Page 1 of 14
Step 2 CK NBME 7 Test Latest 2025; All Correct &
Verified
Impaired fertility in a man w/high-riding bilateral scrotal mass.
Underlying cause? .....ANSWER.....Varicocele.
82 year old with decreased vision. Dilated veins, widespread
retinal hemorrhages intermixed with white plaques on
fundoscopic exam. Diagnosis? .....ANSWER.....Central retinal vein
artery occlusion.
15 year old girl on chronic steroid therapy presents with acute
back pain. Most likely cause? .....ANSWER.....Osteoporotic
compression fracture.
Patient with flank pain with radiation to the groin and normal
vital signs. Pain relieved with morphine. Next best step?
.....ANSWER.....Increase fluid intake and send home.
Page 1 of 14
, Page 2 of 14
Terminal cancer patient that comes in with acute onset lower
back pain. She is taking morphine Q4 which works for a bit but
then subsides. What should you do to her regimen?
.....ANSWER.....Make the morphine Q3 so she has adequate pain
control.
A young infant that has bilateral retinal hemorrhages and tense
fontanelle. What is the most likely cause? .....ANSWER.....Child
abuse
What is the treatment for an acute gout attack? .....ANSWER.....1.
NSAIDs: Indomethacin
2. Steroids
3. Colchicine
Patient who is sick in the ICU, and has (comatose level)
hypernatremia. She has a low urine specific gravity. Normal
kidney function. What is the underlying cause of hypernatremia?
Page 2 of 14
Step 2 CK NBME 7 Test Latest 2025; All Correct &
Verified
Impaired fertility in a man w/high-riding bilateral scrotal mass.
Underlying cause? .....ANSWER.....Varicocele.
82 year old with decreased vision. Dilated veins, widespread
retinal hemorrhages intermixed with white plaques on
fundoscopic exam. Diagnosis? .....ANSWER.....Central retinal vein
artery occlusion.
15 year old girl on chronic steroid therapy presents with acute
back pain. Most likely cause? .....ANSWER.....Osteoporotic
compression fracture.
Patient with flank pain with radiation to the groin and normal
vital signs. Pain relieved with morphine. Next best step?
.....ANSWER.....Increase fluid intake and send home.
Page 1 of 14
, Page 2 of 14
Terminal cancer patient that comes in with acute onset lower
back pain. She is taking morphine Q4 which works for a bit but
then subsides. What should you do to her regimen?
.....ANSWER.....Make the morphine Q3 so she has adequate pain
control.
A young infant that has bilateral retinal hemorrhages and tense
fontanelle. What is the most likely cause? .....ANSWER.....Child
abuse
What is the treatment for an acute gout attack? .....ANSWER.....1.
NSAIDs: Indomethacin
2. Steroids
3. Colchicine
Patient who is sick in the ICU, and has (comatose level)
hypernatremia. She has a low urine specific gravity. Normal
kidney function. What is the underlying cause of hypernatremia?
Page 2 of 14
