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Retired NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 3/Question#37 (reveal difficulty score)
A 2-year-old boy is brought to the physician ...
Intravenous immunoglobulin infusion ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: Immuno

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submitted by โˆ—medicalmike(82)
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This boy with recurrent bacterial infections, low lymphocyte count, and low levels of all Ig's has X-linked agammaglobulinemia ("two maternal uncles..."). Treatment is IVIG and antibiotic ppx.

SCID is treated with BMT, and presents earlier with failure to thrive and bacterial, fungal, and viral infections due to low B and T cells.

DiGeorge is treated with thymic transplant, and presents with low T cells and normal Ig's.

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