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Master the Boards USMLE Step 2CK
A 73-year-old man comes to the office with fatigue that has become progressively 
worse over the last several months. He is also short of breath when he walks up one 
flight of stairs. He drinks 4 vodka martinis a day. He complains of numbness and tingling 
in his feet. On physical examination he has decreased sensation of his feet. His 
hematocrit is 28% and his MCV is 114 fL (elevated). What is the most appropriate next 
step in management? 
A. Vitamin B12 level 
B. Folate level 
C. Pe...
- Exam (elaborations)
- • 4 pages •
A 73-year-old man comes to the office with fatigue that has become progressively 
worse over the last several months. He is also short of breath when he walks up one 
flight of stairs. He drinks 4 vodka martinis a day. He complains of numbness and tingling 
in his feet. On physical examination he has decreased sensation of his feet. His 
hematocrit is 28% and his MCV is 114 fL (elevated). What is the most appropriate next 
step in management? 
A. Vitamin B12 level 
B. Folate level 
C. Pe...
BIOD 171 EXAM MODULE 3
1. Resolution and contrast are two critical factors that influence your ability to see an object. Explain 
each. 
Resolution refers to the distance between two objects at which the objects still can be seenas separate. 
Poor or low resolution means two (or more) objects may appear as one. 
Contrast is the difference in light absorbance between two objects. Poor contrast gives a high background 
and makes the visualization of multiple objects difficult. For instance, tryingto identify 2 dark col...
- Exam (elaborations)
- • 6 pages •
1. Resolution and contrast are two critical factors that influence your ability to see an object. Explain 
each. 
Resolution refers to the distance between two objects at which the objects still can be seenas separate. 
Poor or low resolution means two (or more) objects may appear as one. 
Contrast is the difference in light absorbance between two objects. Poor contrast gives a high background 
and makes the visualization of multiple objects difficult. For instance, tryingto identify 2 dark col...
BIOD 171 EXAM MODULE 2
True or False: As movement requires energy, metabolism can be defined as a controlled set of 
biochemical reactions that occur in only motile organisms in order to maintain life. 
False. Metabolism occurs in all living organisms, not just those that move. 
2. True or False: Enzymes slow down chemical reactions to conserve energy. 
False. Enzyme catalyze (speed up) chemical reactions.
- Exam (elaborations)
- • 6 pages •
True or False: As movement requires energy, metabolism can be defined as a controlled set of 
biochemical reactions that occur in only motile organisms in order to maintain life. 
False. Metabolism occurs in all living organisms, not just those that move. 
2. True or False: Enzymes slow down chemical reactions to conserve energy. 
False. Enzyme catalyze (speed up) chemical reactions.
BIOD 171 EXAM MODULE 4
True or False: Growth media is best suited for distinguishing between two similar species of bacteria. 
False. Growth media is designed to simply support (and not restrict) microbial growth. 
2. A researcher is asked to determine which of two vials contains E coli and which contain
- Exam (elaborations)
- • 6 pages •
True or False: Growth media is best suited for distinguishing between two similar species of bacteria. 
False. Growth media is designed to simply support (and not restrict) microbial growth. 
2. A researcher is asked to determine which of two vials contains E coli and which contain
BIOD 171 EXAM MODULE 5
Define the concept of universal precautions. 
Universal precautions means any and all samples, whether known or unknown, are to betreated as 
potentially hazardous (or pathogenic) materials. 
2. List at least 3 observations a researcher would be sure to note while assessing an unknownmicrobial 
sample. 
A lab researcher would be certain to note
- Exam (elaborations)
- • 8 pages •
Define the concept of universal precautions. 
Universal precautions means any and all samples, whether known or unknown, are to betreated as 
potentially hazardous (or pathogenic) materials. 
2. List at least 3 observations a researcher would be sure to note while assessing an unknownmicrobial 
sample. 
A lab researcher would be certain to note