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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 4/Question#40 (reveal difficulty score)
A previously healthy 21-year-old man is ...
Psychiatric assessment ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: psych

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 +7  upvote downvote
submitted by โˆ—seagull(1933)
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Am I the only one always see conversion disorder of UWORLD as reassure and follow-up. This test is giving me conversion disorder.

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seagull  I looked it up in UWORLD. THey say treatment is "Education, CBT, and Physical THerapy". +
seagull  I looked it up in UWORLD. THey say treatment is "Education, CBT, and Physical THerapy". +
bobson150  Gotta get a formal assessment before you treat I guess +5
lindasmith462  you dont need a formal assessment though. its something that can totally be diagnosed and managed by a primary care physician and only needs psych intervention if primary methods dont work. if anything you avoid early psych intervention because being labeled as a "psych" thing makes most patients resistant. +1
osler_weber_rendu  "ReFfeRaL tO a SpEcIaLiSt iS AlWaYs WrOnG" +2
charcot_bouchard  YOU DO THE PSYCH ASSESSMENT (boaard strikes back) +1



 +1  upvote downvote
submitted by โˆ—jlbae(159)
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Conversion disorder is highly associated with other psych disorders. A full psych eval could help to identify any comorbid MDD, GAD, bipolar disorder, etc.

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 +0  upvote downvote
submitted by โˆ—step_prep3(25)
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  • A previously healthy young man with recent life stressors who presents with sudden onset of blindness in one eye with a completely normal physical exam (including tests demonstrating that he can in fact see out of that eye), most consistent with conversion disorder
  • Testing will often involve a neurologist and psychiatrist

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

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