Free practice questions
No accountFull explanationsFree USMLE Step 2 CK practice questions
30 original questions, modeled on the official USMLE Step 2 CK format. Every question comes with why the answer is right, why the other choices are wrong, a key takeaway and a tip. Practice mode explains each question as you go; Timed mode runs one clock and saves the explanations for the end.
Your answers are saved only in this browser and never sent to us.
Dr. Dave is still reviewing these questions. If an answer or explanation looks wrong, use Report a problem under the explanation.
Practice: the explanation opens after you submit each answer, beside the question on wide screens. In the player, press ? for keyboard shortcuts.
USMLE Step 2 CK: question 1 of 30
A 57-year-old man with alcohol-associated cirrhosis is brought to the emergency department after vomiting a large amount of bright red blood. He has no heart disease. He is alert and protecting his airway. Pulse is 118/min, and blood pressure is 90/56 mm Hg. He has scleral icterus and ascites. After 1 L of intravenous lactated Ringer solution, pulse is 88/min and blood pressure is 116/72 mm Hg, with no further hematemesis. Hemoglobin measured after the fluids is 8.3 g/dL, and INR is 1.9. Blood is crossmatched, and upper endoscopy is planned within the next few hours.
Which of the following is the most appropriate next step in management?
Tools appear only where the real exam has them. Right-click or long-press a choice to cross it out. The timer pauses while the player is off screen.
Your answers, marks and highlights are saved only in this browser. Nothing you answer is sent to us.
USMLE® is a joint program of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME), which is not affiliated with and does not endorse ProMed United. These are original practice questions written by ProMed United, not official test questions, and a practice score is not a prediction of your result.
When you want a second set of eyes
Go over your USMLE Step 2 CK misses with a person
Bring your report to a free consult: a short call about your goals and timeline. You decide what, if anything, comes next.
Book a free consult