NBME Step 2 CK Form 8 Blood: Trace / Protein: 1+ / RBC: 0-5 / WBC: >50 / Casts: None / Other: WBC clumps (NBME Answers)

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Retired NBME Answer Explanations

Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 2/Question#10 (reveal difficulty score)
A 19-year-old woman comes to the university ...
Blood: Trace / Protein: 1+ / RBC: 0-5 / WBC: >50 / Casts: None / Other: WBC clumps 🔍 / 📺 / 🌳 / 📖
tags: renal

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submitted by ∗step_prep(148)

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Young sexually active woman (high risk of UTI) who presents with systemic signs of inflammation (fever) and is found to have dysuria, unilateral back pain and severe CVA tenderness, most consistent with pyelonephritis
Key idea: 2 major causes of WBC casts/clumps include pyelonephritis and Interstitial nephritis (analgesic nephropathy)

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