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NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 4/Question#14 (reveal difficulty score)
An otherwise healthy 37-year-old man comes to ...
Spondylolisthesis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: msk

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 +9  upvote downvote
submitted by โˆ—seagull(1933)

WTF is this x-ray. I would be better off pepper-spraying myself in the eyes and looking at a good x-ray than this shit.

I do not even begin to see spondlolololisthesis here.

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drdoom  will you be my attending? +4
etherbunny  It's between the sacrum and L5. If you join a smooth curve along the posterior border of the lumbar vertebral bodies and the posterior border of the sacrum, L5 is clearly slipped anteriorly and doesn't sit on the curve. +3

 +1  upvote downvote
submitted by โˆ—step_prep5(246)
  • Spondylolisthesis: Palpable step-off, pain with spinal extension, with lateral spinal x-ray showing forward slippage of one of the vertebral bodies
  • Key idea: Due to pars intercularis defects that causes forward slip of vertebral body, leading to nerve impingement /// Often seen in adolescent boys
  • Compression fracture: Patient with risk factors for osteoporosis with tenderness upon palpation of the spine and pain with sitting/standing

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