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Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 3/Question#25 (reveal difficulty score)
A 32-year-old woman with asthma comes to the ...
Allergic bronchopulmonary aspergillosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: pulm

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submitted by โˆ—step_prep5(246)
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  • Allergic bronchopulmonary aspergillosis:ย Hypersensitivity response associated with asthma and cystic fibrosis that can lead to bronchiectasis and eosinophils
  • Bronchiectasis = Chronic productive cough + linear atelectasis + thickened airways and irregular cystic opacities
  • Key idea:ย Treatment is months of treatment with itraconazole + oral corticosteroids
  • Cystic fibrosis โ€“> Also associated with bronchiectasis and ABPA, but patient would have history of recurrent sinopulmonary infections, fat soluble vitamin deficiency, etc.
  • Alpha-1 antitrypsin deficiency โ€“> Lungs and liver problems with family history

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