STEP 2 CK FIRST AID RAPID REVIEW MEDICAL BOARD
PREP 2025/2026 | VERIFIED QUESTIONS AND ANSWERS
GRADED A+ | HIGH-YIELD CLINICAL REVIEW & MASTER
STUDY GUIDE | GUARANTEED SUCCESS
The most common type of skin cancer; the lesion is a pearly-colored papule
with a translucent surface and telangiectasias. - CORRECT ANSWER - -Basal
cell carcinoma.
Honey-crusted lesions. - CORRECT ANSWER - -Impetigo.
A febrile patient with a history of diabetes presents with a red, swollen, painful
lower extremity. - CORRECT ANSWER - -Cellulitis.
Pos Nikolsky's sign. - CORRECT ANSWER - -Pemphigus vulgaris.
Neg Nikolsky's sign. - CORRECT ANSWER - -Bullous pemphigoid.
A 55-year-old obese patient presents with dirty, velvety patches on the back of
the neck. - CORRECT ANSWER - -Acanthosis nigricans. Check fasting blood
glucose to rule out diabetes.
Dermatomal distribution. - CORRECT ANSWER - -Varicella zoster.
Flat-topped papules. - CORRECT ANSWER - -Lichen planus.
Iris-like target lesions. - CORRECT ANSWER - -Erythema multiforme.
,A lesion characteristically occurring in a linear pattern in areas where skin
comes into contact with clothing or jewelry. - CORRECT ANSWER - -
Contact dermatitis.
Presents with a herald patch, Christmas-tree pattern. - CORRECT ANSWER -
-Pityriasis rosea.
A 16-year-old presents with an annular patch of alopecia with broken-off,
stubby hairs. - CORRECT ANSWER - -Alopecia areata (an autoimmune
process).
Pinkish, scaling, flat lesions on the chest and back; KOH prep has a "spaghetti-
and-meatballs" appearance. - CORRECT ANSWER - -Pityriasis versicolor.
Four characteristics of a nevus suggestive of melanoma. - CORRECT
ANSWER - -Asymmetry, border irregularity, color variation, and large
diameter.
A premalignant lesion from sun exposure that can lead to squamous cell
carcinoma. - CORRECT ANSWER - -Actinic keratosis.
"Dewdrops on a rose petal." - CORRECT ANSWER - -Lesions of 1° varicella.
"Cradle cap." - CORRECT ANSWER - -Seborrheic dermatitis. Treat with
antifungals.
Associated with Propionibacterium acnes and changes in androgen levels. -
CORRECT ANSWER - -Acne vulgaris.
A painful, recurrent vesicular eruption of mucocutaneous surfaces. -
CORRECT ANSWER - -Herpes simplex.
,Inflammation and epithelial thinning of the anogenital area, predominantly in
postmenopausal women. - CORRECT ANSWER - -Lichen sclerosus.
Exophytic nodules on the skin with varying degrees of scaling or ulceration; the
second most common type of skin cancer. - CORRECT ANSWER - -
Squamous cell carcinoma.
The most common cause of hypothyroidism. - CORRECT ANSWER - -
Hashimoto's thyroiditis.
Lab findings in Hashimoto's thyroiditis. - CORRECT ANSWER - -High TSH,
low T4, antimicrosomal antibodies.
Exophthalmos, pretibial myxedema, and ↓ TSH. - CORRECT ANSWER - -
Graves' disease.
The most common cause of Cushing's syndrome. - CORRECT ANSWER - -
Iatrogenic corticosteroid administration. The second most common cause is
Cushing's disease.
A patient presents with signs of hypocalcemia, high phosphorus, and low PTH.
- CORRECT ANSWER - -Hypoparathyroidism.
"Stones, bones, groans, psychiatric overtones." - CORRECT ANSWER - -
Signs and symptoms of hypercalcemia.
A patient complains of headache, weakness, and polyuria; exam reveals
hypertension and tetany. Labs reveal hypernatremia, hypokalemia, and
metabolic alkalosis. - CORRECT ANSWER - -1° hyperaldosteronism (due to
Conn's syndrome or bilateral adrenal hyperplasia).
, A patient presents with tachycardia, wild swings in BP, headache, diaphoresis,
altered mental status, and a sense of panic. - CORRECT ANSWER - -
Pheochromocytoma.
Should α- or β-antagonists be used first in treating pheochromocytoma? -
CORRECT ANSWER - -α-antagonists (phentolamine and
phenoxybenzamine).
Classic ECG finding in atrial flutter. - CORRECT ANSWER - -"Sawtooth" P
waves.
Definition of unstable angina. - CORRECT ANSWER - -Angina is new, is
worsening, or occurs at rest.
Antihypertensive for a diabetic patient with proteinuria. - CORRECT
ANSWER - -ACEI.
Beck's triad for cardiac tamponade. - CORRECT ANSWER - -Hypotension,
distant heart sounds, and JVD.
Drugs that slow AV node transmission. - CORRECT ANSWER - -β-blockers,
digoxin, calcium channel blockers.
Hypercholesterolemia treatment that leads to flushing and pruritus. -
CORRECT ANSWER - -Niacin.
Murmur—hypertrophic obstructive cardiomyopathy (HOCM). - CORRECT
ANSWER - -Systolic ejection murmur heard along the lateral sternal border
that ↑ with Valsalva maneuver and standing.
