Step 2 CK NBME 8 Exam
Questions and Answers 100%
PASS
42 YO male presents with SOB for 3 weeks
-Breath sounds decreased over left hemithorax
-CXR shows mass involving the left upper and lower lobe
-Biopsy shows uniform small round cells with darkly staining nuclei
What is initial tx?—ANSWER-Small cell lung cancer
-initial therapy is chemotherapy bc surgery has limited role given that these tumors are
nonresectable
27 YO male with cough , SOB, weight loss in 6 mons. PE shows A/P Cervical LAD and white
plaques over buccal mucosa
-CXR shows diffuse bilateral infiltrates
,diagnosis?—ANSWER-AIDS
-pt has oral thrush, clear aids defining illness
25 YO woman wants to discuss risk for dementia
which of the following has greatest predisposing risk?
-fmhx
-gender
-head injury
-low educational level
-smoking—ANSWER-family hx
72 YO woman undergoing rehab s/p 6 weeks after cerebral infarction. Has urinary dribbling
and palpable smooth mass in supra public area
-UA shows 3-5 squamous epithelial cells/hpf
type of urinary incontinence—ANSWER-neurogenic bladder
urge incontinence
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
, cause and management—ANSWER-due to detrusor instability (think older nursing home
patient) having the sudden urge to void but only goes a little bit
manage with exercises first then anticholinergic medications
Stress incontinence
cause and diagnosis—ANSWER-weakness of pelvic diaphragm (think women with multiple
babies) urine with physical movement
manage with Kegel exercises, estrogen therapy, pessary, surgery (midurethral sling)
overflow incontinence
cause and diagnosis—ANSWER-inadequate bladder contraction (think older person with
neurologic deficit like DM or stroke)
self Cath, cholinergic meds(increase contraction) , alpha blockers (decrease sphincter
resistance)
52 Yo mane comes because of 3 day fever, diffuse cervical LAD and liver edge is 2cm below
right costal margin, spleen is 2 cm below.
Questions and Answers 100%
PASS
42 YO male presents with SOB for 3 weeks
-Breath sounds decreased over left hemithorax
-CXR shows mass involving the left upper and lower lobe
-Biopsy shows uniform small round cells with darkly staining nuclei
What is initial tx?—ANSWER-Small cell lung cancer
-initial therapy is chemotherapy bc surgery has limited role given that these tumors are
nonresectable
27 YO male with cough , SOB, weight loss in 6 mons. PE shows A/P Cervical LAD and white
plaques over buccal mucosa
-CXR shows diffuse bilateral infiltrates
,diagnosis?—ANSWER-AIDS
-pt has oral thrush, clear aids defining illness
25 YO woman wants to discuss risk for dementia
which of the following has greatest predisposing risk?
-fmhx
-gender
-head injury
-low educational level
-smoking—ANSWER-family hx
72 YO woman undergoing rehab s/p 6 weeks after cerebral infarction. Has urinary dribbling
and palpable smooth mass in supra public area
-UA shows 3-5 squamous epithelial cells/hpf
type of urinary incontinence—ANSWER-neurogenic bladder
urge incontinence
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
, cause and management—ANSWER-due to detrusor instability (think older nursing home
patient) having the sudden urge to void but only goes a little bit
manage with exercises first then anticholinergic medications
Stress incontinence
cause and diagnosis—ANSWER-weakness of pelvic diaphragm (think women with multiple
babies) urine with physical movement
manage with Kegel exercises, estrogen therapy, pessary, surgery (midurethral sling)
overflow incontinence
cause and diagnosis—ANSWER-inadequate bladder contraction (think older person with
neurologic deficit like DM or stroke)
self Cath, cholinergic meds(increase contraction) , alpha blockers (decrease sphincter
resistance)
52 Yo mane comes because of 3 day fever, diffuse cervical LAD and liver edge is 2cm below
right costal margin, spleen is 2 cm below.
