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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 2/Question#3 (reveal difficulty score)
A 32-year-old woman has had fatigue, fever ...
Penicillin G benzathine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: infectious_disease

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submitted by โˆ—step_prep(148)
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  • Young woman with unsafe sexual practices and IVDU presents with fever, generalized lymphadenopathy and a diffuse maculopapular rash involving the palms and soles, most consistent with syphilis
  • Key idea: First-line treatment for syphilis is intramuscular penicillin G, with an alternative being doxycycline in patients with severe penicillin allergy
  • Key idea: Pregnant women with penicillin allergy should undergo penicillin desensitization because they are not allowed to use doxycycline (risk of teeth and bone abnormalities in baby)

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