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Free 120  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 πŸ” / πŸ“Ί / 🌳

Question#5 (reveal difficulty score)
A 42-year-old woman comes to the physician ...
Alcohol πŸ” / πŸ“Ί / 🌳

Question#6 (reveal difficulty score)
A 37-year-old woman comes to the emergency ...
Nasogastric intubation πŸ” / πŸ“Ί / 🌳

Question#7 (reveal difficulty score)
A 9-year-old boy is brought to the physician ...
Dermatomyositis πŸ” / πŸ“Ί / 🌳

Question#2 (reveal difficulty score)
A 56-year-old man has had the painful weeping ...
Herpes Zoster πŸ” / πŸ“Ί / 🌳

Question#3 (reveal difficulty score)
A sexually active 20-year-old woman has had ...
Haemophilus ducreyi πŸ” / πŸ“Ί / 🌳

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

Question#5 (reveal difficulty score)
A 67-year-old man is brought to the emergency ...
Adverse effect of medications πŸ” / πŸ“Ί / 🌳

Question#7 (reveal difficulty score)
A 2-week-old newborn is brought to the ...
Reassurance πŸ” / πŸ“Ί / 🌳


Question#9 (reveal difficulty score)
Five years after being shot in the right ...
Arteriovenous fistula πŸ” / πŸ“Ί / 🌳

Question#10 (reveal difficulty score)
An 18-year-old primigravid woman comes for ...
Ultrasonography πŸ” / πŸ“Ί / 🌳





Question#15 (reveal difficulty score)
A 3-year-old girl is brought to the physician ...
Mastoiditis πŸ” / πŸ“Ί / 🌳

Question#16 (reveal difficulty score)
A 62-year-old man comes to the physician ...
Vasculitis πŸ” / πŸ“Ί / 🌳

Question#17 (reveal difficulty score)
A 2-month-old boy is brought to the physician ...
Decreased gluconeogenesis πŸ” / πŸ“Ί / 🌳


Question#19 (reveal difficulty score)
A 36-year-old nulligravid woman with primary ...
Endometriosis πŸ” / πŸ“Ί / 🌳


Question#21 (reveal difficulty score)
Four days after undergoing open reduction and ...
Alcohol withdrawal πŸ” / πŸ“Ί / 🌳


Question#33 (reveal difficulty score)
A 67-year-old woman comes to the physician ...
Bone marrow aspiration πŸ” / πŸ“Ί / 🌳



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



Question#28 (reveal difficulty score)
A 6-year-old girl is brought to the physician ...
Topical corticosteroid therapy πŸ” / πŸ“Ί / 🌳

Question#33 (reveal difficulty score)
A 27-year-old woman comes to the office because of
Pulmonary embolism πŸ” / πŸ“Ί / 🌳

Question#35 (reveal difficulty score)
An 82-year-old woman with a 20-year history ...
Detrusor instability πŸ” / πŸ“Ί / 🌳

Question#37 (reveal difficulty score)
A 70-year-old man comes to the physician ...
Multiple myeloma πŸ” / πŸ“Ί / 🌳


Question#40 (reveal difficulty score)
A 27-year-old woman comes to the physician because
Nortriptyline πŸ” / πŸ“Ί / 🌳

Question#1 (reveal difficulty score)
A 68-year-old man is brought to the emergency ...
Oral lactulose therapy πŸ” / πŸ“Ί / 🌳


Question#3 (reveal difficulty score)
An 87-year-old woman, gravida 6, para 6, is ...
Urinary retention πŸ” / πŸ“Ί / 🌳

Question#4 (reveal difficulty score)
A 25-year-old woman is admitted to the ...
Methimazole πŸ” / πŸ“Ί / 🌳

Question#5 (reveal difficulty score)
A 16-year-old boy is brought to the emergency ...
Antibiotic therapy πŸ” / πŸ“Ί / 🌳


Question#7 (reveal difficulty score)
A 27-year-old primigravid woman comes to the ...
HIV πŸ” / πŸ“Ί / 🌳



Question#10 (reveal difficulty score)
A 52-year-old woman comes to the physician ...
Vancomycin πŸ” / πŸ“Ί / 🌳

Question#11 (reveal difficulty score)
A 52-year-old man with hepatic cirrhosis ...
5 (five) πŸ” / πŸ“Ί / 🌳



Question#14 (reveal difficulty score)
A 42-year-old man comes to the office as a ...
Cardiovascular disease πŸ” / πŸ“Ί / 🌳




Question#18 (reveal difficulty score)
A 52-year-old woman comes to the emergency ...
Prednisone therapy πŸ” / πŸ“Ί / 🌳

Question#19 (reveal difficulty score)
A 13-year-old boy is brought to the emergency ...
Myocarditis πŸ” / πŸ“Ί / 🌳

Question#20 (reveal difficulty score)
A 10-day-old female newborn is brought to the ...
Volvulus πŸ” / πŸ“Ί / 🌳



Question#23 (reveal difficulty score)
A 55-year-old man is brought to the emergency ...
Vitamin B1 (thiamine) πŸ” / πŸ“Ί / 🌳

Question#24 (reveal difficulty score)
A 16-year-old boy is brought to the emergency ...
Testicular torsion πŸ” / πŸ“Ί / 🌳


Question#26 (reveal difficulty score)
A 50-year-old woman comes to the office ...
Sarcoidosis πŸ” / πŸ“Ί / 🌳

Question#27 (reveal difficulty score)
A 64-year-old man comes to the clinic because ...
Serum creatine kinase activity πŸ” / πŸ“Ί / 🌳


Question#29 (reveal difficulty score)
A 32-year-old man is brought to the emergency ...
Electroconvulsive therapy πŸ” / πŸ“Ί / 🌳

Question#30 (reveal difficulty score)
A 60-year-old woman comes to the office as a ...
Hepatitis C πŸ” / πŸ“Ί / 🌳



