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NBME Step 2 CK Form 6 Answers
very neat. very structured. to-the-point, practical breakdowns. but also great use of typographical elements ... 🤔 too neat for emergency medicine. maybe gen surg? too good natured for ob/gyn .. hmmm, maybe future peds surg? okay, that's my final answer: peds surg.
no, wait .. i’m revising to peds specialty. probably peds nephro. final answer.
One thing i like to add contusion can be U/L or B/L. ARDS develops within 6-72 a/c to uw (24-72 in one place) hours of trauma i.e not too early not too late. The use of diffuse made me pause for a bit. Contusion is within 24 hours. and can progress to ARDS
submitted by ∗carolebaskin(109)
(a) ARDS is bilateral
(b) aspiration PNA is too quick (4 hours!) and is usually consolidated
(c) fat embolism is more common with long bone fractures (e.g., femur) -- if you hear chest is bruised, think chest first
(d) hemothorax is usually more acute, but I suppose possible especially if you're thinking flail chest with sharp ribs causing puncture. But, x-ray would be more consolidated
(e) pulmonary contusion fits. You have trauma, initially normal ABG, chest bruising, and unilateral diffuse consolidation a few hours later