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View Full Version : USMLE Step 2 CK


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  1. A 28-year-old patient with end-stage renal disease (ESRD) on
  2. A 60 years old accountant complains of recurrent atacks of e
  3. A 42-year-old, right-handed man has had a history of progres
  4. A 72-year-old professor emeritus comes to the office saying,
  5. A 43-year-old woman has fatigue and poor exercise tolerance.
  6. 52 y/o Lady on Aspirin for 10 years for RA comes to ER w/ co
  7. 20-year-old female comes to the physician because she has ne
  8. A 31-year-old man is admitted to the hospital after a motorc
  9. A 36-year-old man is admitted to the hospital for severe hyp
  10. Dysplasia and koilocytic changes
  11. A 62-year-old woman with diabetes, hypertension, and depress
  12. A 55-year-old female presents to her physician with mild fat
  13. A 31-year-old female complains of a 2-month history of a 15-
  14. Hyperexpanded lungs
  15. Increased fatigue for 3 weeks after cystitis
  16. A 17-year-old high school student is admitted to the hospita
  17. Insidious changes in his wife's personality and behavior
  18. Treatment with nebulized and oral bronchodilators
  19. A 6-week history of increasing forgetfulness
  20. A 70-year-old woman has had increasing abdominal pain over t
  21. A 27-year-old woman has used oral contraceptives (OCs) witho
  22. Slowly progressive dementia and visual hallucinations
  23. A 63-year-old woman has a raised, red lesion on her right la
  24. Patients with suspected meningitis and which one of the foll
  25. A 23-year-old woman develops painful vulvar vesicles that co
  26. A 39-year-old woman at 16 weeks’ gestation complains of head
  27. A 59-year-old woman with postmenopausal bleeding had a total
  28. The mother of a 3-year-old girl brings her daughter to see y
  29. Infections is most associated with a pure motor syndrome?
  30. Paramedics bring a 22-year-old man to the emergency departme
  31. A man who weighs 65 kg sustains second and third degree burn
  32. Crackles are heard at the left lung base
  33. A 14-year-old boy slides down a banister and crashes into a
  34. A 4th-year medical student is performing a mental status exa
  35. A 52-year-old woman has terminal cervical cancer with extens
  36. Mental retardation is a common disorder with a prevalence of
  37. A 44-year-old man complains of vague right upper abdominal d
  38. After witnessing a violent argument between her parents, a y
  39. A young male with a history of IV drug abuse has experienced
  40. 28 yr old man having intense pain in the left flank radiatin
  41. A 39-year-old man comes to the office complaining of a 3-day
  42. A patient with schizophrenia has had a poor response to seve
  43. An 86-year-old man with severe Alzheimer's disease is schedu
  44. Enlarged lymph nodes in the head and neck
  45. Multiple long bone fractures and lung contusions
  46. Presence of palpable fascial nodules
  47. Exquisite pain with defecation and blood streaks on the outs
  48. In a rollover car accident, a 42-year-old woman is thrown fr
  49. A 59-year-old black women has a rock-hard, discrete, 1.5-cm
  50. A middle-aged homeless man is very severe pain in his forear
  51. A 42-year-old woman hit her breast with a broom handle while
  52. A 35-year-old male is seen in the clinic for evaluation of i
  53. A young man suffers a traumatic amputation of his index fing
  54. A group of illegal immigrants is smuggled across the border
  55. After suitable calculations have been made using the modifie
  56. A 32-year-old woman in the 2nd month of pregnancy is found t
  57. A 21-year-old female tells her physician that she has had 5
  58. A 45-year-old man is seen in the clinic for evaluation of br
  59. A 36-year-old male comes to his primary care physician compl
  60. A 37-year-old woman with a history of intravenous drug use,
  61. A 32-year-old woman who has been a patient of yours since ch
  62. Productive cough with blood tinged sputum
  63. 17 y/o woman G1P0 with 10 yr Hx of asthma undergoes pulmonar
  64. A 66-year-old man has had numbness and tingling in the hands
  65. A 24-year-old white primigravida has developed several 1- to
  66. A previously healthy 72-year-old man comes to the physician
  67. A previously healthy 72 yr old man is brought to the physici
  68. A 47-year-old woman who is visiting from Australia comes to
  69. A 24 hour old male infant is noted to have some peculiar jer
  70. A 56 y/o heavy alcohol user male presents with vomiting bloo
  71. An 11-year-old boy is rushed into the emergency department f
  72. Acoustic shadowing of opacities within the gallbladder lumen
