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Retired NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 2/Question#28 (reveal difficulty score)
A 25-year-old woman comes to the physician ...
Latex products ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: Immuno

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submitted by โˆ—medicalmike(82)
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This distribution of rash in a medical assistant suggests urticaria (Type I HS) from wearing latex gloves.

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happyyoyo  she has allergic contact dermatitis which is a type 4 hypersensitivity reaction. Urticaria is a type 1 hypersensitivity +1
tinylilron  First Aid Step 2 CK says that Latex allergy is NOT a contact dermatitis--its a type 1 hypersensitivity reaction +7
lilmonkey  Her boyfriend should be informed as well to prevent further and deeper complications. +3
305charlie94  First Aid 9th edition Step 2 CK stated that Latex is a type I HSR, however the newer 10th edition now mentions latex allergy as a type IV contact dermatitis +



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submitted by โˆ—step_prep7(71)
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  • Patient with new job as a medical assistant (where she likely needs to where latex gloves) has developed a new rash on her hands, most consistent with allergic contact dermatitis
  • Key idea: Latex allergy seen in 1-5% of population and is seen at higher rates closer to 10% in individuals with chronic occupational exposure to latex (medical workers, etc.)
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