His parents have begun to suspect him of using street drugs, which he denies. His behavior has changed in the past 6 months in that he has frequent episodes of depression, separated by episodes of bizarre behavior, including excessive alcohol drinking and shoplifting. He says his memory is now poor, and he has trouble focusing on tasks. He is a senior in high school and during the year, his grades have plummeted to the point that he is failing.
![kaplan qbank step 2 ck free download 2013 kaplan qbank step 2 ck free download 2013](http://usmlematerials.net/wp-content/uploads/2018/11/7eff2812-2aee-499d-a212-eb237e0a89b8.jpeg)
Review of systems is significant for decreased appetite and feeling easily full. Patient reports a 30-pack-year smoking history and heavy alcohol use on the weekends. Current medications are sildenafil 100 mg orally as needed. Past medical history is significant for 2 transient ischemic attacks 6 months prior, characterized by a sudden right-sided weakness and trouble speaking but recovered fully within 30 minutes. He describes the abdominal pain as mild to moderate, dull, and deeply localized to the umbilical region. The patient states that his symptoms started about a week ago and have steadily worsened.
![kaplan qbank step 2 ck free download 2013 kaplan qbank step 2 ck free download 2013](http://3.bp.blogspot.com/-olm-ssVK86U/UK1oneBWZJI/AAAAAAAADT0/xtggfO8ZI3w/s1600/20121121_182509.jpg)
![kaplan qbank step 2 ck free download 2013 kaplan qbank step 2 ck free download 2013](http://usmlematerials.net/wp-content/uploads/2018/11/7eff2812-2aee-499d-a212-eb237e0a89b8-300x151.jpeg)
His height and weight are at the 67th and 54th percentile for his age. Physical examination reveals normal vital signs. There is no history of fever or head trauma. His developmental milestones were slightly delayed. His birth history and family history are not available. Past medical history is significant for mild mental retardation and complex partial seizures sometimes leading to secondary generalized seizures. The headaches are moderate-to-severe in intensity, unilateral, mostly affecting the left side, and pulsatile in nature.
KAPLAN QBANK STEP 2 CK FREE DOWNLOAD 2013 PRO