Question#33 (reveal difficulty score)
An 82-year-old man comes to the physician 1 ...
Keratoacanthoma πŸ” / πŸ“Ί / 🌳

Question#34 (reveal difficulty score)
A 37-year-old man comes to the physician for ...
Serum lipid studies πŸ” / πŸ“Ί / 🌳



Question#37 (reveal difficulty score)
A 32-year-old nulligravid woman comes to the ...
Gestational diabetes πŸ” / πŸ“Ί / 🌳


Question#39 (reveal difficulty score)
A 52-year-old woman with type 2 diabetes ...
Acute kidney injury πŸ” / πŸ“Ί / 🌳



Question#42 (reveal difficulty score)
Five days after admission to the hospital for ...
Aortic embolism πŸ” / πŸ“Ί / 🌳



Question#45 (reveal difficulty score)
A 58-year-old man comes to the clinic for a ...
Cystoscopy πŸ” / πŸ“Ί / 🌳


Question#47 (reveal difficulty score)
A 57-year-old man comes to the physician 1 ...
Antihypertensive therapy πŸ” / πŸ“Ί / 🌳

Question#48 (reveal difficulty score)
A 27-year-old primigravid woman at 21 weeks’ ...
Influenza A virus πŸ” / πŸ“Ί / 🌳

Question#49 (reveal difficulty score)
A 7-year-old boy is brought to the physician ...
Learning disorder πŸ” / πŸ“Ί / 🌳

Question#50 (reveal difficulty score)
A 23-year-old woman who is an active-duty ...
Otitis externa πŸ” / πŸ“Ί / 🌳

Question#52 (reveal difficulty score)
A 16-year-old boy with VATER syndrome is ...
Tracheal collapse πŸ” / πŸ“Ί / 🌳



Question#56 (reveal difficulty score)
A 33-year-old woman is admitted to the ...
MRI of the brain πŸ” / πŸ“Ί / 🌳



Question#53 (reveal difficulty score)
A 44-year-old man comes to the emergency ...
Echocardiography πŸ” / πŸ“Ί / 🌳



Question#60 (reveal difficulty score)
A 40-year-old woman is admitted to the ...
Acyclovir therapy πŸ” / πŸ“Ί / 🌳

Question#61 (reveal difficulty score)
An 87-year-old woman, gravida 2, para 2, is ...
Vulvar carcinoma πŸ” / πŸ“Ί / 🌳


Question#63 (reveal difficulty score)
A 1-hour-old male newborn is examined in the ...
Zidovudine (AZT) πŸ” / πŸ“Ί / 🌳

Question#64 (reveal difficulty score)
A 25-year-old woman comes to the office ...
Cabergoline therapy πŸ” / πŸ“Ί / 🌳

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



Question#68 (reveal difficulty score)
A 32-year-old woman comes to the emergency ...
Ibuprofen therapy πŸ” / πŸ“Ί / 🌳







Question#75 (reveal difficulty score)
A 7-year-old girl is brought to the clinic by ...
Polysomnography πŸ” / πŸ“Ί / 🌳




Question#79 (reveal difficulty score)
A 43-year-old woman comes to the office for a ...
Diltiazem πŸ” / πŸ“Ί / 🌳





Question#84 (reveal difficulty score)
A 26-year-old woman with common variable ...
Lymph node biopsy πŸ” / πŸ“Ί / 🌳

Question#85 (reveal difficulty score)
A 9-month-old boy is brought to the office by ...
Skeletal survey πŸ” / πŸ“Ί / 🌳


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

Question#88 (reveal difficulty score)
A 63-year-old man with chronic obstructive ...
Titrated oxygen therapy πŸ” / πŸ“Ί / 🌳

Question#89 (reveal difficulty score)
A 49-year-old man returns to the office for ...
Adenocarcinoma of the colon πŸ” / πŸ“Ί / 🌳



Question#92 (reveal difficulty score)
A 46-year-old woman comes to the office for ...
Hyperaldosteronism πŸ” / πŸ“Ί / 🌳


Question#94 (reveal difficulty score)
A 37-year-old woman comes to the office for a ...
Using a respirator at work πŸ” / πŸ“Ί / 🌳

Question#95 (reveal difficulty score)
A 57-year-old man with alcohol use disorder ...
Spironolactone πŸ” / πŸ“Ί / 🌳

Question#96 (reveal difficulty score)
A 48-year-old man is admitted to the hospital ...
Gemfibrozil therapy πŸ” / πŸ“Ί / 🌳

Question#97 (reveal difficulty score)
A 57-year-old man is admitted to the hospital ...
Vitamin B1 (thiamine) πŸ” / πŸ“Ί / 🌳





Question#102 (reveal difficulty score)
A 14-year-old boy is brought to the emergency ...
Cardiac monitoring πŸ” / πŸ“Ί / 🌳



Question#105 (reveal difficulty score)
A 38-year-old woman, gravida 1, para 1, comes ...
Osteoporosis πŸ” / πŸ“Ί / 🌳


Question#107 (reveal difficulty score)
A previously healthy 57-year-old woman comes ...
Right hemicolectomy πŸ” / πŸ“Ί / 🌳

Question#108 (reveal difficulty score)
A 37-year-old woman comes to the office for a ...
Generalized anxiety disorder πŸ” / πŸ“Ί / 🌳

Question#109 (reveal difficulty score)
A 55-year-old man comes to the emergency ...
Cefotaxime πŸ” / πŸ“Ί / 🌳

Question#110 (reveal difficulty score)
A 45-year-old man is brought to the emergency ...
Vitamin D πŸ” / πŸ“Ί / 🌳





Question#115 (reveal difficulty score)
A previously healthy 17-year-old girl comes ...
Tubo-ovarian abscess πŸ” / πŸ“Ί / 🌳

