USMLE Step 2 CK NBME 7 High Yield
Exam Questions and Answers
Impaired iifertility iiin iia iiman iiand iihigh iiriding iibilateral iimass. iiWhat iiis iithe iiunderlying
iicause? ii- iiAnswers ii-Varicocele.
82 iiyear iiold iiwith iidecreased iivision. iiDilated iiveins, iiwidespread iiretinal iihemorrhages
iiintermixed iiwith iiwhite iiplaques iion iifundoscopic iiexam. iiDiagnosis? ii- iiAnswers ii-
Central iiretinal iivein iiartery iiocclusion.
15 iiyear iiold iigirl iishe iiis iion iichronic iisteroid iitherapy. iiNow iipresents iiwith iiacute iiback
iipain. iiWhat iiis iithe iimost iilikely iicause? ii- iiAnswers ii-Osteoporotic iicompression
iifracture.
Patient iiwith iiflank iipain iiwith iiradiation iito iithe iigroin. iiHe iihas iinormal iivital iisigns. iiPain
iirelieved iiwith iimorphine. iiNext iibest iistep? ii- iiAnswers ii-Increase iifluid iidischarge iiand
iisend iihim iihome.
Terminal iicancer iipatient iithat iicomes iiin iiwith iiacute iionset iilower iiback iipain. iiShe iiis
iitaking iimorphine iiQ4 iiwhich iiworks iifor iia iibit iibut iithen iisubsides. iiWhat iishould iiyou iido
iito iiher iiregimen? ii- iiAnswers ii-Make iithe iimorphine iiQ3 iiso iishe iihas iiadequate iipain
iicontrol.
A iiyoung iiinfant iithat iihas iibilateral iiretinal iihemorrhages iiand iitense iifontanelle. iiWhat iiis
iithe iimost iilikely iicause? ii- iiAnswers ii-Child iiabuse
What iiis iithe iitreatment iifor iian iiacute iigout iiattack? ii- iiAnswers ii-1. iiNSAIDs:
iiIndomethacin
2. iiSteroids
3. iiColchicine
Patient iiwho iiis iisick iiin iithe iiICU, iiand iihas ii(comatose iilevel) iihypernatremia. iiShe iihas
iia iilow iiurine iispecific iigravity. iiNormal iikidney iifunction. iiWhat iiis iithe iiunderlying iicause
iiof iihypernatremia? ii- iiAnswers ii-Diabetes iiInsipidus. iiShe iicannot iiconcentrate iiher
iiurine.
4 iiyear iiold iiboy. iiSuddenly iidevelops iia iipancytopenia, iihas iihepatosplenomegaly iiand
iiadenopathy. iiSome iimild iigingival iibleeding. iiNext iibest iistep? ii- iiAnswers ii-Bone
iimarrow iibiopsy. iiThis iikid iihas iiALL.
, Patient iihas iia iifirst iitime iipositive iiPPD iiand iia iinegative iichest iiX-ray. iiWhat iiis iithe iinext
iibest iistep? ii- iiAnswers ii-This iipatient iihas iilatent iiTB. iiThis iimeans iithat iihe iineeds iito
iibe iitreated iiwith iiINH iifor ii9 iimonths. ii
Furthermore, iiif iihe iihad iia iinegative iiPPD. iiB/c iithis iiis iihis iifirst iitime, iihe iiwould iicome
iiback iiin iitwo iiweeks.
Patient iithat iiis iimute. iiHas iibilateral iinystagmus, iihypertonia, iidecreased iisensation iito
iiskin iiprick. iiWhat iiis iithe iimost iilikely iioverdose? ii- iiAnswers ii-Intoxication iiwith iiPCP.
iiRemember iihe iidoes iinot iialways iihave iito iibe iiaggressive.
Patient iihas iia iifamily iihistory iiof iiovarian iicancer. iiWhat iiis iithe iibest iithing iito iido iiif iishe
iiis iiworried iithat iishe iimay iiget iian iiovarian iimalignancy? ii- iiAnswers ii-Put iiher iion iiOCP.
iiThey iiprevent iirisk iiof iiovarian iiand iiendometrial iicancer.
Elderly iipatient iiwith iiincreased iiESR. iiDecreased iihip iimotion, iiand iia ii20 iidegree iihip
iiflexion iicontracture. iiWhat iiis iithe iimost iilikely iicause? ii- iiAnswers ii-Osteoarthritis.
iiDecrease iiin iiflexion iiof ii115 iidegrees iiis iidiagnostic iicriteria. iiX-ray iimay iishow iijoint
iispace iinarrowing.
COPD iipatient iithat iiis iipost iioperative iiday ii4 iicomplains iiof iiserosang iidischarge. iiPE
iishows iiabdominal iidistension, iimild iitenderness iito iithe iiincision, iiand iino iierythema.
iiWhat iiis iithe iimost iilikely iidiagnosis? ii- iiAnswers ii-Wound iidehiscence. iiPestana iisays iia
iisalmon iicolored iidischarge iithat iiSOAKS iithe iidressing iion iipost-op iiday iifour.
