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Retired NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 1/Question#5 (reveal difficulty score)
During the past 4 months, a 32-year-old woman ...
Sjögren syndrome 🔍 / 📺 / 🌳 / 📖
tags: msk

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 +2  upvote downvote
submitted by sugaplum(487)
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Sjogren syndrome destruction of the salivary glands, dental caries. I looked at UTD and there isn't anything about the vagina being involved, but there is probably some article out there that links it.

The other answer choices didn't make sense

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lubdub  Other autoimmune (T1DM) and dry eyes point that way as well! +1
lindasmith462  IDK maybe the NBME got the types of "labial" involvement confused... +
lilmonkey  WTF is UTD? Anyway, I get it right all the time. +



 +0  upvote downvote
submitted by step_prep7(71)
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  • Mucosal dryness in young or middle-aged woman, especially in one with other autoimmune disease such as this patient (T1DM), should make you think of Sjogren syndrome
  • Important to contrast with age-related sicca syndrome, which is present in ~25% of individuals over 65 years old and leads to sensation of dry eyes and/or dry mouth with a negative ANA (if they are feeling generous and give you this information)

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