NBME Step 2 CK Form 6 Avoidance of analgesics (NBME Answers)

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Retired NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 2/Question#7 (reveal difficulty score)
A 62-year-old woman comes to the physician ...
Avoidance of analgesics 🔍 / 📺 / 🌳 / 📖
tags: renal

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submitted by ∗medicalmike(82)

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Analgesic nephropathy (2/2 ASA, ibuprofen) can present with AIN, renal papillary necrosis, and ATN due to vasoconstrictive effects. Intrarenal pattern of injury (BUN/Cr<20) with granular casts suggests ATN.

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submitted by ∗step_prep7(71)

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Analgesic nephropathy (chronic interstitial nephropathy): Patient with chronic osteoarthritis treated with NSAIDs (and tylenol) who presents with signs of renal insufficiency (elevated creatinine and BUN) with mild proteinuria and sterile pyuria

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submitted by ∗lilmonkey(63)

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I remember my man Dr. Goljan talking about taking Aspirin and Acetaminophen together and saying buy-buy to your kidneys. good ol' days...

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lilmonkey I mean bye-bye (: +

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submitted by ∗tinylilron(58)

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Is it just me, or is this question phrased strangely?

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