A iipatient iicomes iiin iiwith iiupper iimotor iineuron iisigns iialong iiwith iiatrophy iifasiculations
iiand iiLMN iisigns. iiWhat iiwill iithe iiEMG iishow? ii- iiAnswers ii-Fibrillation iipotentials iiin
iimultiple iisites iiof iithe iimuscle. iiUpToDate: iiFibrillation iipotentials iioccur iiwhen iian
iiindividual iimuscle iifiber iiis iidenervated ii(eg, iiit iiis iino iilonger iiinnervated iiby iiits iinerve
iiterminal). iiThe iidenervated iimuscle iifiber iispontaneously iiproduces iia iimuscle iiaction
iipotential, iior iifibrillation iipotential.
Patient iifeels iias iiif iisomething iiis iicrawling iion iihis iiskin. iiHe iihas iivisual iihallucinations,
iiand iimultiple iiexcoriations iion iihis iiface. iiWhat iiis iithe iiurinary iitox iiscreen iigoing iito
iishow? ii- iiAnswers ii-Amphetamines iior iicocaine. iiRemember iithis iimight iibe iian iiopiate
iiwithdrawal, iihowever iithe iiquestion iiasks iithe iiurinary iitoxicology iiscreen.
A iipatient iihas iia iinine-pound iibaby, iiand iicontinues iito iibleed. iiFurthermore, iithe
iiplacenta iicomes iiout. iiIt iiis iitorn, iibut iiintact. iiWhat iiis iithe iilikely iicause iiof iiincreased
iibleeding? ii- iiAnswers ii-Uterine iiatony. iiJust iihad iia iihuge iibaby.
Patient iiwith iiurinary iidripping. iiFound iito iihave iia iimidline iicystic iimass iiin iithe iimiddle
iithird iiof iithe iivagina. iiWhat iiis iithe iilikely iidiagnosis? ii- iiAnswers ii-Urethral iidiverticulum.
iiGoogle iiimages iihas iia iinice iipicture.
A iibaby iithat iijust iiwas iiborn. iiIs iipale, iiedematous iiand iijaundiced. iiNon-complicated
iipregnancy. iiHas iisuper iilow iiHb, iihigh iiindirect iibilli, iihepatosplenomegaly. iiWhat iiis iithe
Exam Questions and Answers
Impaired iifertility iiin iia iiman iiand iihigh iiriding iibilateral iimass. iiWhat iiis iithe iiunderlying
iicause? ii- iiAnswers ii-Varicocele.
82 iiyear iiold iiwith iidecreased iivision. iiDilated iiveins, iiwidespread iiretinal iihemorrhages
iiintermixed iiwith iiwhite iiplaques iion iifundoscopic iiexam. iiDiagnosis? ii- iiAnswers ii-
Central iiretinal iivein iiartery iiocclusion.
15 iiyear iiold iigirl iishe iiis iion iichronic iisteroid iitherapy. iiNow iipresents iiwith iiacute iiback
iipain. iiWhat iiis iithe iimost iilikely iicause? ii- iiAnswers ii-Osteoporotic iicompression
iifracture.
Patient iiwith iiflank iipain iiwith iiradiation iito iithe iigroin. iiHe iihas iinormal iivital iisigns. iiPain
iirelieved iiwith iimorphine. iiNext iibest iistep? ii- iiAnswers ii-Increase iifluid iidischarge iiand
iisend iihim iihome.
Terminal iicancer iipatient iithat iicomes iiin iiwith iiacute iionset iilower iiback iipain. iiShe iiis
iitaking iimorphine iiQ4 iiwhich iiworks iifor iia iibit iibut iithen iisubsides. iiWhat iishould iiyou iido
iito iiher iiregimen? ii- iiAnswers ii-Make iithe iimorphine iiQ3 iiso iishe iihas iiadequate iipain
iicontrol.
A iiyoung iiinfant iithat iihas iibilateral iiretinal iihemorrhages iiand iitense iifontanelle. iiWhat iiis
iithe iimost iilikely iicause? ii- iiAnswers ii-Child iiabuse
What iiis iithe iitreatment iifor iian iiacute iigout iiattack? ii- iiAnswers ii-1. iiNSAIDs:
iiIndomethacin
2. iiSteroids
3. iiColchicine
Patient iiwho iiis iisick iiin iithe iiICU, iiand iihas ii(comatose iilevel) iihypernatremia. iiShe iihas
iia iilow iiurine iispecific iigravity. iiNormal iikidney iifunction. iiWhat iiis iithe iiunderlying iicause
iiof iihypernatremia? ii- iiAnswers ii-Diabetes iiInsipidus. iiShe iicannot iiconcentrate iiher
iiurine.
