NBME Step 2 CK Form 7 Observation (NBME Answers)

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Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 4/Question#17 (reveal difficulty score)
An asymptomatic 60-year-old man comes for a ...
Observation 🔍 / 📺 / 🌳 / 📖
tags: GI inc

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submitted by ∗krewfoo99(115)

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QID: 15710

If the patient is asymptomatic no treatment needed.

If the pt had reflux symptoms then give medical therapy ( He dosent have symptoms now even though he had an ulcer in the past)

If GERD refractory to medical therapy then surgery is indicated .

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jurrutia But she's not asymptomatic... she just had 15 mins of acute chest pain. +1

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submitted by ∗step_prep5(246)

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Patient who is asymptomatic with a hiatal hernia that can be managed with observation
Key idea: Patients with a symptomatic hiatal hernia (GERD), should be treated with PPIs or H2 blockers

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