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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 3/Question#9 (reveal difficulty score)
A 37-year-old woman with type 1 diabetes ...
Infection with Pseudomonas aeruginosa ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: infectious_disease

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submitted by โˆ—step_prep2(66)
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  • Young woman with type 1 diabetes who has recent recreational water exposure who presents with a severe form of otitis externa (fever, ill-appearing), most consistent with necrotizing otitis externa
  • Key idea:ย Necrotizing otitis externa often seen in patients with diabetes mellitus and should be treated withย intravenous antipseudomonal antibioticsย and surgical debridement if antibiotics are unsuccessful
  • Key idea: In an NBME stem, if it says that there is purulent fluid in the ear canal and that the tympanic membrane cannot be visualized, that tells you that the insult is in the ear canal

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cbreland  No mention of her picking at ear/digital trauma, just swimming, Pseudomonas >> staph +2



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