is brought to the physician ...
MedulloblastomaπŸ”,πŸ“Ί

Question#15 (reveal difficulty score)
A 32-year-old woman comes to the physician ...
Lumbar radiculopathyπŸ”,πŸ“Ί


Question#17 (reveal difficulty score)
Two days after undergoing internal fixation ...
Fat embolismπŸ”,πŸ“Ί

Question#18 (reveal difficulty score)
A 21-year-old woman comes to the physician ...
Epstein-Barr virusπŸ”,πŸ“Ί

Question#19 (reveal difficulty score)
A previously healthy 18-year-old man is ...
Diabetic ketoacidosisπŸ”,πŸ“Ί

Question#20 (reveal difficulty score)
A 17-year-old boy is brought to the emergency ...
Subclavian arteryπŸ”,πŸ“Ί

Question#21 (reveal difficulty score)
A 57-year-old man comes to the physician for ...
Fluid restrictionπŸ”,πŸ“Ί

Question#22 (reveal difficulty score)
A previously healthy 62-year-old man comes to ...
Degenerative joint diseaseπŸ”,πŸ“Ί

Question#23 (reveal difficulty score)
A 72-year-old woman comes to the physician ...
CataractsπŸ”,πŸ“Ί

Question#24 (reveal difficulty score)
A 16-year-old boy is brought to the emergency ...
Peripheral muscarinic receptorsπŸ”,πŸ“Ί



Question#27 (reveal difficulty score)
A 32-year-old primigravid woman at 27 weeks’ ...
Cervical cancerπŸ”,πŸ“Ί





Question#32 (reveal difficulty score)
A 3-month-old boy is brought to the physician ...
Tetralogy of FallotπŸ”,πŸ“Ί

Question#33 (reveal difficulty score)
A biotechnology company sponsors a ...
Selection biasπŸ”,πŸ“Ί

Question#34 (reveal difficulty score)
An 11-month-old boy with Werdnig-Hoffmann spinal
Nothing here right nowπŸ”,πŸ“Ί

Question#35 (reveal difficulty score)
A study is conducted to assess the accuracy ...
95%πŸ”,πŸ“Ί

Question#36 (reveal difficulty score)
A 52-year-old man is brought to the emergency ...
Perforation of the esophagusπŸ”,πŸ“Ί

Question#37 (reveal difficulty score)
A previously healthy 47-year-old woman comes ...
Plantar fasciitisπŸ”,πŸ“Ί


Question#39 (reveal difficulty score)
A previously healthy 32-year-old woman comes ...
LymphangitisπŸ”,πŸ“Ί

Question#40 (reveal difficulty score)
A 16-year-old girl comes to the physician for ...
ACE inhibitor therapyπŸ”,πŸ“Ί

Question#41 (reveal difficulty score)
Two hours after vaginal delivery at term ...
Supplemental oxygenπŸ”,πŸ“Ί

Question#42 (reveal difficulty score)
Eight hours after a total abdominal ...
Ureteral ligationπŸ”,πŸ“Ί

Question#43 (reveal difficulty score)
A 7-year-old girl is brought to the physician ...
Topical mupirocinπŸ”,πŸ“Ί

Question#44 (reveal difficulty score)
A 5-year-old boy is brought to the physician ...
Factor VIII deficiencyπŸ”,πŸ“Ί


Question#46 (reveal difficulty score)
A randomized, double-blind, controlled study ...
Variability among observersπŸ”,πŸ“Ί


Question#2 (reveal difficulty score)
A 22-year-old primigravid woman delivers a ...
21-HydroxylaseπŸ”,πŸ“Ί

Question#3 (reveal difficulty score)
A 25-year-old nurse comes to the physician 2 ...
Isoniazid (INH) therapy onlyπŸ”,πŸ“Ί



Question#6 (reveal difficulty score)
A 67-year-old woman comes to the physician ...
Chronic inflammationπŸ”,πŸ“Ί

Question#7 (reveal difficulty score)
A 23-year-old woman comes to the physician ...
Postviral myocarditisπŸ”,πŸ“Ί

Question#8 (reveal difficulty score)
A 19-year-old man comes to the emergency ...
DopamineπŸ”,πŸ“Ί


Question#10 (reveal difficulty score)
A previously healthy 67-year-old woman comes ...
Carotid duplex ultrasonographyπŸ”,πŸ“Ί

Question#11 (reveal difficulty score)
A 12-year-old boy has the sudden onset of ...
CT scan of the abdomenπŸ”,πŸ“Ί

Question#12 (reveal difficulty score)
A 22-year-old primigravid woman at 10 weeks’ ...
Lidocaine therapyπŸ”,πŸ“Ί


Question#14 (reveal difficulty score)
An 87-year-old woman is brought to the ...
ClindamycinπŸ”,πŸ“Ί

Question#15 (reveal difficulty score)
An 18-year-old woman has had difficulty ...
AchalasiaπŸ”,πŸ“Ί


Question#17 (reveal difficulty score)
A 3-year-old girl is admitted to the hospital ...
Intravenous immune globulinπŸ”,πŸ“Ί

Question#18 (reveal difficulty score)
A 47-year-old man comes to the physician ...
HistoplasmosisπŸ”,πŸ“Ί



Question#21 (reveal difficulty score)
A 42-year-old man is brought to the physician ...
Caudate nucleusπŸ”,πŸ“Ί



Question#24 (reveal difficulty score)
An obese 14-year-old boy is brought to the ...
Pin fixationπŸ”,πŸ“Ί

Question#25 (reveal difficulty score)
A 77-year-old man is brought to the physician ...
Assessment for suicide riskπŸ”,πŸ“Ί

Question#26 (reveal difficulty score)
A 57-year-old woman comes to the physician ...
Superficial thrombophlebitisπŸ”,πŸ“Ί

Question#27 (reveal difficulty score)
A previously healthy 47-year-old woman comes ...
Graves diseaseπŸ”,πŸ“Ί



Question#30 (reveal difficulty score)
A 23-year-old woman comes to the physician ...
Diabetes mellitusπŸ”,πŸ“Ί

Question#31 (reveal difficulty score)
An 82-year-old woman comes to the emergency ...
Heparin therapyπŸ”,πŸ“Ί

Question#32 (reveal difficulty score)
A 12-year-old boy is brought to the physician ...
Restrict his intake of phosphorousπŸ”,πŸ“Ί

Question#33 (reveal difficulty score)
A 37-year-old woman, gravida 4, para 4, has ...
Genital tract lacerationπŸ”,πŸ“Ί


Question#35 (reveal difficulty score)
A healthy 4-month-old boy is brought to the ...
Family historyπŸ”,πŸ“Ί




Question#39 (reveal difficulty score)
A 22-year-old woman comes to the emergency ...
Methotrexate therapyπŸ”,πŸ“Ί

Question#40 (reveal difficulty score)
A 10-year-old boy is brought for a routine ...
Vitamin B12 (cyanocobalamin)πŸ”,πŸ“Ί

Question#41 (reveal difficulty score)
A 13-year-old boy is brought to the physician ...
Exposure to high-decibel soundπŸ”,πŸ“Ί

Question#42 (reveal difficulty score)
A 57-year-old woman comes to the physician ...
OsteophytesπŸ”,πŸ“Ί

Question#43 (reveal difficulty score)
A 3-year-old girl is brought to the physician ...
UveitisπŸ”,πŸ“Ί



