NBME Step 2 CK Form 7 Heat stroke (NBME Answers)

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Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 2/Question#1 (reveal difficulty score)
A 75-year-old man is brought to the emergency ...
Heat stroke 🔍 / 📺 / 🌳 / 📖
tags: heat toxicity

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submitted by ∗chris07(69)

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He's had heat stroke for 2 days???? I get the elevated CK and body temp (all pointing to heatstroke), but the fact that he was a temp of 106 and has been symptomatic for 2 DAYS makes the whole heat stroke diagnosis weird to me.

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drmohandes Exactly my thoughts. -_- +1

bluebul Dude isn't red as a beet. Can't be anti-cholinergic poisoning. +3

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submitted by ∗step_prep5(246)

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Heat stroke: Elevated temperature with CNS dysfunction, caused by impaired thermoregulation
Heat exhaustion: Elevated temperature with no CNS dysfunction, caused by inadequate salt and water replacement
Malignant hyperthermia –> Often seen in patient receiving anesthetic who develops hyperthermia and rigidity

https://step-prep.org/tutoring/

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etherbunny When you say MH is "often seen" in patients receiving anesthesia, its VERY rare. +

meningitis Im thinking he meant "often seen" in question stems.. not the actual incidence +

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