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Retired NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 4/Question#37 (reveal difficulty score)
A 32-year-old man comes to the physician ...
Vitamin D deficiency ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: GI vitamins

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submitted by โˆ—medgirl11(20)
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Malabsorption of fat soluble vitamins (seem like the patient has celiac disease or perhaps a pancreatic issue) Low calcium = Vitamin D deficiency

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submitted by โˆ—step_prep7(71)
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  • Young patient with malabsorption (intermittent diarrhea with weight loss and fat in the stool) who has low calcium and phosphorous levels, which is most consistent with vitamin D deficiency
  • Key idea: Vitamin D responsible for calcium and phosphorous absorption from the GI tract (contrast with PTH which leads to increased calcium and decreased phosphate)
  • Key idea: Fat soluble vitamins are vitamins A, D, E and K
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