  73. Crepitation in the neck and a crunching sound over the heart
  74. Paraspinous muscle spasm
  75. Ac.severe rt.sided pain abd IVU
  76. Self-limited viral infection
  77. 24-year-old woman has a cough with "yellowish sputum product
  78. A 75-year-old man has had hypertension for 25 years.
  79. Jehovah's Witness and strict religious beliefs about receivi
  80. Chronic daily headache syndromes
  81. A 12-year-old child is occasionally uses theophylline for hi
  82. A 42-year-old man is being stabbed in the chest with a knife
  83. Numerous pustules associated with fever, fatigue, and arthra
  84. Risk for ovarian cancer, the most appropriate next step in m
  85. Exception of an erythematous, blanching macular rash on leg
  86. Transformed migraine
  87. Visual acuity of 20/20 in both eyes, exophthalmos of the rig
  88. A 1-year-old boy is brought to the office by his mother beca
  89. A 12-year-old girl is brought to the office by her mother wi
  90. A 2-year history of hand tremors and progressive difficulty
  91. A 3-week-old female infant born at 38 weeks' gestation throu
  92. A 4-year-old child comes in for a health maintenance visit.
  93. The patient exhibits nasal flaring, subcostal and intercosta
  94. A 4-week-old infant presents with tachycardia, tachypnea, an
  95. A 53-year-old woman comes to the physician because of a "lum
  96. A 46-year-old woman was applying her make-up while also drin
  97. A 68-year-old man presents two hours after a witnessed colla
  98. 40 yr old female having abdominal discomfort in centre of up
  99. A 54-year-old man, who 5 years ago underwent a laparotomy fo
  100. A 79-year-old man with atrial fibrillation develops an acute
  101. 44-year-old male with a small lump on the right side of his
  102. 15 yr old girl came with painful vaginal bleeding with her 2
  103. Types of aneurysm is most suitable for endovascular treatmen
  104. A patient with a subarachnoid hemorrhage is admitted for tre
  105. 57 yr old patient with constipation since 1 wk with past his
  106. Common location of colonic adenocarcinomas associated with h
  107. Predictive prognostic value of melanoma thickness
  108. Tumors is most common among patients with MEN type 2?
  109. What minimal excision margin is adequate and appropriate for
  110. Side effect of high-dose interferon therapy for melanoma?
  111. Which one of the following statements is true regarding Adie
  112. A characteristic feature of Charcot–Marie–Tooth disease?
  113. Involvement of nonsentinel lymph nodes in a patient
  114. A patient with a long history of bipolar disorder, mixed typ
  115. A 63 yr old woman is admitted to the hosp after an inf wall
  116. A 56 yr old alcoholic presented to the ER with SOB, upper lo
  117. A 78-year-old woman is complaining to the doctor in her nurs
  118. A 29-year-old woman presents to her new primary care physici
  119. A 37-year-old man with chronic paranoid schizophrenia is bei
  120. A 68-year-old man is admitted to the hospital for delirium a
  121. A 44-year-old homeless woman presents to the emergency depar
  122. Increasing pain and stiffness in her wrists, hands, and ankl
  123. A 45-year-old Mexican female present to the office with righ
  124. A 60-year-old man presents to the emergency room with severe
  125. A 39-year-old woman completed her last course of postoperati
  126. A 35-year-old woman comes to the emergency department becaus
  127. An infiltrating cerebellar tumor, which is located in the mi
  128. A 52-year-old man with a history of emphysema spends a 2-wee
  129. A 57-year-old man is referred for a colonoscopy as a colon c
  130. A 24-year-old man with a known history of asthma presents to
  131. A 55-year-old man comes to the physician because of daily he
  132. 5 y/o Child comes in w/ Fever, Pain, Tenderness, Warmt over
  133. A 44-year-old school bus driver presents to the emergency de
  134. Imagine an IV drug user comes in w/ Typical sx's of PCP + Wa
  135. A 24-year-old health-care worker sustains a significant deep
  136. A 34-year-old man was aware of meat becoming stuck in his mi
  137. A 50-year-old man presents to the clinic with a year long hi
  138. A 62-year-old black man presents with hypertension, a decrea
  139. A 22-year-old man is diagnosed with Crohn disease limited to
  140. Patient sustained an anoxic brain injury during an in-hospit
  141. The wife of an elderly patient with chronic obstructive pulm
  142. A large explosion occurs at a construction site during excav
  143. A 20-year-old non HIV man has had a persistent headache and
  144. A 21-year-old man presents with a sore throat. He also compl
  145. A 45-year-old male suddenly loses consciousness and falls to
  146. 57-year-old man with 3 days of cough and sputum production.
