NBME Step 2 CK Form 6 Pulmonary tuberculosis (NBME Answers)

need help with your account or subscription? click here to email us (or see the contact page)

search for anything ⋅ score predictor (“predict me!”)

NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 1/Question#4 (reveal difficulty score)
A previously healthy 16-year-old boy is ...
Pulmonary tuberculosis 🔍 / 📺 / 🌳 / 📖
tags: pulm inc

+2 upvote downvote
submitted by ∗step_prep7(71)

get full access to all content ⋅ pick a username

Patient with clear exposure (Albania and other Eastern European countries are endemic TB countries) showing signs of infection (cough and fever) with adenopathy
Pulmonary aspergillosis would more commonly be seen in somebody who is immunocompromised (acute angioinvasive aspergillosis) or somebody with cystic fibrosis or asthma (allergic bronchopulmonary aspergillosis)

https://step-prep.org/tutoring/

get full access to all content ⋅ pick a username

+2 upvote downvote
submitted by ∗jlbae(159)

get full access to all content ⋅ pick a username

Had to google where tf Albania is. God I'm such a stupid American

get full access to all content ⋅ pick a username

lindasmith462 dude I couldn't even tell you where most of western european countries are in relation to each other. I know italy is the boot. On more way Scrubs mirrors medicine reality - geography is my achilles heel. +

+1 upvote downvote
submitted by ∗sugaplum(487)

get full access to all content ⋅ pick a username

I got this wrong too. but thinking more we should think about the travel hx, to TB endemic area. This isn't a hemorrage cuz its been happening for 2 weeks, aspergillous usually settles in TB cavities.

get full access to all content ⋅ pick a username

+0 upvote downvote
submitted by ∗beeip(141)

get full access to all content ⋅ pick a username

Guess one needs to bank on "hilar lymphadenopathy with fever" here.

Lacking upper lobe findings, I got this one wrong.

get full access to all content ⋅ pick a username

boeboeboe Patient likely has primary TB presenting with fever, chest pain. Lower lung fields are affected, but usually nothing seen on CXR. Secondary TB affects upper lobes, and is when cavitary lesions will be seen on CXR +1

kingfriday There's a uworld question that mirrors this presentation, it got me then- the adenopathy is huge +2

Must-See Comments from step2ck_form6

szsnikaa on Germinal cell tumor
qfever on Glycogen storage disease, type II (Pompe's ...
sugaplum on Observation in the emergency department
sugaplum on Right vertebral
sugaplum on Patent ductus arteriosus
sugaplum on Borderline personality disorder
jlbae on An excess of very long chain fatty acids
carolebaskin on Gallstone ileus
medicalmike on Daily exercise program
carolebaskin on Pulmonary contusion
medicalmike on Wean from the ventilator
sugaplum on Right optic nerve
medicalmike on Obstruction of cerebrospinal fluid flow
derpymd on Observation in the emergency department