Question#116 (reveal difficulty score)
A 15-year-old girl is brought to the office ...
Gonadectomy πŸ” / πŸ“Ί / 🌳

Question#117 (reveal difficulty score)
A 50-year-old man returns to the office for a ...
Hydrochlorothiazide πŸ” / πŸ“Ί / 🌳



Question#120 (reveal difficulty score)
A 47-year-old woman comes to the office ...
S1 radiculopathy πŸ” / πŸ“Ί / 🌳



Question#10 (reveal difficulty score)
A 32-year-old woman comes to the physician ...
Iron deficiency πŸ” / πŸ“Ί / 🌳

Question#12 (reveal difficulty score)
A previously healthy 37-year-old woman comes ...
Paroxetine πŸ” / πŸ“Ί / 🌳




Question#17 (reveal difficulty score)
A 37-year-old woman comes to the physician ...
Streptococcus pneumoniae πŸ” / πŸ“Ί / 🌳

Question#18 (reveal difficulty score)
An 18-year-old man with a 12-year history of ...
Diabetic nephropathy πŸ” / πŸ“Ί / 🌳

Question#19 (reveal difficulty score)
A cohort study is conducted to compare the ...
Selection bias πŸ” / πŸ“Ί / 🌳


Question#22 (reveal difficulty score)
A previously healthy 27-year-old nulligravid ...
Incision and drainage πŸ” / πŸ“Ί / 🌳

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

Question#24 (reveal difficulty score)
A 4-year-old boy is brought to the physician ...
Intravenous immune globulin πŸ” / πŸ“Ί / 🌳



Question#29 (reveal difficulty score)
A 47-year-old man is brought to the emergency ...
Aortic dissection πŸ” / πŸ“Ί / 🌳


Question#33 (reveal difficulty score)
A 57-year-old woman comes to the physician ...
Paroxetine therapy πŸ” / πŸ“Ί / 🌳



Question#37 (reveal difficulty score)
A 32-year-old man comes to the physician ...
Bipolar disorder πŸ” / πŸ“Ί / 🌳

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

Question#40 (reveal difficulty score)
A 60-year-old man has had painful skin with ...
Toxic epidermal necrolysis πŸ” / πŸ“Ί / 🌳

Question#41 (reveal difficulty score)
A hospitalized 57-year-old man has had severe ...
Pseudogout πŸ” / πŸ“Ί / 🌳


Question#44 (reveal difficulty score)
A 37-year-old woman with AIDS comes to the ...
Cryptosporidium parvum πŸ” / πŸ“Ί / 🌳

Question#45 (reveal difficulty score)
A previously healthy 19-year-old college ...
Ceftriaxone πŸ” / πŸ“Ί / 🌳


Question#47 (reveal difficulty score)
A healthy 4-year-old girl is brought for a ...
Atrial septal defect πŸ” / πŸ“Ί / 🌳

Question#48 (reveal difficulty score)
A previously healthy 47-year-old man comes to ...
Colonoscopy πŸ” / πŸ“Ί / 🌳


Question#52 (reveal difficulty score)
A 38-year-old woman comes to the physician ...
Interstitial nephropathy πŸ” / πŸ“Ί / 🌳

Question#53 (reveal difficulty score)
A 25-year-old man is brought to the emergency ...
Heroin πŸ” / πŸ“Ί / 🌳


Question#56 (reveal difficulty score)
A 22-year-old man is brought to the emergency ...
Left tube thoracostomy πŸ” / πŸ“Ί / 🌳


Question#58 (reveal difficulty score)
A previously healthy 17-year-old girl comes ...
Asthma πŸ” / πŸ“Ί / 🌳

Question#59 (reveal difficulty score)
A 62-year-old white man comes to the ...
Phlebotomy πŸ” / πŸ“Ί / 🌳


Question#62 (reveal difficulty score)
A 62-year-old woman comes to the physician ...
Hypothyroidism πŸ” / πŸ“Ί / 🌳



Question#65 (reveal difficulty score)
A previously healthy 18-year-old man is ...
Diabetic ketoacidosis πŸ” / πŸ“Ί / 🌳

Question#66 (reveal difficulty score)
A 42-year-old woman comes to the physician ...
Endometrial biopsy πŸ” / πŸ“Ί / 🌳

Question#67 (reveal difficulty score)
A 15-year-old boy is brought to the physician ...
Exercise program πŸ” / πŸ“Ί / 🌳

Question#68 (reveal difficulty score)
A 5-year-old girl is brought to the physician ...
Echocardiography πŸ” / πŸ“Ί / 🌳

Question#69 (reveal difficulty score)
A 35-year-old woman comes to the physician ...
Meniere’s disease πŸ” / πŸ“Ί / 🌳



Question#72 (reveal difficulty score)
A 52-year-old woman has had dyspnea and ...
Mitral valve stenosis πŸ” / πŸ“Ί / 🌳



Question#76 (reveal difficulty score)
A previously healthy 24-year-old woman comes ...
Erythromycin πŸ” / πŸ“Ί / 🌳

Question#78 (reveal difficulty score)
For 8 weeks, a 52-year-old man with a 5-year ...
Femoral popliteal stenosis πŸ” / πŸ“Ί / 🌳

Question#82 (reveal difficulty score)
A 37-year-old man comes to the physician ...
Regular activity πŸ” / πŸ“Ί / 🌳

Question#83 (reveal difficulty score)
A 19-year-old woman noticed a mass in her ...
Fibroadenoma πŸ” / πŸ“Ί / 🌳

Question#85 (reveal difficulty score)
A 2-week-old newborn is brought to the ...
Tetralogy of Fallot πŸ” / πŸ“Ί / 🌳

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

Question#88 (reveal difficulty score)
A 47-year-old man comes to the physician 12 ...
Subarachnoid hemorrhage πŸ” / πŸ“Ί / 🌳


