NBME Step 2 CK Form 8 Rocky Mountain spotted fever (NBME Answers)

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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 2/Question#28 (reveal difficulty score)
An 18-year-old man is brought to the ...
Rocky Mountain spotted fever 🔍 / 📺 / 🌳 / 📖
tags: infectious_disease inc

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submitted by ∗step_prep(148)

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Young man who has been camping for 3 weeks who presents with encephalopathy, fever/chills, headache and maculopapular rash involving the palms and soles along with petechiae/purpura of the lower extremities, concerning for RMSF
Key idea: RMSF (along with many other tick-borne illnesses such as Ehrlichiosis, Anaplasmosis, etc.) leads to leukopenia and thrombocytopenia
Key idea: Infectious rash over the palms and soles can be remembered with mnemonic CaRS: Coxsackie A, Rickettsia Rickettsii, Syphilis

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submitted by ∗etherbunny(54)

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These are some seriously dumbass frat bros.

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