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NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 1/Question#3 (reveal difficulty score)
A 20-month-old girl is brought to the ...
Cystic fibrosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: genetics peds marked

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submitted by โˆ—sugaplum(487)
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CF, + family hx of norther european. Lungs with lots of gunk it in that is difficult to remove. recurrent infections

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kingfriday  adding to this. kid also has poor growth which reflects poor pancreatic function +1
lubdub  And the clubbing indicating chronic hypoxia! +2



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submitted by โˆ—step_prep7(71)
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  • Patient of Northern European descent with recurrent sinopulmonary infections, poor growth (due to fat malabsorption) and signs of bronchiectasis (streaky lung densities with hyperinflation, mild clubbing)
  • Important to distinguish from Kartagenerโ€™s syndrome, which would lead to dextrocardia and would be less likely to lead to poor weight gain
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 -3  upvote downvote
submitted by โˆ—drdoom(1206)
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โ€œItโ€™s awfully quiet in these here pages ...โ€ ๐ŸŒต๐Ÿค 

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gpbacilli  Well said, lol. And yet, here is the same question a year later. +



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