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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 4/Question#38 (reveal difficulty score)
A 22-year-old woman has had heavy menstrual ...
Presence of anti-platelet IgG antibodies ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: hemeonc

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submitted by โˆ—step_prep3(25)
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  • Previously healthy young woman who presents with heavy menstrual bleeding and easy bruisability found to have thrombocytopenia with bone marrow aspirate showing increased number of megakaryocytes, with platelet count responsive to prednisone, most consistent with idiopathic thrombocytopenia
  • Key idea: Immune thrombocytopenia caused by platelet antibodies and is often associated with a preceding viral infection
  • Impaired platelet production = Aplastic anemia = Pancytopenia

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