NBME Step 2 CK Form 8 Carotid duplex ultrasonography (NBME Answers)

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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 🔍 / 📺 / 🌳 / 📖
tags: cardio

+8 upvote downvote
submitted by ∗seagull(1933)

"No bruits are heard over the neck"

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

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 ∗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

https://step-prep.org/tutoring/

+0 upvote downvote
submitted by ∗azibird(279)

What is that black sliver on here retina?

+0 upvote downvote
submitted by ∗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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