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NBME Step 2 CK Free 120 Answers

msk rheum
neuro inc
Immuno peds
GI inc
GI toxicity
Question#5 (reveal difficulty score)
A 42-year-old woman comes to the physician ...
Alcohol ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

GI
msk
Question#7 (reveal difficulty score)
A 9-year-old boy is brought to the physician ...
Dermatomyositis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

DDX infectious_disease
Question#2 (reveal difficulty score)
A 56-year-old man has had the painful weeping ...
Herpes Zoster ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

infectious_disease
derm inc
Cardio
peds
Question#7 (reveal difficulty score)
A 2-week-old newborn is brought to the ...
Reassurance ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

GI
trauma inc
repro
Question#10 (reveal difficulty score)
An 18-year-old primigravid woman comes for ...
Ultrasonography ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

hemeonc
rheum
endo
cardio inc
ENT infectious_disease
Question#15 (reveal difficulty score)
A 3-year-old girl is brought to the physician ...
Mastoiditis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

cardio
Question#16 (reveal difficulty score)
A 62-year-old man comes to the physician ...
Vasculitis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

biochem inc
pulm
repro
Question#19 (reveal difficulty score)
A 36-year-old nulligravid woman with primary ...
Endometriosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

pharm cardio
pharm
Question#21 (reveal difficulty score)
Four days after undergoing open reduction and ...
Alcohol withdrawal ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

endo
hemeonc
cardio Pulm
cardio inc
Neuro
Question#15 (reveal difficulty score)
A 77-year-old man is brought to the physician ...
CT scan of the head ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

heart_sounds peds Cardio
msk inc
derm
Pulm
Question#33 (reveal difficulty score)
A 27-year-old woman comes to the office because of
Pulmonary embolism ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

renal inc
hemeonc
ethics
GI
Question#40 (reveal difficulty score)
A 27-year-old woman comes to the physician because
Nortriptyline ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

GI
Immuno Pulm inc
renal
Question#3 (reveal difficulty score)
An 87-year-old woman, gravida 6, para 6, is ...
Urinary retention ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Pharm endo
Question#4 (reveal difficulty score)
A 25-year-old woman is admitted to the ...
Methimazole ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Neuro infectious_disease
Question#5 (reveal difficulty score)
A 16-year-old boy is brought to the emergency ...
Antibiotic therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

vaccine infectious_disease
repro infectious_disease
Question#7 (reveal difficulty score)
A 27-year-old primigravid woman comes to the ...
HIV ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

biostats
renal
MSK rheum
Question#10 (reveal difficulty score)
A 52-year-old woman comes to the physician ...
Vancomycin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

biostats
Question#11 (reveal difficulty score)
A 52-year-old man with hepatic cirrhosis ...
5 (five) ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

biostats
biostats
Cardio
psych
Neuro
toxicity
hemeonc
Cardio
Question#19 (reveal difficulty score)
A 13-year-old boy is brought to the emergency ...
Myocarditis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

GI
Question#20 (reveal difficulty score)
A 10-day-old female newborn is brought to the ...
Volvulus ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Aging
ethics
vitamins
repro hospice
Question#24 (reveal difficulty score)
A 16-year-old boy is brought to the emergency ...
Testicular torsion ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

ethics ethic
pulm
Question#26 (reveal difficulty score)
A 50-year-old woman comes to the office ...
Sarcoidosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

pharm MSK
ethics inc
psych
Screening infectious_disease
Question#30 (reveal difficulty score)
A 60-year-old woman comes to the office as a ...
Hepatitis C ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

infectious_disease
ethics
derm
Question#33 (reveal difficulty score)
An 82-year-old man comes to the physician 1 ...
Keratoacanthoma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Cardio Screening
Question#34 (reveal difficulty score)
A 37-year-old man comes to the physician for ...
Serum lipid studies ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

renal
trauma
endo
ethics
renal
MSK
ethics
Cardio
Question#42 (reveal difficulty score)
Five days after admission to the hospital for ...
Aortic embolism ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Pulm
renal
renal
Question#45 (reveal difficulty score)
A 58-year-old man comes to the clinic for a ...
Cystoscopy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–


