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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 3/Question#18 (reveal difficulty score)
A 47-year-old man comes to the physician ...
Histoplasmosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: infectious_disease

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submitted by โˆ—merpaperple(45)
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Both histoplasmosis and blastomycosis are associated with living in Ohio and can cause pulmonary disease. Histoplasmosis is more associated with hilar lymphadenopathy and can cause cavitations (recall from Sketchy that it can resemble Tb) - another association to note with Histo is hepatosplenomegaly. Blastomycosis is uniquely associated with extra-pulmonary involvement in the bone, prostate, and skin

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submitted by โˆ—step_prep2(66)
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  • Key idea: Caves and Ohio are both buzzwords for Histoplasmosis
  • Key idea: Chest x-ray with bilateral lymphadenopathy and calcified nodules can be seen in tuberculosis, endemic mycoses (histo, blasto, cocci) and sarcoidosis

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jlbae  Blastomycosis is also found in Ohio, so please don't rely on that as a buzzword. +1



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