Question#90 (reveal difficulty score)
A 65-year-old man who is quadriplegic as a ...
Frequent turning πŸ” / πŸ“Ί / 🌳

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


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

Question#94 (reveal difficulty score)
A previously healthy 14-year-old girl is ...
Arthrocentesis πŸ” / πŸ“Ί / 🌳


Question#97 (reveal difficulty score)
A 19-year-old college student comes to the ...
Candidiasis πŸ” / πŸ“Ί / 🌳

Question#99 (reveal difficulty score)
A 65-year-old woman has a 6-month history of ...
Multinodular goiter πŸ” / πŸ“Ί / 🌳

Question#100 (reveal difficulty score)
A 52-year-old man comes to the physician with ...
Polysomnography πŸ” / πŸ“Ί / 🌳

Question#101 (reveal difficulty score)
A 22-year-old woman comes to the physician in ...
Influenza virus vaccine πŸ” / πŸ“Ί / 🌳






Question#108 (reveal difficulty score)
A 32-year-old woman, gravida 2, para 1, at 8 ...
Preterm labor and delivery πŸ” / πŸ“Ί / 🌳




Question#114 (reveal difficulty score)
A previously healthy 27-year-old man comes to ...
Cryotherapy πŸ” / πŸ“Ί / 🌳

Question#115 (reveal difficulty score)
A 20-year-old man has had frequent upper ...
Sweat chloride test πŸ” / πŸ“Ί / 🌳


Question#118 (reveal difficulty score)
A 57-year-old man comes to the emergency ...
Vitamin D deficiency πŸ” / πŸ“Ί / 🌳



Question#38 (reveal difficulty score)
A 77-year-old man comes to the office as a ...
Aortic stenosis πŸ” / πŸ“Ί / 🌳

Recent comments ...

... carolebaskin made a comment on step2ck_free120/block2/q#24 (A 32-year-old man who is a jackhammer operator comes...)
 +3 
submitted by carolebaskin(94)
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hsiT is rotetgSPheetrc-a aedesis

An rpuep ettyixrem mboorshsti eidrreggt yb mrextee t.ytaiicv

Hse' a itf gonuy hrkajrceaemm stuj gnryit ot od hsi mhaekamrjc hingt

... benwhite_dotcom made a comment on step2ck_free120/block1/q#2 (A 67-year-old woman comes to the physician for a...)
 +2 
submitted by benwhite_dotcom(627)
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ehntAaiess ot het laerlattoraen githh is the tsudriitinob of eth eltlara efaolmr usunoctea eervn. CLF rutnpeyoah nca eb asuedc by cpnesomrois eran het giliuann eagtlmni ,(ysa mofr a hm.)omatea teoN taht ’its eth eicnrspoosm fo teh eernv htat aseucs eeasrcded iastonse,n not eht amteoham ltsife.

... carolebaskin made a comment on step2ck_free120/block1/q#2 (A 56-year-old man has had the painful weeping rash...)
 +2 
submitted by carolebaskin(94)
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Dorewpd no a eosr aplet pencpaeraa in a CN 1V raemaotlmd trob.tdiniuis hRas si pnlaiuf adn .nwgpiee cumsodIrmoiepmmno host sp(/ oh)emc


rWogn saewrns

eo:pmtgiI ynoeh ecodlro sigtcrnu nloise ardetel to uprgo A etpsr ntoicfien

eyoamrPd egrogms:unan intkh rngee eeehc;s uylluas a gislen gealr oudrn .celru dyilaRp rpossgsree mfro lslma eplpua ro supuetl to rlega inafulp ecrul wiht l,puutrne iulascvoeo ror.edb eiacsAtods hwit DBI (crhno deasi,se ,CU A,R a)tma.ur Msot comnloym eowrl .lbsim

sph:yiliS asCeus a fwe seytp of nski osn:seli ehrcca,n gumsa,m .ect :arnecCh ostm o,mconm passl,ine atnei.gl o'snDet rlelay fit het rysot heer a.wynay

SE:L edos'tn itf

yankee2222  Thank-you for going through each ans choice, that's very helpful in identifying the why, appreciate it! +
... benwhite_dotcom made a comment on step2ck_free120/block1/q#8 (An obese 33-year-old woman has had four 12-hour...)
 +2 
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ga,inA tceau RUQ pian (leyaplecis in na seebo o)mwna doulsh set fof eth ontegllsa maslr.a rFvee and eroth eticmssy isns,g hwtei ,ontcu tce dlea oyu dnwo eht aetcu iesilcyo.cstth Simpel inap aedls uoy to ysmpamotitc catilihlo.hssie iEhert wya the trsfi pest is ot gte a QRU sono to ees hoets !seonts AIDH si desu as na cudvajneit sudty ni sscae fo aolschsihtiiel ot essass rfo tcyisc utcd ncsrtuotoib ad(n hust lleyki teacu olcchetsi)tyis ni uleoiaqvc c.ssea

... benwhite_dotcom made a comment on step2ck_free120/block1/q#9 (Five years after being shot in the right thigh, a...)
 +2 
submitted by benwhite_dotcom(627)
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atumPt-itrscao AV iutlsaf! uJst elik dilisyas AV siauletf veah tbuirs adn hsli,trl os od elplpon-uyfusnor dreetca .eons seThe acn aket a ognl miet to romf btu anc eb staacisdeo with lseat ysnroedms ude to ceaeedrds fiponeurs ot hte tlsida eme,ttyirx osenvu tonmipcene,ce arsoiiesv,cti adn ulvtnyeael ntssoese eud ot barlsyeuaonn ighh f,wlo nad even outhu-hpigt terha erliu.fa

... benwhite_dotcom made a comment on step2ck_free120/block1/q#10 (An 18-year-old primigravid woman comes for her initial)
 +2 
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eW nac oyln tup hte rlatboraoy tetss tion txcetno fi ew hvae an ccraauet ngttsaoeial eag. eiScn her MLP is ellreinaub y(lttoal nkown),nu we eedn na odtsnuluar ot adte hre ncr.ynaegp hTe toms oconmm eucas fo an abraonlm SFAMP si owgnr atd.es

