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Exam (elaborations) Psych NBME Step 2 CK with 100% correct answers 2 Exam (elaborations) Free 120 step 2 ck well answered rated A 3 Exam (elaborations)
[Show more]Exam (elaborations) Psych NBME Step 2 CK with 100% correct answers 2 Exam (elaborations) Free 120 step 2 ck well answered rated A 3 Exam (elaborations)
[Show more]Step 2 CK NBME 842 YO male presents with SOB for 3 weeks 
-Breath sounds decreased over left hemithorax 
-CXR shows mass involving the left upper and lower lobe 
-Biopsy shows uniform small round cells with darkly staining nuclei 
 
What is initial tx? - correct answer Small cell lung cancer 
 ...
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Add to cartStep 2 CK NBME 842 YO male presents with SOB for 3 weeks 
-Breath sounds decreased over left hemithorax 
-CXR shows mass involving the left upper and lower lobe 
-Biopsy shows uniform small round cells with darkly staining nuclei 
 
What is initial tx? - correct answer Small cell lung cancer 
 ...
NBME Form 8 Step 2 CKTourette’s syndrome vocal tics include - correct answer grunting, snorting, throat clearing, yelling, obscenities 
 
Absolute Risk Reduction (ARR) - correct answer control rate - treatment rate 
 
Likelihood ratio - correct answer sensitivity/(1-specificity) 
 
Relative ris...
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Add to cartNBME Form 8 Step 2 CKTourette’s syndrome vocal tics include - correct answer grunting, snorting, throat clearing, yelling, obscenities 
 
Absolute Risk Reduction (ARR) - correct answer control rate - treatment rate 
 
Likelihood ratio - correct answer sensitivity/(1-specificity) 
 
Relative ris...
Step 2 CK NBME Form 12specific subtype of peripheral arterial disease that presents with claudication, ED, and decreased lower extremity arterial pulses 
Aortoiliac occlusion, iliac occlusive disease (Leriche syndrome) 
 
 
 
leading cause of mortality in the US and the risk increases for postmenopa...
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Add to cartStep 2 CK NBME Form 12specific subtype of peripheral arterial disease that presents with claudication, ED, and decreased lower extremity arterial pulses 
Aortoiliac occlusion, iliac occlusive disease (Leriche syndrome) 
 
 
 
leading cause of mortality in the US and the risk increases for postmenopa...
USMLE Step 2 CK NBME 4 High YieldFirst step in infective endocarditis? - correct answer Do blood cultures which confirms the disease. 
Do not treat empirically first. 
 
Differential loss to follow up. - correct answer Bias that occurs when you lose follow up long term. 
Affects Validity 
 
Next s...
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Add to cartUSMLE Step 2 CK NBME 4 High YieldFirst step in infective endocarditis? - correct answer Do blood cultures which confirms the disease. 
Do not treat empirically first. 
 
Differential loss to follow up. - correct answer Bias that occurs when you lose follow up long term. 
Affects Validity 
 
Next s...
Step 2 NBME Form 10Respiratory distress, fever/inflammation, triglycerides in milky fluid following breastfeeding - correct answer Chylothorax d/t damage to thoracic duct, chyle accumulate in thoracic space. 
 
Thoracic duct carries triglycerides from GI system to central vasculature. 
 
Causes: ...
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Add to cartStep 2 NBME Form 10Respiratory distress, fever/inflammation, triglycerides in milky fluid following breastfeeding - correct answer Chylothorax d/t damage to thoracic duct, chyle accumulate in thoracic space. 
 
Thoracic duct carries triglycerides from GI system to central vasculature. 
 
Causes: ...
Step 2 CK NBME Form 12 pt 2any possible exposure to blood that may be infected with HIV requires.... - correct answer Antiretroviral therapy regardless of HIV results 
 
repaired cleft lip and palate can increased the risk - correct answer velopharyngeal insufficiency, inability to properly close ...
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Add to cartStep 2 CK NBME Form 12 pt 2any possible exposure to blood that may be infected with HIV requires.... - correct answer Antiretroviral therapy regardless of HIV results 
 
repaired cleft lip and palate can increased the risk - correct answer velopharyngeal insufficiency, inability to properly close ...
NBME 9, 10 and 11 Focused Flash Cards for Step 2 CKWhat is patient intoxicated with/withdrawing from? 
 
1. sweating, unintelligibly questioning, persistently picks at clothes tremor? 
 
