Step2 CK NBME Practice Tests (Answered)

Night incontinence without urge = - Answer- overflow incontinence (T2DM) Alcoholic cirrhosis AST/ALT, ALkPhos, GGT, bili, PT, albumin - Answer- AST/ALT 2:1 (not 500) AlkPhos mildly elevated GGT very elevated bilirubin elevated (conjugated unconjugated) +/- bandemia, thrombocytopenia increased PT decreased albumin Who gets pneumococcal vaccine? - Answer- 65 immune compromised (cirrhosis) HTN emergency medication - Answer- nitroprusside hyphema - Answer- blood in anterior eye hypopyon - Answer- inflammatory cells in anterior eye MEN I - Answer- -pituitary adenoma -hyperPTH -pancreas tumors MEN IIA - Answer- -hyperPTH -pheochromocytoma -medullary thyroid carcinoma MEN IIB - Answer- -pheochromocytoma -medullary thyroid carcinoma -marfanoid/mucosal neuromas threatened abortion incomplete abortion inevitable abortion - Answer- bleeding 20 weeks, no cervical os dilation dead fetus, not all tissue expelled dilated cervix Treating abortion by gestational age - Answer- 12 weeks = suction 12-23 = dilation and evacuation 16-23 = medical induction Iron deficiency Iron, TIBC, transferrin saturation, ferritin values - Answer- -decreased iron -decreased transferrin saturation -decreased ferritin -increased TIBC/transferrin PPD size cutoffs - Answer- 15 if low risk 10 if healthcare worker, drug use, DM, kidney failure 5 if HIV, steroids, close contact Treating neutropenic fever with empiric antibiotics - Answer- ticarcillin + tobramycin pseudomonal coverage When to further image a UTI? - Answer- -boys first UTI -girls 3 -recurrent UTIs -febrile UTI Treatment of family for patient with hepA - Answer- IgG premature ovarian failure is before age __ - Answer- 40 gun shot below nipple management - Answer-