NBME Step 2 CK Free 120 Thrombotic thrombocytopenic purpura (NBME Answers)

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Retired NBME Step 2 CK Free 120 Answers

step2ck_free120/Block 1/Question#11 (reveal difficulty score)
A previously healthy 34-year-old woman is ...
Thrombotic thrombocytopenic purpura 🔍 / 📺 / 🌳 / 📖
tags: hemeonc

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submitted by ∗carolebaskin(109)

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Meets the 5 FAT RN criteria:

fever
anemia
thrombocytopenia
renal symptoms
neuro symptoms

Also, Indirect hyperbilirubinemia and increased LDH should tip you off to MAHA

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submitted by ∗bwdc(697)

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TTP always seems like too many disparate symptoms but just remember the pentad: thrombocytopenia, microangiopathic hemolytic anemia, neurologic symptoms, renal failure, and fever. If the symptoms list seems super long, keep TTP in mind.

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