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Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 1/Question#22 (reveal difficulty score)
A 4-month-old infant is brought to the ...
Child abuse ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: ped

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submitted by โˆ—step_prep5(246)
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  • Common injuries highly associated with child abuse include retinal hemorrhages and intracranial injury (particularly subdural hematoma due to shearing of bridging veins with violent shaking)
  • Can also commonly see long-bone spiral fractures or rib fractures, but importantly the NBME will at times try to trick you by having a parent bring in an infant with a history incompatible with bone fractures who has osteogenesis imperfecta
  • Key idea: One of the other presentations is if the parentโ€™s story does not fit known developmental milestones (saying that a 2 month old rolled off a table when children typically do not roll until ~4 months)

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 -1  upvote downvote
submitted by โˆ—seagull(1933)
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The seizure made me think that she has increase intracranial HTN and that could also explain the retinal findings. BuT I wAs WrOnG..

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depabillaba  intracranial mass --> papilledema child abuse --> b/l retinal hemorrhage +



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