Cardio
infectious_disease
Question#48 (reveal difficulty score)
A 27-year-old primigravid woman at 21 weeksโ€™ ...
Influenza A virus ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

peds
Question#49 (reveal difficulty score)
A 7-year-old boy is brought to the physician ...
Learning disorder ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

ENT infectious_disease
Question#50 (reveal difficulty score)
A 23-year-old woman who is an active-duty ...
Otitis externa ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

peds ENT
ENT infectious_disease
biostats Neuro Aging
neuro
ethics
cardio

pharm toxicity
psych
infectious_disease
obgyn
Question#61 (reveal difficulty score)
An 87-year-old woman, gravida 2, para 2, is ...
Vulvar carcinoma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

endo
peds obgyn
Question#63 (reveal difficulty score)
A 1-hour-old male newborn is examined in the ...
Zidovudine (AZT) ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

endo
GI peds
Question#65 (reveal difficulty score)
A 2-week-old boy is evaluated in the neonatal ...
X-ray of the abdomen ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

ethics
neuro

endo
endo
PPX
GI HPB peds
pharm
pulm peds
pulm peds
Question#75 (reveal difficulty score)
A 7-year-old girl is brought to the clinic by ...
Polysomnography ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

MSK
ethics
cardio
cardio
Question#79 (reveal difficulty score)
A 43-year-old woman comes to the office for a ...
Diltiazem ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

cardio ecg
psych toxicity
pharm ethics
endo
hemeonc
peds
Question#85 (reveal difficulty score)
A 9-month-old boy is brought to the office by ...
Skeletal survey ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

GI
obgyn
Pulm
GI
endo surg
ethics
endo
derm infectious infectious_disease
ethics toxicity
GI HPB
Question#95 (reveal difficulty score)
A 57-year-old man with alcohol use disorder ...
Spironolactone ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

lipids Cardio
Question#96 (reveal difficulty score)
A 48-year-old man is admitted to the hospital ...
Gemfibrozil therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

vitamins
biostats
biostats
ethics
Pulm
psych
Question#102 (reveal difficulty score)
A 14-year-old boy is brought to the emergency ...
Cardiac monitoring ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

risk_factors Cardio
hemeonc
MSK
Question#105 (reveal difficulty score)
A 38-year-old woman, gravida 1, para 1, comes ...
Osteoporosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

hemeonc
GI
psych
HPB infectious_disease
Question#109 (reveal difficulty score)
A 55-year-old man comes to the emergency ...
Cefotaxime ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

vitamins marked
Question#110 (reveal difficulty score)
A 45-year-old man is brought to the emergency ...
Vitamin D ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

ethics biostats
repro
repro
oncology Pulm cancer
repro
repro endo
Question#116 (reveal difficulty score)
A 15-year-old girl is brought to the office ...
Gonadectomy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

renal
Question#117 (reveal difficulty score)
A 50-year-old man returns to the office for a ...
Hydrochlorothiazide ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Immuno
ethics
MSK inc
ethics
infectious_disease
hemeonc
Question#10 (reveal difficulty score)
A 32-year-old woman comes to the physician ...
Iron deficiency ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

psych inc
Question#12 (reveal difficulty score)
A previously healthy 37-year-old woman comes ...
Paroxetine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

repro
renal inc
renal GI
infectious_disease
renal
biostats
Question#19 (reveal difficulty score)
A cohort study is conducted to compare the ...
Selection bias ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

renal

endo
Question#23 (reveal difficulty score)
A 30-year-old woman comes to the physician ...
Adrenal medulla ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

inc infectious_disease
GI

Cardio
Question#29 (reveal difficulty score)
A 47-year-old man is brought to the emergency ...
Aortic dissection ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

infectious_disease
psych
rheum
GI
psych
Pulm
derm
rheum
Question#41 (reveal difficulty score)
A hospitalized 57-year-old man has had severe ...
Pseudogout ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

renal acidbase
AIDS infectious_disease
infectious_disease
Question#45 (reveal difficulty score)
A previously healthy 19-year-old college ...
Ceftriaxone ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

pulm inc
heart_sounds Cardio
GI
Question#48 (reveal difficulty score)
A previously healthy 47-year-old man comes to ...
Colonoscopy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

