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NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 3/Question#7 (reveal difficulty score)
A 23-year-old woman comes to the physician ...
Postviral myocarditis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: infectious_disease inc

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submitted by โˆ—step_prep2(66)
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  • Patient with history of influenza-like illness ~1 month ago who presents with acute dyspnea, fatigue, light-headedness, ECG changes and echo showing hypokinesis with normal valves, most consistent with a postviral myocarditis
  • Key idea: On NBME exams, if a young patient presents with signs of cardiogenic shock without trauma, a common cause is myocarditis
  • Acute constrictive pericarditis would be seen in patient with radiation to the chest, open heart surgery or some other insult that would lead to fibrosis of the pericardium

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submitted by โˆ—azibird(279)
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What does "central hilar opacification bilaterally" on x-ray represent?

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sorrel1000  @azibird that confused me too. I was thinking sarcoidosis and then put constrictive pericarditis down. But now looking back, there wasn't enough support for sarcoidosis. +1

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