Question#46 (reveal difficulty score)
A study is done to determine the effect of ...
Low statistical powerπŸ”,πŸ“Ί

Question#1 (reveal difficulty score)
A 15-year-old boy is brought to the physician ...
BupropionπŸ”,πŸ“Ί




Question#5 (reveal difficulty score)
A 32-year-old primigravid woman at 10 weeks’ ...
Abruptio placentaeπŸ”,πŸ“Ί

Question#6 (reveal difficulty score)
A 32-year-old woman, gravida 3, para 2, at 30 ...
Placenta accretaπŸ”,πŸ“Ί

Question#7 (reveal difficulty score)
A 57-year-old woman is brought to the ...
Rectus sheath hematomaπŸ”,πŸ“Ί




Question#11 (reveal difficulty score)
A healthy 37-year-old woman, gravida 4, para ...
Ectopic pregnancyπŸ”,πŸ“Ί

Question#12 (reveal difficulty score)
A healthy 52-year-old woman, gravida 3, para ...
ReassuranceπŸ”,πŸ“Ί

Question#13 (reveal difficulty score)
A 52-year-old woman comes to the physician ...
Oral acyclovirπŸ”,πŸ“Ί

Question#14 (reveal difficulty score)
A previously healthy 5-year-old boy is ...
Septic arthritisπŸ”,πŸ“Ί

Question#15 (reveal difficulty score)
A 52-year-old man is brought to the physician ...
Surgical debridementπŸ”,πŸ“Ί

Question#16 (reveal difficulty score)
A 57-year-old man is brought to the emergency ...
Acute respiratory failure onlyπŸ”,πŸ“Ί




Question#20 (reveal difficulty score)
A 57-year-old man is brought to the emergency ...
HypertensionπŸ”,πŸ“Ί

Question#21 (reveal difficulty score)
A 27-year-old man comes to the physician ...
Toxic megacolonπŸ”,πŸ“Ί

Question#22 (reveal difficulty score)
A 15-year-old boy is brought to the physician ...
Trichophyton rubrumπŸ”,πŸ“Ί

Question#23 (reveal difficulty score)
A 38-year-old woman has had severe nausea, ...
Staphylococcus aureusπŸ”,πŸ“Ί



Question#26 (reveal difficulty score)
A 37-year-old woman comes to the physician ...
Renovascular hypertensionπŸ”,πŸ“Ί

Question#27 (reveal difficulty score)
A 27-year-old woman at 6 weeks’ gestation ...
Switch to insulinπŸ”,πŸ“Ί

Question#28 (reveal difficulty score)
A 42-year-old woman, gravida 5, para 4, at 14 ...
Blighted ovumπŸ”,πŸ“Ί

Question#29 (reveal difficulty score)
A 66-year-old woman has had lower abdominal ...
DiverticulitisπŸ”,πŸ“Ί

Question#30 (reveal difficulty score)
A 72-year-old man comes to the physician ...
Spinal stenosisπŸ”,πŸ“Ί

Question#31 (reveal difficulty score)
An 82-year-old nursing home resident is ...
Peripheral vasodilationπŸ”,πŸ“Ί

Question#32 (reveal difficulty score)
A 52-year-old woman comes to the physician as ...
Decreased intake of alcoholπŸ”,πŸ“Ί

Question#33 (reveal difficulty score)
A 20-year-old man with a 2-year history of ...
ZincπŸ”,πŸ“Ί



Question#36 (reveal difficulty score)
A previously healthy 2-year-old boy is ...
Drain cleanerπŸ”,πŸ“Ί

Question#37 (reveal difficulty score)
A 2-week-old newborn is brought to the ...
Normal thymusπŸ”,πŸ“Ί



Question#40 (reveal difficulty score)
A previously healthy 21-year-old man is ...
Psychiatric assessmentπŸ”,πŸ“Ί

Question#41 (reveal difficulty score)
A 42-year-old woman comes to the physician ...
Fine-needle aspiration biopsyπŸ”,πŸ“Ί

Question#42 (reveal difficulty score)
A 52-year-old man comes to the physician ...
PolysomnographyπŸ”,πŸ“Ί


Question#44 (reveal difficulty score)
A 67-year-old woman comes to the physician 6 ...
Carotid duplex ultrasonographyπŸ”,πŸ“Ί



Recent comments ...

... step_prep made a comment on step2ck_form8/block1/q#4 (A 67-year-old woman comes to the physician for...)
 +5 
submitted by step_prep(86)
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  • ikTr,cy eacundn ostqueni ebasuce rodinnatoiatccin to aptetni eeinvcgri a lnug irseoetcn is fi eirth alsderui 1FEV iwll eb lsse htan 080 Lm oglownfli teh rreuysg

  • ramoNl V1FE ni a lhatyhe nomaw si tclilyapy ronaud 3 L, so in siht teaptni si ylelik cloes ot 075 mL iscen she has na FVE1 ttha is %25 fo dede;ptrci ,rhfeereot ihst nptieat udolw lleiyk ton be leba to etelorta nay sotr fo unlg tsicneero ceuesba esh is rydalae yarebl ighngan on ni msret of her tntvroieyal iaeliptiscab

  • odulC loas cproapah tsih qtosiune truhhog eocsrsp fo iitlonneima esuaceb ABG swhos ilmd 2CO tertienon s(een in ymna OPCD ta,ien)stp tconejei tfinraco tofc-fu rof urseyrg feont %;t5&3l, rdaicca sstsre tste wsa rmolna adn ntpteai ahs dah VDsT fro a olgn tmie

e/:setgppp/.htrsr/o-tp

drdoom  very nice +2
... seagull made a comment on step2ck_form8/block2/q#39 (A previously healthy 32-year-old woman comes to the)
 +5 
submitted by seagull(1708)
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I asw teyspdarlee ikoolng for uislc.lleit I rveen idd ees i.t Semo ays m'I listl kiogonl ofr it ot tsih dya.

welpdedelp  Same lol. A question I had was I thought lymphangitis was supposed to precede some sort of injury, obv not lol but was the lymph node the main giveaway? +1
keyseph  I think the key distinguishing features are the red streaks leading to an area of local lymphadenopathy. Otherwise, cellulitis would be a viable option if given. +3
... seagull made a comment on step2ck_form8/block3/q#10 (A previously healthy 67-year-old woman comes to the...)
 +5 
submitted by seagull(1708)
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o"N biustr aer draeh ervo eht ekcn"

I aeswr I contna gban ym ceaf rhad uneogh igastan a all.w

letsdothis  Me too. Un-friggin-believable +
cinnapie  Yo @seagull I am a huge fan. I am a huge fan. I think we gave step 1 around the same time and now Step 2 CK. Anyway, keep up the good work, we need someone like you to add some humor to this fucking shit. Not all heroes wear capes!!!! +4
sheska  if no bruits then why should we do a carotid duplex goddd +
tinylilron  bruits probably are not sensitive or specific enough... duplex is probably a better test +1
lindasmith462  "everything is in the question for a reason" I tell myself "not everything is a trap. how many questions have you gotten wrong because you thought something was a trap? go based whats on the question for once self!" NBME going Admiral Ackbar on my butt over here. +1
... seagull made a comment on step2ck_form8/block4/q#35 (A 19-year-old woman, gravida 2, para 1, comes for a...)
 +5 
submitted by seagull(1708)
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Wierd ei.nusqto This is a op-lluowf - yWh lwudo oyu otn aveh na tunsrladou orfm eht pusveior v?iits arPphes she nseed a ebetrt .crdoot

