NBME Step 2 CK Form 7 Hypothyroidism (NBME Answers)

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Retired NBME Answer Explanations

Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 3/Question#46 (reveal difficulty score)
A 77-year-old man is brought to the physician ...
Hypothyroidism 🔍 / 📺 / 🌳 / 📖
tags: neuro endo Aging inc

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submitted by ∗step_prep5(246)

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Older patient with dementia, decreased DTRs, non-pitting edema of the lower extremities and slow movements, most consistent with hypothyroidism
Huntington disease –> Dementia, depression, chorea
Multi-infarct (vascular) dementia –> Step-wise dementia with focal neurologic defects (weakness, sensation, etc.)
Pernicious anemia –> Atrophic gastritis + B12 deficiency (lower extremity weakness, paresthesias, sensory disturbances, etc.)
Syphilis –> Lymphadenopathy, diffuse rash involving the palms and soles

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imtheman Okay but why the hyponatremia? +1

kk1164 isn't hypothyroidism associated with increased secretion ADH? +

namesthegame22 Can also cause abnormal LFTs +

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