2. agitation, confusion, unresponsive to antipsychotics, HTN, and tremulousness 
 
3. pupils 1mm, respiratory rat...
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Add to cartNBME 9, 10 and 11 Focused Flash Cards for Step 2 CKWhat is patient intoxicated with/withdrawing from? 
 
1. sweating, unintelligibly questioning, persistently picks at clothes tremor? 
 
2. agitation, confusion, unresponsive to antipsychotics, HTN, and tremulousness 
 
3. pupils 1mm, respiratory rat...
Step 2 CK NBME Form 7Impaired fertility in a man w/high-riding bilateral scrotal mass. Underlying cause? - correct answer Varicocele. 
 
82 year old with decreased vision. Dilated veins, widespread retinal hemorrhages intermixed with white plaques on fundoscopic exam. Diagnosis? - correct answer C...
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Add to cartStep 2 CK NBME Form 7Impaired fertility in a man w/high-riding bilateral scrotal mass. Underlying cause? - correct answer Varicocele. 
 
82 year old with decreased vision. Dilated veins, widespread retinal hemorrhages intermixed with white plaques on fundoscopic exam. Diagnosis? - correct answer C...
Step 2 CK NBMEsobese smoker pt presents with progressive SOB, FEV1 of 75% and TLC of 50%. pt uses albuterol three times a day. dx? - correct answer restrictive lung disease 
 
previously healthy 10-month-old presents with 3 episodes of vomiting, blood and mucous in stool and blood in the rectal vau...
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Add to cartStep 2 CK NBMEsobese smoker pt presents with progressive SOB, FEV1 of 75% and TLC of 50%. pt uses albuterol three times a day. dx? - correct answer restrictive lung disease 
 
previously healthy 10-month-old presents with 3 episodes of vomiting, blood and mucous in stool and blood in the rectal vau...
NBME Ck 9-12 What is the common bug that causes post-transplant lymphoproliferative disorder? - correct answer Epstein Barr 
 
How do you diagnose Botulism? - correct answer Repetitive nerve stimulation study 
 
What if first line therapy for the treatment of mild to moderate acne vulgaris? - cor...
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Add to cartNBME Ck 9-12 What is the common bug that causes post-transplant lymphoproliferative disorder? - correct answer Epstein Barr 
 
How do you diagnose Botulism? - correct answer Repetitive nerve stimulation study 
 
What if first line therapy for the treatment of mild to moderate acne vulgaris? - cor...
NBME 9 STEP 2CK 
PPSV-23 vaccine - correct answer > or = to 65 yo or pts 19-64 yo w/ underlying medical conditions ie immune compromised ie HIV booster given 5 years after initial dose 
 
PCV 13 vaccine - correct answer Given kids up to 18 yo, or immunocompromised, CSF leaks, end stage kidney d...
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Add to cartNBME 9 STEP 2CK 
PPSV-23 vaccine - correct answer > or = to 65 yo or pts 19-64 yo w/ underlying medical conditions ie immune compromised ie HIV booster given 5 years after initial dose 
 
PCV 13 vaccine - correct answer Given kids up to 18 yo, or immunocompromised, CSF leaks, end stage kidney d...
NBME Step 2 Form 8 
Deficiency of serum glucuronosyltransferase 
 
What type of bilirubin 
 
For the mild version, what are the liver labs like - correct answer Gilbert's Disease 
 
Unconjugated Hyperbilirubinemia 
- Think hemolysis or Gilbert/Crigler-Najjar 
- Crigler-Najjar is typically fatal ...
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Add to cartNBME Step 2 Form 8 
Deficiency of serum glucuronosyltransferase 
 
What type of bilirubin 
 
For the mild version, what are the liver labs like - correct answer Gilbert's Disease 
 
Unconjugated Hyperbilirubinemia 
- Think hemolysis or Gilbert/Crigler-Najjar 
- Crigler-Najjar is typically fatal ...
Step 2 CK NBME 6 High-yields 
62M, abd pain x 48 yrs, 101.5, 130/80, 110, 15. abd Exam- diffuse LLQ tenderness with no peritoneal signs, Rectal NL, stool occult blood negative, leucocyte 14700, next step in diagnosis? - correct answer CT abdomen 
 
Patients with diverticulitis present with abdomina...
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Add to cartStep 2 CK NBME 6 High-yields 
62M, abd pain x 48 yrs, 101.5, 130/80, 110, 15. abd Exam- diffuse LLQ tenderness with no peritoneal signs, Rectal NL, stool occult blood negative, leucocyte 14700, next step in diagnosis? - correct answer CT abdomen 
 
