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NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 4/Question#17 (reveal difficulty score)
An 82-year-old woman is brought to the ...
Acute myocardial infarction ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: cardio ecg marked

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submitted by โˆ—step_prep3(25)
  • Elderly patient with vasculopathic risk factors (hypertension, diabetes, smoking) presenting with acute shortness of breath, diaphoresis and pallor found to have hypotension and pulmonary edema with ECG findings of ST elevation in the anterolateral leads (I, avL, V2-V6), most consistent with myocardial infarction complicated by cardiogenic shock
  • Aortic dissection would lead to pain radiating to the back and X-ray would show widening of the mediastinum

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