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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 Free 120 Answers




Question#4 (reveal difficulty score)
A 42-year-old woman is brought to the ...
Laparotomy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#5 (reveal difficulty score)
A 42-year-old woman comes to the physician ...
Alcohol ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#7 (reveal difficulty score)
A 9-year-old boy is brought to the physician ...
Dermatomyositis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#2 (reveal difficulty score)
A 56-year-old man has had the painful weeping ...
Herpes Zoster ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#3 (reveal difficulty score)
A sexually active 20-year-old woman has had ...
Haemophilus ducreyi ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#4 (reveal difficulty score)
A 67-year-old woman comes to thy physician 1 ...
Excision of the lesion ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#7 (reveal difficulty score)
A 2-week-old newborn is brought to the ...
Reassurance ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#10 (reveal difficulty score)
An 18-year-old primigravid woman comes for ...
Ultrasonography ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ





Question#15 (reveal difficulty score)
A 3-year-old girl is brought to the physician ...
Mastoiditis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#16 (reveal difficulty score)
A 62-year-old man comes to the physician ...
Vasculitis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#17 (reveal difficulty score)
A 2-month-old boy is brought to the physician ...
Decreased gluconeogenesis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#19 (reveal difficulty score)
A 36-year-old nulligravid woman with primary ...
Endometriosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#21 (reveal difficulty score)
Four days after undergoing open reduction and ...
Alcohol withdrawal ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ





Question#15 (reveal difficulty score)
A 77-year-old man is brought to the physician ...
CT scan of the head ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ




Question#33 (reveal difficulty score)
A 27-year-old woman comes to the office because of
Pulmonary embolism ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#35 (reveal difficulty score)
An 82-year-old woman with a 20-year history ...
Detrusor instability ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#37 (reveal difficulty score)
A 70-year-old man comes to the physician ...
Multiple myeloma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#40 (reveal difficulty score)
A 27-year-old woman comes to the physician because
Nortriptyline ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#1 (reveal difficulty score)
A 68-year-old man is brought to the emergency ...
Oral lactulose therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#3 (reveal difficulty score)
An 87-year-old woman, gravida 6, para 6, is ...
Urinary retention ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#4 (reveal difficulty score)
A 25-year-old woman is admitted to the ...
Methimazole ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#5 (reveal difficulty score)
A 16-year-old boy is brought to the emergency ...
Antibiotic therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#7 (reveal difficulty score)
A 27-year-old primigravid woman comes to the ...
HIV ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#10 (reveal difficulty score)
A 52-year-old woman comes to the physician ...
Vancomycin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#11 (reveal difficulty score)
A 52-year-old man with hepatic cirrhosis ...
5 (five) ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ







Question#18 (reveal difficulty score)
A 52-year-old woman comes to the emergency ...
Prednisone therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#19 (reveal difficulty score)
A 13-year-old boy is brought to the emergency ...
Myocarditis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#20 (reveal difficulty score)
A 10-day-old female newborn is brought to the ...
Volvulus ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#23 (reveal difficulty score)
A 55-year-old man is brought to the emergency ...
Vitamin B1 (thiamine) ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#24 (reveal difficulty score)
A 16-year-old boy is brought to the emergency ...
Testicular torsion ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#26 (reveal difficulty score)
A 50-year-old woman comes to the office ...
Sarcoidosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#29 (reveal difficulty score)
A 32-year-old man is brought to the emergency ...
Electroconvulsive therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#30 (reveal difficulty score)
A 60-year-old woman comes to the office as a ...
Hepatitis C ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#33 (reveal difficulty score)
An 82-year-old man comes to the physician 1 ...
Keratoacanthoma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#34 (reveal difficulty score)
A 37-year-old man comes to the physician for ...
Serum lipid studies ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#37 (reveal difficulty score)
A 32-year-old nulligravid woman comes to the ...
Gestational diabetes ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ





Question#42 (reveal difficulty score)
Five days after admission to the hospital for ...
Aortic embolism ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#45 (reveal difficulty score)
A 58-year-old man comes to the clinic for a ...
Cystoscopy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#48 (reveal difficulty score)
A 27-year-old primigravid woman at 21 weeksโ€™ ...
Influenza A virus ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#49 (reveal difficulty score)
A 7-year-old boy is brought to the physician ...
Learning disorder ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#50 (reveal difficulty score)
A 23-year-old woman who is an active-duty ...
Otitis externa ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#52 (reveal difficulty score)
A 16-year-old boy with VATER syndrome is ...
Tracheal collapse ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ






