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Retired NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 2/Question#32 (reveal difficulty score)
A 25-year-old woman comes to the emergency ...
Idiopathic intracranial hypertension ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: neuro

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submitted by โˆ—bigjimbo(67)
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Pseudotumor Cerebri/Idiopathic Intracranial HTN shows up as headache, pulsatile tinnitis, vision difficulties. Has normal imaging and normal (therapeutic) LP. According to UW, risk factors include: obese, vitamin A, tetracyclines.

The patient in this question was 250 lbs at 5 feet. Thats a BMI of 48.8

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submitted by โˆ—step_prep7(71)
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  • Idiopathic intracranial hypertension = Pseudotumor cerebri with risk factors being Female TOAD (Female, Tetracyclines, Obesity, vitamin A and Danazol)
  • Often presents in young overweight women with combination of headaches, vision loss (enlarged blind spot), and pulsatile tinnitus with signs of increased intracranial pressure (CN 6 palsy, papilledema, lumbar puncture findings of increased opening pressure [>250])
  • Key idea: Treat with weight loss and acetazolamide
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