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NBME Step 2 CK Free 120 Answers

step2ck_free120/Block 1/Question#9 (reveal difficulty score)
A 70-year-old man comes to the clinic because ...
Measurement of postvoid residual volume ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: renal

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submitted by โˆ—bwdc(697)

When old men stop peeing so well, consider the poorly designed straw-crusher, the prostate. Chronic outlet obstruction isnโ€™t so great, but it also predisposes to acute prostatitis which in turn can further worsen said obstruction when the gland swells. First thing to do is see how much the gentlemen is backed up, which in turn tells us if he has earned catheterization. Old people and UTIs go together like [insert your own clever comparison].

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tinylilron  so we should work him up for post-void obstruction BEFORE we treat his UTI???? +2

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submitted by โˆ—charcot_bouchard(573)

i think the clue should have been low grade fever and dysuria. Poor guy may have a prostatitis. that dark urine threw me off.

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charcot_bouchard  now looking at the UW table, every symptoms fits....They can make this shit so easy and vague at the same time +

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