NBME Step 2 CK Form 6 Cystic fibrosis (NBME Answers)

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Retired NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 1/Question#3 (reveal difficulty score)
A 20-month-old girl is brought to the ...
Cystic fibrosis 🔍 / 📺 / 🌳 / 📖
tags: genetics peds marked

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submitted by ∗sugaplum(487)

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CF, + family hx of norther european. Lungs with lots of gunk it in that is difficult to remove. recurrent infections

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kingfriday adding to this. kid also has poor growth which reflects poor pancreatic function +1

lubdub And the clubbing indicating chronic hypoxia! +2

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submitted by ∗step_prep7(71)

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Patient of Northern European descent with recurrent sinopulmonary infections, poor growth (due to fat malabsorption) and signs of bronchiectasis (streaky lung densities with hyperinflation, mild clubbing)
Important to distinguish from Kartagener’s syndrome, which would lead to dextrocardia and would be less likely to lead to poor weight gain

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submitted by ∗drdoom(1206)

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“It’s awfully quiet in these here pages ...” 🌵🤠

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gpbacilli Well said, lol. And yet, here is the same question a year later. +

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