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NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 2/Question#7 (reveal difficulty score)
A 36-year-old woman, gravida 1, para 1, has ...
Uterine atony ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: repro inc 

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submitted by โˆ—athleticmedic(18)
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tPnaclea" apspera eecpltmo tbu tron" - fi sti' nrto nad oyln appsera meoc,ltpe aehtrr ahnt inegb rnfciemdo sa pcoe,emtl how acn uyo lure out narteeid pnetlaacl stsi?ue You nl'wodtu tusj msuase ti aws emteolpc ta a ecxoplm dey,evirl it dwoul iureqer nfinmatcrioo.

drmohandes  I feel you man, was guessing between the two answers as well. I think torn but complete means the whole placenta is there, but in pieces? Anyway classic scumbag NBME question writing. +4
sahusema  For NBME questions, I've found that whatever is told in the findings section of a stem should be taken as 100% true even if it's an incomplete description, super confusing, or misleading. So placenta complete? โ†’ uterine atony +2

submitted by โˆ—yotsubato(1207)
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oYu wokn htey udclo rowth su a bneo ro meso.h.ign.t lleT su the erutsu si ggoyb ta s,eatl or ,dhar or NGAYNITH AT ALL .Y.A.LL.RE

saffronshawty  They mentioned that the uterus is 3 cm above the umbilicus which is an indication that it's enlarged and hasn't returned to the normal post-partum size it should be, which is at the level of the umbilicus +/- 2 cm. +4
derpymd  So that +1cm is the distinction here? They misdirect to suggest there may be retained placental tissue, but tell us nothing truly valuable about the state of the uterus. I think this is a poor question. +1
cinnapie  @derpymd i get what you are saying but they said that the placenta is torn but complete. I guess we need to take their word for it if they say the placenta is complete and there is absolutely NOTHING left behind to cause the symptoms +1
machetebetty  Also, big baby -> floppy uterus . +1

submitted by โˆ—osler_weber_rendu(160)
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cPealant apespar opeelt"mc btu n"sa?i?sCcrl ?ot ENMB utrhsihsyo!e

submitted by โˆ—step_prep5(246)
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  • aWnmo tihw iecocgmltlopnopar/edd ieldvery thiw esesivexc posumaprtt bldgeeni ohw osed tno hvea tenieard cn,elatpa angielt tctar aaturm ro rothyis of ogtlpacoyuha, nad freerheto otsm lekyil has reiteun antyo (mtso nmcomo acuse of tampsuprot gienlbde nda noommlcy esen rteaf gflercofuit/doindpl yele)irdv
  • sCaues of sidvoyp-rltee endbglei is 4 โ€™T:s ย 1()aTyno tmos( ncommย )o)(2 Traamย u)3( Trhnimbo hoyl(uย gpaao)ct()4 Teisus ern(aiedt latpen,ac .e)tc


krewfoo99  Yes but how do you know that the placenta is not retained? +

submitted by โˆ—usmile1(154)
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hTsi paointnreste arlyle locud eb ihrete nrditeae nplactela suiets or ereitun i thikn hte eyk tiwh ehtse bmen tusoesinq si ot go whit hte tsmo illeyk oansdg,sii dan eth msot ommnoc auces of sotp trmaup rograeehhm si nueeitr aonty

"tA smtie hte lbku fo the tlpaenca llwi lvdriee sysnueolpntao or l,alumnya ubt amlsl trsonoip ro an yeacsrcos beol yma be ia.redetn ishT yma be tsducepse enwh eth aclpeatn erppasa rmedntafeg raeft erdlieyv or nwhe ehrte si ongigno vaehy ieetunr dn.egebli nI tshi onusatt,ii eht eeuitnr tiyacv yam eb tueavaedl tiwh aunlam rxoeonliatp ro hwit sdlor.tnuau The ytuitil of onurslduat in tshi tnstoaiiu ahs eyt to eb dsehsbl,aeit iwth a lfaco dreoeimantl msas, uariyllpactr twih pDlproe wlfo, eingb the insnifgd fo et.tresni nI noe dstyu fo eotuinr nutrouldas tiemlayimed eraft vngliaa lvdei,yer teh vistiseyint fro insgadiong rtaeiden ctaaelnpl aetnrmgsf saw only 4%4 twih a ipisotev ectiirvdep valeu PV)P( of 5"%8 r/0cs//tln.wiPg/eMttip08:Shpw94o.m/ihc0ct/bnC67vl9#0nm6.lewa.its

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