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NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 3/Question#10 (reveal difficulty score)
A previously healthy 67-year-old woman comes ...
Carotid duplex ultrasonography ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: cardio

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 +8  upvote downvote
submitted by โˆ—seagull(1933)

"No bruits are heard over the neck"

I swear I cannot bang my face hard enough against a wall.

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letsdothis  Me too. Un-friggin-believable +1
cinnapie  Yo @seagull I am a huge fan. I am a huge fan. I think we gave step 1 around the same time and now Step 2 CK. Anyway, keep up the good work, we need someone like you to add some humor to this fucking shit. Not all heroes wear capes!!!! +6
sheska  if no bruits then why should we do a carotid duplex goddd +
tinylilron  bruits probably are not sensitive or specific enough... duplex is probably a better test +4
lindasmith462  "everything is in the question for a reason" I tell myself "not everything is a trap. how many questions have you gotten wrong because you thought something was a trap? go based whats on the question for once self!" NBME going Admiral Ackbar on my butt over here. +2

 +1  upvote downvote
submitted by โˆ—step_prep2(66)
  • Elderly woman who presents after an episode of amaurosis fugax (painless transient monocular vision loss caused by a small embolus in the ophthalmic artery) with hollenhorst plaques and an area of ischemia in the optic disc
  • Key idea: Amaurosis fugax is highly associated with carotid artery stenosis with resulting embolization, so patients should be worked up with a carotid artery ultrasound

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 +0  upvote downvote
submitted by โˆ—azibird(279)

What is that black sliver on here retina?

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 +0  upvote downvote
submitted by โˆ—ak8(3)

you dont see a cherry rod spot on fundoscopic exam picture - indication for fluorescein angiography to CONFIRM the diagnosis. they need to ask a different question if they want us to pick doppler. nbme always wins=(

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