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She is sexually active and has a 10-year-old son who lives with her. She is otherwise healthy and she currently takes an oral contraceptive. She has not had any trauma to the knee or any previous problems with her joints. She has been taking acetaminophen for the knee pain during the past 2 days, but the pain is worse today. Example Items: Sequential Questions A 35-year-old woman is brought to the emergency department because of worsening pain and swelling of her right knee for the past 2 days. You must click Proceed to Next Item to view the next item in the set once you click on this button, the next question will be displayed, and you will not be able to return to the previous question or change the answer to it. These questions are designed to be answered in sequential order.
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You are required to select the ONE BEST answer to each question. Each question is associated with the initial patient vignette but is testing a different point. Which of the following is the most likely cause? (A) (B) (C) (D) (E) (F) Acute blood loss Chronic lymphocytic leukemia Erythrocyte enzyme deficiency Erythropoietin deficiency Immunohemolysis Microangiopathic hemolysis (G) (H) (I) (J) (Answer: D) Polycythemia vera Sickle cell disease Sideroblastic anemia β-thalassemia trait 3ĥ Sequential Item Sets A single patient-centered vignette may be associated with two or three consecutive questions about the information presented. A blood smear shows normochromic, normocytic cells. Her hemoglobin concentration is 9 g/dl, hematocrit is 28%, and mean corpuscular volume is 94 μm 3. Example Item: Single Question A 32-year-old woman with type 1 diabetes mellitus has had progressive renal failure over the past 2 years. If unsure about an answer, it is better to guess since unanswered questions are automatically counted as wrong answers. Of the remaining response options, select the one that is most correct. Alternatively, read each response option carefully, eliminating those that are clearly incorrect. Try to generate an answer and then look for it in the response option list. It is important to understand what is being asked. Strategies for Answering Single One-Best-Answer Questions Read each question carefully. Because item sets with an associated abstract or pharmaceutical ad may require more time to answer than traditional multiple-choice items, blocks that include these item sets contain fewer items. Items with an associated abstract or pharmaceutical ad were introduced into the examination in August Each abstract or pharmaceutical ad appears as a 2- or 3-item set there are no more than 5 of these item sets in each examination. Other options may be partially correct, but there is only ONE BEST answer. You are required to select the one best answer to the question. The response options in this format are lettered (eg, A, B, C, D, E).
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It consists of a vignette and question followed by three to twenty-six options that are in alphabetical or logical order. 53 2Ĥ USMLE Step 2 CK Test Question Formats Single-Item Questions This is the traditional, most frequently used multiple-choice format. 52 Answer Key for USMLE Step 2 CK Sample Test Questions. 8 Answer Sheet for USMLE Step 2 CK Sample Test Questions. 5 Normal Laboratory Values USMLE Step 2 CK Sample Test Questions. 1ģ CONTENTS USMLE Step 2 CK Test Question Formats Introduction to USMLE Step 2 CK Sample Test Questions. The United States Medical Licensing Examination (USMLE ) is a joint program of the FSMB and the NBME. (FSMB), and the National Board of Medical Examiners (NBME ). 1 USMLE Step 2 Clinical Knowledge (CK) Sample Test Questions A Joint Program of the Federation of State Medical Boards of the United States, Inc., and the National Board of Medical ExaminersĢ This booklet updated July Copyright 2015 by the Federation of State Medical Boards of the United States, Inc.