Question#53 (reveal difficulty score)
A 44-year-old man comes to the emergency ...
Echocardiography ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ




Question#61 (reveal difficulty score)
An 87-year-old woman, gravida 2, para 2, is ...
Vulvar carcinoma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#63 (reveal difficulty score)
A 1-hour-old male newborn is examined in the ...
Zidovudine (AZT) ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#65 (reveal difficulty score)
A 2-week-old boy is evaluated in the neonatal ...
X-ray of the abdomen ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#68 (reveal difficulty score)
A 32-year-old woman comes to the emergency ...
Ibuprofen therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ







Question#75 (reveal difficulty score)
A 7-year-old girl is brought to the clinic by ...
Polysomnography ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ




Question#79 (reveal difficulty score)
A 43-year-old woman comes to the office for a ...
Diltiazem ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ





Question#84 (reveal difficulty score)
A 26-year-old woman with common variable ...
Lymph node biopsy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#85 (reveal difficulty score)
A 9-month-old boy is brought to the office by ...
Skeletal survey ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#87 (reveal difficulty score)
A 28-year-old woman, gravida 2, para 1, at 39 ...
Umbilical cord prolapse ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ





Question#92 (reveal difficulty score)
A 46-year-old woman comes to the office for ...
Hyperaldosteronism ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#95 (reveal difficulty score)
A 57-year-old man with alcohol use disorder ...
Spironolactone ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#96 (reveal difficulty score)
A 48-year-old man is admitted to the hospital ...
Gemfibrozil therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#97 (reveal difficulty score)
A 57-year-old man is admitted to the hospital ...
Vitamin B1 (thiamine) ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ





Question#102 (reveal difficulty score)
A 14-year-old boy is brought to the emergency ...
Cardiac monitoring ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#105 (reveal difficulty score)
A 38-year-old woman, gravida 1, para 1, comes ...
Osteoporosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#107 (reveal difficulty score)
A previously healthy 57-year-old woman comes ...
Right hemicolectomy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#109 (reveal difficulty score)
A 55-year-old man comes to the emergency ...
Cefotaxime ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#110 (reveal difficulty score)
A 45-year-old man is brought to the emergency ...
Vitamin D ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ





Question#115 (reveal difficulty score)
A previously healthy 17-year-old girl comes ...
Tubo-ovarian abscess ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#116 (reveal difficulty score)
A 15-year-old girl is brought to the office ...
Gonadectomy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#117 (reveal difficulty score)
A 50-year-old man returns to the office for a ...
Hydrochlorothiazide ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ






Question#10 (reveal difficulty score)
A 32-year-old woman comes to the physician ...
Iron deficiency ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#12 (reveal difficulty score)
A previously healthy 37-year-old woman comes ...
Paroxetine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ





Question#18 (reveal difficulty score)
An 18-year-old man with a 12-year history of ...
Diabetic nephropathy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#19 (reveal difficulty score)
A cohort study is conducted to compare the ...
Selection bias ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#22 (reveal difficulty score)
A previously healthy 27-year-old nulligravid ...
Incision and drainage ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#23 (reveal difficulty score)
A 30-year-old woman comes to the physician ...
Adrenal medulla ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ




Question#29 (reveal difficulty score)
A 47-year-old man is brought to the emergency ...
Aortic dissection ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#33 (reveal difficulty score)
A 57-year-old woman comes to the physician ...
Paroxetine therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#37 (reveal difficulty score)
A 32-year-old man comes to the physician ...
Bipolar disorder ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#38 (reveal difficulty score)
A 32-year-old woman, gravida 3, para 2, at 41 ...
Amniotic fluid embolism ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#41 (reveal difficulty score)
A hospitalized 57-year-old man has had severe ...
Pseudogout ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#45 (reveal difficulty score)
A previously healthy 19-year-old college ...
Ceftriaxone ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#47 (reveal difficulty score)
A healthy 4-year-old girl is brought for a ...
Atrial septal defect ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#48 (reveal difficulty score)
A previously healthy 47-year-old man comes to ...
Colonoscopy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#53 (reveal difficulty score)
A 25-year-old man is brought to the emergency ...
Heroin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#56 (reveal difficulty score)
A 22-year-old man is brought to the emergency ...
Left tube thoracostomy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#58 (reveal difficulty score)
A previously healthy 17-year-old girl comes ...
Asthma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#59 (reveal difficulty score)
A 62-year-old white man comes to the ...
Phlebotomy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


