NBME Step 2 CK Form 7 Spondylolisthesis (NBME Answers)

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Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 4/Question#14 (reveal difficulty score)
An otherwise healthy 37-year-old man comes to ...
Spondylolisthesis 🔍 / 📺 / 🌳 / 📖
tags: msk

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submitted by ∗seagull(1933)

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WTF is this x-ray. I would be better off pepper-spraying myself in the eyes and looking at a good x-ray than this shit.

I do not even begin to see spondlolololisthesis here.

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drdoom will you be my attending? +4

etherbunny It's between the sacrum and L5. If you join a smooth curve along the posterior border of the lumbar vertebral bodies and the posterior border of the sacrum, L5 is clearly slipped anteriorly and doesn't sit on the curve. +3

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submitted by ∗step_prep5(246)

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Spondylolisthesis: Palpable step-off, pain with spinal extension, with lateral spinal x-ray showing forward slippage of one of the vertebral bodies
Key idea: Due to pars intercularis defects that causes forward slip of vertebral body, leading to nerve impingement /// Often seen in adolescent boys
Compression fracture: Patient with risk factors for osteoporosis with tenderness upon palpation of the spine and pain with sitting/standing

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step_prep5 http://www.learningradiology.com/archives06/COW%20204-Spondolytic%20Spondylolisthesis/spondylocorrect.htm +2

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