NBME Step 2 Form 8 with 100% correct answers rated A+

NBME Step 2 Form 8 Deficiency of serum glucuronosyltransferase What type of bilirubin For the mild version, what are the liver labs like - correct answer Gilbert's Disease Unconjugated Hyperbilirubinemia - Think hemolysis or Gilbert/Crigler-Najjar - Crigler-Najjar is typically fatal early on (total enzyme deficiency) - Gilbert becomes apparent when the body is under stress (e.g. infection, dehydration, etc.) - Whatever the cause, bilirubin is not being conjugated, causing a build up of indirect bilirubin - Urine will not be dark as indirect bili is not renally excreted What is the cause of adenomyosis - correct answer The presence of endometrial tissue (endometriosis) in the uterine myometrium is known as {{c1::adenomyosis}} What is the classic clinical picture of adenomyosis Classic age etc - correct answer Enlarged, boggy, soft, uterus presents with dysmenorrhea, menorrhagia, and a uniformly enlarged, soft, globular uterus Adenomyosis typically causes dysmenorrhea and heavy menstrual bleeding in multiparous women > {{c1::40}} years of age new-onset dysmenorrhea in later reproductive years is classic