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Retired NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 4/Question#16 (reveal difficulty score)
A 57-year-old woman is brought to the ...
Osteoporotic compression fracture ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: MSK

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submitted by โˆ—shastri96(17)
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post menopausal women on prednisone increases the risk of osteoporosis and that can cuases compression fracture even by trivial trauma. ( here back pain began after she lifte up her grandson. P/E Shows affected area on spine tender to palpation. SLRT -.

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submitted by โˆ—step_prep7(71)
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  • Middle-aged woman with risk factor for vertebral compression fracture (long-term prednisone use) presents with sudden onset back pain and tenderness to percussion over the spine, most consistent with a vertebral compression fracture
  • Key idea: Vertebral compression fracture comes in 2 flavors (1) Chronic fracture: Painless with progressive kyphosis and loss of stature (2) Acute fracture: Low back pain with decreased spinal mobility + tenderness at affected level
  • Key idea: Causes of point tenderness over vertebral body include compression vertebral fracture, osteomyelitis and metastatic disease to vertebral bone
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