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Retired NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 2/Question#7 (reveal difficulty score)
A 62-year-old woman comes to the physician ...
Avoidance of analgesics ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: renal

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submitted by โˆ—medicalmike(82)
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Analgesic nephropathy (2/2 ASA, ibuprofen) can present with AIN, renal papillary necrosis, and ATN due to vasoconstrictive effects. Intrarenal pattern of injury (BUN/Cr<20) with granular casts suggests ATN.

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submitted by โˆ—step_prep7(71)
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  • Analgesic nephropathy (chronic interstitial nephropathy): Patient with chronic osteoarthritis treated with NSAIDs (and tylenol) who presents with signs of renal insufficiency (elevated creatinine and BUN) with mild proteinuria and sterile pyuria
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submitted by โˆ—lilmonkey(63)
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I remember my man Dr. Goljan talking about taking Aspirin and Acetaminophen together and saying buy-buy to your kidneys. good ol' days...

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lilmonkey  I mean bye-bye (: +



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submitted by โˆ—tinylilron(57)
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Is it just me, or is this question phrased strangely?

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