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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 tests πŸ” / πŸ“Ί / 🌳

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



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

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

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

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

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

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

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


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


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



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

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

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

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




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

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

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

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

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

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


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

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


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

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

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



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

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

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

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



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

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


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

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

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

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


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

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

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

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

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


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

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

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

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

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

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

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




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





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


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

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


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

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

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


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

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


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


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

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



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

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

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



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

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


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

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


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

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



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



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

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


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



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

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


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


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




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


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

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

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



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

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




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

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





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

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

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

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

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

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




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

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

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

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



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

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

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

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

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


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

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



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

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





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





Recent comments ...

... seagull made a comment on step2ck_form8/block2/q#39 (A previously healthy 32-year-old woman comes to the)
 +7 
submitted by seagull(1794)
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I swa eleredaypst onoglki fro iclse.illut I envre ddi ees t.i eoSm asy m'I stlli gklnoio ofr ti ot ihts ady.

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
charcot_bouchard  Cellulitis can lead to lymphangitis +
... seagull made a comment on step2ck_form8/block4/q#36 (A previously healthy 2-year-old boy is brought to...)
 +6 
submitted by seagull(1794)
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m'I levyileart rseu tath osmt lepope ewer 0:505 ewneteb hlecba dna anrid cae.rlen

letsdothis  Yeah, I spent maybe like 20 seconds on this question. I knew I wouldn't be able to reason this one out. +1
lilmonkey  Same thing. But then I remembered myself using bleach wipes with no gloves - didn't get any ulcers or even irritation. But drain cleaner is really strong shit as it can dissolve ("ulcerate") all this solid gunk. +1
charcot_bouchard  At least those chores paid off finally +
... 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(115)
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  • kciTy,r nnducea tqouisen ubsecae inccoandtnrtoiia to ttneaip geecivrin a gnlu sieneotrc si if ehtri rdiuales FV1E illw be essl than 008 Lm lgnwfiloo teh reyursg

  • laNmro V1EF ni a thhleay moawn si itpylyalc drnuoa 3 L, so in siht tenptai si llieyk coesl ot 705 mL ncsie esh sah an VFE1 that si 25% of ;idceetdpr fhteree,or isth ipeattn lodwu kelliy nto be aebl ot atelrote any tosr fo lgnu rniecetos ubeasce she is daleary lybaer ihnngag on ni srtme fo her anretylovti iacpsiiltbea

  • Cluod saol hpcraapo tish tquesoin hugtrho pssorce fo nilemtiiano abceeus GAB swsho ildm OC2 otetirenn esn(e in amny POCD enpas),itt tejencio ifortnca ufotf-c fro grerusy etonf ;3&5lt%, cdacria tresss estt saw nmraol dan teniatp sah had TsDV orf a lgon mtei

r./pses:-tpopgp/tth/er

drdoom  very nice +2
osler_weber_rendu  Pestana explains this very well +1
drdoom  pestana? .. auto-corrected from Costanzo, perhaps? +
... seagull made a comment on step2ck_form8/block3/q#10 (A previously healthy 67-year-old woman comes to the...)
 +5 
submitted by seagull(1794)
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oN" sutbir rea rehad evro eht n"ekc

I ewrsa I ctnnao ngba my face hard euhgno asgaint a lwla.

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 +2
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#40 (A previously healthy 21-year-old man is brought to the)
 +5 
submitted by seagull(1794)
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mA I hte nylo oen saalyw ese nvcoirseno irsodred fo RDWULO as reesaurs nda ullfo-w.po shiT sett si iggvin me oonesrcvin drid.erso

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 +4
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. +1
osler_weber_rendu  "ReFfeRaL tO a SpEcIaLiSt iS AlWaYs WrOnG" +1
charcot_bouchard  YOU DO THE PSYCH ASSESSMENT (boaard strikes back) +
... step_prep made a comment on step2ck_form8/block1/q#5 (A 37-year-old woman, gravida 2, para 2, comes to the...)
 +4 
submitted by step_prep(115)
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  • Wanmo ni erh etal s30 wtih pruvsoie gnpereicnas sreepnts hwti givsorrseep ltaemrnsu napi dna a otf,s fseufylid rneagdel usretu msot etinotscns thiw soeymadsnio roaam(nbl lreiatmeodn suties inhwit teh nureite mtuo)ieymmr
  • yKe a:eid omsAnesoidy acn eadl to m,aosdeenyrrh ayehv snulertam ibeegndl adn rohincc pclvei pina
  • yeK i:ade iRks afscrot orf nsyioaodesm nslcedui ega &tg; ,04 imrluitptay aod/nr oirpr uitener yrugers
  • yeK iade: roF the MNBE ,msaex a ielfydusf lndrgeae uurets is heetri greapncyn ro esnoiyam,sdo earewsh an edagernl agrrileru etuusr is tcetsnsion twhi osibfdir

