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Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 2/Question#33 (reveal difficulty score)
A 42-year-old woman comes to the physician ...
Urethral diverticulum ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: renal inc ddx

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submitted by โˆ—step_prep5(246)
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  • Woman with urinary incontinence exclusively after voiding found to have a cystic, tender mass in the vagina and a low post-void residual volume, suggestive of a urethral diverticulum
  • Interstitial cystitis: Discomfort/pain in bladder + Urinary frequency/urgency
  • Vesicovaginal fistula: Continuous loss of urine with clear fluid found in the vagina

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submitted by โˆ—thajoker(21)
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Vesicovaginal fistula presents with constant urinary incontinence, not only after voiding.

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