Step 2 CK NBME Form 7 Questions with Answers 2022

Impaired fertility in a man w/high-riding bilateral scrotal mass. Underlying cause? * Answer-Varicocele. 82 year old with decreased vision. Dilated veins, widespread retinal hemorrhages intermixed with white plaques on fundoscopic exam. Diagnosis? * Answer-Central retinal vein artery occlusion. 15 year old girl on chronic steroid therapy presents with acute back pain. Most likely cause? * Answer-Osteoporotic compression fracture. Patient with flank pain with radiation to the groin and normal vital signs. Pain relieved with morphine. Next best step? * Answer-Increase fluid intake and send home. Terminal cancer patient that comes in with acute onset lower back pain. She is taking morphine Q4 which works for a bit but then subsides. What should you do to her regimen? * Answer-Make the morphine Q3 so she has adequate pain control. A young infant that has bilateral retinal hemorrhages and tense fontanelle. What is the most likely cause? * Answer-Child abuse What is the treatment for an acute gout attack? * Answer-1. NSAIDs: Indomethacin 2. Steroids 3. Colchicine Patient who is sick in the ICU, and has (comatose level) hypernatremia. She has a low urine specific gravity. Normal kidney function. What is the underlying cause of hypernatremia? * Answer-Diabetes Insipidus. She cannot concentrate her urine. 4 year old boy. Suddenly develops a pancytopenia, has hepatosplenomegaly and adenopathy. Some mild gingival bleeding. Next best step? * Answer-Bone marrow biopsy. This kid has ALL.