need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)
NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 3/Question#35 (reveal difficulty score)
A previously healthy 82-year-old woman comes ...
Brisk rotatory nystagmus on left lateral gaze ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: Aging inc

 Login (or register) to see more

 +7  upvote downvote
submitted by โˆ—thajoker(21)

Nystagmus is almost always pathological unless congenital. Especially gaze evoked nystagmus is almost always pathological.

BPPV btw is head movement induced nystagmus, which isn't the same as gaze evoked. Gaze just means moving eyes whereas bppv usually the nystagmus comes from moving the entire head.

The rest are normal findings for age, except e, which could be normal pupil size for any age.

 Login (or register) to see more

 +4  upvote downvote
submitted by โˆ—carolebaskin(109)

thajoker's comment is spot on

And: decreased upward gaze is a normal sign of aging, not always parinaud syndrome

Can dogs look up?

 Login (or register) to see more
etherbunny  What about tigers? Can tigers look up, Carole? +8

 +3  upvote downvote
submitted by โˆ—step_prep5(246)
  • Physiological nystagmus: Alternating smooth pursuit in one direction and saccadic movement in the other direction (WOULD NOT BE ROTATORY)
  • All other answer changes represent normal changes in aging

 Login (or register) to see more

 +0  upvote downvote
submitted by โˆ—jlbae(159)

I picked decreased upward gaze because I thought PSP might be on the differential as it is a Parkinson-plus syndrome. But apparently the vertical gaze palsy is usually a downward gaze palsy. Fun fact of my day.

 Login (or register) to see more

Must-See Comments from step2ck_form7

seagull on Analgesic therapy
athleticmedic on Uterine atony
seagull on Haemophilus influenzae
jlbae on Lorazepam therapy
seagull on Spondylolisthesis
carolebaskin on B lymphocyte
yotsubato on Indomethacin
yotsubato on Uterine atony
study_dude_guy on Bone marrow aspiration
chris07 on Heat stroke
osler_weber_rendu on Compression fracture
buttercup on Repeat blood pressure measurement in 4 weeks
step_prep5 on CT scan of the head
thajoker on Brisk rotatory nystagmus on left lateral gaze

search for anything NEW!