NBME Step 2 CK Form 7 Physiologic discharge (NBME Answers)

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Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 3/Question#10 (reveal difficulty score)
An otherwise healthy 40-year-old woman comes ...
Physiologic discharge 🔍 / 📺 / 🌳 / 📖
tags: repro inc

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submitted by ∗step_prep5(246)

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Physiologic discharge: Non-spontaneous, non-bloody and minimal discharge with normal physical exam and mammogram
Pathologic discharge: Unilateral discharge, bloody/serous discharge and/or palpable lump or skin changes

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submitted by ∗keyseph(99)

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Let's break this down algorithmically.

Unilateral discharge in a patient >30 years warrants a mammography. Mammography for this patient was normal.

Next step should be to get a prolactin level, but the prompt didn't specify, so let's assume it was normal.

Given a normal mammography and presumed normal prolactin level, physiologic discharge would be the most likely diagnosis.

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