NBME Step 2 CK Form 7 Central retinal vein occlusion (NBME Answers)

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NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 1/Question#21 (reveal difficulty score)
An 82-year-old woman is brought to the ...
Central retinal vein occlusion 🔍 / 📺 / 🌳 / 📖
tags: ophtho

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submitted by ∗step_prep5(246)

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Unilateral vision loss + Dilated retinal veins and widespread retinal hemorrhages on fundoscopy (“blood and thunder” appearance) = Central retinal vein occlusion
Central retinal artery occlusion = Cherry-red spot on fundoscopy
Corneal abrasion = Positive Fluorescein staining, sensitivity to light, pain
Glaucoma = Bilateral lens opacity and glare from lights
HSV conjunctivitis = Dendritic ulcers
Optic neuritis = Optic disk pallor

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nala_ula Thanks for this! but i think you meant to write cataract instead of glaucoma +1

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submitted by ∗buttercup(18)

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Retinal vein occlusion is the second most common cause of visual loss in older adults throughout the world. The first is diabetic retinopathy. Age, HTN, and diabetes are risk factors. This patient is a diabetic and the retinal veins are dilated (clear giveaway).

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klebsiella The question does not explicitly mention that the patient is diabetic. is it because she is on lisinopril for her HTN? +

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