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USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


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  #1  
Old 06-24-2016
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Default NBME CMS Medicine Form 3

Hello guys,

Does anyone know the answers to these questions? The marked answers the wrong, and thus, looking for the correct answers? Please to also provide the diagnosis and you reasoning for the correct answers. Let's all learn together, thank you all!!

1)
3)
6)
8)
17)
19)
21)
Attached Thumbnails
NBME CMS Medicine Form 3-wrong1.jpg   NBME CMS Medicine Form 3-wrong3.jpg   NBME CMS Medicine Form 3-wrong6.jpg   NBME CMS Medicine Form 3-wrong8.jpg   NBME CMS Medicine Form 3-wrong17.jpg  

NBME CMS Medicine Form 3-wrong19.jpg   NBME CMS Medicine Form 3-wrong21.jpg  
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  #2  
Old 06-28-2016
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1. High output heart failure (heart trying to compensate for low Hb)
3. Anion Gap Metabolic Acidosis (She has DKA so “Accumulation of B-Hydroxybutyrate” is the answer.
6. Osteosarcoma is associated with Retinoblastoma (same gene RB involved)
8. He is 82. He probably has BPH “Acute urethral obstruction”
17. That skin lesion is growing hair, appeared 6 month ago and now it’s nearly the size of her nail, it has different colors, the borders are asymmetric (ABCDE: Asymmetric, Border is uneven, Color is like army camp, Diameter >6mm, Evolving quickly) She will need surgical excision.
19. He has MR from Rheumatic Fever as a child. Rheumatic heart disease (causing scarring and retraction of the valve and leaflets) (He likely has some aortic stenosis as well given “slow upstroke” of the carotid pulse)
21. If there is food in the vomit he has a hiatal hernia; the answer is likely “Gastric Bezoar”


There is my best shot at answering your questions. How did I do? I'm studying for my NBME (Medicine) right now.
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  #3  
Old 06-29-2016
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Quote:
Originally Posted by goatmilk View Post
hello guys,

does anyone know the answers to these questions? The marked answers the wrong, and thus, looking for the correct answers? Please to also provide the diagnosis and you reasoning for the correct answers. Let's all learn together, thank you all!!

1)
3)
6)
8)
17)
19)
21)
1 a
3 a
6 h
8 b
17 e
19 b
21 h?
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  #4  
Old 06-30-2016
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Please explain why you feel #19 is B.

Thank you!
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  #5  
Old 06-30-2016
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Quote:
Originally Posted by Dr. Denver View Post
Please explain why you feel #19 is B.

Thank you!
AS is typically seen after 60 years if the valve was normal. However with congenital bicuspid valve it presents much earlier in 40s and 50s. In addition, slow or delayed carotid upstroke, systolic murmur at the right sternal border and LVH all point to AS. RHD is more commonly associated with MS (mid-diastolic murmur at apex) and less so with MR (holosystolic murmur radiating to axilla)
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  #6  
Old 06-30-2016
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Also, paradoxical splitting of S2 = P2 occuring before A2 (delayed aortic valve closure either due to AS or LBBB)
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  #7  
Old 06-30-2016
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Thank you for your feedback!

I hope this knowledge can help me score higher on my IM NBME.

Thanks again!
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