Patients with diverticulitis present with abdomina...
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NBME Form 11 
Heat exhaustion - correct answer exercise intolerance, increased core body temperatures, and the absence of neurologic disturbances 
 
Heat stroke - correct answer is characterized by hyperthermia, AMS or neurologic deficits, and variable physical signs and symptoms depending on seve...
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Add to cartNBME Form 11 
Heat exhaustion - correct answer exercise intolerance, increased core body temperatures, and the absence of neurologic disturbances 
 
Heat stroke - correct answer is characterized by hyperthermia, AMS or neurologic deficits, and variable physical signs and symptoms depending on seve...
Free Step 2 CK NBME Sec 2-3What is the recommended treatment for organophosphate or acetylcholinesterase inhibitor poisoning? - correct answer Atropine (and removal of clothing) 
 
Atropine only reverses MUSCARINIC 
 
Pralidoxime is the only medication that reverses both muscarinic and nicotinic e...
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Add to cartFree Step 2 CK NBME Sec 2-3What is the recommended treatment for organophosphate or acetylcholinesterase inhibitor poisoning? - correct answer Atropine (and removal of clothing) 
 
Atropine only reverses MUSCARINIC 
 
Pralidoxime is the only medication that reverses both muscarinic and nicotinic e...
All subjects NBME for step 2 CKAnswer is C - correct answer 
 
Answer is E- mom in unsensitized and you want to keep her that way - correct answer 
 
Answer is B cervical trauma - correct answer 
 
Answer is E- pt has severe HG with ketosis formation. Hyperemesis gravidarum can be seen with ke...
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Add to cartAll subjects NBME for step 2 CKAnswer is C - correct answer 
 
Answer is E- mom in unsensitized and you want to keep her that way - correct answer 
 
Answer is B cervical trauma - correct answer 
 
Answer is E- pt has severe HG with ketosis formation. Hyperemesis gravidarum can be seen with ke...
NBME 11 NotesMethotrexate anticancer effects? - correct answer Inhibition of Thymidylate Synthase 
 
Optimal diagnostic cut point for results of test - correct answer need to include all of the "infected" 
 
Best likelihood of survival of colorectal carcinoma? - correct answer Poorly differenti...
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Add to cartNBME 11 NotesMethotrexate anticancer effects? - correct answer Inhibition of Thymidylate Synthase 
 
Optimal diagnostic cut point for results of test - correct answer need to include all of the "infected" 
 
Best likelihood of survival of colorectal carcinoma? - correct answer Poorly differenti...
Step 2 CK Infectious DiseaseWhat are the 3 principles of answering infectious diseases questions on Step 2 CS? - correct answer 1. Radiologic test is never the most accurate test 
2. Infection risk factors not as important as patient presentation 
3. Beta-lactam abx have greater efficacy than other...
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Add to cartStep 2 CK Infectious DiseaseWhat are the 3 principles of answering infectious diseases questions on Step 2 CS? - correct answer 1. Radiologic test is never the most accurate test 
2. Infection risk factors not as important as patient presentation 
3. Beta-lactam abx have greater efficacy than other...
NBME shelf exams/step 2 cka child with constipation and new onset urinary incontinence treatment = - correct answer osmotic or polyethylene glycol-based laxatives and dietary modification with increased intake of fluids and fiber 
 
when and what do you give for prophylaxis of toxoplasmosis infecti...
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Add to cartNBME shelf exams/step 2 cka child with constipation and new onset urinary incontinence treatment = - correct answer osmotic or polyethylene glycol-based laxatives and dietary modification with increased intake of fluids and fiber 
 
when and what do you give for prophylaxis of toxoplasmosis infecti...
Nbme 1011-year-old girl presents with tanner stage one of the pubic hair, she has a flat left breast and the right breast is tender and a small mass 
What is the best next step? - correct answer Reassurance 
This is normal thelarche and can be asymmetric 
 
Order of maturation in female - correct ...
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Add to cartNbme 1011-year-old girl presents with tanner stage one of the pubic hair, she has a flat left breast and the right breast is tender and a small mass 
What is the best next step? - correct answer Reassurance 
This is normal thelarche and can be asymmetric 
 