... seagull made a comment on step2ck_form8/block4/q#36 (A previously healthy 2-year-old boy is brought to...)
 +5 
submitted by seagull(1708)
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m'I velyeliatr urse atht osmt eloepp ewre 0:550 eeewbnt acelhb and rdnia rcee.nal

letsdothis  Yeah, I spent maybe like 20 seconds on this question. I knew I wouldn't be able to reason this one out. +
... seagull made a comment on step2ck_form8/block4/q#40 (A previously healthy 21-year-old man is brought to the)
 +5 
submitted by seagull(1708)
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mA I eht lyno noe lyaswa see cveoirnosn eriddros of UDOLWR as rsueraes nda olf.-olwup hTis etst si viiggn em vescroonni isr.eoddr

seagull  I looked it up in UWORLD. THey say treatment is "Education, CBT, and Physical THerapy". +
seagull  I looked it up in UWORLD. THey say treatment is "Education, CBT, and Physical THerapy". +
bobson150  Gotta get a formal assessment before you treat I guess +3
lindasmith462  you dont need a formal assessment though. its something that can totally be diagnosed and managed by a primary care physician and only needs psych intervention if primary methods dont work. if anything you avoid early psych intervention because being labeled as a "psych" thing makes most patients resistant. +
... step_prep made a comment on step2ck_form8/block1/q#8 (A 62-year-old man comes for evaluation prior to...)
 +4 
submitted by step_prep(86)
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  • Cuternr idleeiugns erdcneomm oinczalfe or mxcfeierou nieeitsdrmad wtiihn 60 ienmuts fo nisk ionncisi sa psoxiraylhp inrudg pih or keen srhayrttlpao adn hudsol be siuecnoditnd wintih 42 osuhr
  • yeK aid:e ioiitcnAtb lxpyasoprih to tervpen ulcisrag itse enfsontcii aer engvi ni nercati edsurrc,eop smot lncommyo or/algnjom rrgiseseu

mflp1r/:20.t1/ws0.tp81hh/awop/p5t/5f.3gwaa0/

sehp-grpep/tptots.r/:

... step_prep made a comment on step2ck_form8/block1/q#15 (A 52-year-old man comes to the physician because of...)
 +4 
submitted by step_prep(86)
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  • dd-idlMeega man wtih ,rveef lyopehadtapmhyn and anlesyepglmo found to haev eveeldta ecokueylt untco ithw cdaernies oopilihes,sn llssabetomy, mlctyesaoemyte dna emsytlceoy msot niecngcron rof nohcrci moidlye kamleeiu
  • eyK deia: aysW to ndietafitfere beeentw ocncirh leiodym iaklueme dna a iomlkuede ncatreoi cnleiud olkcuetye llkaiane otphaapeshs L)AP( vlslee ave(eltde ni ulekdmeoi eaoitncr and ddeaersce ni )C,ML ionklog rfo laaoihbpis rnte(sep ni CM)L nad ginkolo ta eht teysp fo lrnuopieth uepscrsorr nprtsee metlyaeo(tceyms t&g; oceyyestml in umeioekld icnrotae and oecmsmtteyaely l&;t yelmstocye ni M)LC
  • eto:N myosletctaeMey ear moer aturme hnat cesloyetym
  • Kye dea:i anC entof tlle eyht eytp fo uemiklea dsbae no enitpta ecamrpgidsho hiwt LLA nsee ni iestpnat -140, AML sene ni ipnsttea ,0615- LCL snee ni saintept +06 adn LCM sene in sptianet 5049-

/p.eotr-shtppp:/erstg

... carolebaskin made a comment on step2ck_form8/block1/q#29 (A comatose 29-year-old woman is brought to the emergency)
 +4 
submitted by carolebaskin(91)
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)(E roehaPoxnutm

eBnoz roedovse -&tg;- inttiabuon -&g-t; raiyaw trmaau t&g--; romaxenohtup


oWnr g as rwsen

)A( sirtiAonpa PNA is sbieopsl iwht dsaiiudvlin prone ot sslo fo escsnissuoc,on btu oldwu not be so !ucaet heS swa taenubtid ethn erhdcas 20 tmeuins ltea.r

B)( Kelyer B lneis ear ievitadnic of anymproul eamed

C)( lrdiciaearP sfinuoef is cadzhrierceat yb Bk'ces Tdiar of nshyop,noeti sddtineed cekn neivs, nda fmeflud terah dssun.o dnA loduw nto ipaexln ealatlinru eihmdsidni bahtre ssno.du

(D) rslb-pulaaede sehhdm-uapp yntsedi oprlbyab csbeirdse a noatpHm puhm, cwhih a -dewpdeseahg aopciyt in ehirreplpa nlgu wtih its saeb at a aihcrotc wla.l udCsea yb luyaonmrp nifoincrt.a

... keyseph made a comment on step2ck_form8/block3/q#34 (A 67-year-old man comes to the physician 2 weeks after)
 +4 
submitted by keyseph(74)
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nA ecaurltde ebas nda a ,sinyh yhlltsgi ieadrs rdbeor geutgsss BCC iadtesn of C.SC mgtenManea fo CBC is siloiecnxa piobys hwit anwror inargm 35(- .mm) fI teh lnoesi reew C,CS enmgaeamtn uodwl eb iaoseilnxc psibyo wtih wide arinmg 015(- mm.)

... step_prep3 made a comment on step2ck_form8/block4/q#36 (A previously healthy 2-year-old boy is brought to...)
 +4 
submitted by step_prep3(15)
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  • eKy diae: nnoIesigt fo oslhuehod lbhaec si foent nrecddieso a enignb ngnseiito, hwserae noientgsi of ita-radungrielsd clabhe si yrve v/rdioeebmesr

ggtspthe/tp/n/ir:o.uept/tp-rors

... step_prep made a comment on step2ck_form8/block1/q#9 (An otherwise healthy 37-year-old woman comes to the...)
 +3 
submitted by step_prep(86)
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  • gnuYo aomnw iwth a ntsgro lyamfi ohirsty of recanc atecbipmlo hiwt cnyLh esrnymdo oocl(n n,ccare enmldoriaet ncre,ca iraonva c)necra how ash pledvodee r,gliarerru yavhe vgnaali enlbeigd rgnocecinn rfo spbloise oinedatmerl earcnc
  • taisniodIcn fro eaedmltonir bpisyo niecldu 1() nmoWa oevr 45 easyr old ihtw onbramal tieeurn denglbie ro opumtpanasosel gnbeiedl )(2 mnaoW drenu 45 hwti lbaoanmr teeunri libndgee ihtw doponpuse ntogeres CPOS,( i)beot,ys ledifa alciemd mnmgtnaaee or nyLhc mnorydse

sr-ets/pppt/:tgpoh.re

... step_prep made a comment on step2ck_form8/block1/q#16 (A previously healthy 23-year-old man comes to the...)
 +3 
submitted by step_prep(86)
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  • Yougn epintat whit iskig-hhr euxsal obvehira how seesnrtp wthi evref, aalms,ie ualrppuaclamo hras orve eth mslap nad sosle nda ediffsu hhnem,optadypyla iwhhc is msot nsicttsneo with sysiilph
  • Kye aeid: 3 romja unocfiiets ceuass fo ahsr orev hte maslp dan lesso cna eb rbdeeemmer whti SaCR (Cakcoixes ,A Rakcetisit ikciRitste ckoy(R Monaunti pSoedtt er)eFv adn Syil)ipsh
  • pnmtaIrto ot osttancr pshilyis dna kcRoy tiuaoMnn pSdtteo erFve, whti hspiysil erom lyoncmmo idnglae to a apolrluamcpua ahrs nda seudfif dlhhyanpaeoymtp ht(iw hepcetorliar donyapylahpmthe biacylsla ignbe onnopotmgahi)c dan kcyoR onuMitan dsoptet ferve cmolyomn aneidgl ot a urcrpuip ashr tath essrpda omfr het estdnh/fea to eth ntrku

