NBME 9 STEP 2CK with 100% correct answers rated A+ 2024/2025

NBME 9 STEP 2CK PPSV-23 vaccine - correct answer > or = to 65 yo or pts 19-64 yo w/ underlying medical conditions ie immune compromised ie HIV booster given 5 years after initial dose PCV 13 vaccine - correct answer Given kids up to 18 yo, or immunocompromised, CSF leaks, end stage kidney dz, cochlear implants Post-transplant lymphoproliferative disorder - correct answer Caused by EBV after pts have solid organ or stem cell transplants on high dose immunosuppressive medications. Present: discrete extra nodal mass, weakness, hyper reflexes, brain mass homogenously enhancing Tx: reduction in immunosuppressive medications or use of rituximab EBV - correct answer Proliferation of monoclonal B lymphocytes Multiple Myeloma - correct answer Monoclonal B lymphocyte disorder M-Spike: neoplastic proliferation of single plasma cell clone which overproduces immunoglobulin and light or heavy chains diagnosed: M spike on electrophoresis, confirmed w/ bone marrow biopsy w/ 10% clinal plasma cells Presents: bone pain, anemia, hypercalcemia, kidney destruction, lyric bone lesions Acute dystonia - correct answer Painful involuntary muscle spasms in response to antipsychotics Presents: torticollis ( head tilted to side and down), retrocollis ( head tilted back), opisthotonos (arching back) and oculogyric crisis (deviation of eyes), laryngospasm or strider rare risk: young, male, cocaine use, h/o previous acute dystonia Tx: diphenhydramine or benztropine Specific phobia - correct answer