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Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 4/Question#23 (reveal difficulty score)
A 55-year-old man comes to the physician ...
Viral infection ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: infectious_disease

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submitted by โˆ—thomasalterman(181)
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Post-viral tender goiter with thyroiditis = subacute granulomatous thyroiditis.

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submitted by โˆ—step_prep5(246)
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  • Patient with a recent viral infection who developed signs of hyperthyroidism (weight loss) and an enlarged, tender thyroid gland, most consistent with DeQuervain thyroiditis
  • Tender thyroid = DeQuervain thyroidits (subacute granulomatous thyroiditis) โ€“> Initially leads to hyperthyroidism due to release of preformed thyroid hormone (low iodine uptake into thyroid gland) followed by hypothyroidism due to inflammation of the thyroid gland

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