... carolebaskin made a comment on step2ck_free120/block1/q#11 (A previously healthy 34-year-old woman is brought to...)
 +2 
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eMtse hte 5 FTA NR e:ctiarir

  • erevf
  • naimea
  • ytmohrbicnaoetop
  • nrale sstymopm
  • reoun mpsoymst

Al,so ndIciter erebiuhiiliapyrbmn and draeescin HLD shuodl tip oyu ffo ot MHAA

... benwhite_dotcom made a comment on step2ck_free120/block2/q#28 (A 6-year-old girl is brought to the physician because)
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itcoAp rmideiastt e()mzcae is eht thicβ€œ htat ”ssaher. tIs’ eon leg fo hte eagilclr rt:dia mtash,a aliergcl iirths,ni dan ptciao ae.iidttrms tenematrT is wiht palctio desositr and gosoriur temlieonl rheayp.t

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tpluMiel ltyci neob loisnes alsqeu eplilmtu myleo.am rtcletc/ocBiialss osnlise dlhous meak uyo inthk of mttaeictas eaopttrs anccre in( men) and tabers ccnear in( monw.e)

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anePtsti how aehv eht tcicapay ot mkae dleamci iedoiscsn rea lwdeloa ot serfue f-iielvnasg cilemda tteremta.n oYu ldsohu fofer it tub ctpace reh l.asuefr

... benwhite_dotcom made a comment on step2ck_free120/block1/q#9 (A 70-year-old man comes to the clinic because of a...)
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eWnh dlo emn tops ipeneg os ,lwle ondciser hte poyolr eindgeds rrwtse-ruasc,h eht oettsap.r oCnhrci tuleot ostucoinrbt nst’i os eagt,r btu ti aslo edseirsppos to cateu topasttsiri hwchi in tnru can uhrterf rnwsoe aids tnrcuotiobs wenh het dalgn ss.lelw tFsri hitng ot od is see who hmcu eth eengnmtel si daekcb pu, wcihh in unrt leslt us fi eh ahs nrdeae oictiranzh.eetat Odl oeppel nda ITsU go trteoegh ikle [esritn uyor onw reevcl somrnapcio.]

tinylilron  so we should work him up for post-void obstruction BEFORE we treat his UTI???? +1
... benwhite_dotcom made a comment on step2ck_free120/block2/q#53 (A 44-year-old man comes to the emergency department...)
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htCes pani in the intgset fo a tcrene IUR dan ihwt the lrgoa-dew ST leeanitov in utlmepil seald si eht cilssac nitetgs fro serdc.tapirii The tscahcry odnus is eht erlβ€œriapdaic u”b.r ochE liwl esssas orf a adcerpiirla enfisuof (nad ist ,)sgsicaicizenei/fn laridaiercp iekinntch,g sa llwe sa assess for levloar rcidaca .nnofiutc

jcrll  Viral URI = "3-day history of chills, muscle aches, and fatigue?" +
... anonmedstudent made a comment on step2ck_free120/block3/q#85 (A 9-month-old boy is brought to the office by his...)
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h'Teeyr idcbinsgre eallub 2/2 ot rtawe runb rfom ippgdni eth bb iton hot tware t-biftrtsu

... benwhite_dotcom made a comment on step2ck_free120/block1/q#19 (A cohort study is conducted to compare the incidence...)
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A rcohto yudts as( eopospd ot a dziadnorem letonclord i)tlra is iper orf olesictne bsi,a hcwhi scorcu newh teh ratenemtt and ocltnro psurgo rea not ruytl brpalcmoae. hicaMtng fro emso scoatfr (a,eg )gdeern endsto’ mean y’vuoe dloeltncro fro lla eobpssli rfesudonnco. t’ahTs hwat oozaditanmnri e!sod

tinylilron  This one tripped me up and I selected Type I error but I guess the p value= 0.01 so Type 1 is less likely... Am I thinking about this correctly? +
... benwhite_dotcom made a comment on step2ck_free120/block2/q#58 (A previously healthy 17-year-old girl comes to the...)
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Chuog si fenot eth olyn nigs fo amah.ts -dndxrecuiEciees asathm si i-scuxnercedeied as.tahm

... derpymd made a comment on step2ck_free120/block2/q#58 (A previously healthy 17-year-old girl comes to the...)
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VC1E/FVF lilw eb g&;t 0%8 ni dmli ro iinetmrttten hasmat

tomatoeandspinach  OME notes - between attacks, lungs sound normal. pt. looks normal. PND is mcc of chronic cough is non-smoking patient, however, this patient has exertional cough. PND is more c/w night-time cough. The labs/imaging also c/w intermittent asthma, FEV1/FVC >80%. +
... benwhite_dotcom made a comment on step2ck_free120/block2/q#63 (A previously healthy 32-year-old man is brought to...)
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angOr anoodnti si a moplxec otarlziagaionn dacne, nad eht aengroli tncmuepoerr toaniarzonig masange the it-itgntyryt ct.ssape

... benwhite_dotcom made a comment on step2ck_free120/block3/q#88 (A 47-year-old man comes to the physician 12 hours...)
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ouY oknw what ecasus neddsu nstoe eahahced nad nekc iesf?ssfnt diSaauohrbcn har.grehoem eTh tfsir piesedo nca eb ntitsrna,e eht code-alsl linseten eldbe efbroe a stpircaotahc yraunlasme l.debe

