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Step 2 CK Form 8 Answers




Question#4 (reveal difficulty score)
A 67-year-old woman comes to the physician ...
Pulmonary function tests πŸ” / πŸ“Ί / 🌳

Question#5 (reveal difficulty score)
A 37-year-old woman, gravida 2, para 2, comes ...
Adenomyosis πŸ” / πŸ“Ί / 🌳



Question#8 (reveal difficulty score)
A 62-year-old man comes for evaluation prior ...
Parenteral cefazolin πŸ” / πŸ“Ί / 🌳

Question#9 (reveal difficulty score)
An otherwise healthy 37-year-old woman comes ...
Endometrial biopsy πŸ” / πŸ“Ί / 🌳

Question#10 (reveal difficulty score)
A 72-year-old man is transferred to the ...
Arterial embolus πŸ” / πŸ“Ί / 🌳

Question#11 (reveal difficulty score)
An 87-year-old man comes to the physician ...
Normal aging πŸ” / πŸ“Ί / 🌳

Question#12 (reveal difficulty score)
A 37-year-old nulligravid woman comes to the ...
Intraductal papilloma πŸ” / πŸ“Ί / 🌳

Question#13 (reveal difficulty score)
A 47-year-old man comes to the emergency ...
Air embolism πŸ” / πŸ“Ί / 🌳

Question#14 (reveal difficulty score)
A 19-year-old man is brought to the emergency ...
Psychogenic polydipsia πŸ” / πŸ“Ί / 🌳


Question#16 (reveal difficulty score)
A previously healthy 23-year-old man comes to ...
Consistent use of condoms πŸ” / πŸ“Ί / 🌳


Question#18 (reveal difficulty score)
A 32-year-old man comes to the physician ...
Propranolol πŸ” / πŸ“Ί / 🌳



Question#21 (reveal difficulty score)
A 12-year-old boy with Marfan syndrome is ...
Mitral valve prolapse πŸ” / πŸ“Ί / 🌳

Question#22 (reveal difficulty score)
A 3-year-old girl is brought to the emergency ...
Intramuscular epinephrine πŸ” / πŸ“Ί / 🌳

Question#23 (reveal difficulty score)
Twelve days after undergoing an orthotopic ...
Allograft rejection πŸ” / πŸ“Ί / 🌳

Question#24 (reveal difficulty score)
A 9-year-old girl is brought to the physician ...
Sertraline πŸ” / πŸ“Ί / 🌳




Question#28 (reveal difficulty score)
A previously healthy 72-year-old man comes to ...
Pneumoconiosis πŸ” / πŸ“Ί / 🌳

Question#29 (reveal difficulty score)
A comatose 29-year-old woman is brought to ...
Pneumothorax πŸ” / πŸ“Ί / 🌳

Question#30 (reveal difficulty score)
A 37-year-old woman comes to the physician ...
Use of a wrist splint πŸ” / πŸ“Ί / 🌳

Question#31 (reveal difficulty score)
The physician reads a news report about a 50% ...
Relative risk reduction πŸ” / πŸ“Ί / 🌳

Question#32 (reveal difficulty score)
A 25-year-old man is brought to the emergency ...
Aspirin πŸ” / πŸ“Ί / 🌳

Question#33 (reveal difficulty score)
A 27-year-old man comes to the physician ...
AIDS πŸ” / πŸ“Ί / 🌳


Question#35 (reveal difficulty score)
A 72-year-old woman is undergoing inpatient ...
Flaccid neurogenic bladder πŸ” / πŸ“Ί / 🌳

Question#36 (reveal difficulty score)
A 9-year-old boy is brought to the physician ...
Tourette disorder πŸ” / πŸ“Ί / 🌳


Question#38 (reveal difficulty score)
A 42-year-old man comes to the physician ...
Nothing here right now πŸ” / πŸ“Ί / 🌳

Question#39 (reveal difficulty score)
A previously healthy 32-year-old woman comes ...
Irritable bowel syndome πŸ” / πŸ“Ί / 🌳

Question#40 (reveal difficulty score)
A 42-year-old woman, gravida 4, para 4, comes ...
Detrusor hyperactivity πŸ” / πŸ“Ί / 🌳



Question#43 (reveal difficulty score)
A 37-year-old woman comes to the emergency ...
Cardiac tamponade πŸ” / πŸ“Ί / 🌳

Question#44 (reveal difficulty score)
A 25-year-old woman comes to the physician to ...
Nothing here right now πŸ” / πŸ“Ί / 🌳

