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Retired NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 2/Question#12 (reveal difficulty score)
A 67-year-old man is brought to the emergency ...
Ruptured aortic aneurysm ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: cardio trauma inc

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submitted by โˆ—medicalmike(82)
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Calcifications in anterior lumbar spine = atherosclerosis in abdominal aorta, a risk factor for AAA. Acute onset pain indicates rupture or impending rupture. BP can be low-normal due to tamponade by retroperitoneal location of abdominal aorta.

note: calcifications in anterior lower thoracic spine = chronic pancreatitis

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medpsychosis  Just a clarification: It is anterior TO the lumbar spine or anterior TO the lower thoracic spine. These calcifications are not in the spine itself. +



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submitted by โˆ—step_prep7(71)
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  • Older patient with sudden onset back pain unrelated to activity with signs of blood loss (pale, tachycardic, diaphoretic) who also has calcifications anterior to vertebral bodies on X-ray (aorta sits just anterior to vertebral bodies)
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