... benwhite_dotcom made a comment on step2ck_free120/block1/q#4 (A 42-year-old woman is brought to the emergency...)
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Uenatlsb dan ohtyniveesp ptiensta eraft utlnb truaam gte erlotpmioaas odtn’( tup na ebuslatn pneatit ni eht CT srn)eca.n In aidnidto to ainsel and dolbo usptrod,c iietfevdni ryrgeus si how yuo ddaress hte C ni .ABC

tinylilron  Why not a Thoracotomy??? +2
bigjimbo  no thoracotomy because thats for unstable lung injuries like persistent hemothorax. The question is tricky because it says SOB and ABDOMINAL pain. paired with the green fluid (boerhaave or pancreatic), laparotomy is a safer answer +
... benwhite_dotcom made a comment on step2ck_free120/block1/q#7 (A 9-year-old boy is brought to the physician because...)
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iPxlmaor umscle ssnaekew + skni sfinidgn = meimtyt.soiaodsr ,Yse kisd anc get sit.h In this ,ecas v’eyhet egon to eth tberolu of iegrbdsnic ontrG’sot aupsple aftdpβ€œp-(elto erd upespal over all sku)knl”ec nad teh lrpehtooie srha dlreup(-epr roiaocnsliotd roev hte .els)diye aelseP nteo teh LEMUS wlil veern tlyaucla ays nhsgti hoetβ€œo”eirpl no het taacul e.xam Tyhe ayalws sd.brieec

langusmle  Don’t forget to do age appropriate cancer screening +1
... benwhite_dotcom made a comment on step2ck_free120/block1/q#2 (A 56-year-old man has had the painful weeping rash...)
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ralmDmateo rahs sname zsetor a( olhicl/cvapekrianexc eoiravttncia essde).ia unmemI sni,utsl ikel teh,ymphearco idorsepesp to orezst f.arlse

... benwhite_dotcom made a comment on step2ck_free120/block1/q#3 (A sexually active 20-year-old woman has had fever,...)
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Teh STD taht somrf a pilfanu recul aak daccnrohi = H creydiu irceydu( emksa you ,yrc as yeht a)ys.

ishockk  Since when did ducreyi start causing pustules? and satellite lesions? This fits with Strep pyogenes much more than ducreyi +2
tinylilron  First aid says papule/pustule-->ulcer/chancroid +
tinylilron  I wanted to choose HSV but it was not an option +1
... carolebaskin made a comment on step2ck_free120/block1/q#4 (A 67-year-old woman comes to thy physician 1 month...)
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isTh is a aktc.rtohaoaeanm

I'ts a upc asehpd quuoamss lcle mciarncoa 'atths idlefl htwi tekrnia .erdbsi tI dlayrip sgrow thne ylalsuu soulaytsepnno .reeressgs Bu,t 'ist litls na SCC, so ew sldouh scixe.e

... benwhite_dotcom made a comment on step2ck_free120/block1/q#4 (A 67-year-old woman comes to thy physician 1 month...)
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heT htngi you od iwth gtinhs ttah loko ikle snki cnraec si sxeeci emth mcyloetlpe.

... carolebaskin made a comment on step2ck_free120/block1/q#10 (An 18-year-old primigravid woman comes for her initial)
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resnIdcea FAP can eb eud to

1) aeurln teub tecsdef

2) aianolmbd wlla etedcfs

)3 uemipllt tntseosgai

Do an dsutnraulo to /ro )3(

... benwhite_dotcom made a comment on step2ck_free120/block1/q#11 (A previously healthy 34-year-old woman is brought to...)
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PTT aywlsa essem ielk oot ymna rsapdetai yomtpsms btu utjs rebmreem hte ptdn:ea piraycn,toooebmth naomcpircoiigtha lcyimeoht miaae,n oclroniueg tmsp,osym laern ,fuairel nda v.efer fI het otmpysms stli eessm userp ,nolg ekpe TTP in .ndmi

... benwhite_dotcom made a comment on step2ck_free120/block1/q#13 (A 27-year-old nurse comes to the emergency...)
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gWinork pu eruisos yighplyoacem ileovvns maemeursnte fo thbo ilinsnu nad ei-dppCet (teh deveacl bcydpu-otr fo eondungsoe )nsilriopun ot saesss rfo ueyhenisrinaplmi dan higidisunst noeesugond .(g.e lmnusin)oia fmro ogxunseoe ..ge( ssnhuuna’)Mec aeus.cs usβ€β€œreN si a ocmmon sunhacneuM f-ipfot omseoen( hwti hte -ownhwko adn sislkl ot lulp ti ffo )ll.ew

... benwhite_dotcom made a comment on step2ck_free120/block1/q#17 (A 2-month-old boy is brought to the physician...)
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hseeT uenoqstsi nac be a treu napi fo obihersitymc on hte ptSe 1 ro reliaelvty rfoshgatatiwrdr didnpnege on hwo llew yuo ownk ti. ihsT tinaept sah lcssaliac tia,oecmaGsal caseud yb a ifcecnyedi in -a-ea1lgPtsco rydilu snsrafrteae cdiceinyfe, hte eenyzm htat otnecvsr slotgeaca nad sletoac ot e.cgsluo eontleIcran to a,idry y/taiorghaepmelvle jn/uaedesiedscai wiht phaecgoylmiy ude to deradesce sgeun,sooceginel nda ndiceurg netsacbssu in nruei rae .cslsica nsietssLelss dan greaytlh seenu iwht metaln oiaadnetrrt dan vluyletnea dahte fi dturatne.e taCsacrta aer aols oncmom. fI oyu nddt’i teg to gcmtoaslaeia or( ghtuoht ti saw oVn eskieG’r iee,ssda hcihw nts’i lal that esu,r)nbeaaoln eht eanswr si stlil .A yB csorpes fo ,iniimaoetnl gniev eht sumre gypaoileychm btu on renui elgs,cou het seusi is eth ntybliiia to ekam egscoul ormf esrtso no(t ot obarbs i)t.

