USMLE step 2 EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

USMLE EXAM zm




Exam Solution
zm




USMLE Step 2 CK NBME 7 High Yield 2026 A+ GRADE A
zm zm zm zm zm zm zm zm zm zm zm




SSURED COMPLETE SOLUTIONS AND VERIFIED ANSWE zm zm zm zm zm




RS (1F4F9)
zm




QUESTION 1 zm




Impaired fertility in a man and high riding bilateral mass. What is the underlying cau
zm zm zm zm zm zm zm zm zm zm zm zm zm zm



se?
ANSWER

Varicocele.



QUESTION 2 zm




82 year old with decreased vision. Dilated veins, widespread retinal hemorrhages inte
zm zm zm zm zm zm zm zm zm zm zm



rmixed with white plaques on fundoscopic exam. Diagnosis?
zm zm zm zm zm zm zm




ANSWER

Central retinal vein artery occlusion.
zm zm zm zm




QUESTION 3 zm




15 year old girl she is on chronic steroid therapy. Now presents with acute back pain.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z



What is the most likely cause?
m zm zm zm zm zm




ANSWER

Osteoporotic compression fracture. zm zm




QUESTION 4 zm




Patient with flank pain with radiation to the groin. He has normal vital signs. Pain rel
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



ieved with morphine. Next best step?
zm zm zm zm zm




ANSWER

, Increase fluid discharge and send him home.
zm zm zm zm zm zm




QUESTION 5 zm




Terminal cancer patient that comes in with acute onset lower back pain. She is taking
zm zm zm zm zm zm zm zm zm zm zm zm zm zm z



mmorphine Q4 which works for a bit but then subsides. What should you do to her reg
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



imen?
ANSWER

Make the morphine Q3 so she has adequate pain control.
zm zm zm zm zm zm zm zm zm




QUESTION 6 zm




A young infant that has bilateral retinal hemorrhages and tense fontanelle. What is th
zm zm zm zm zm zm zm zm zm zm zm zm zm



e most likely cause?
zm zm zm




ANSWER

Child abuse
zm




QUESTION 7 zm




What is the treatment for an acute gout attack?
zm zm zm zm zm zm zm zm




ANSWER

1. NSAIDs: Indomethacin 2. Steroids 3. Colchicine
zm zm zm zm zm zm




QUESTION 8 zm




Patient who is sick in the ICU, and has (comatose level) hypernatremia. She has a low
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z



urine specific gravity. Normal kidney function. What is the underlying cause of hyper
m zm zm zm zm zm zm zm zm zm zm zm zm



natremia?
ANSWER

Diabetes Insipidus. She cannot concentrate her urine.
zm zm zm zm zm zm




QUESTION 9 zm




4 year old boy. Suddenly develops a pancytopenia, has hepatosplenomegaly and adeno
zm zm zm zm zm zm zm zm zm zm zm



pathy. Some mild gingival bleeding. Next best step?
zm zm zm zm zm zm zm




ANSWER

Bone marrow biopsy. This kid has ALL.
zm zm zm zm zm zm