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Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 3/Question#20 (reveal difficulty score)
For 12 hours, a 25-year-old woman, gravida 2, ...
Measurement of serum amylase activity ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: GI

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submitted by โˆ—step_prep5(246)
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  • Young woman with symptoms concerning for acute pancreatitis (severe epigastric pain radiating to the back with nausea/vomiting)
  • Key idea: Measurement of serum amylase/lipase preferable to CT scan in setting of clinical pancreatitis (severe epigastric pain radiating to the back) because there can be a delay in the appearance of imaging findings
  • Diagnosis of acute pancreatitis requires 2/3: (1) Acute epigastric pain radiating to the back (2) Increased serum amylase or lipase to at least 3X upper limit of normal (3) Characteristic imaging findings

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etherbunny  "preferable to CT scan".... in pregnancy? HELL yes! +2
namesthegame22  Significance of Amylase vs. Lipase? +



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