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Retired NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 4/Question#15 (reveal difficulty score)
A healthy 24-year-old woman comes for a ...
Repeat examination in 2 weeks ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: repro inc

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submitted by โˆ—step_prep7(71)
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  • Young otherwise healthy woman with no family history of ovarian cancer who presents with a unilateral tender adnexal mass while in the luteal phase of her menstrual cycle, most consistent with a functional ovarian cyst
  • Key idea: Best next step would be repeating the exam during the proliferative phase of the menstrual cycle, where we would expect the mass to go away or improve after ovulation has taken place and the egg has been released
  • Key idea: Patients with a persistent mass or a similar presentation in an older patient should have full work-up performed
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submitted by โˆ—medgirl11(20)
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I believe that this is an ovarian cyst...recheck at different point in cycle

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kingfriday  particularly in the follicular phase (first 14 days) of the cycle before ovulation! +



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submitted by โˆ—charcot_bouchard(574)
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Related note - If this was a post mens woman she would need a USG & CA-125 measurement next.

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