Question#45 (reveal difficulty score)
A 2-month-old boy is brought to the physician ...
Use of protective clothing πŸ” / πŸ“Ί / 🌳

Question#46 (reveal difficulty score)
A 37-year-old man comes to the emergency ...
Echocardiography πŸ” / πŸ“Ί / 🌳



Question#3 (reveal difficulty score)
A 32-year-old woman has had fatigue, fever ...
Penicillin G benzathine πŸ” / πŸ“Ί / 🌳

Question#4 (reveal difficulty score)
A 37-year-old man comes to the physician 24 ...
Small-bowel stricture πŸ” / πŸ“Ί / 🌳


Question#6 (reveal difficulty score)
A 1-day-old male newborn had the onset of ...
Pancreatic enzyme πŸ” / πŸ“Ί / 🌳

Question#7 (reveal difficulty score)
A 32-year-old woman comes to the physician ...
Interferon beta therapy πŸ” / πŸ“Ί / 🌳

Question#8 (reveal difficulty score)
A 30-year-old primigravid woman with systemic ...
Complete atrioventricular block πŸ” / πŸ“Ί / 🌳

Question#9 (reveal difficulty score)
A 52-year-old man who is HIV positive comes ...
Squamous cell carcinoma πŸ” / πŸ“Ί / 🌳


Question#11 (reveal difficulty score)
A 52-year-old woman with type 2 diabetes ...
Hyperosmolality πŸ” / πŸ“Ί / 🌳

Question#12 (reveal difficulty score)
A 20-year-old man is brought to the emergency ...
Retrograde urethrography πŸ” / πŸ“Ί / 🌳

Question#13 (reveal difficulty score)
A 2-year-old African girl is brought to the ...
Serum niacin concentration πŸ” / πŸ“Ί / 🌳

Question#14 (reveal difficulty score)
A 4-year-old girl is brought to the physician ...
Medulloblastoma πŸ” / πŸ“Ί / 🌳

Question#15 (reveal difficulty score)
A 32-year-old woman comes to the physician ...
Lumbar radiculopathy πŸ” / πŸ“Ί / 🌳


Question#17 (reveal difficulty score)
Two days after undergoing internal fixation ...
Fat embolism πŸ” / πŸ“Ί / 🌳

Question#18 (reveal difficulty score)
A 21-year-old woman comes to the physician ...
Epstein-Barr virus πŸ” / πŸ“Ί / 🌳

Question#19 (reveal difficulty score)
A previously healthy 18-year-old man is ...
Diabetic ketoacidosis πŸ” / πŸ“Ί / 🌳

Question#20 (reveal difficulty score)
A 17-year-old boy is brought to the emergency ...
Subclavian artery πŸ” / πŸ“Ί / 🌳

Question#21 (reveal difficulty score)
A 57-year-old man comes to the physician for ...
Fluid restriction πŸ” / πŸ“Ί / 🌳

Question#22 (reveal difficulty score)
A previously healthy 62-year-old man comes to ...
Degenerative joint disease πŸ” / πŸ“Ί / 🌳

Question#23 (reveal difficulty score)
A 72-year-old woman comes to the physician ...
Cataracts πŸ” / πŸ“Ί / 🌳




Question#27 (reveal difficulty score)
A 32-year-old primigravid woman at 27 weeks’ ...
Cervical cancer πŸ” / πŸ“Ί / 🌳





Question#32 (reveal difficulty score)
A 3-month-old boy is brought to the physician ...
Tetralogy of Fallot πŸ” / πŸ“Ί / 🌳


Question#34 (reveal difficulty score)
An 11-month-old boy with Werdnig-Hoffmann spinal
Nothing here right now πŸ” / πŸ“Ί / 🌳

Question#35 (reveal difficulty score)
A study is conducted to assess the accuracy ...
95% πŸ” / πŸ“Ί / 🌳

Question#36 (reveal difficulty score)
A 52-year-old man is brought to the emergency ...
Perforation of the esophagus πŸ” / πŸ“Ί / 🌳

Question#37 (reveal difficulty score)
A previously healthy 47-year-old woman comes ...
Plantar fasciitis πŸ” / πŸ“Ί / 🌳


Question#39 (reveal difficulty score)
A previously healthy 32-year-old woman comes ...
Lymphangitis πŸ” / πŸ“Ί / 🌳