... carolebaskin made a comment on step2ck_free120/block2/q#37 (A 70-year-old man comes to the physician because of...)
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laayprcicmeHe + cyitl ipnlas ieslosn = elmlpitu lmemaoy

htWa tboua the ef,erv o,osskuilecyt adn ?salotciiodonn

MM sserespopdi to etnnicof!i tsI' PA.N

... carolebaskin made a comment on step2ck_free120/block3/q#20 (Three days after hospitalization for diabetic...)
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eaEsyaa ,reteh en.atrrp hyeT dais htey tnod' tanw inulisn dna ue'roy gaonn ckik temh to the ?bcur

One tsep ta a ietm, dub.

rfeOf eht lisn,niu tle mthe eesrfu y(eht msee ot haev tc,acyaip) utb how erve asdi thainnyg auobt rgiidcanghs m.eht

erheW ulowd tyeh g!o?

ev'Hant yteh bnee utoghrh nuogh?e

... benwhite_dotcom made a comment on step2ck_free120/block1/q#11 (A 52-year-old man with hepatic cirrhosis comes to...)
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We veha vteen raste of %53 rof EST nad %51 rfo ,ESPC nad het enubmr eneedd ot retat N()NT is eth eisnrev fo eht tsbolaeu ikrs itunderco or 1ARR/. ARR = ltnrooC eevnt erat nmsui mnetrpixee vtnee etr.a So, we hvea ARR = 53.0 – 015. = .2,0 and feeetrhro TNN = 1/0.2 = .5 omB,o ta.mh

tinylilron  Yey!!! +
... benwhite_dotcom made a comment on step2ck_free120/block1/q#14 (A 42-year-old man comes to the office as a new...)
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Whti ttanremte d,eacenrhe mtos HstoIveipVi- idniauidlvs llwi dei of teh sema ginhst sa hte ters of us: the iraeAmnc ayw of ielf.

mmizell  I also reasoned that the HAART drugs have CVD risk factors, like diabetes and hypertriglyceridemia, as side effects. +
... benwhite_dotcom made a comment on step2ck_free120/block1/q#16 (A 58-year-old woman is brought to the office by her...)
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alyRidp gepivorsres eadetmin hw(it ro othiutw rlsoinapety cghsaen, hpacsiiryct enr,uiascsbtd dna /jekdnusrde oneemts)mv rsiase teh ypbitslsioi fo edrlt-JfCakzbuteo e,ssidea rfo cihhw CFS nepitor 134--3 si an noamritpt r.maker

... benwhite_dotcom made a comment on step2ck_free120/block1/q#17 (A 38-year-old woman is brought to the emergency...)
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olwS srouesbnmi ngrmiwa is eyk wneh lagendi whit fteoi.btrs Ari and soer/gssstilewnd ear proo otdcnrcous fo ete.rpmetrau

... benwhite_dotcom made a comment on step2ck_free120/block1/q#21 (An 85-year-old man with severe dementia, Alzheimer...)
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igUsn eth tosm pxenveise ihgtns ’snit lawsay a rgeta seu fo edmiitl eurcersso. In a evyr leelrdy tpitena wtih amidtnee and eullmipt lacdemi oi,oscmriiebdt ouy porybbla ’ondt ndee eht mtso lon-ggnsilta ivnxpmsseoete- sttens henw the nlgo etrm lvaiursv cserppsot fo eht ineaptt aer s.ildam

... benwhite_dotcom made a comment on step2ck_free120/block1/q#23 (A 55-year-old man is brought to the emergency...)
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hTe banaan !gab uYo ighmt eb igtnnkhi fo aeuFlnlmiz ot eesrevr hsi zoben ,ues btu be ywar of sgiun ni na eowsirthe teasbl hoccrin eusr as isth cna paipteecrti .zreuisse H’se sola broblapy ndrk,u ubt atht ew’ll stuj twai .uot nI isht sec,a hes’ aewka nad gntetcorpi ihs wayair tub ’seh ohticc.panealhpe hWne na colclahio si ch,aelhtpnceaiop hnikt ’seknrWice adn veig itmnha.ei veEn fi hyeer’t sjut nilap ole nrduk yo’reu ont oggin to urth .them

etherbunny  Especially give thiamine before giving dextrose to correct his low glucose level, which is probably the cause of his AMS! Glucose before/without thiamine can exacerbate Wernicke's. +1
... benwhite_dotcom made a comment on step2ck_free120/block1/q#25 (A 5-year-old boy is brought to the emergency...)
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shTi si a uiefsfd nopteni oamgl,i a tahed ee.nsecnt ouY n’dot elraly eedn ot wkon atth, bcseaue the mest etlsl oyu of the proo nsg.psioro hrveeWne nmeoeos si ereetpsnd with a sosieur ,dgissiona nya tmeetatrn ssnsuocidi rtstsa hwit bliseithgsna a lsbneaie ntsidadgnrenu of het edasesi cosrpes nad enth isdguncsis gaols of a.rce

... benwhite_dotcom made a comment on step2ck_free120/block1/q#26 (A 50-year-old woman comes to the office because of a...)
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eW vahe a -edgaileddm acblk flemea sa the .tepus mlyorPuan siseaed tiwh RCX iwosngh eltiaarlb ahril ynaaohdpte. heS sah tecuonasu neoivtnvmel of eth fe.ac esautoCnu onimlvteenv is srnetpe ni /31 fo eimscsty cssae tbu nac ahev a airvyet fo p.aaasnperce

... benwhite_dotcom made a comment on step2ck_free120/block1/q#28 (A 23-year-old man who is on active duty in the US...)
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uSrcoe nlotrco dlwoolfe yb yacptosmitm fereli. eHav ouy orlsesyiu veer dhare of eoanyn ndgoi yna of atht oehtr cayrz ?utffs

etherbunny  I was fooled into an ophthal consult by the "dusky" orbit. +1
len49  @etherbunny, never consult anyone on NBME lol +
... benwhite_dotcom made a comment on step2ck_free120/block1/q#30 (A 60-year-old woman comes to the office as a new...)
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PUSTSF cromdmenes cailiinscn ncrese all dasltu gae 9-178 rfo tshepiiat C i.ctenifon