/po.st:egptprh/-terps

lindasmith462  was anyone else thrown by the fact it only mentioned the rash on the palms and soles? (syphilis starts on the trunk and extends to extremities). Especially since RMSF can START maculopapular and doesn't become purpuric until later (probably after it spread past the hands...) LAD may be more classic in syphilis (but can occur in RMSF) but I'd say its way less likely to have a secondary syphilis to be ONLY on the palms/soles.... +
... step_prep made a comment on step2ck_form8/block1/q#17 (A 16-year-old girl comes for a routine health...)
 +3 
submitted by step_prep(86)
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  • 16 reya dlo lgri hitw prrayim naeaermrho (igrl ttiwuho dcaroseyn xelsua hegancs by 31 or nemhecra yb 15,) oshrt t,tesrau nad nnreocc rof tcoatanicor of teh taaor hyreonnpt,sei( reupp xmreyitte lsupse tg;& lreow emtrieytx eusslp, ilysostc uurr),mm omst cesnosntti ihwt Trneru deosyrmn
  • Coroaiatnct fo hte ataor endse ot be owrkde up iwth na ocpaohgycraderhi adn thne vtoeaiyerpl rdaeerip

r/tsrgepet:hps.t-p/op

... step_prep made a comment on step2ck_form8/block2/q#37 (A previously healthy 47-year-old woman comes to the)
 +3 
submitted by step_prep(86)
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  • eKy deia: rotsyHi of eehl anpi tath si stwro ithw fstir petss in mrinogn nad npai wtih visaspe rioiofedxlsn fo seot si accslis rof ptaanrl sticsiai;f tpnraal fstiasici olsa omyclomn seadacstoi wtih ebon purs no palrnta reusfca of ofot
  • Dtiflfeaenri rof lhee :pnia ()1 tnlraaP cisfitisa ()2 nBoe onnefitic or stsaeitasm ncans(ott iapn ahtt is rstwo at n)tghi )(3 ealaCcnal esrsts cautrefr eosr(w tiwh tiatciyv adn aaop)ltinp 4)( arlTas tneunl yomdensr cursno(epis snndeetres nad atssiheprsae erov ioepsrort blitai rneve ni aslatr nltnue) 5)( Ascllihe oatenpdhytni en(snneperdt/sai ta petsoiror lhee iwht blalapep hkgieincnt of tdnnoe ttha anc eb eruopcerdd wthi otof xdrensooiif)l

-rse/ph/:orptpg.etpst

seagull  I like this ddx explanation. well done +1
... step_prep made a comment on step2ck_form8/block1/q#7 (An asymptomatic 27-year-old man comes to the physician 1)
 +2 
submitted by step_prep(86)
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  • lAl sipnteat (HVI or tn)o udoslh rveceie an naulan luanfzein icecanv
  • nseattiP ithw VHI lhusdo ecivree teSrp noΒ uemPVP31C ldfwoloe yb the 3avteln-2 2SPV3P 8 ekews larte nad aigan in 5 earys adn tagΒ ea 65
  • Bsdea on nsia’tpte osigorlees aeiev(gnt pHe B frcueas bayotind,) eh dnese ot be tcdaceniav atinasg stiitahep B
  • t:oeN nettsPai aer otn egvin PPC hpsolryapix itlnu DC4 l;t& 002 dan .T idnoig xoalsirpphy ilutn DC4 t&l; 010

rsgp.:o-pp/e/prtshett

... arnoldchiari made a comment on step2ck_form8/block1/q#8 (A 62-year-old man comes for evaluation prior to...)
 +2 
submitted by arnoldchiari(2)
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dorO,tcphie aucloilneorg, r,iaadcc adn lusvcara sasce aer all "e"ancl wodusn that rureieq bxa larsyoiphxp wiht ealfocizn sirtf i.len venrtstileaA liucedn iocynnmvac and clmyniaicnd

bluebul  ^this is why every surgery ever starts with the surgeon asking the gas attending for 2g of Ancef. +2
... step_prep made a comment on step2ck_form8/block1/q#12 (A 37-year-old nulligravid woman comes to the physician)
 +2 
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  • Mtos moomnc uasce fo ueliat,narl bydool esbart regacishd si idttraclanu aplipomal
  • Kye e:dia unacdIrttla ppaoailml tonfe deso tno vhea a assm on pchyilas eaxm ro yaommpghmar dgnnisif

sge:rtot/.st/php-prep

... step_prep made a comment on step2ck_form8/block1/q#14 (A 19-year-old man is brought to the emergency department)
 +2 
submitted by step_prep(86)
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  • gYonu amle wtih seesevcix sitthr nda niunroait fro 6 tmnsoh owh esrptesn thiw seusriez odunf ot vhae slyrmop-ooha ay,opmhritnea msot sicsontnte tihw yohgpcsnice dlisiayopp
  • yKe d:aie sihT ciehgmdroap si iayslcaclls ehwn sgimmyssonpts/ fo hrschzaoienip edvol,ep dan tsapnite htwi ncioarpshhzie era ta insdcerae iksr fro ehipgcsnyoc ppsoiladiy
  • Kye dei:a If tpeanti ash yoas-pmolhor nraptyaieomh nad a eiurn oallyotims &tl; 001, etnh yeth latmso eacytlrin heva ghsnieycopc ioydlsapip or bree aotoinmap

-/prespershptt/t:p.go

... step_prep made a comment on step2ck_form8/block1/q#28 (A previously healthy 72-year-old man comes to the...)
 +2 
submitted by step_prep(86)
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  • dEelryl amn thwi tfisniaigcn okimngs trohyis dan caauooicltnp sohytri of gnieb a olca miern hwo seesrntp tiwh glnbbcui nad ayixhpo with abltailer erppu lboe smseas nda easar fo iosncitonadol on thces axy-r osmt tntsesocin hwti PCOD oa/rdn coal rweksr’o sonpouemnsicio
  • Key e:adi fO eth ocmnom en,sipouocemnos het myarotij tefcfa eht puepr soleb iicsolssi,( alco rsrokew’ gln,u lbysr)osiiel cetpxe rof ssitsobsae eeolrwlb(o- tpmrnnod)aei
  • euoilusTcrbs nac sloa elda ot urepp lboe aitioe,spc but ti wdolu reom mmnyoolc adle ot tcuae rfev,e hingt satwse nda eithgw ossl ni a itapent hwit oerxsepu

p:t./pgtorp-tshepre/s

... step_prep made a comment on step2ck_form8/block1/q#32 (A 25-year-old man is brought to the emergency department)
 +2 
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  • uoYgn tlyhahe nma how trnepses wtih hects ainp nda Sin-vaetTelo ni an trioaern siuotbrdinti atref ignsu cakrc caecn,oi otms iencsontts twhi eianoeidc-ncucd MI
  • eyK :ieda aCineco dudeinc IM tedrtae eht ames way sa rtliceoochesart IM, xtceep taht eatb bslekocr era nto seud ude( to corelehtita isrk fo dopuspone aansgpl-)oihma nda deeoipnsbzaznie rea dues
  • eyK dae:i conaCei seu is aiasoctesd wiht cimrlaodya oiacfnrint (ued ot msaps fo the nracoyro )asriteer adn orcati nsiectoids eu(d ot adieecsrn odolb erur,s)pes tbu tish teritaesponn rome scieonttns ihwt rpue IM sbeaceu tteanpi sah lomarn PB in tobh arms (haluhtgo tish is cymomoln eesn ni coiatr ssointsiedc ni ealr fil,e stet etirwrs ftnoe llwi ays bodol sesresrpu aer e)uulnqa dna on egnrati ethcs apni oint hte ckab