GI
renal
psych toxicity
Question#53 (reveal difficulty score)
A 25-year-old man is brought to the emergency ...
Heroin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

biostats
pulm surg
renal
Pulm
Question#58 (reveal difficulty score)
A previously healthy 17-year-old girl comes ...
Asthma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

endo inc
cardio Pulm
endo inc
Question#62 (reveal difficulty score)
A 62-year-old woman comes to the physician ...
Hypothyroidism ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

ethics
psych
endo
repro
endo
Question#67 (reveal difficulty score)
A 15-year-old boy is brought to the physician ...
Exercise program ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

cardio
Question#68 (reveal difficulty score)
A 5-year-old girl is brought to the physician ...
Echocardiography ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

ENT
trauma surg
GI HPB
murmur murmu
Pharm Neuro
psych
pulm
Question#76 (reveal difficulty score)
A previously healthy 24-year-old woman comes ...
Erythromycin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

cardio
msk
repro
Question#83 (reveal difficulty score)
A 19-year-old woman noticed a mass in her ...
Fibroadenoma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Cardio
renal repro
neuro
MSK Immuno
derm
Question#90 (reveal difficulty score)
A 65-year-old man who is quadriplegic as a ...
Frequent turning ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–


pharm Neuro
repro inc
Question#93 (reveal difficulty score)
A 37-year-old woman, gravida 5, para 4, at 34 ...
Placenta previa ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

MSK
cardio
infectious_disease
Question#97 (reveal difficulty score)
A 19-year-old college student comes to the ...
Candidiasis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

endo
Question#99 (reveal difficulty score)
A 65-year-old woman has a 6-month history of ...
Multinodular goiter ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Neuro pulm
Question#100 (reveal difficulty score)
A 52-year-old man comes to the physician with ...
Polysomnography ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

vaccine infectious_disease
pharm cardio
GI
ENT
Immuno
repro repeat
repro
cardio
renal inc
msk inc
repro infectious_disease
Question#114 (reveal difficulty score)
A previously healthy 27-year-old man comes to ...
Cryotherapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Pulm infectious_disease
psych pharm
endo inc
renal inc
biostats
Cardio
Question#38 (reveal difficulty score)
A 77-year-old man comes to the office as a ...
Aortic stenosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

Recent comments ...

... โˆ—charcot_bouchard made a comment (step2ck_free120)
 +5  submitted by charcot_bouchard(574)

Here i am thinking who doesnt have problem in reading new words

whk123  Damn it yes! I was thinking the same. Child learn and then life gets better but no Free 120 is a game +
... โˆ—mmizell made a comment (step2ck_free120)
 +5  submitted by mmizell(26)

So I was between L4 and S1 radiculopathies on this one and couldn't remember the sensory/motor/reflex losses that differentiated the two. Here's a summary (including L5 for completeness)

L4 Radiculopathy:

  • sensory loss: distal lateral thigh over patella to medial calf
  • motor loss: knee extension, tibialis anterior (foot dorsiflexion) โ†’ difficulty heel walking
  • reflex loss: patellar reflex

L5 Radiculopathy:

  • sensory loss: Dorsolateral thigh, lateral side of the knee, anterolateral lower leg, dorsum of foot, big toe
  • motor loss: Extensor hallucis longus muscle (first toe dorsiflexion) โ†’ difficulty heel walking (foot drop)

S1 Radiculopathy:

  • sensory loss: Lateral foot
  • motor loss: Peroneus longus and brevis muscle (foot eversion) and gastrocnemius muscle (foot plantarflexion) โ†’ difficulty toe walking
  • reflex loss: Achilles

https://next.amboss.com/us/article/ji0_rf#Z4e6b97d11a53a281e346032ace785757

... โˆ—bwdc made a comment (step2ck_free120)
 +4  submitted by bwdc(697)

With treatment adherence, most HIV-positive individuals will die of the same things as the rest of us: the American way of life.

mmizell  I also reasoned that the HAART drugs have CVD risk factors, like diabetes and hypertriglyceridemia, as side effects. +3
... โˆ—len49 made a comment (step2ck_free120)
 +4  submitted by len49(42)

Pt has malignant effusion, which you would expect to be exudative. Exudative is characterized by protein pleural/serum > 0.5 LDH pleural/serum >0.6, and a LDH >2/3 upper limit of normal. So that would be increased protein or increased LDH, LDH is not an answer, so easy to rule out.



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