Question#40 (reveal difficulty score)
A 16-year-old girl comes to the physician for ...
ACE inhibitor therapy πŸ” / πŸ“Ί / 🌳

Question#41 (reveal difficulty score)
Two hours after vaginal delivery at term ...
Supplemental oxygen πŸ” / πŸ“Ί / 🌳


Question#43 (reveal difficulty score)
A 7-year-old girl is brought to the physician ...
Topical mupirocin πŸ” / πŸ“Ί / 🌳

Question#44 (reveal difficulty score)
A 5-year-old boy is brought to the physician ...
Factor VIII deficiency πŸ” / πŸ“Ί / 🌳


Question#46 (reveal difficulty score)
A randomized, double-blind, controlled study ...
Variability among observers πŸ” / πŸ“Ί / 🌳


Question#2 (reveal difficulty score)
A 22-year-old primigravid woman delivers a ...
21-Hydroxylase πŸ” / πŸ“Ί / 🌳

Question#3 (reveal difficulty score)
A 25-year-old nurse comes to the physician 2 ...
Isoniazid (INH) therapy only πŸ” / πŸ“Ί / 🌳



Question#6 (reveal difficulty score)
A 67-year-old woman comes to the physician ...
Chronic inflammation πŸ” / πŸ“Ί / 🌳

Question#7 (reveal difficulty score)
A 23-year-old woman comes to the physician ...
Postviral myocarditis πŸ” / πŸ“Ί / 🌳

Question#8 (reveal difficulty score)
A 19-year-old man comes to the emergency ...
Dopamine πŸ” / πŸ“Ί / 🌳



Question#11 (reveal difficulty score)
A 12-year-old boy has the sudden onset of ...
CT scan of the abdomen πŸ” / πŸ“Ί / 🌳

Question#12 (reveal difficulty score)
A 22-year-old primigravid woman at 10 weeks’ ...
Lidocaine therapy πŸ” / πŸ“Ί / 🌳


Question#14 (reveal difficulty score)
An 87-year-old woman is brought to the ...
Clindamycin πŸ” / πŸ“Ί / 🌳

Question#15 (reveal difficulty score)
An 18-year-old woman has had difficulty ...
Achalasia πŸ” / πŸ“Ί / 🌳


Question#17 (reveal difficulty score)
A 3-year-old girl is admitted to the hospital ...
Intravenous immune globulin πŸ” / πŸ“Ί / 🌳

Question#18 (reveal difficulty score)
A 47-year-old man comes to the physician ...
Histoplasmosis πŸ” / πŸ“Ί / 🌳



Question#21 (reveal difficulty score)
A 42-year-old man is brought to the physician ...
Caudate nucleus πŸ” / πŸ“Ί / 🌳



Question#24 (reveal difficulty score)
An obese 14-year-old boy is brought to the ...
Pin fixation πŸ” / πŸ“Ί / 🌳

Question#25 (reveal difficulty score)
A 77-year-old man is brought to the physician ...
Assessment for suicide risk πŸ” / πŸ“Ί / 🌳


Question#27 (reveal difficulty score)
A previously healthy 47-year-old woman comes ...
Graves disease πŸ” / πŸ“Ί / 🌳



Question#30 (reveal difficulty score)
A 23-year-old woman comes to the physician ...
Diabetes mellitus πŸ” / πŸ“Ί / 🌳

Question#31 (reveal difficulty score)
An 82-year-old woman comes to the emergency ...
Heparin therapy πŸ” / πŸ“Ί / 🌳


Question#33 (reveal difficulty score)
A 37-year-old woman, gravida 4, para 4, has ...
Genital tract laceration πŸ” / πŸ“Ί / 🌳


Question#35 (reveal difficulty score)
A healthy 4-month-old boy is brought to the ...
Family history πŸ” / πŸ“Ί / 🌳




Question#39 (reveal difficulty score)
A 22-year-old woman comes to the emergency ...
Methotrexate therapy πŸ” / πŸ“Ί / 🌳


Question#41 (reveal difficulty score)
A 13-year-old boy is brought to the physician ...
Exposure to high-decibel sound πŸ” / πŸ“Ί / 🌳

Question#42 (reveal difficulty score)
A 57-year-old woman comes to the physician ...
Osteophytes πŸ” / πŸ“Ί / 🌳

Question#43 (reveal difficulty score)
A 3-year-old girl is brought to the physician ...
Uveitis πŸ” / πŸ“Ί / 🌳



Question#46 (reveal difficulty score)
A study is done to determine the effect of ...
Low statistical power πŸ” / πŸ“Ί / 🌳

