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Free 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.

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USMLE Step 2 CK
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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?

Answer choices
How sure are you?

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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.

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