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NBME Step 2 CK Free 120 Answers

step2ck_free120/Block 3/Question#85 (reveal difficulty score)
A 9-month-old boy is brought to the office by ...
Skeletal survey 🔍 / 📺 / 🌳 / 📖
tags: peds

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 +3  upvote downvote
submitted by anonmedstudent(3)

They're describing bullae 2/2 to water burn from dipping the bb into hot water butt-first

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 +2  upvote downvote
submitted by osler_weber_rendu(160)

Even if we're suspecting abuse, the answer should be to contact child protective services. What if the abuser does not hit the child? Can be abuse with a neg skeletal survey anyway

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len49  Pick the best answer of the choices, not necessarily what you would do in real life. +1
drdoom  @len49 Sure, but in that case you’re not saying much about /why/ “Skeletal survey” is the best answer choice from the NBME-frame-of-mind. Can you elaborate? +
drdoom  @osler My guess is that a skeletal survey is what “clinches” evidence of ongoing abuse, since skeletal surveys can reveal bone and tissue injury at /varying (time) stages of healing/, which is the kind of evidence CPS is going to need to establish a PATTERN of abuse and discredit claims like “this was just a one-time ‘accident’.” +

 +0  upvote downvote
submitted by dnazmzm(2)

I thought the baby was bitten by lizard then I didn't know what Saccharomyces cerevisiae was, so I thought it was something related to a lizard lol!!! too imaginative?

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charcot_bouchard  DO NOT PICK SOMETHING U NEVER HEARD OF. Unless u absolutely sure that none of others are not the answer +

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submitted by bwdc(697)

I think the description here is a little odd, but they’re suggesting there’s evidence of really serious spanking. Whenever the story doesn’t make sense or there are any concerning physical exam findings, it is critical to work up for nonaccidental trauma.

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submitted by charcot_bouchard(573)

Acute onset fussiness.

Something so prominent in such a prominent place (like a baby gonna need exposing his buttocks several times) and mom is like OMG NEW BABY WHAT"s THIS

Suspect abuse.

i was initially picked USG (URTI > Intususception) but theres no mention of abdominal pain.

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submitted by shaz464(1)

This was a really confusing question.Pt being diagnoses with URI and then bullae I wasn't thinking of abuse at all. If this is how the exam will be I think I'm doomed. :(

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