4 iiyear iiold iiboy. iiSuddenly iidevelops iia iipancytopenia, iihas iihepatosplenomegaly iiand
iiadenopathy. iiSome iimild iigingival iibleeding. iiNext iibest iistep? ii- iiAnswers ii-Bone
iimarrow iibiopsy. iiThis iikid iihas iiALL.
, Patient iihas iia iifirst iitime iipositive iiPPD iiand iia iinegative iichest iiX-ray. iiWhat iiis iithe iinext
iibest iistep? ii- iiAnswers ii-This iipatient iihas iilatent iiTB. iiThis iimeans iithat iihe iineeds iito
iibe iitreated iiwith iiINH iifor ii9 iimonths. ii
Furthermore, iiif iihe iihad iia iinegative iiPPD. iiB/c iithis iiis iihis iifirst iitime, iihe iiwould iicome
iiback iiin iitwo iiweeks.
Patient iithat iiis iimute. iiHas iibilateral iinystagmus, iihypertonia, iidecreased iisensation iito
iiskin iiprick. iiWhat iiis iithe iimost iilikely iioverdose? ii- iiAnswers ii-Intoxication iiwith iiPCP.
iiRemember iihe iidoes iinot iialways iihave iito iibe iiaggressive.
Patient iihas iia iifamily iihistory iiof iiovarian iicancer. iiWhat iiis iithe iibest iithing iito iido iiif iishe
iiis iiworried iithat iishe iimay iiget iian iiovarian iimalignancy? ii- iiAnswers ii-Put iiher iion iiOCP.
iiThey iiprevent iirisk iiof iiovarian iiand iiendometrial iicancer.
Elderly iipatient iiwith iiincreased iiESR. iiDecreased iihip iimotion, iiand iia ii20 iidegree iihip
iiflexion iicontracture. iiWhat iiis iithe iimost iilikely iicause? ii- iiAnswers ii-Osteoarthritis.
iiDecrease iiin iiflexion iiof ii115 iidegrees iiis iidiagnostic iicriteria. iiX-ray iimay iishow iijoint
iispace iinarrowing.
COPD iipatient iithat iiis iipost iioperative iiday ii4 iicomplains iiof iiserosang iidischarge. iiPE
iishows iiabdominal iidistension, iimild iitenderness iito iithe iiincision, iiand iino iierythema.
iiWhat iiis iithe iimost iilikely iidiagnosis? ii- iiAnswers ii-Wound iidehiscence. iiPestana iisays iia
iisalmon iicolored iidischarge iithat iiSOAKS iithe iidressing iion iipost-op iiday iifour.
A iipatient iicomes iiin iiwith iiupper iimotor iineuron iisigns iialong iiwith iiatrophy iifasiculations
iiand iiLMN iisigns. iiWhat iiwill iithe iiEMG iishow? ii- iiAnswers ii-Fibrillation iipotentials iiin
iimultiple iisites iiof iithe iimuscle. iiUpToDate: iiFibrillation iipotentials iioccur iiwhen iian
iiindividual iimuscle iifiber iiis iidenervated ii(eg, iiit iiis iino iilonger iiinnervated iiby iiits iinerve
iiterminal). iiThe iidenervated iimuscle iifiber iispontaneously iiproduces iia iimuscle iiaction
iipotential, iior iifibrillation iipotential.
Patient iifeels iias iiif iisomething iiis iicrawling iion iihis iiskin. iiHe iihas iivisual iihallucinations,
iiand iimultiple iiexcoriations iion iihis iiface. iiWhat iiis iithe iiurinary iitox iiscreen iigoing iito
iishow? ii- iiAnswers ii-Amphetamines iior iicocaine. iiRemember iithis iimight iibe iian iiopiate
iiwithdrawal, iihowever iithe iiquestion iiasks iithe iiurinary iitoxicology iiscreen.
A iipatient iihas iia iinine-pound iibaby, iiand iicontinues iito iibleed. iiFurthermore, iithe
iiplacenta iicomes iiout. iiIt iiis iitorn, iibut iiintact. iiWhat iiis iithe iilikely iicause iiof iiincreased
iibleeding? ii- iiAnswers ii-Uterine iiatony. iiJust iihad iia iihuge iibaby.
Patient iiwith iiurinary iidripping. iiFound iito iihave iia iimidline iicystic iimass iiin iithe iimiddle
iithird iiof iithe iivagina. iiWhat iiis iithe iilikely iidiagnosis? ii- iiAnswers ii-Urethral iidiverticulum.
iiGoogle iiimages iihas iia iinice iipicture.
A iibaby iithat iijust iiwas iiborn. iiIs iipale, iiedematous iiand iijaundiced. iiNon-complicated
iipregnancy. iiHas iisuper iilow iiHb, iihigh iiindirect iibilli, iihepatosplenomegaly. iiWhat iiis iithe