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




Question#66 (reveal difficulty score)
A 42-year-old woman comes to the physician ...
Endometrial biopsy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#67 (reveal difficulty score)
A 15-year-old boy is brought to the physician ...
Exercise program ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#68 (reveal difficulty score)
A 5-year-old girl is brought to the physician ...
Echocardiography ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ







Question#76 (reveal difficulty score)
A previously healthy 24-year-old woman comes ...
Erythromycin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#82 (reveal difficulty score)
A 37-year-old man comes to the physician ...
Regular activity ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#83 (reveal difficulty score)
A 19-year-old woman noticed a mass in her ...
Fibroadenoma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#87 (reveal difficulty score)
A 27-year-old woman, gravida 2, para 1, at 12 ...
Oral amoxicillin therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#90 (reveal difficulty score)
A 65-year-old man who is quadriplegic as a ...
Frequent turning ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#91 (reveal difficulty score)
A 45-year-old woman has a 2-week history of ...
Acute stress disorder ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#93 (reveal difficulty score)
A 37-year-old woman, gravida 5, para 4, at 34 ...
Placenta previa ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#94 (reveal difficulty score)
A previously healthy 14-year-old girl is ...
Arthrocentesis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#97 (reveal difficulty score)
A 19-year-old college student comes to the ...
Candidiasis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#99 (reveal difficulty score)
A 65-year-old woman has a 6-month history of ...
Multinodular goiter ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#100 (reveal difficulty score)
A 52-year-old man comes to the physician with ...
Polysomnography ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#101 (reveal difficulty score)
A 22-year-old woman comes to the physician in ...
Influenza virus vaccine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ










Question#114 (reveal difficulty score)
A previously healthy 27-year-old man comes to ...
Cryotherapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ






Question#38 (reveal difficulty score)
A 77-year-old man comes to the office as a ...
Aortic stenosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Recent comments ...

... โˆ—mmizell made a comment (step2ck_free120)
 +5  submitted by mmizell(26)

So I was between L4 and S1 radiculopathies on this one and couldn't remember the sensory/motor/reflex losses that differentiated the two. Here's a summary (including L5 for completeness)

L4 Radiculopathy:

  • sensory loss: distal lateral thigh over patella to medial calf
  • motor loss: knee extension, tibialis anterior (foot dorsiflexion) โ†’ difficulty heel walking
  • reflex loss: patellar reflex

L5 Radiculopathy:

  • sensory loss: Dorsolateral thigh, lateral side of the knee, anterolateral lower leg, dorsum of foot, big toe
  • motor loss: Extensor hallucis longus muscle (first toe dorsiflexion) โ†’ difficulty heel walking (foot drop)

S1 Radiculopathy:

  • sensory loss: Lateral foot
  • motor loss: Peroneus longus and brevis muscle (foot eversion) and gastrocnemius muscle (foot plantarflexion) โ†’ difficulty toe walking
  • reflex loss: Achilles

https://next.amboss.com/us/article/ji0_rf#Z4e6b97d11a53a281e346032ace785757

... โˆ—bwdc made a comment (step2ck_free120)
 +4  submitted by bwdc(690)

With treatment adherence, most HIV-positive individuals will die of the same things as the rest of us: the American way of life.

mmizell  I also reasoned that the HAART drugs have CVD risk factors, like diabetes and hypertriglyceridemia, as side effects. +3
... โˆ—len49 made a comment (step2ck_free120)
 +4  submitted by len49(41)

Pt has malignant effusion, which you would expect to be exudative. Exudative is characterized by protein pleural/serum > 0.5 LDH pleural/serum >0.6, and a LDH >2/3 upper limit of normal. So that would be increased protein or increased LDH, LDH is not an answer, so easy to rule out.

... โˆ—carolebaskin made a comment (step2ck_free120)
 +3  submitted by carolebaskin(103)

This is Paget-Schroetter disease

An upper extremity thrombosis triggered by extreme activity.

He's a fit young jackhammerer just trying to do his jackhammer thing

azibird  And from UTD just for screw you points: "The syndrome is appropriately termed venous thoracic outlet syndrome but is also referred to as Paget-Schroetter syndrome, and alternatively as "effort" thrombosis." https://www.uptodate.com/contents/primary-spontaneous-upper-extremity-deep-vein-thrombosis. vTOS: "Upper extremity edema due to varying degrees of venous compression or overt deep vein thrombosis is the hallmark of vTOS." https://www.uptodate.com/contents/overview-of-thoracic-outlet-syndromes. So how are we supposed to differentiate plain old vTOS from vTOS with thrombosis? Beats me! +


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