Question#1 (reveal difficulty score)
A 15-year-old boy is brought to the physician ...
Bupropion πŸ” / πŸ“Ί / 🌳




Question#5 (reveal difficulty score)
A 32-year-old primigravid woman at 10 weeks’ ...
Abruptio placentae πŸ” / πŸ“Ί / 🌳

Question#6 (reveal difficulty score)
A 32-year-old woman, gravida 3, para 2, at 30 ...
Placenta accreta πŸ” / πŸ“Ί / 🌳





Question#11 (reveal difficulty score)
A healthy 37-year-old woman, gravida 4, para ...
Ectopic pregnancy πŸ” / πŸ“Ί / 🌳

Question#12 (reveal difficulty score)
A healthy 52-year-old woman, gravida 3, para ...
Reassurance πŸ” / πŸ“Ί / 🌳

Question#13 (reveal difficulty score)
A 52-year-old woman comes to the physician ...
Oral acyclovir πŸ” / πŸ“Ί / 🌳

Question#14 (reveal difficulty score)
A previously healthy 5-year-old boy is ...
Septic arthritis πŸ” / πŸ“Ί / 🌳

Question#15 (reveal difficulty score)
A 52-year-old man is brought to the physician ...
Surgical debridement πŸ” / πŸ“Ί / 🌳

Question#16 (reveal difficulty score)
A 57-year-old man is brought to the emergency ...
Acute respiratory failure only πŸ” / πŸ“Ί / 🌳




Question#20 (reveal difficulty score)
A 57-year-old man is brought to the emergency ...
Hypertension πŸ” / πŸ“Ί / 🌳

Question#21 (reveal difficulty score)
A 27-year-old man comes to the physician ...
Toxic megacolon πŸ” / πŸ“Ί / 🌳

Question#22 (reveal difficulty score)
A 15-year-old boy is brought to the physician ...
Trichophyton rubrum πŸ” / πŸ“Ί / 🌳

Question#23 (reveal difficulty score)
A 38-year-old woman has had severe nausea, ...
Staphylococcus aureus πŸ” / πŸ“Ί / 🌳



Question#26 (reveal difficulty score)
A 37-year-old woman comes to the physician ...
Renovascular hypertension πŸ” / πŸ“Ί / 🌳

Question#27 (reveal difficulty score)
A 27-year-old woman at 6 weeks’ gestation ...
Switch to insulin πŸ” / πŸ“Ί / 🌳

Question#28 (reveal difficulty score)
A 42-year-old woman, gravida 5, para 4, at 14 ...
Blighted ovum πŸ” / πŸ“Ί / 🌳

Question#29 (reveal difficulty score)
A 66-year-old woman has had lower abdominal ...
Diverticulitis πŸ” / πŸ“Ί / 🌳

Question#30 (reveal difficulty score)
A 72-year-old man comes to the physician ...
Spinal stenosis πŸ” / πŸ“Ί / 🌳


Question#32 (reveal difficulty score)
A 52-year-old woman comes to the physician as ...
Decreased intake of alcohol πŸ” / πŸ“Ί / 🌳

Question#33 (reveal difficulty score)
A 20-year-old man with a 2-year history of ...
Zinc πŸ” / πŸ“Ί / 🌳



Question#36 (reveal difficulty score)
A previously healthy 2-year-old boy is ...
Drain cleaner πŸ” / πŸ“Ί / 🌳

Question#37 (reveal difficulty score)
A 2-week-old newborn is brought to the ...
Normal thymus πŸ” / πŸ“Ί / 🌳





Question#42 (reveal difficulty score)
A 52-year-old man comes to the physician ...
Polysomnography πŸ” / πŸ“Ί / 🌳





Recent comments ...

... seagull made a comment on step2ck_form8/block2/q#39 (A previously healthy 32-year-old woman comes to the)
 +7 
submitted by seagull(1796)
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I was eaytsdpeelr gionokl for lslicitue.l I veern ddi ese .it meoS asy I'm isllt noligko ofr it ot htis dy.a

welpdedelp  Same lol. A question I had was I thought lymphangitis was supposed to precede some sort of injury, obv not lol but was the lymph node the main giveaway? +1
keyseph  I think the key distinguishing features are the red streaks leading to an area of local lymphadenopathy. Otherwise, cellulitis would be a viable option if given. +3
charcot_bouchard  Cellulitis can lead to lymphangitis +
... seagull made a comment on step2ck_form8/block4/q#36 (A previously healthy 2-year-old boy is brought to...)
 +6 
submitted by seagull(1796)
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mI' iryeavltel ersu hatt omst epeopl weer 0505: nteeebw lecbah nad drina reacnel.

