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NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 4/Question#35 (reveal difficulty score)
A 19-year-old woman, gravida 2, para 1, comes ...
Ultrasonography to confirm gestational age ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: repro

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submitted by โˆ—seagull(1933)
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Weird question. This is a follow-up - Why would you not have an ultrasound from the previous visit? Perhaps she needs a better doctor.

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 +2  upvote downvote
submitted by โˆ—step_prep3(25)
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  • Key idea: Most common causes of elevated AFP in a pregnant patient are under-estimation of gestational age, fetal demise, multiple gestations, ventral wall defects, neural tube defects and liver disease
  • Key idea: Next step in management of elevated AFP is ultrasound to assess gestational age, viability, number of pregnancies, and assess for defects

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cbrazell92  I thought US dating was less accurate after the 1st trimester which made me not pick that...ugh. +

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