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Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 4/Question#3 (reveal difficulty score)
A 67-year-old man has had an ulcer on the ...
Stasis dermatitis with ulcer ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: derm inc

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 +5  upvote downvote
submitted by โˆ—seagull(1933)
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Weakly palpable pulses with edema - what a set-up for arterial insufficency. I can see why this is stasis ulcer but it could have been way clearer in my opinion.

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 +4  upvote downvote
submitted by โˆ—drmohandes(193)
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pressure (decubitus) ulcers

  • over bony prominence
  • impaired mobility / abnormal mental status

arterial ulcers

  • most distal parts where blood flow is low (tips of toes)

diabetic foot ulcers

  • Charcot deformity
  • soles of feet under metatarsal heads
  • tops of toes

venous stasis ulcers

  • edema
  • stasis dermatitis
  • pretibial or above medial malleolus
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 +2  upvote downvote
submitted by โˆ—step_prep5(246)
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  • Elderly patient with previous mitral valve dysfunction and history of CHF who presents with bilateral lower extremity edema and an ulcer on the lower medial extremity, most consistent with a venous stasis ulcer
  • 3 main types of lower extremity ulcers includeย (1) Neuropathic ulcers:ย Seen in diabetic patient, occur on the sole of the foot especially where lots of pressure is placed while walking (such as proximal to big toe)ย (2) Arterial ulcers:ย Patient with signs of peripheral vascular disease (claudication, shiny hairless legs) who has ulcer with necrosis often atย tips of the toes (3) Venous ulcers:ย Often seen in patient with chronic lower extremity edema and leads to ulceration on theย medial aspect of the leg

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