Order of maturation in female - correct ...
NBME 13progressive weakness, dec strength, hand muscle atrophy, diffuse hyperreflexia and fasciculations on hands and arms, normal sensory exam; - correct answer amyotrophic lateral sclerosis (ALS) 
--death of both upper and lower motor neurons in the motor cortex of the brain, the brain stem, and ...
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Add to cartNBME 13progressive weakness, dec strength, hand muscle atrophy, diffuse hyperreflexia and fasciculations on hands and arms, normal sensory exam; - correct answer amyotrophic lateral sclerosis (ALS) 
--death of both upper and lower motor neurons in the motor cortex of the brain, the brain stem, and ...
CK NBME 9Pneumococcal vaccine schedule: all ages - correct answer Adults age < 65 
- Give PPSV23 alone for smokers, diabetics, and chronic heart/lung/liver disease 
- Give PCV13 followed by PPSV23 for high risk patients such those with CSF leaks, cochlear implants, sickle cell disease, asplenia,...
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Add to cartCK NBME 9Pneumococcal vaccine schedule: all ages - correct answer Adults age < 65 
- Give PPSV23 alone for smokers, diabetics, and chronic heart/lung/liver disease 
- Give PCV13 followed by PPSV23 for high risk patients such those with CSF leaks, cochlear implants, sickle cell disease, asplenia,...
NBME 12A specific subtype of PAD presents with claudication, ED, dec LE pulse - correct answer Aortoiliac occlusion 
 
ABI result indicative of PAD - correct answer Less than 0.9 
 
Thoracotomy vs thoracostomy - correct answer Thoracotomy - making an incision to gain access to the thoracic organs...
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Add to cartNBME 12A specific subtype of PAD presents with claudication, ED, dec LE pulse - correct answer Aortoiliac occlusion 
 
ABI result indicative of PAD - correct answer Less than 0.9 
 
Thoracotomy vs thoracostomy - correct answer Thoracotomy - making an incision to gain access to the thoracic organs...
NBME CK 
Right Vertebral 
-Causes lateral medullary syndrome (AKA Wallenberg) 
-Can also be caused by PICA 
-Symptoms include: 
--1) Contralateral sensory of body 
--2) Ipsilateral sensory of face 
--3) Ipsilateral cranial nerves (Vagus & glossopharyngeal) 
---Dysphagia 
---Nystagmus 
---Weak...
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Add to cartNBME CK 
Right Vertebral 
-Causes lateral medullary syndrome (AKA Wallenberg) 
-Can also be caused by PICA 
-Symptoms include: 
--1) Contralateral sensory of body 
--2) Ipsilateral sensory of face 
--3) Ipsilateral cranial nerves (Vagus & glossopharyngeal) 
---Dysphagia 
---Nystagmus 
---Weak...
Step 2 CK First Aid Rapid Review 
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. 
 ...
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Add to cartStep 2 CK First Aid Rapid Review 
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. 
 ...
Free 120 step 2 ckEosinophilic granulomatosis with polyangiitis (Churg- Strauss) - correct answer Adult-onset asthma, hemoptysis, fever, sensory abnormalities of UE and LE (PAN: palpable purpura, asthma/sinusitis, neurologic sxs) dx 
 
Agranulocytosis 2/2 methimazole - correct answer Patient with ...
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Add to cartFree 120 step 2 ckEosinophilic granulomatosis with polyangiitis (Churg- Strauss) - correct answer Adult-onset asthma, hemoptysis, fever, sensory abnormalities of UE and LE (PAN: palpable purpura, asthma/sinusitis, neurologic sxs) dx 
 
Agranulocytosis 2/2 methimazole - correct answer Patient with ...
Psych NBME Step 2 CKMDD? - correct answer Dx: >/= 2 weeks with >/= 5 symptoms with one of those being anhedonia or depressed mood 
 
*No lifetime history of mania 
 
Tx: SSRI/ SNRI/ TCA 
 
PDD? - correct answer Persistent depressive disoder (dysthymia) 
 
Dx: depressed mood >/= 2 years wi...
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Add to cartPsych NBME Step 2 CKMDD? - correct answer Dx: >/= 2 weeks with >/= 5 symptoms with one of those being anhedonia or depressed mood 
 
*No lifetime history of mania 
 
Tx: SSRI/ SNRI/ TCA 
 
PDD? - correct answer Persistent depressive disoder (dysthymia) 
 
Dx: depressed mood >/= 2 years wi...
Step 2 UWSA 2Pt with COPD and signs of pulmonary HTN develops worsening renal failure. Received Furosemide. What is likely cause - correct answer Prerenal AKI; which occurs d/t decreased renal perfusion 
 