letsdothis  Yeah, I spent maybe like 20 seconds on this question. I knew I wouldn't be able to reason this one out. +1
lilmonkey  Same thing. But then I remembered myself using bleach wipes with no gloves - didn't get any ulcers or even irritation. But drain cleaner is really strong shit as it can dissolve ("ulcerate") all this solid gunk. +1
charcot_bouchard  At least those chores paid off finally +
... step_prep made a comment on step2ck_form8/block1/q#4 (A 67-year-old woman comes to the physician for...)
 +5 
submitted by step_prep(115)
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  • ,kTicry udnacen ieusntqo esauebc dtitinniancaroco to ipttena nigceervi a lngu rtnoieesc is if tierh usedrali FEV1 liwl be sesl hnat 080 Lm inllwoogf eht rrgusye

  • raNolm F1VE ni a tyhhale nowma is cypyillat nuoard 3 L, so ni hsit iptanet is lkleyi coles to 057 mL senic hse sha na 1FEV that si 2%5 fo ereid;ptcd efhoterre, hsit ttnaepi uwldo ylekli ton be bael ot aeorltet yna orst of unlg retoensci suceeab esh si aelaydr beyrla gahngni on ni trsme fo hre vtoynrliate tecaliapbisi

  • uloCd osal apopcrah tsih tquiseon hthurgo ecrsspo fo ieimnilnoat ecseuba GAB sshwo idml O2C etnnoietr (nese in aynm CPOD a,seiptt)n cneeiotj cotrinfa oc-ftfu for yegrsur nfteo 5%;lt3&, cdracai sserst sett saw olmran dna tpeaitn hsa dah DVTs orf a ognl imet

s.g/tphp//trroseptep-:

drdoom  very nice +2
osler_weber_rendu  Pestana explains this very well +1
drdoom  pestana? .. auto-corrected from Costanzo, perhaps? +
... seagull made a comment on step2ck_form8/block3/q#10 (A previously healthy 67-year-old woman comes to the...)
 +5 
submitted by seagull(1796)
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"No sbtriu are earhd eovr teh kc"en

I resaw I noatnc bagn my face darh ohugen ngitasa a al.lw

letsdothis  Me too. Un-friggin-believable +
cinnapie  Yo @seagull I am a huge fan. I am a huge fan. I think we gave step 1 around the same time and now Step 2 CK. Anyway, keep up the good work, we need someone like you to add some humor to this fucking shit. Not all heroes wear capes!!!! +4
sheska  if no bruits then why should we do a carotid duplex goddd +
tinylilron  bruits probably are not sensitive or specific enough... duplex is probably a better test +2
lindasmith462  "everything is in the question for a reason" I tell myself "not everything is a trap. how many questions have you gotten wrong because you thought something was a trap? go based whats on the question for once self!" NBME going Admiral Ackbar on my butt over here. +1
... seagull made a comment on step2ck_form8/block4/q#40 (A previously healthy 21-year-old man is brought to the)
 +5 
submitted by seagull(1796)
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Am I the onyl noe ysaawl see oironenvcs derordis fo ODRULW sa raresuse adn pl-fo.ulwo sihT tset is gngvii em onnercovis irerosd.d

seagull  I looked it up in UWORLD. THey say treatment is "Education, CBT, and Physical THerapy". +
seagull  I looked it up in UWORLD. THey say treatment is "Education, CBT, and Physical THerapy". +
bobson150  Gotta get a formal assessment before you treat I guess +4
lindasmith462  you dont need a formal assessment though. its something that can totally be diagnosed and managed by a primary care physician and only needs psych intervention if primary methods dont work. if anything you avoid early psych intervention because being labeled as a "psych" thing makes most patients resistant. +1
osler_weber_rendu  "ReFfeRaL tO a SpEcIaLiSt iS AlWaYs WrOnG" +1
charcot_bouchard  YOU DO THE PSYCH ASSESSMENT (boaard strikes back) +
... step_prep made a comment on step2ck_form8/block1/q#5 (A 37-year-old woman, gravida 2, para 2, comes to the...)
 +4 
submitted by step_prep(115)
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  • Wmona ni hre leat 03s whit uoepsvri greaisnecpn ersptsen whit seoeigrvspr armtensul pian nad a otfs, uyiflfsed earedngl estuur mtso esntnitsco thiw isedoynsoam o(rmlnbaa deilramteno etuiss ihnitw het etueinr yioemmmur)t
  • yKe idea: oomdAsyeins acn edla ot e,hmrrdenosya heavy ltsmrunea ednigbel and ciorhnc eiplcv npia
  • Kye :iaed Rksi fsoatrc rfo oaesmsnoyid dlsiucne gea g;&t ,40 itypaitrulm anodr/ porir ritunee geuryrs
  • Key aied: Fro eth BENM xasem, a sudylifef geealnrd teuusr si trieeh pnncayegr ro in,osedyasmo wrsehea an egldenra elrragriu uurest is sontestnic ihtw fbsoirdi

