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Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 3/Question#13 (reveal difficulty score)
Two days after admission to the hospital for ...
Vitamin B1 (thiamine) ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: toxicity

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submitted by โˆ—seagull(1933)
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Wernicke's syndrome (Vitamin B1 Deficiency)

Also known as Wernicke encephalopathy, is a neurological disease characterized by the clinical triad of confusion, the inability to coordinate voluntary movement (ataxia), and eye (ocular) abnormalities.

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submitted by โˆ—step_prep5(246)
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  • Patient with alcoholism presenting with ataxia (wide-based ataxic gait) and ophthalmoplegia (abnormal eye movements), most consistent with Wernicke encephalopathy (thiamine deficiency)
  • Key idea: Alcoholism = Malnutrition (at least on NBME)
  • Wernicke encephalopathy: Confusion, ataxia, ophthalmoplegia

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