Look for BUN: Creatinine ratio >20:1 
 
Initial treatment for R sided heart failure with La...
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Add to cartStep 2 UWSA 2Pt with COPD and signs of pulmonary HTN develops worsening renal failure. Received Furosemide. What is likely cause - correct answer Prerenal AKI; which occurs d/t decreased renal perfusion 
 
Look for BUN: Creatinine ratio >20:1 
 
Initial treatment for R sided heart failure with La...
Step 2, NBME 6First step in management of HYPERKALEMIA in patient with EKG CHANGES? - correct answer -IV calcium gluconate 
 
Treatment for small, cutaneous hemangiomas? - correct answer -no intervention is necessary 
 
What factors can decrease libido? List in order of importance? - correct answ...
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Add to cartStep 2, NBME 6First step in management of HYPERKALEMIA in patient with EKG CHANGES? - correct answer -IV calcium gluconate 
 
Treatment for small, cutaneous hemangiomas? - correct answer -no intervention is necessary 
 
What factors can decrease libido? List in order of importance? - correct answ...
Step2 CK NBME Practice TestsNight incontinence without urge = - correct answer overflow incontinence (T2DM) 
 
Alcoholic cirrhosis AST/ALT, ALkPhos, GGT, bili, PT, albumin - correct answer AST/ALT 2:1 (not >500) 
AlkPhos mildly elevated 
GGT very elevated 
bilirubin elevated (conjugated > un...
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Add to cartStep2 CK NBME Practice TestsNight incontinence without urge = - correct answer overflow incontinence (T2DM) 
 
Alcoholic cirrhosis AST/ALT, ALkPhos, GGT, bili, PT, albumin - correct answer AST/ALT 2:1 (not >500) 
AlkPhos mildly elevated 
GGT very elevated 
bilirubin elevated (conjugated > un...
nbme 6 ck**52 yo M: 3 month hx increased urinary volume & increased urinary frequency at night. 6.8 kg *weight LOSS*. BP 160/85 in both arms. Nonfasting glucose 280. What's INCREASED? - correct answer *INSULIN* 
DX: T2 DM which is due to insulin resistance but in initial stages, the pancreas tries...
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Add to cartnbme 6 ck**52 yo M: 3 month hx increased urinary volume & increased urinary frequency at night. 6.8 kg *weight LOSS*. BP 160/85 in both arms. Nonfasting glucose 280. What's INCREASED? - correct answer *INSULIN* 
DX: T2 DM which is due to insulin resistance but in initial stages, the pancreas tries...
Step 2 CK NBME 8How does hypernatremia present? - correct answer thirst 
oliguria or polyuria 
mental status changes 
weakness 
focal neurologic deficits 
seizures 
"doughy" skin and signs of volume depletion 
 
What are the causes of hypernatremia? - correct answer 6Ds 
- diuresis 
- dehydratio...
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Add to cartStep 2 CK NBME 8How does hypernatremia present? - correct answer thirst 
oliguria or polyuria 
mental status changes 
weakness 
focal neurologic deficits 
seizures 
"doughy" skin and signs of volume depletion 
 
What are the causes of hypernatremia? - correct answer 6Ds 
- diuresis 
- dehydratio...
Step 2 - NBME Exams 
riboflavin (B2) deficiency symptoms (5) - correct answer angular cheilosis, stomatitis, glossitis, normocytic anemia, seborrheic dermatitis 
 
what deficiency leads to beriberi? - correct answer thiamine 
 
what is beriberi? - correct answer peripheral neuropathy, heart failu...
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Add to cartStep 2 - NBME Exams 
riboflavin (B2) deficiency symptoms (5) - correct answer angular cheilosis, stomatitis, glossitis, normocytic anemia, seborrheic dermatitis 
 
what deficiency leads to beriberi? - correct answer thiamine 
 
what is beriberi? - correct answer peripheral neuropathy, heart failu...
CK: NBMEsImage is the Question - correct answer 
 
Answer to the Previous Question - correct answer B- diminished breath sounds with dullness to percussion at the right costophrenic angle and lung infection that doesn't improve with Abs- Empyema is the most likely dx. 
 
Image is the Question - ...
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Add to cartCK: NBMEsImage is the Question - correct answer 
 
Answer to the Previous Question - correct answer B- diminished breath sounds with dullness to percussion at the right costophrenic angle and lung infection that doesn't improve with Abs- Empyema is the most likely dx. 
 
Image is the Question - ...
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