  147. 22-year-old college student presents with abdominal pain, fa
  148. A 1-week-old newborn has had poor feeding, vomiting, and pro
  149. Woman IQ 70 pregnant with a trisomia 21 and tell her that LU
  150. A healthy 42-year-old man comes to the physician for a life
  151. A 52-year-old woman, gravida 3, para 3, comes to the physici
  152. A 50-year-old man with a 20-year history of type 2 diabetes
  153. A 37-year-old comes to the clinic for a required pre-employm
  154. A 62-year-old woman with diabetes, hypertension, and depress
  155. Nightly bedwetting issue
  156. A 37-year-old comes to the clinic for a required pre-employm
  157. An 11-year-old boy is rushed into the emergency department f
  158. Cardiomegaly and pulmonary congestion
  159. A 19-year-old man states that he discontinued his medication
  160. An 18-month-old boy is brought for a well-child examination.
  161. Treatment of a posterior dislocation of the right knee susta
  162. A healthy 8-year-old girl is brought to the physician in Jul
  163. A 56-year-old diabetic patient returns to the office for cou
  164. A 29-year-old woman, who has been undergoing treatment for h
  165. 3-day history of slurred speech, double vision, and dysphagi
  166. Vesicoureteral reflux and a history of recurrent urinary tra
  167. A 32-year-old man has a blood pressure of 120/80 mm Hg. He i
  168. grossly ruptured, contracting every 2 min.,cervix dilated
  169. A 14-year-old boy is hit by an automobile while walking acro
  170. Mild upper abdominal discomfort
  171. Atypical complex endometrial hyperplasia
  172. A 16-year-old nulligravid woman comes to the emergency depar
  173. A 22-year-old primigravid woman at term comes to the labor a
  174. A 29-year-old woman comes to the physician for follow-up of
  175. A 22-year-old primigravid woman at term with regular, painfu
  176. Patient's cervix is long, thick, and closed
  177. The patient's Pap test showed a high-grade squamous intraepi
  178. A 35-year-old woman, gravida 3, para 2, at 39 weeks' gestati
  179. A 4-year-old boy is bitten and scratched by a family cat 2 d
  180. A 9-month-old infant is seen in the pediatrician's office be
  181. A 1400-g infant, born at 35 weeks' gestation, is 42 cm in le
  182. A 48-year-old man with AIDS comes to clinic for a regular fo
  183. A 35-year-old woman with no significant past medical history
  184. A 44-year-old man presents to the emergency department with
  185. A 29-year-old man comes to see you because of difficulty wit
  186. A 63-year-old man with diabetes comes to the office with an
  187. A 62-year-old man reports an episode of gross, painless hema
  188. A group of illegal immigrants is smuggled across the border
  189. A 5-year-old girl is brought to the physician 30 minutes aft
  190. A 2-day history of a painful and swollen right big toe.
  191. bilateral adnexal tenderness and pain with cervical motion
  192. A 6-year-old boy with mental retardation has recently been d
  193. A 15-year-old girl with type 1 diabetes mellitus presents to
  194. A 22-year-old convenience store clerk is shot once with a .3
  195. A 32-year-old woman in the 2nd month of pregnancy is found t
  196. A 31-year-old woman smashes her car against a bridge abutmen
  197. A 1-day-old infant appears dusky in the newborn nursery duri
  198. A 5-year-old boy develops a headache, cough, myalgia and a f