PREP 2025/2026 | VERIFIED QUESTIONS AND ANSWERS
GRADED A+ | HIGH-YIELD CLINICAL REVIEW & MASTER
STUDY GUIDE | GUARANTEED SUCCESS
The most common type of skin cancer; the lesion is a pearly-colored papule
with a translucent surface and telangiectasias. - CORRECT ANSWER - -Basal
cell carcinoma.
Honey-crusted lesions. - CORRECT ANSWER - -Impetigo.
A febrile patient with a history of diabetes presents with a red, swollen, painful
lower extremity. - CORRECT ANSWER - -Cellulitis.
Pos Nikolsky's sign. - CORRECT ANSWER - -Pemphigus vulgaris.
Neg Nikolsky's sign. - CORRECT ANSWER - -Bullous pemphigoid.
A 55-year-old obese patient presents with dirty, velvety patches on the back of
the neck. - CORRECT ANSWER - -Acanthosis nigricans. Check fasting blood
glucose to rule out diabetes.
Dermatomal distribution. - CORRECT ANSWER - -Varicella zoster.
Flat-topped papules. - CORRECT ANSWER - -Lichen planus.
Iris-like target lesions. - CORRECT ANSWER - -Erythema multiforme.
,A lesion characteristically occurring in a linear pattern in areas where skin
comes into contact with clothing or jewelry. - CORRECT ANSWER - -
Contact dermatitis.
Presents with a herald patch, Christmas-tree pattern. - CORRECT ANSWER -
-Pityriasis rosea.
A 16-year-old presents with an annular patch of alopecia with broken-off,
stubby hairs. - CORRECT ANSWER - -Alopecia areata (an autoimmune
process).
Pinkish, scaling, flat lesions on the chest and back; KOH prep has a "spaghetti-
and-meatballs" appearance. - CORRECT ANSWER - -Pityriasis versicolor.
Four characteristics of a nevus suggestive of melanoma. - CORRECT
ANSWER - -Asymmetry, border irregularity, color variation, and large
diameter.
A premalignant lesion from sun exposure that can lead to squamous cell
carcinoma. - CORRECT ANSWER - -Actinic keratosis.
"Dewdrops on a rose petal." - CORRECT ANSWER - -Lesions of 1° varicella.
"Cradle cap." - CORRECT ANSWER - -Seborrheic dermatitis. Treat with
antifungals.
Associated with Propionibacterium acnes and changes in androgen levels. -
CORRECT ANSWER - -Acne vulgaris.
A painful, recurrent vesicular eruption of mucocutaneous surfaces. -
CORRECT ANSWER - -Herpes simplex.
,Inflammation and epithelial thinning of the anogenital area, predominantly in
postmenopausal women. - CORRECT ANSWER - -Lichen sclerosus.
Exophytic nodules on the skin with varying degrees of scaling or ulceration; the
second most common type of skin cancer. - CORRECT ANSWER - -
Squamous cell carcinoma.
The most common cause of hypothyroidism. - CORRECT ANSWER - -
Hashimoto's thyroiditis.
Lab findings in Hashimoto's thyroiditis. - CORRECT ANSWER - -High TSH,
low T4, antimicrosomal antibodies.
Exophthalmos, pretibial myxedema, and ↓ TSH. - CORRECT ANSWER - -
Graves' disease.
The most common cause of Cushing's syndrome. - CORRECT ANSWER - -
Iatrogenic corticosteroid administration. The second most common cause is
Cushing's disease.
A patient presents with signs of hypocalcemia, high phosphorus, and low PTH.
- CORRECT ANSWER - -Hypoparathyroidism.
"Stones, bones, groans, psychiatric overtones." - CORRECT ANSWER - -
Signs and symptoms of hypercalcemia.
A patient complains of headache, weakness, and polyuria; exam reveals
hypertension and tetany. Labs reveal hypernatremia, hypokalemia, and
metabolic alkalosis. - CORRECT ANSWER - -1° hyperaldosteronism (due to
Conn's syndrome or bilateral adrenal hyperplasia).
, A patient presents with tachycardia, wild swings in BP, headache, diaphoresis,
altered mental status, and a sense of panic. - CORRECT ANSWER - -
Pheochromocytoma.
Should α- or β-antagonists be used first in treating pheochromocytoma? -
CORRECT ANSWER - -α-antagonists (phentolamine and
phenoxybenzamine).
Classic ECG finding in atrial flutter. - CORRECT ANSWER - -"Sawtooth" P
waves.
Definition of unstable angina. - CORRECT ANSWER - -Angina is new, is
worsening, or occurs at rest.
Antihypertensive for a diabetic patient with proteinuria. - CORRECT
ANSWER - -ACEI.
Beck's triad for cardiac tamponade. - CORRECT ANSWER - -Hypotension,
distant heart sounds, and JVD.
Drugs that slow AV node transmission. - CORRECT ANSWER - -β-blockers,
digoxin, calcium channel blockers.
Hypercholesterolemia treatment that leads to flushing and pruritus. -
CORRECT ANSWER - -Niacin.
Murmur—hypertrophic obstructive cardiomyopathy (HOCM). - CORRECT
ANSWER - -Systolic ejection murmur heard along the lateral sternal border
that ↑ with Valsalva maneuver and standing.