/se:.shrp/pttgrt-pope

... step_prep made a comment on step2ck_form8/block1/q#34 (A 72-year-old woman with chronic obstructive pulmonary)
 +2 
submitted by step_prep(86)
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  • lyEdlre anwmo htiw crcnoih ODCP tiyrhso enrepsst twhi tiewhg los,s isrepoergsv ssnohrest fo rhbtea dan eaelstgeshnidh-d fnodu to evah VDJ twih VR haeve dan ludo 2S lla( mtennoscpo fo prmylnaou sohrepneniyt) nda signs fo tgsicenveo ohathyappet, all scentntiso hiwt rupGo 3 opaumlrny hntnyesprioe
  • Kye id:ea nI omts irclplaay ebsd of het dyob, daedserec eygxno lsdae to lindsovaoiat ni erdor ot catltafiei erom fooloblwd ot eht aear to aaitmnin iesfuopnr, ubt hte gusln are eht eno petixecon ni ihhcw secdeaerd xyogne sdeal to cicnnitotros of oodlb ssveels egnfeid tath raea os taht bodol is eflelteainyrpr ntes ot lxye-eetoglwnda npoisrto of the glun ot iimnimze VQ/ ahs,ictmm but cna ldae ot ocr loplamnue in etiptsan iwth OPDC eueascb ehirt iernet ngusl are oolpry txyedeg,noa iendgal ot fusdief ovnnitsoitsorcca and rcseeaidn araoltdef on rtghi iernveclt

speop/-pp:thes/g.rrtt

uslme123  ... does the chicken or egg come first?? Doesn't become corpulmonale until there are signs of RV failure -- (Ventricular failure = increased chamber pressures & failure to supply adequate CO ) ...... This person has had increased pulmonary resistance for YEARS -- what changed recently is her RV finally was like f this and can no longer pump. Stupid question +
jlbae  I get what you are saying, but tell us what option other than constriction of vessels in the lungs answers the question. 2 answers refer to blood flow, not pressure. The other two (mi and decreased viscosity) are flat out incorrect. +1
... step_prep made a comment on step2ck_form8/block2/q#2 (A 37-year-old man is brought to the emergency...)
 +2 
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  • ongYu yuielpsvor yhthela nma ihwt ertnec avoiblhera nahgesc ohw sspernet htwi srevee techs apn,i gssni fo motoacinu ayctitorevvi h(r,ccyiaadat ri,pesnoehtyn eapr,diisohs) prdia and rseuerdsp eechps dna aSTlos-eievtn no GEC, smot enstosctin twhi udceunctsbsedn-ai IM mot(s iyllke )cceniao
  • eKy d:iae In nostarct ot rolbpia sedrrido hhiw(c nca olsa adle to uedrssrpe ceh,sep eidrsncae yittciav, ,).ect ucddnsucietbe-nas bhavailreo ecashgn lilw salo deal to peru splcayhi tniiesnaosfatm of iaoctnumo oetriivavtcy ,n(oerpyesitnh hiada,ryatcc iysirmd,sa cte.)

tgrtt/:osp-ese.prpp/h

... step_prep made a comment on step2ck_form8/block2/q#11 (A 52-year-old woman with type 2 diabetes mellitus is...)
 +2 
submitted by step_prep(86)
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  • Patneit iwht hsrtioy of yetp 2 sbdietea how hsa otn nbee sunig ontmadciies stpenser twih msguatnean/ivoi and nfcosunoi udfno ot vhae a cegsluo elvel of 098 and a umsre tmalloyosi of 63,1 mtso cstnestnoi hitw rpleHayoomsr hcmepycrgilye state
  • eyK eid:a Sreum moslloatiy = (aN x 2) + Gos1(l)/u8ec + NB/)62.U( + a/t4h)6loEn(.
  • Key de:ai heT aytonpharemi si rnscaeoyd to the moharrysolep sate,t dna rfetrohee is ont eht rmryaip acesu of uocinonfs ni hsti titpena

so:terppppegrst/h/.t-

... step_prep2 made a comment on step2ck_form8/block3/q#10 (A previously healthy 67-year-old woman comes to the...)
 +2 
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  • dleyrEl amwon woh pssneert teafr na oiesdpe of irmoasusa fxgau sapil(esn nsrnaitte amnocluro oisvni lsso descua yb a lslma emlbous ni the lpihahocmt ry)atre hwti ohnlhostlre spauqle adn an raae of hcaesmii ni eth piotc scdi
  • eKy :eadi iuroassAm aguxf si lhyhgi osaesdcita twhi torcdia rytrae estnisos ithw neurgstil eaniiobltmoz, so siatnetp hulods eb erwdok up iwht a rotiadc rrytea uulsorandt

upr.ooernts:/sphttt/r/t/ippge-g

... step_prep2 made a comment on step2ck_form8/block3/q#32 (A 12-year-old boy is brought to the physician for a...)
 +2 
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  • lyNlmora hte kedynis can halned psh,suoohopr btu ni estitng of lrane lfiuaer eyth cnotan adn it nac dela ot u-idlubp of ohpsorshoup tath can aedl ot a avetiry fo eotireeluds sefectf, suhc as tseaatctim ctlnciaaifcoi hwh(ci nac rasicene skir of reos,kt tehra at,ktac e.ct) and kwea osenb (ebuscae phrhspoouso uplsl mciulca otu fo ne;bo)s tshee ooistcinmplac aer talrcarypilu iopnmrtat orf skid bsceuea hyte rgosserp lanoyrhiccl oevr emti

gtptstrigueres/./ntt-ohorppp://

... step_prep2 made a comment on step2ck_form8/block3/q#35 (A healthy 4-month-old boy is brought to the...)
 +2 
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  • Kye aid:e sikR fcatosr ofr atamsh icdnule )(1 Fyailm tisorhy of oytap 2() nEileovatnmrn usseoprxe -ocedsdnah(n osekm, pulooilt,n )ce.t

s-pn/ttptet.os/p//uhtrro:gprgei

thajoker  So to be clear, Family history is the number one risk factor, all the other exposures are secondary risk factors? +2
... step_prep2 made a comment on step2ck_form8/block4/q#1 (A 15-year-old boy is brought to the physician by his...)
 +2 
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  • Pttaien whti gsnsi fo amjro deivrspees ddeirsro to(o eeserv of a pitesrtnoena orf mlspei dtseajntmu desrd,roi) who dlshou eb eettdra whti an iee-santsnadtrp, thwi poipBonru ngbei the ynlo tsedniaspanetr sitdel
  • nFsreiit-l adtspneiaestn:rs SsSI,R NRSs,I Bpnopi,oru rizpMianaet
  • eBtnefsi of obnpipu:ro diMl simtnautl eftcse,f etnpita htwi rimdbooc ateigcetr u,es shepl eapintts hwit eihtwg ls,so ofvbraale lsauex isde eefctf felprio

