Step 2 CK NBME Form7 {latest, ALL ANSERS CORRECT}

L ANSERS CORRECT} 1. Impaired fertility in a man w/high-riding bilateral scrotal mass. Underlying cause? – Varicocele. 2. 82 year old with decreased vision. Dilated veins, widespread retinal hemorrhages intermixed with white plaques on fundoscopic exam. Diagnosis? – Central retinal vein artery occlusion. 3. 15 year old girl on chronic steroid therapy presents with acute back pain. Most likelycause? – Osteoporotic compression fracture. 4. Patient with flank pain with radiation to the groin and normal vital signs. Pain relievedwith morphine. Next best step? – Increase fluid intake and send home. 5. Terminal cancer patient that comes in with acute onset lower back pain. She is takingmorphine Q4 which works for a bit but then subsides. What should you do to her regimen? – Make the morphine Q3 so she has adequate pain control. 6. A young infant that has bilateral retinal hemorrhages and tense fontanelle. What is themost likely cause? – Child abuse 7. What is the treatment for an acute gout attack? – 1. NSAIDs: Indomethacin 2. Steroids 3. Colchicine 8. Patient who is sick in the ICU, and has (comatose level) hypernatremia. She has a lowurine specific gravity. Normal kidney function. What is the underlying cause of hypernatremia? – Diabetes Insipidus. She cannot concentrate her urine. 9. 4 year old boy. Suddenly develops a pancytopenia, has hepatosplenomegaly and adenopathy. Some mild gingival bleeding. Next best step? – Bone marrow biopsy. This kid has ALL. 10.Patient has a first time positive PPD and a negative chest X-ray. What is the next beststep? – This patient has latent TB. This means that he needs to be treated with INH for 9 month