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Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 1/Question#21 (reveal difficulty score)
An 82-year-old woman is brought to the ...
Central retinal vein occlusion ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: ophtho

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submitted by โˆ—step_prep5(246)
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  • Unilateral vision loss + Dilated retinal veins and widespread retinal hemorrhages on fundoscopy (โ€œblood and thunderโ€ appearance) = Central retinal vein occlusion
  • Central retinal artery occlusion = Cherry-red spot on fundoscopy
  • Corneal abrasion = Positive Fluorescein staining, sensitivity to light, pain
  • Glaucoma = Bilateral lens opacity and glare from lights
  • HSV conjunctivitis = Dendritic ulcers
  • Optic neuritis = Optic disk pallor

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nala_ula  Thanks for this! but i think you meant to write cataract instead of glaucoma +1



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submitted by โˆ—buttercup(18)
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Retinal vein occlusion is the second most common cause of visual loss in older adults throughout the world. The first is diabetic retinopathy. Age, HTN, and diabetes are risk factors. This patient is a diabetic and the retinal veins are dilated (clear giveaway).

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klebsiella  The question does not explicitly mention that the patient is diabetic. is it because she is on lisinopril for her HTN? +



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