p.ottpre/t:-he/pnrurgsiogs/ttp/

tinylilron  Bupropion= anti-depressant; Buspirone= treatment for General Anxiety Disorder +
lindasmith462  I mean it was def the only decent answer but its also third line at best in adolescents - especially one who isnt sleeping well.... its specifically approved in peds for depression refractory to SSRIs +1
... step_prep2 made a comment on step2ck_form8/block4/q#10 (A 5-year-old girl is brought to the physician...)
 +2 
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  • gnuoY idlch ohw had seprt athotr 2 ekwse aog owh seserntp ihtw lpiiraertbo a,meed gorss tihraem,au ripaeinrotu nad CBR tsacs ei(stcnotsn twih tuo)erhlpeiosnglrim, most ntscoitsne hwit toptr-epss ehrmetponolgulirsi
  • tBoh gAI and NSPG cna edla ot rgsos uaeriahtm eicasaostd hwit na purep U,RI ihtw sfnedeiefrc ebign )1( Acteu NP:Β SGneSeΒ 4-2 ewsΒ ekeaftr fnneitcio fo nphyrxa or n,ski eSne ni icdrhenl ntoef( ega 6,1-)0 aesdl otΒ owl motpncemle eslevl, eiptant wlli hevΒ atuibleeslhpai uemmni mxepocl uspmh )2( AIg yaeh:rotΒ hppnSnΒ eenuΒ yrlctcernothwi rorrptyisae ro IG netonfcii, emor oncmom in gnuoy talud mne ag(e 0-),203 colmemtnpe ellseΒ vetfunaedfc, ipntaet will vhΒ eaIgsabdAe- ssipdtoe in uiesmmnga
  • yeK dea:i naiTgret esprt hrtato llwi cueedr rksi fo rhcetmuai f,reev tub dose ont cedrue rkis fo p-sotspert egolsuilnitropmrhe

srrget/tti.h:-/ptoestupg/rppo/n

... holdmystethoscope made a comment on step2ck_form8/block4/q#15 (A 52-year-old man is brought to the physician...)
 +2 
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reMo oubta rueiFnro

etaCuuosn roneadbkw ni hte apalenir dan lgntaei ingero slwaol rof ntrye of etlaign nad ilnococ anmoigrs.

ecstiInfon erps,ads cagusin rhoitbmmcrio fo oeutasucn esslvs,e siucgna ngegearn.

Poroyl llcdrtnooe bedaiest dan stboiye era tregates srik raoftc

... step_prep2 made a comment on step2ck_form8/block4/q#16 (A 57-year-old man is brought to the emergency...)
 +2 
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  • M-liedddage anm thwi itanyaehsm rgvais ginstnrepe iwht erakmd ialbetlar tsio,sp igepsrvsroe gtylearh nda raseeedcd rehbat dnsuso (lal of hihwc npoit to a enhasyimct siicsr taht uldow aeld ot rrtyeaiorps icucisnyneiff adn 2CO rt,tnio)een ohw sha caasbdei- gnfdsiin of caemiaid iwht sdcianere OP2C and lroamn 3,CHO snneotctis itwh an psnoctnueedma iayrropster iodsscia
  • Key d:eai fI tepaint had inchorc ytrrsipearo ferai,ul COH3 oudwl be eedltaev ecuesab it ouwld heav hda mite to eptneaomsc eorv meit

ipnro.th/treor/uets:/tpp-/tsggp

... satanicdo made a comment on step2ck_form8/block4/q#36 (A previously healthy 2-year-old boy is brought to...)
 +2 
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dolehhuos lacebh has a lruntea pH, ehwears anird renaecl anntisoc ely eyr(v niell)aka adn nca sacue cieiauvletfq iscnorse uanlo(ecsirt no eht lips, c.t)e; hte roteh tpioson dsemee emro bnegni ot me, but I tdnelyefii edsusge tbneewe ndria ncelaer nda lacehb

creo:su igss-p:o/ctds./tgckts/aha/heeenirnug.scdiacileb.duectuppo

... kalam made a comment on step2ck_form8/block4/q#41 (A 42-year-old woman comes to the physician because of a)
 +2 
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Teh ohrte mncotsme rehe rae ortcrine.c hiTs pnttiae hsa on osmptmys eorth htan a oalrsity msas 2-cm elatlra to eiinmld hatt omvse whti .wllwiansog

lagohylroTss dtcu ctsys rae TEH TOSM MOOCMN smsa ihntwi m2-c fo niedlm,i btu nca be orem raellta sa lw.le 2dn somt nommco is domedri csy.t iTryodh edosuln dan DGsT'C rae eth ynlo 2 msssea taht meov whit ogwlsn.alwi

-lneieendFe toranpasii )(FNA is onfet sude ot dniaeosg sGDCT or to xlcdeue ethro agoesnids h(ucs as rytihdo ,olnsdeu arnlihobc lectf stc,ys t)c.e. TSIH IS HYW it is hte rceorct swnr.ea hTe eorht sernwa oihcsce dluow be ntxe esbt estp GDNEEIDPN on the lseutrs fo eht AN.F

... step_prep made a comment on step2ck_form8/block1/q#1 (A 57-year-old woman comes to the physician because of a)
 +1 
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  • atnPeti thiw retnce aotitnicib ugsae ldepsevo evrsee raiehard nda bldoaniam pn,ia iwhch si tsom isosntectn whit .C ilfidceif cniintoef
  • Key deai: C. iclfifeid sadel to deahrria by pogunrcdi wot nima ioxtns taht edal to tceenoreyt degama
  • Kye a:ide ocxTi aneocmogl cna be snee ryescanod ot .C dilifecif feinnctio and ueecvratli sliotci (at tsela orf BMEN o)puperss

p/spptrht.-/rgoepse/t:

seagull  I choose sterilization because C-diff is essentially an imbalance of colonic flora due to antibiotic "sterilization" leading to expansion of C. Diff. However, I ca see how toxin- mediated is the true mechanism but the question seems dirty to me. +5
jd1  I think also technically sterilization refers to inactivating spores (as opposed to disinfection which would not), so would imply Cdiff would be killed off too +4
... step_prep made a comment on step2ck_form8/block1/q#2 (An asymptomatic 37-year-old woman comes to the physician)
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tiandcnCiirosaotn ot ideomcbn onrneoacctpti slinued:c

  1. oemnW &;gt 35 yo woh ekmso (hcwih is esac whit thsi itetnpa)
  2. iMasering tiwh uaar
  3. beHyparluoceagl sikr ascrfot &(tl3; ekwse mpotursapt, lropgeond taoizomini,bilm soihyrt of PE/DTV, lbdoo esisrrodd tfrac[o V i,eledn c])et.
  4. evcAit arebts cernca
  5. viLre sdsaeei (lvire vdevilno ni oizimlgabten sontree)g

p./rspotgpt/:rs/teph-e

... step_prep made a comment on step2ck_form8/block1/q#3 (A 52-year-old woman with a 40-year history of type 1...)
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3 mani yetsp fo lwoer yeertmixt eruslc udincel )1( pturaNceoih lrecs:u eSne in atdicbie patntei, oucrc on teh leos of het foot lleyeipcas weehr lost fo ssreerpu is dlcpae leihw nwaligk (cshu sa prixoaml to big eot) )(2 Atilearr rlecsu: tntaiPe hwti gisns fo hpaeeprril ulcavras asdesie (otndcalc,uiai yishn sraihsel sgel) how sha ucrel whit erncsosi netof ta tpsi fo eth eots ()3 uoneVs ler:usc tnfeO esne ni ttepian wiht rcincoh erwlo tmxieeyrt emeda nda eldas ot acnoiutrle on eht midael sctaep of eth lge

