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Retired NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 2/Question#11 (reveal difficulty score)
A 52-year-old woman comes to the physician ...
Adjustment disorder with anxiety ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: psych

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submitted by โˆ—medicalmike(82)
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This patient with homophobia has some functional impairment (2-week leave of absence) within 2 months following a stressor, with anxiety surrounding a single 'issue'. I approach adjustment disorder by ruling out other answer choices:

PTSD/Acute stress are only diagnosed following life-threatening events.

GAD requires >6mo of symptoms and worry about multiple issues.

Panic disorder requires patient to actively avoid scenarios that may trigger panic attack.

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charcot_bouchard  still sounds lot better than others. Her son rocks though. "surprise u already don't know" +



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submitted by โˆ—step_prep7(71)
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  • Patient with psychosocial distress causing impairment following a discrete stressor who does not meet criteria for more serious psychiatric diagnoses
  • Key idea: Adjustment disorder develops within 3 months of identifiable stressor and should last no longer than 6 months
  • Key idea: Treated with psychotherapy (CBT) +/- adjunctive pharmacotherapy for anxiety, insomnia, etc.
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