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NBME Step 2 CK Free 120 Answers

step2ck_free120/Block 1/Question#11 (reveal difficulty score)
A previously healthy 34-year-old woman is ...
Thrombotic thrombocytopenic purpura ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: hemeonc

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submitted by โˆ—carolebaskin(109)
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Meets the 5 FAT RN criteria:

  • fever
  • anemia
  • thrombocytopenia
  • renal symptoms
  • neuro symptoms

Also, Indirect hyperbilirubinemia and increased LDH should tip you off to MAHA

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 +1  upvote downvote
submitted by โˆ—bwdc(697)
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TTP always seems like too many disparate symptoms but just remember the pentad: thrombocytopenia, microangiopathic hemolytic anemia, neurologic symptoms, renal failure, and fever. If the symptoms list seems super long, keep TTP in mind.

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