//trtesp-/es:op.grptph

... step_prep made a comment on step2ck_form8/block1/q#5 (A 37-year-old woman, gravida 2, para 2, comes to the...)
 +1 
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  • Wmoan in hre leta s03 twhi oprsiuve neiagecpsnr ssetrenp ihwt ripsgevroes aumrntels iapn nda a tsof, difflyseu eeanrldg utseur tmso soetstnicn hwit asymniedsoo a(ormnalb aeeoldnmtir setsiu nhiwti teh nutreei mmom)reuyti
  • Kye :edai Aioodessnym nca elad ot ndeomryh,sear ayevh nmetaulrs gnelidbe dna rcohcni iecvlp inpa
  • eKy aeid: sRki sctfroa ofr sisoynaeomd udcsilne age ;t&g ,40 tuiatimrpyl ar/dno rrpio trnuiee ryruesg
  • Kye :aedi rFo the MEBN ,esxam a esifufdyl dnlrgeea tuseur is erhiet npcgryane ro ,aiosdseynom ehwaser an dnlregea elurrgiar urutes is netostiscn itwh idirofsb

-/tstrp/psroge:ppet.h/

... step_prep made a comment on step2ck_form8/block1/q#6 (A 27-year-old man with schizophrenia is brought to the)
 +1 
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  • nYguo nam who eectrnly deatsrt nettmetra itwh iopdhaeorll rtesnesp wthi ytdiiirg, ckne gyiiitrd and gcoyulcroi rscsii esye( slciaepdd )awpsurd osmt siscttenon itwh caute adyotisn
  • eyK eai:d rtnatmIop to ttscoran hwit cetoinerpul tianagmnl donsey,rm wchih uldwo edal to natllcinoetos of ytssmpmo rmreeebemd wthi Minlngata REVFE M(iygolbouia,rn Fvree, Ehepnyathopal,c Vatlis tanbus,le eiseracdn CK Eesymzn dna Rtig)idiy
  • yeK a:dei 4 naim adrairaxeltymp fcfstee of niasphtytiocc esu, cpliaeeyls hwit hihg pytoecn itysiocanhcstp usch sa ilaorhdpoel, rae ()1 ecutA ntdiasyo )2( hitAikaas 3)( anmPsirkison (4) eaTirvd ianisykdes

.h/gpto-ppetr/st:reps

... step_prep made a comment on step2ck_form8/block1/q#10 (A 72-year-old man is transferred to the emergency...)
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  • Oedlr anm iwth atiarl trlaiiiolfbn who si ton no yotlpipcrcha giaonontcaaitlu how stesrnpe htwi enponf-sicci alrtgeh,y t,eiphosonyn adiolbnam desnentrse tiwh iagdgunr, rndisacee BWC uncot nad uscgailr igndnisf fo rdka iceotcnr ,bwleo stom scntntesio iwth an tariarle seobmlu t(mos lkylie mrfo het lfte altair enegdppaa in tentsig of laairt bifltriin)aol
  • nhoissAde uldow elad to slmal bowel snbotucirto a,n(pi ,esitontdin toiopti,sba)n dan .C iffiidcel wdluo aled ot edmrnuebmeosap iameg on MEBN

ppehppr./ergtst/-:tso

... step_prep made a comment on step2ck_form8/block1/q#11 (An 87-year-old man comes to the physician because of...)
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  • 87 eayr dol mna hwo si ndnetipened in AsLD eat(gni, bithgan, tieglotn,i nn,fiarrgters egttgni )sesderd dan DiAsL pngihso,(p sgniu ,hnpeo vginr,di glnahdin sc,feanin .,ect) ±aOA x 3, lclears 3/2 cesojtb tfrea 5 tsmiuen nda hsa on alocf nlrgeoiouc gfisndni stom osnenttcis hwit nrmloa ngiga or ldim oictigvne ieamnrmitp
  • eKy aid:e istPntae hiwt idlm netiogvic tneiipamrm illw vhea ldim dneeicl in ta etasl 1 nevtioigc ,idmnao btu wlli heva oramln nintncouifg ni lal iiitsvaect fo ialdy ligvni itwh napconitoesm ngtki(a a slti ot het o)etrs, reawhse pisanett ihtw edtmaeni lliw eavh ogallb ciegtnoiv ptrenaimim and rkdame tlfainnuco eitmpranmi
  • oT tfrfaitedenie etenewb z’meAsihrle dan racvasul emndeiat, loko fro teohr gnocueoirl rasutfee (raonortp ,tfidr keasn,ews e)ct. chhwi is eorm ctsonteins wtih crasvaul etimdane

.eps-etop:spg/ttrhpr/

kingfriday  DDx: - Capgras syndrome: someone close to them or a loved one has been replaced by an imposter. Not what's going on here - Dimentia with Lewy Bodys -> would have hallucinations and features of parkinsonism also not seen here (mneumonic: ha-lewy-cinations) - Dimentia, Alzheimers type -> question stem would almost always mention something about the person getting lost in neighborhoods or unable to find their way as part of the pathology - MDD: doesn't meet the criteria of SIGECAPS - Metastatic prostate cancer -> typically presents with back pain which is not seen here Multi infart vascular dimentia -> often a stepwise decline (at 6 months x happened, then at 4 months y happened, and at 2 months z started happening) +
... step_prep made a comment on step2ck_form8/block1/q#18 (A 32-year-old man comes to the physician because of)
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  • nuoYg nma wtih rysoiht lbtaipecom htwi enirsaimg ohtngb(irb hacesedah idtasoecas htwi raau ,nu[eaas imvgt,oin ooitpophb)ha] ttah are egriainncs in yqefucnre and rae ecrrtfaory ot /aitubovactere ra,ntmetset maignk hsit etintpa a oogd caitanded rof rcyatcoiphlp nmgiraie eidomticna
  • Key ed:ia Inoincdtias orf iiranmge tphirlyccaop tcmsadnieoi nidcuel (1) aeHhadces &;gt 4 iemst epr honmt or igoslnglnt-a &g[1t2; ]rhsuo ()2 sbDniilga spyomtsm sgiinsm( wk)or ()3 Rrfcyaroet to tbeirvao emstociiadn
  • Key ae:id tnleatioP oplthicyparc aigmirne emoitdcanis ndcielu ,oeTpitarma toaarVe,pl etaB esklcorb suc(h as ol,po)aorrlpn aiulcmc nheanlc seokrcbl or ilantterpimyi TCA( t)niadtpssearen

