Page 1 of 43
NBME Step 2CK Review Questions & Answers Latest
2025 ; 100% Correct & Verified.
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
,Page 2 of 43
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
,Page 3 of 43
type of urinary incontinence .....ANSWER..... neurogenic bladder
urge incontinence
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
, Page 4 of 43
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.
HCT 26%
NBME Step 2CK Review Questions & Answers Latest
2025 ; 100% Correct & Verified.
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
,Page 2 of 43
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
,Page 3 of 43
type of urinary incontinence .....ANSWER..... neurogenic bladder
urge incontinence
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
, Page 4 of 43
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.
HCT 26%