... benwhite_dotcom made a comment on step2ck_free120/block1/q#33 (An 82-year-old man comes to the physician 1 month...)
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If yuo hghttuo atth okloed klie a sumusoqa ellc icacorman, ’thtas eecuasb ti .is A oaoacratmthnake is eth nmea of hte vnauect-oogrilpn nav,iart htguho emso ttsokoehcaaanamr llwi reevosl suonnoyaltpse dan soterh prisrsgveoe ot iavenvsi canec.r

... benwhite_dotcom made a comment on step2ck_free120/block1/q#34 (A 37-year-old man comes to the physician for a...)
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STPFUS eoncdrsmme all emn 35 adn oelrd w(emno 45 dna odr)le aer escdeern rfo lpiid ei,dorrsds dan ega 02+ ofr estoh hwti niesecdar krsi of CD.A

... benwhite_dotcom made a comment on step2ck_free120/block1/q#37 (A 32-year-old nulligravid woman comes to the office...)
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She is tyrlurnce rtde.caebpii Btu ton for g.lno emms(Ctno muts eb bwtneee 40 dan 2519, rhaercstac)!

... benwhite_dotcom made a comment on step2ck_free120/block2/q#47 (A 57-year-old man comes to the physician 1 week...)
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ytnnHpoieesr si hte erumbn 1 irks fratco for toerk.s aodliynA,tidl lhwei omiksgn eticsnaso si aosl rnptoa,mit ti eatks arsye rof teh drtlisueeeo aruasvcl estfcef fo nmkgsio to r.mzeaioln thpyeAeistoninnr threyap is edende tgrhi onw dna sha a umhc gehirh okdliehloi of ssuecsc nhta gstiponp mneoseos’ thbai of a te.lmiefi

... benwhite_dotcom made a comment on step2ck_free120/block2/q#67 (A 25-year-old woman is brought to the emergency...)
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oiedursPsezseu are dnesaodgi ni sUEM htwi vedoi EE.G uYo tmach eth heovibra hwit eth EEG to ees fi erthe rea eiliertpfopm egcihdsrsa tath pcdosenrro to eth edipo.ess hlWie siht si elylarc aubsdr rfo na picteelip ruzsiee lpibss(iome emmsoe,vtn ensnia roui,atnd dna no apitclost iped),or ehter ear lnepyt of esacs of ezbrira ieszure natpsetr atht era EGEV n.vepro

etherbunny  I guess gone are the days when one might support the airway during a seizure with an oropharygeal airway to see if the gag reflex is intact... +
kalam  wtaf? She's not having a seizure anymore. Why the fuck would VEEG be useful in a patient sitting there looking at you? +
kalam  wtaf? She's not having a seizure anymore. Why the fuck would VEEG be useful in a patient sitting there looking at you? +
len49  @kalam, this will be the case for patients with real bonafide seizures or pseudo ones. They might seize once and then you place the EEG on for 24-72 hours and not capture anything, but it is still worth the effort because they may have another while hospitalized. +
... benwhite_dotcom made a comment on step2ck_free120/block2/q#72 (A 3-week-old boy is brought to the physician by his...)
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icJuaned in the oner.nwb eWhn codajn,utegnu tillaypyc yshcβ€œolop,iig” twhi wto omoncm cesusa iederstagebfn cineduja ud(e ot fiinneitcufs kaetni) dan bskmrtil-ea jnaieu.dc In siht ceas, oe,hrevw hte aiubmnieilibr is gdueaojtcn ”(,)ticrβ€œde cwhih ssgsguet sic.shalseto rdaonlUtus si ddenee to tavleuae hte iervl dna aibriyl metsys.

... benwhite_dotcom made a comment on step2ck_free120/block2/q#76 (A 52-year-old man comes to the emergency department...)
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essosOu egrfntma ta eht hifft raattselam esba ni eth tontxce fo a trecne nlp-niakares ptye irunyj si olpiebtmca thwi na oaniusvl err.aufct hseTe rea oftne etreatd y.nloaotneepirv

... benwhite_dotcom made a comment on step2ck_free120/block3/q#82 (A 76-year-old woman, who is receiving home hospice...)
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lHep ehr efle etrtb.e t’hsTa eth ponti of hopices.

... benwhite_dotcom made a comment on step2ck_free120/block3/q#85 (A 9-month-old boy is brought to the office by his...)
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I kithn het nceotdripsi eerh is a titlel od,d but yeh’ter sgeutsgngi st’ehre ecndveei of elyarl srousie ni.kgapsn heWeevrn teh tsyor tnsde’o kame eesns or ehert rae yna innogeccnr sihlcpya amex d,isinfgn it si iatciclr to korw pu for decnnlatainoc umraat.

... osler_weber_rendu made a comment on step2ck_free120/block3/q#85 (A 9-month-old boy is brought to the office by his...)
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Eenv fi ewe'r ecstsgpuin e,usba teh naresw dshlou eb to tocntca dhlic oteecritvp vsciesre. ta hW if het aurbes sedo nto hit hte ih?ldc nCa be abues htwi a nge lsketael sueyrv aanyyw

len49  Pick the best answer of the choices, not necessarily what you would do in real life. +1
drdoom  @len49 Sure, but in that case you’re not saying much about /why/ β€œSkeletal survey” is the best answer choice from the NBME-frame-of-mind. Can you elaborate? +1
drdoom  @osler My guess is that a skeletal survey is what β€œclinches” evidence of ongoing abuse, since skeletal surveys can reveal bone and tissue injury at /varying (time) stages of healing/, which is the kind of evidence CPS is going to need to establish a PATTERN of abuse and discredit claims like β€œthis was just a one-time β€˜accident’.” +1


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