Cram Schools Test Prep Kaplan USMLE Step 2 prep: Woman with metastatic cancer, severe leg pain – American Medical Association

Kaplan USMLE Step 2 prep: Woman with metastatic cancer, severe leg pain – American Medical Association



If you’re preparing for the United States Medical Licensing Examination® (USMLE®) Step 2 exam, you might want to know which questions are most often missed by test-prep takers. Check out this example from Kaplan Medical, and read an expert explanation of the answer. Also check out all posts in this series.  

The AMA selected Kaplan as a preferred provider to support you in reaching your goal of passing the USMLE® or COMLEX-USA®. AMA members can save 30% on access to additional study resources, such as Kaplan’s Qbank and High-yield courses. Learn more.

A 65-year-old woman with metastatic cancer is admitted to the hospital because of severe pain in her left leg for two weeks. The pain is in the left thigh near the hip. She has been having trouble walking because of the pain. The pain is worse at night. She has had no fever, morning stiffness, or trauma. Serum alkaline phosphatase level is 400 U/L. Plain x-ray shows a lytic lesion in the proximal femur.

This patient most likely has a malignancy of which of the following?

A. Breast.

B. Colon.

C. Melanocytes.

D. Pancreas.

E. Thyroid.

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