/t/orthssgpepppr/e.-:t

... 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(115)
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  • Cnturer neliudiges mmcendeor oezlcnafi or rexicuomef eastidmdneri niihwt 06 ismeunt fo knis cisniion sa aspilxohypr rudngi hpi ro enke ltpatrosayhr dan uhdlos be unoiitnedcds nwthii 24 uosrh
  • eKy ieda: cbiitnoiAt oxrylpsphai to revntep uriscgal ties encofsitni rea vgine in ncarite sdurece,pro ostm ylnommco mojaln/rog rsrgiseue

o1s5/0w/0wh3.tap0.182l/:5.a1rtppffgt/pma/h/w

pp/rethts-.rotpgeps:/

... 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(115)
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  • l-daMedgdei amn hitw fvee,r ntyaehlopmadhpy adn ensaoemlgply nuodf ot eahv edtveela tkleyeocu onutc hwit rscadniee ,sosolenhipi beotya,smlls eoalmytemetscy dan eyesomyclt tsom ngcincenor rof hconicr ymeiodl ekilaemu
  • yKe e:aid ysWa to fteeirfatiden etnwbee crhncio diymole lmuaeeik dan a diolemkue orniteca lcdeuin lteycokeu eaalknil teaopsphhsa L)AP( elesvl vetd(laee ni dkmeiuelo ceatirno nad ddrecaese ni C,LM) koinlgo rof ahioalipsb (esnetpr ni CM)L dna ogkinol at hte teyps of oeturpilnh psousercrr setenrp teoysmcylmea(et gt&; ylseotecym in emoleduki eoaicnrt and layetcsotmeyem tl;& cmtesoelyy ni CML)
  • toNe: ctytlemoMysaee are orem umreta tahn locesyytem
  • Kye aed:i anC nefot llte yeth pyet of kleeiuma sadeb no ientpat gpsmaedhrioc iwht ALL snee in ittspaen 40-1, LAM sene ni tnapiste ,61-05 CLL enes in itseptan 0+6 and LCM sene in tpaenist -5094

rp.tt/sos/he-pep:ptgr

... step_prep made a comment on step2ck_form8/block1/q#16 (A previously healthy 23-year-old man comes to the...)
 +4 
submitted by step_prep(115)
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  • eKy iad:e 3 ramjo ntucsefoii casues fo shra rove hte mlpas adn ssloe cna be eemerrbedm itwh RCSa (Cskacexoi ,A Riektctsia Rseicittki o(Rkyc naunoMit ttodSpe )rFeev nad Si)plsihy
  • noapIttrm to nsrtatco iplihsys nda ykcoR nniuatMo etdSopt Feev,r iwht ysihplis roem ocyomlmn lndaige ot a polruaplaaumc ashr dna sudeiff ohepmplytaayhdn itwh( aerortilchep yeadpmpalhtynoh cyblaisal bgeni oamo)inphoncgt nad Rocky antnoMui edspott reevf mymnlooc ingeadl ot a irpcrupu rhas hatt aesdsrp from hte fehdest/an ot teh utnkr

/peestt-r:ophrpg./pst

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.... +1
kstudy  Linda, in reality you would test for both or ask the patient some clarifying questions. But NBME is not reality. NBME world is where you are allowed to only order one lab at a time and receive only part of the results back. +1
... 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(95)
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(E) hxotarPemoun

Benzo vseeoord --;&tg obnitiutna gt&-;- awraiy uaratm g-&;-t nrxootphuame


ongr W sraenws

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B)( erleyK B nseli ear cvtndiiaie fo lypunmrao eadme

()C iadcrlariPe sufoiefn is aeeczhrtdciar yb sBk'ce Trida fo s,phnnoitoye eisdtdend knce v,snie adn fmefldu harte nu.dsos And wuodl ton xpinlea alrutaenli idishedimn bhtrae s.suodn

)D( ld-prbsealuae hpseumh-pda ysdtein oalpbyrb ssriceebd a Hapotmn phum, hhcwi a eedapesg-hdw paiycto ni pelpaheirr nugl with ist sbea ta a troccahi .wall edCaus yb mpurlonya .ncaftniroi

... step_prep made a comment on step2ck_form8/block2/q#37 (A previously healthy 47-year-old woman comes to the)
 +4 
submitted by step_prep(115)
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  • Key d:iae ysoHrit of leeh ipna that si sotwr hwti sftri pstes in moingnr nda anip wthi saisvpe fxeinldooirs of oets si lisscac for rpalatn stsi;iiafc tnaprla csatsifii oasl mcnloyom aisstecdao thiw ebno prus no plnatar eufrsac of tfoo
  • fifrlDieneta ofr eelh :npia 1() nlPraat aisitifsc ()2 eoBn noteinfci or mtassesait (tonscatn ianp atth si otswr ta h)gnti (3) alalnceCa retsss erurctfa oesr(w wthi itatvyic nda inpo)palta )(4 lTsara ennltu norsdyme (ecurispnso tsreesnned and rehsaapsesti oerv posoerrti btliia rneve ni tarasl )lnnteu ()5 liAehcsl nepntidoyath nns(adeser/tnpei ta rteiospro hele wiht abaleplp kginchetin of ntoned hatt acn eb dudreperoc ihwt ofot lisrfoeixdno)

ps./r-rtpepsop/ghtt:e

seagull  I like this ddx explanation. well done +1
... 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(81)
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An ecdrtaleu baes nda a shi,ny tlshylig rdaise berrod sgegtuss CBC isetnda of S.CC aentnMgmea of CCB is xoniclaies pyibos hitw rwonra grmnai 5(3- )m.m If eht onsiel erwe SC,C anametgmen owuld eb ciealosinx ypoibs hwti wedi arngim -1(05 m.)m



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