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Retired NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 4/Question#12 (reveal difficulty score)
One month after undergoing an uneventful ...
Increased dosage of corticosteroids ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: renal inc surg

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submitted by โˆ—carolebaskin(109)
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Treatment for acute kidney rejection is steroid + antithymocyte

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submitted by uic_23(1)
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This is acute rejection as stated in the question which is most commonly due to lack of proper immunosuppresion so you would increase the sterroid dose. If it was hyperacute or chronic it would be to remove the organ!

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submitted by โˆ—step_prep7(71)
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  • Patient with renal transplant who develops increased BUN and creatinine on order of weeks to months most concerning for acute transplant rejection (which is confirmed by biopsy in this patient)
  • Key idea: First-line treatment for acute rejection are steroid boluses vs. antilymphocyte agents vs. antithymocyte serum
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