Step 2 CK NBME Form 7 Questions and Answers Rated A

Impaired fertility in a man w/high-riding bilateral scrotal mass. Underlying cause? Correct AnswerVaricocele. 82 year old with decreased vision. Dilated veins, widespread retinal hemorrhages intermixed with white plaques on fundoscopic exam. Diagnosis? Correct Answer-Central retinal vein artery occlusion. 15 year old girl on chronic steroid therapy presents with acute back pain. Most likely cause? Correct Answer-Osteoporotic compression fracture. Patient with flank pain with radiation to the groin and normal vital signs. Pain relieved with morphine. Next best step? Correct Answer-Increase fluid intake and send home. Terminal cancer patient that comes in with acute onset lower back pain. She is taking morphine Q4 which works for a bit but then subsides. What should you do to her regimen? Correct Answer-Make the morphine Q3 so she has adequate pain control. A young infant that has bilateral retinal hemorrhages and tense fontanelle. What is the most likely cause? Correct Answer-Child abuse