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NBME p2ck_form8 Answers

step2ck_form8/Block 1/Question#1 (reveal difficulty score)
A 57-year-old woman comes to the physician ...
Toxin-induced inflammation of the colonic mucosa πŸ” / πŸ“Ί / 🌳
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 +2 
submitted by βˆ—step_prep(115),
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  • entaPit ihtw ncrtee oiciitabnt ugaes dvelseop eserev raiaehdr dna naamobdli a,ipn hihwc is tmos inotentssc whit .C lfidefiic oinifcetn
  • Kye dia:e C. fildfiiec ldsea to aaheidrr by donriucpg two ainm xtnsoi thta aeld to ytrnoceete agmdea
  • yKe :diea oixTc elomaocgn nac eb enes ernsyacdo ot C. fdliiefic otfeniicn adn iucrtvalee iicsotl (at telsa fro EMBN osspr)eup

s-e./hs/p:pttrptoerpg/

seagull  I choose sterilization because C-diff is essentially an imbalance of colonic flora due to antibiotic "sterilization" leading to expansion of C. Diff. However, I ca see how toxin- mediated is the true mechanism but the question seems dirty to me. +7  
jd1  I think also technically sterilization refers to inactivating spores (as opposed to disinfection which would not), so would imply Cdiff would be killed off too +6  



 +1 
submitted by βˆ—jlbae(105),
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OMI, tshi wsa a iytths utqnsioe. nuP eyrv cmhu ine.tndde




 +0 
submitted by βˆ—charcot_bouchard(519),

I also first chose sterilization but later move it to toxin. Its very straight if u look at it that toxin is the one causing diarrhea. Sterilizing gut flora occrs everytime u take antibiotics, its predisposing to C. DIff but not actually causing diarrhea otherwise everyone would get it.




 +0 
submitted by βˆ—kstudy(3),
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htis si a treag pealexm of hyw I gusrgetl iwht ihst ilyls mnbe dna petss. erA ew nitgest nekgleowd heer or ienasmst?c




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