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NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 2/Question#16 (reveal difficulty score)
A 43-year-old man comes to the physician ...
Haemophilus influenzae ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: infectious_disease pulm

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submitted by โˆ—seagull(1933)

I love these shit pictures. It's like some old angry dude opened a text book from the 1950s and took a picture with his razor phone then uploaded the picture using windows 99.

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seagull  Also, I think pseudomonas would present with hemoptysis and a much worse clinical picture. +2
drmohandes  Community-acquired pneumonia. If it was a CF patient = pseudomonas. In a 25-year smoker (COPD?) = H. influenzae. +8
etherbunny  That'll be RAZR phone and Windows 98. FIFY, f**king millenials. :roll_eyes: ;) +5

 +4  upvote downvote
submitted by โˆ—derpymd(20)

Note to self: coccobacilli are apparently bacilli in exam situations. I guess I need to be less pedantic.

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rthavranek  I had the same reasoning where I thought they were trying to trip us up on if we knew H. flu was coccobacillus. But looking into it, it seems that coccobacilli are a type of bacilli that are just shorter, so calling H. flu bacillus is not technically wrong +

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submitted by โˆ—charcot_bouchard(573)

MCC of CAP in adult 40-65

Strep Pneumo H. Flu Anerobes Viruses Mycoplasma

F Step 1 content

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submitted by โˆ—step_prep5(246)
  • Middle-aged man with significant smoking history and signs of pneumonia (fever, pleuritic chest pain, productive cough, shortness of breath, increased tactile fremitus and dullness to percussion) who has sputum gram stain showing gram-negative bacilli, most consistent with H. influenzae
  • Pseudomonas aeruginosa would also lead to gram-negative bacilli, but would be more common in a cystic fibrosis patient
  • N. meningitidus โ€“> Gram-negative cocci
  • Strep pneumo โ€“> Gram positive diplococci

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