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NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 4/Question#36 (reveal difficulty score)
A previously healthy 2-year-old boy is ...
Drain cleaner ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: toxicity

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 +10  upvote downvote
submitted by โˆ—seagull(1933)

I'm relatively sure that most people were 50:50 between bleach and drain cleaner.

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letsdothis  Yeah, I spent maybe like 20 seconds on this question. I knew I wouldn't be able to reason this one out. +1
lilmonkey  Same thing. But then I remembered myself using bleach wipes with no gloves - didn't get any ulcers or even irritation. But drain cleaner is really strong shit as it can dissolve ("ulcerate") all this solid gunk. +4
charcot_bouchard  At least those chores paid off finally +5

 +5  upvote downvote
submitted by โˆ—step_prep3(25)
  • Key idea: Ingestion of household bleach is often considered a benign ingestion, whereas ingestion of industrial-grade bleach is very severe/morbid

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 +1  upvote downvote
submitted by satanicdo(7)

household bleach has a neutral pH, whereas drain cleaner contains lye (very alkaline) and can cause liquefactive necrosis (ulcerations on the lips, etc.); the other options seemed more benign to me, but I definitely guessed between drain cleaner and bleach


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 +1  upvote downvote
submitted by โˆ—jlbae(159)

Y'aLL dOn'T KeEp BlEaCH uNdEr YoUr SiNkS??!?

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lindasmith462  i would but I don't have room with my lamp oil down there +13
beans123  @lindasmith462 I laughed out loud to that +1
azibird  I was loving the lamp oil! What is this, Captain Ahab's house? +
whoopthereitis  oh linda, you +

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