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NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 1/Question#42 (reveal difficulty score)
A 25-year-old man comes to the physician 6 ...
MRI of the thoracolumbar spine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: msk

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  • Patient with type 1 diabetes (relative immunosuppression and increased risk of infection from use of needles for insulin administration) who presents with leg weakness and urinary retention in setting of fever, vertebral tenderness and leukocytosis, most consistent with epidural abscess pressing on the spinal cord
  • Key idea: In setting of low back pain, X-ray is indicated in setting of osteoporosis/compression fracture, ankylosing spondylitis or suspected malignancy
  • Key idea: In setting of low back pain, MRI is indicated in setting of sensory/motor deficits, cauda equina syndrome and suspected epidural abscess/infection

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