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(FSMB), and the National Board of Medical Examiners® (NBME®) . All rights reserved. Printed in the United States of America. The United States Medical Licensing Examination® (USMLE®) is a joint program of the FSMB and NBME.  \nCONTENTS  \nUSMLE Step 2 CK Test Question Formats …………………………………...…………..………. 3  \nIntroduction to USMLE Step 2 CK Sample Test Questions …………………………..….. 9  \nUSMLE Laboratory Values ………………………………...………..…….….………..……………... 10  \nUSMLE Step 2 CK Sample Test Questions……………………………………………..…............ 13  \nBlock 1, Items 1–40 …………………………………………………………………..….......... 13  \nBlock 2, Items 41–80 ……………………………………………..….............................. 29  \nBlock 3, Items 81–120 ……………………………………………..…........................... 47  \nAnswer Form for USMLE Step 2 CK Sample Test Questions………………………..…... 63  \nAnswer Key for USMLE Step 2 CK Sample Test Questions………………………….……. 64  \nUSMLE STEP 2 CK TEST QUESTION FORMATS  \nThe following are strategies for answering one-best-answer items:  \n• Read each question carefully. It is important to understand what is being asked.  \n• Try to generate an answer and then look for it in the response option list.  \n• Alternatively, read each response option carefully, eliminating those that are clearly incorrect.  \n• Of the remaining response options, select the one that is most correct.  \n• If unsure about an answer, it is better to guess since unanswered questions are automatically counted as wrong answers.  \nPatient Scenario Formats  \nPatient scenarios for any Single Item or Sequential Item Set may be provided in either Vignette (paragraph) format, or in Chart/Tabular format. Test items using the chart/tabular format are designed to resemble patient charts but are not intended to be an exact representation of a patient chart. Questions written in Chart/Tabular format will contain relevant patient information in list form, organized in clearly marked sections for ease of review. Familiar medical abbreviations may be used within Chart/Tabular format questions.  \nSingle-Item Questions  \nA single patient-centered vignette is associated with one question followed by four or more response options. The response options are lettered (ie, A, B, C, D, E) . A portion of the questions involves interpretation of graphic or pictorial materials. You are required to select the best answer to the question. Other options may be partially correct, but there is only ONE BEST answer. This is the traditional, most frequently used multiple-choice question format on the examination.  \nExample Question 1  \nA 32-year-old woman with type 1 diabetes mellitus has had progressive renal failure over the past 2 years. She has not yet started dialysis. Examination shows no abnormalities. Her hemoglobin concentration is 9 g/dL, hematocrit is 28%, and mean corpuscular volume is 94 μm3. A blood smear shows normochromic, normocytic cells. Which of the following is the most likely cause?  \n(A) Acute blood loss  \n(B) Chronic lymphocytic leukemia  \n(C) Erythrocyte enzyme deficiency  \n(D) Erythropoietin deficiency  \n(E) Immunohemolysis  \n(F) Microangiopathic hemolysis  \n(G) Polycythemia vera  \n(H) Sickle cell disease  \n(I) Sideroblastic anemia  \n(J) β-Thalassemia trait  \n(Answer: D)  \nExample Question 2  \nPatient Information  \nAge: 18 years  \nGender: F, self-identified  \nEthnicity: unspecified  \nSite of Care: emergency department  \nHistory  \nChief Complaint: \"My roommate took a lot of pills and said she wanted to die. \"  \nHistory of Present Illness:  \n• patient brought by ambulance 2 hours after a suspected acetaminophen overdose  \n• roommate had returned to their dorm and found the patient distraught; patient was ho","cbCaigtINF5gcEV3","https://ap.wps.com/l/cbCaigtINF5gcEV3","pdf",2217819,65,"English","# USMLE Step 2 CK Test Question Formats\n## Introduction to strategies for one-best-answer items\n## Patient Scenario Formats\n## Single-Item Questions\n## Sequential Item Sets\n# Answer Form for USMLE Step 2 CK Sample Test Questions\n# Answer Key for USMLE Step 2 CK Sample Test Questions","[{\"question\":\"What strategies are recommended for answering one-best-answer questions?\",\"answer\":\"Read each question carefully, generate a possible answer, compare it to the response options, and eliminate clearly incorrect choices. Choose the option that is most correct among the remaining options, and guess if unsure because unanswered questions are counted as wrong.\"},{\"question\":\"How do patient scenario formats differ in USMLE Step 2 CK questions?\",\"answer\":\"Patient scenarios may be provided in vignette (paragraph) format or in chart/tabular format. Chart/tabular items resemble patient charts, use clearly marked sections, and may include familiar medical abbreviations, but they are not intended to be an exact patient chart representation.\"},{\"question\":\"What defines a single-item question format on the exam?\",\"answer\":\"A single patient-centered vignette is paired with one question and four or more response options. The response options are lettered, and although other options may be partially correct, there is only ONE BEST answer.\"}]","SAMPLE TEST QUESTIONS - Step 2 Clinical Knowledge (CK) | PDF",1790333275,164]