r:se/rst/.t-ohtgepppp

aoluwatayo  FOR TREATMENT OF MIGRAINE; TRIPTANS, ERGOTAMINE, ANTIEMETICS +
... step_prep made a comment on step2ck_form8/block1/q#27 (A 52-year-old man is brought to the emergency department)
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  • Med-lgdieda mna htwi nirteag ackb iapn nuesvnpersio to irncyilrnegot utb sorenpisev to einohprm nad blteolaal nudfo ot ahve eevser peurp mttxieyer boold esuprsre ihwt sddhemiini reowl yeertmtix us,espl msot tncoeitssn hitw na rcitao dcsosineit
  • Key aide: iroAct dtcessiino can rdpaes ot neviolv the yoarrnco s,rrtaeie nigelad to an IM e(i.. stju ebuscae a pinteat sha tchse ianp nda CEG ghcsena nctoitsens itwh an MI odes ONT cuelxed ortaic stonisdeic sa a oiida)sngs
  • yKe :iade toBal-eksbrec rae aycurtlairpl lfeuus in getints fo rciato tiinscdose eceasbu teh erfco fo oobdl gineb cetdjee fmor eth VL adn iinhgtt hte atora anc fethrru aprtgaeop hte r,eta tiwh eabt reclbsok eidglan to creeddu lyotntatcicri and crudeed ocref of odbol enocijet iagtsna eht rtaao

ptttphegorpre//sp.:s-

... step_prep made a comment on step2ck_form8/block1/q#37 (A 72-year-old man with lung cancer comes to the...)
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  • 27 eray dol epiantt ihwt unlg cecrna esprents thiw ltian-fgnbeoa nesweska ticfnfeag eht eyse nda moialrpx mcesuls pih( rsxoeet,sn ),eyse naootcmiu stpmyosm dy(r m,huot )toipaostncin nda sslo of eepd doentn f,reexlse omst tcsonsenti hiwt Lo-rEantmebta yosenmdr hch(iw can eb isdeodnga tiwh retpveitei eevrn asimiulnott)
  • aytnaMehis s:irgav dsotacAsie wtih maohtym, buolulabrco neessakw atth esosnwr wtih eeprdeta sue
  • oLeatbearnm-t nr:medosy ascsotiAed whit mslal lecl nulg r,ccane rmialxpo cusmle kesawens taht osmpreiv wthi rteieivpte ues ADN uiaomnoct ynduofiscnt adn aecntree/asseddb depe enondt lserxfee

gpt:preesprto./p-sh/t

... step_prep made a comment on step2ck_form8/block1/q#38 (A 42-year-old man comes to the physician because of...)
 +1 
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  • tnePiat whit lmsal lecl ugnl reacnc o(m,uifnr lasml ordun lsecl ihwt dkar u,eicnl) cwihh is nteof ntiliilay ttaeerd wthi hemhoctpaeyr lowdefol yb rdtiiaaon odrn/a eusyrgr
  • Pnteiat si uygno nda ash on nsgsi of matetssisa so pleiiavlat erac i’stn poaet,arpipr hromeno heprtya otms edsu rfo sbetra ncacre and pastoetr ,rcacne dna igrlcaus intoerces si TON edus in lsmal lelc glun crneac lpfcsicleyai thβ€œe( scell ear too asmll rof hte nrugseo ot !s”)ee

tttpherp.s-/ro/spegp:

killuashi  initially treated with ...... and/or surgery .... surgical resection is NOT used. Very contradicting +1
wutuwantbruv  Surgery can be considered in very small, resectable lesions. It is not incorrect to say this, but for the majority of SCLC, they are indeed unresectable. +1
... step_prep made a comment on step2ck_form8/block1/q#44 (A 25-year-old woman comes to the physician to discuss)
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  • yeK :aeid 2 otsm rpniamtot kisr ofatscr orf hlezse’iAmr is (1) aIenecdrs eag )2( iFylam yoisrth fo steloeya-nr midnteae fo(nte ued to tituaonm ni Aloidmy srrpuecor otpnire ro 1/2nsi)plr-inei
  • Kye :ieda rastenoyl-E ’lmzhseerAi eedindf yb mopstysm npagpaeri gae 56 ro neyrguo

s-eo/t/gs.hp:tppetprr

... step_prep made a comment on step2ck_form8/block1/q#45 (A 2-month-old boy is brought to the physician by his...)
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  • yeK ieda: ncesunreS tno cnomloym edus ni tfsnnai nuedr 6 mtsonh fo age twhi sebt reasttgy ot keep ntafisn in het sheda piacselyle duinrg eht dielmd of hte yda dna ot eus eceritpvot olhicngt

gep/h.r-opstesptr:pt/

... step_prep made a comment on step2ck_form8/block1/q#46 (A 37-year-old man comes to the emergency department)
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  • noYgu mna with nterce UIR nrespset hwti psahr unsesbtarl chtes ,nipa erfev and EGC wthi usdffie TS sntaelovei and RP dirsoepenss mots ctsninesot twhi vlira aiisciperrdt chiwh nca be gdiseando htwi odcehrhacaipyogr eabsceu ti is oetfn aodtcmpcile yb diaparcerli efoufnsi

psphere/.t-p:pgrt/tso

... step_prep made a comment on step2ck_form8/block2/q#1 (A previously healthy 22-year-old man is brought to...)
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  • guoYn anm sneprset wthi eedltra lmanet asttsu ofndu ot aveh a everes na-oniapg ioealtcbm iidcosas 124( – 102 – 21 = 82 g&t; 2)1, itwh esxoueong nigiseont fo an gacorin dica ngibe eht ynol ewnsra tath norrdcopsse hitw iths eds-biaac adeutcsnirb
  • csseveiEx olss fo bncabteiaor = yepT 2 lnrea atulrbu iiascdso (o-aninnno pag ieomlatcb aiosicd)s

.rtp-rstpep:o/pg/esht

... step_prep made a comment on step2ck_form8/block2/q#12 (A 20-year-old man is brought to the emergency...)
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  • oYugn man twhi asgnfictini ruaamt ndofu to evah ignss of lcvepi rfceutar lecv(ip ianp iwth /rpsstrescennediuet vreo hte sipu,b -yarx f)dsngini foudn ot ehva a gaerl arocstl ,ahmemtao ncnnoicger orf a rhtrulae rujiny
  • eyK edi:a hthgluAo slaayilccls a eplicv utacefrr uoldw rejniu eht rbeomuamsn triopno fo eht urrateh engd(ila ot a hd-rhgginii oepstrta nda bdolo ta the raluterh )eamsu,t ti anc osal eadamg eth barubl yp)(ngos erruhat dan adel ot lodbo oalucnimactu ni eht tmusrco dna obodl at hetarrul smeatu
  • eyK eai:d aedRrrgoet hruroagmtre si hte irfst etts to pofmrre in entstpai wtih edustecps retrlhau ijuynr

ss:phtttgpr/eeopp/r-.

... step_prep made a comment on step2ck_form8/block2/q#14 (A 4-year-old girl is brought to the physician by her...)
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  • 4 eray dlo thiw na deerlagn deha feenccimcre,ur ssngi of eelrrbecal incodtnsuyf ai,t(aax cssem,uilsn tmsguyan,s yrraaitdsh) nad reupp omort reunno diftcei of hte latliarbe erolw emisxreteit tmos cnecnnrgio ofr eboltmldumlosaa whti dpor stteemassa to eht salinp rdco
  • Key daie: melMoabldaosult rseais in hte cberaeller evsmir nda reeftreoh esadl to earberllce stifoncundy dan nca elad ot β€œdrpo ssaseet”mat ot eht asilnp cdor rhhguot the CFS trlociauicn

gseoerhtr-p.tt:s/p/pp