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NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 2/Question#1 (reveal difficulty score)
A 20-year-old man is brought to the emergency ...
Inadequate dissipation of body heat ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: toxicity EM

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 +3  upvote downvote
submitted by โˆ—jlbae(159)

Hopefully the ambulance crossed the finish line with him in it so he could at least get his 26.2 bumper sticker

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charcot_bouchard  Amen +

 +2  upvote downvote
submitted by โˆ—step_prep7(71)
  • Presentation most consistent with heat stroke, which leads to elevated temperature and CNS dysfunction +/- other organ damage in a patient participating in strenuous activity in hot/humid weather and is caused by impaired thermoregulation
  • Key idea: Managed with aggressive cooling and fluid/electrolyte correction with NO role for antipyretic therapy
  • Contrast with heat exhaustion, which leads to elevated temperature with no CNS dysfunction and is caused by inadequate salt and water replacement
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