  199. An AIDS patient under treatment with a nucleoside analog and
  200. A 6-month-old boy is found to have bilateral metaphyseal fra
  201. A sexually active 20-year-old woman has had fever, chills, m
  202. A 5-year-old boy is brought to the physician 1 hour after ur
  203. A 16-year-old girl comes to the physician for her first pren
  204. A 27-year-old HIV-positive man comes to the clinic for a per
  205. A young man is shot with a .45 caliber revolver, point blank
  206. A front-seat passenger in a car involved in a head-on collis
  207. 35 y/o woman with corticosterioid resistant SLE is being tre
  208. A 22 yr old female of 28 weeks gestation, comes to the mater
  209. A man who weighs 65 kg sustains second and third degree burn
  210. A 33-year-old woman is found to have a palpable thyroid nodu
  211. A 23-year-old man known to have neurofibromatosis, type 1 (v
  212. A 26-year-old man is sitting in his room with the lights out
  213. A 3-year-old girl is being evaluated for developmental delay
  214. A 4th-year medical student is performing a mental status exa
  215. A mother brings her 8-year-old son to a psychiatrist for new
  216. A 24-year-old graduate student and teaching assistant comes
  217. A 36-year-old female with AIDS and a CD4 count of 35/mm3 pre
  218. A 25-year-old moderately obese woman with a history of bipol
  219. A 48-year-old male seeks evaluation for diarrhea and malabso
  220. A 54-year-old female comes to the hospital with 2 months of
  221. A 35-year-old female complains of right upper quadrant pain
  222. A 62-year-old white male presents with a chief complaint of
  223. A 37-year-old IV heroin abuser, who is HIV-positive and has
  224. A 27-year-old woman is 2 weeks' postpartum with her first ch
  225. A 39-year-old man with a h/o human immunodeficiency virus
  226. A 14-year-old girl with a sinus infection
  227. The hairs at the center of the patches are of variable lengt
  228. A 65-year-old man with a history of hypertension, ischemic h
  229. A 56-year-old white man with a long history of “heartburn” h
  230. A 23-year-old man visits the emergency room complaining that
  231. Past medical history is significant for gastroesophageal ref
  232. 49-year-old man involved in a head-on motor vehicle accident
  233. A 49-year-old woman is evaluated for recurrent urinary tract
  234. A 25-year-old woman is evaluated because of hypertension. Sh
  235. A 15-year-old boy with Duchenne muscular dystrophy is brough
  236. mild midepigastric tenderness with deep palpation
  237. Rapid onset of profound malaise and fever
  238. A 32-year-old man is in twice-weekly insight-oriented psycho
  239. Depression with psychotic features
  240. A 71-year-old retired physician complains of increasing calf
  241. A 2yo girl has had fever and bloody diarrhea for 10 days
  242. 60 year old comes with fever 38.2 nonproductive cough, chill
  243. A 55-year-old postmenopausal woman complains of weight loss,
  244. A 12-hour history of fever, sharp chest pain with deep inspi
  245. A 38-year-old injection drug user is admitted with fever, co
  246. A 50-year-old man has a 10-year history of chronic active he
  247. Asthma in children and young adults
  248. A 30-year-old gravida 5, para 4 woman with an IUD in place.
  249. Stable vital signs, but the patient exhibits multiple palpab
  250. A 25-year-old woman with blonde hair and a fair complexion c