/pret/hp-tse/s:pgpr.to

... step_prep made a comment on step2ck_form8/block1/q#8 (A 62-year-old man comes for evaluation prior to...)
 +4 
submitted by step_prep(115)
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  • teCrunr eidluesign oemnecrmd ficalzeon ro iuefrxmeoc rmaeiesidtdn ihtnwi 60 tmeusni of skni ocinisin sa risyoxpahlp ignudr hpi ro keen rlstrapoayht nda sudloh be udtcoendsiin wnhiti 42 osrhu
  • yeK i:ead tonibtcAii rhypslapxio ot venrpet ruigslac stei secnotfini ear inveg ni ncetira r,rucspoeed stom lncoommy jmolangor/ iessrerug

l8.p/wp1/f.wt/sf0mropt/a3/211.0pht0/:ha5gwa5

rpp/.eteprsop:/-thtgs

... step_prep made a comment on step2ck_form8/block1/q#15 (A 52-year-old man comes to the physician because of...)
 +4 
submitted by step_prep(115)
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  • lgeidM-adde anm with eer,vf mthhnlyaydpapeo dan lganyepeloms dunof to hvea laevtede euokctyel tncou wiht rseneidac sihln,iespoo soellbya,tsm steetomecaylym adn tomseylecy otms nnocreincg rfo rnhccio leyoimd iuealmke
  • yeK d:aie Wysa ot neidtrafeifte eenbwte hcrocin ilemoyd miaeklue nad a idekoulem rienoatc lnuidce tekouceyl laiealnk pseopthahsa )(ALP elvles eavt(elde ni udikeomle onrtaice dna ddaercsee in ,CLM) noogkil orf splahiobia eepsnt(r ni MC)L dan kloiong at teh pytes fo ontulrpieh surpocerrs tsrepen elymtceoay(emst t&;g leyycsmoet ni kemoedlui ncorteia dan cytsoelmtyeaem ;t&l eytsmceloy ni CLM)
  • Noe:t tsytcmlMoyeeae era orme urmate tnah cyletsomey
  • yKe eid:a Can eotnf eltl hyet ypet of klameeui baesd on tapetni pieghdcmasor twhi LLA nees in natiestp 0,4-1 LMA ense in aptstien ,06-51 LCL eesn ni eitptasn 6+0 adn LMC esne ni stetnpai 9-054

hp/rtrseppg-o/:pset.t

... step_prep made a comment on step2ck_form8/block1/q#16 (A previously healthy 23-year-old man comes to the...)
 +4 
submitted by step_prep(115)
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lindasmith462  was anyone else thrown by the fact it only mentioned the rash on the palms and soles? (syphilis starts on the trunk and extends to extremities). Especially since RMSF can START maculopapular and doesn't become purpuric until later (probably after it spread past the hands...) LAD may be more classic in syphilis (but can occur in RMSF) but I'd say its way less likely to have a secondary syphilis to be ONLY on the palms/soles.... +1
kstudy  Linda, in reality you would test for both or ask the patient some clarifying questions. But NBME is not reality. NBME world is where you are allowed to only order one lab at a time and receive only part of the results back. +1
... carolebaskin made a comment on step2ck_form8/block1/q#29 (A comatose 29-year-old woman is brought to the emergency)
 +4 
submitted by carolebaskin(95)
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... step_prep made a comment on step2ck_form8/block2/q#37 (A previously healthy 47-year-old woman comes to the)
 +4 
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seagull  I like this ddx explanation. well done +1
... keyseph made a comment on step2ck_form8/block3/q#34 (A 67-year-old man comes to the physician 2 weeks after)
 +4 
submitted by keyseph(81)
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