Step 2 NBME Form 10 correctly answered 2024/2025

Step 2 NBME Form 10Respiratory distress, fever/inflammation, triglycerides in milky fluid following breastfeeding - correct answer Chylothorax d/t damage to thoracic duct, chyle accumulate in thoracic space. Thoracic duct carries triglycerides from GI system to central vasculature. Causes: -Congenital malformation of lympathic system or trauma during delivery or procedural intervention - Congenital: Hydrops fetalis, Down syndrome, Turner syndrome, Noonan syndrome Tx: chest tube, supportive therapy w oxygen, surgical correction of defects Lump develop on thigh after child was kicked in thigh. Mass on thigh is warm and tender to palpation,. X-ray of femur and knee shows evidence of bone destruction w irregular, ragged, radiolucent defects and new bone formation - correct answer osteosarcoma -primary osseous malignancy; characterized by cells w enlarged nuclei and disorganized tissue structure that demonstrates areas of osteoid production (mineralized collagen that provides structure of bone) JVD that increases w inspiration - correct answer kussmaul sign constrictive pericarditis causes: viral, TB, malignancy, connective tissue, idiopathic, cardiac surgery or radiation IgE-mediated inflammation (type I hypersensitivity) of nasal mucosa - correct answer allergic rhinitis