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Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 4/Question#20 (reveal difficulty score)
A 52-year-old woman comes to the physician ...
Pleural metastases ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: pulm

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submitted by โˆ—step_prep5(246)
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  • Middle aged woman with history of breast cancer presenting with subacute dyspnea on exertion with dullness to percussion over the lower half of the right lung (consistent with pleural effusion) with no other sides of volume overload, most consistent with pleural effusion secondary to metastatic carcinoma
  • Pericardial tamponade: Hypotension, jugular venous distention, distant heart sounds, pulsus paradoxus
  • RLL pneumonia: Fever, cough, etc.

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