STEP 2CK UPDATED SCRIPT 2026
PRACTICE SOLUTIONS GRADED A+
● abdominal aortic aneurysm. Answer: U/S one time in men >65 who
have ever smoked. There is no screening recommendations for male
non-smokers and women smokers or women non-smokers.
● the role of physicans to prevent injuries. Answer: seat belts, wearing
helmets and not driving under the influence of alcohol; women -
especially domestic violence - ask if they've been hit, kicked can
increase identification by more than 10%
● high cholesterol. Answer: screening starts in men age 35 with no risk
factors. Repeat every 5 years in low-risk individuals.
in both men and women with risk factors for coronary artery disease,
screening should be done routinely after age 20.
● diabetes mellitus. Answer: screening for DM should be considered
only for patients with hypertension.
diagnosis of diabetes is two fasting glucose measurements are ≥126
mg/dL OR HA1c > 6.5% or symptomatic random glucose is >200mg/dL
.
, ● carotid artery stenosis. Answer: there is no recommendation for
screening carotid artery stenosis.
● future travel plans. Answer: set appointment 4-6 weeks prior to
departure, discuss the following:
HepA - get vaccine
<2 weeks of departure => vaccine + Ig
booster shot 6 months after initial vaccine confers 10 yrs of immunity
HepB -
Malaria - mefloquine for prophylaxis (doxycycline as alternative
although has photosensitivity adverse effect)
for pregnant patients, use chloroquine instead.
Rabies - recommended for travel to India Asia and Mexico
people with concurrent malaria prophylaxis, use IM administration of
Rabies vaccine(instead of intradermal) to avoid chloroquine interactions
with vaccine.
● hep B vaccination for travel. Answer: vaccine recommended for the
folllowing activities:
PRACTICE SOLUTIONS GRADED A+
● abdominal aortic aneurysm. Answer: U/S one time in men >65 who
have ever smoked. There is no screening recommendations for male
non-smokers and women smokers or women non-smokers.
● the role of physicans to prevent injuries. Answer: seat belts, wearing
helmets and not driving under the influence of alcohol; women -
especially domestic violence - ask if they've been hit, kicked can
increase identification by more than 10%
● high cholesterol. Answer: screening starts in men age 35 with no risk
factors. Repeat every 5 years in low-risk individuals.
in both men and women with risk factors for coronary artery disease,
screening should be done routinely after age 20.
● diabetes mellitus. Answer: screening for DM should be considered
only for patients with hypertension.
diagnosis of diabetes is two fasting glucose measurements are ≥126
mg/dL OR HA1c > 6.5% or symptomatic random glucose is >200mg/dL
.
, ● carotid artery stenosis. Answer: there is no recommendation for
screening carotid artery stenosis.
● future travel plans. Answer: set appointment 4-6 weeks prior to
departure, discuss the following:
HepA - get vaccine
<2 weeks of departure => vaccine + Ig
booster shot 6 months after initial vaccine confers 10 yrs of immunity
HepB -
Malaria - mefloquine for prophylaxis (doxycycline as alternative
although has photosensitivity adverse effect)
for pregnant patients, use chloroquine instead.
Rabies - recommended for travel to India Asia and Mexico
people with concurrent malaria prophylaxis, use IM administration of
Rabies vaccine(instead of intradermal) to avoid chloroquine interactions
with vaccine.
● hep B vaccination for travel. Answer: vaccine recommended for the
folllowing activities:
