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FirstAid-RStigall

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Mnemonic Monday: PMS, Angry Ladies, and the External Carotid Artery

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By Molly Lewis

We’ve all had mini “anatomy panic attacks.” Maybe you’re in an anatomy practical and have only 30 seconds to identify the flagged structure, or maybe you’re in the OR and your attending asks: “What’s this?” Regardless of the situation, using mnemonics to remember anatomy can turn panic into confidence!

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USMLE-Rx Step 2 CK Qmax Challenge #21527

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Check out today’s Step 1 Qmax Question Challenge.

Know the answer? Post it below! Don’t forget to check back for an update with the correct answer and explanation (we’ll post it in the comments section below).

USMLE-Rx Step 2 Qmax Challenge #21527A 19-year-old male college student presents with a complaint of a burning sensation while urinating and penile discharge for the past several days. He has no significant medical history. He is currently sexually active with a new partner of the past 3 weeks. He does not always use barrier contraception. On examination, the patient is in no acute distress and is afebrile; his heart rate is 65/min and blood pressure is 125/70 mm Hg. External genital examination is notable for an absence of vesicles, pustules, or rashes. There is thick, white, purulent discharge at the urethral meatus. A swab is inserted 2-3 cm into the urethra, and a Gram-stained sample of the discharge is shown in the image.

In addition to the treatment for this organism, a course of what other treatment should be offered?

A. Acyclovir
B. Ceftriaxone
C. Doxycycline
D. Fluconazole
E. Penicillin G

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Want to know the ‘bottom line?’ Purchase a USMLE-Rx Subscription and get many more features, more questions, and passages from First Aid, including images, references, and other facts relevant to this question.

This practice question is an actual question from the USMLE-Rx Step 2 CK test bank. Get more Step 2 CK study help at USMLE-Rx.com.

Illness Scripts and Semantic Qualifiers

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By Mark Ard

“Illness scripts” and “semantic qualifiers” underlie many of the questions on USMLE tests because, according to a large body of academic work, this is how physicians think. In this post, I want to work backwards from a USMLE-style question and show you how you can take complicated question stems and reword them, using semantic qualifiers, and then fit them into your ever evolving arsenal of illness scripts. First, let’s get some definitions out of the way.

Illness Scripts

A generic framework for understanding disease including the enabling conditions (genetics, age, gender, etc) the pathophysiologic fault (ischemia, invasion by microorganism, etc), and the sequelae (complaints, signs, symptoms) (1).

Semantic Qualifiers

Paired opposing descriptors that can be used systematically to compare and contrast diagnostic considerations: sharp/dull, acute/chronic, tender/non-tender, productive/nonproductive, insidious/abrupt, proximal/distal (2). (more…)

One Week Left to Save! First Aid/USMLE-Rx Spring Special – Save BIG on Triple Play!

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Get ready for spring with a great deal on a 3-month subscription to USMLE-Rx Triple Play!

Get it now at http://bit.ly/SpringTriplePlay2015

For a limited time, you can save on a combo that includes USMLE-Rx Step 1 Qmax, First Aid Step 1 Flash Facts (now with spaced repetition), and First Aid Step 1 Express videos!

Get all three for three months for only $99.00 (that’s almost $300.00 off the combined subscription prices)!

No codes! No hassles! Just a great deal!

But hurry, this sunny deal expires March 31st.

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Here’s the fine print…
*Buy now and delay your subscription start for up to 6 months
**For more information on product subscriptions, go to www.usmlerx.com.
*** Cannot be combined with any other offer. Discount applies to only those qualifying new subscriptions purchased 3/10-3/31/2015.

USMLE-Rx Step 1 Qmax Challenge #3706

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Check out today’s Step 1 Qmax Question Challenge.

Know the answer? Post it below! Don’t forget to check back for an update with the correct answer and explanation (we’ll post it in the comments section below).

USMLE-Rx Step 1 Qmax Challenge #3706A 52-year-old woman presents with new-onset jaundice. After extensive work-up, a liver biopsy is called for. The histologic section is shown in the image. The cells indicated by the arrows are most likely undergoing which of the following processes?

A. Apoptosis
B. Caseous necrosis
C. Coagulative necrosis
D. Fat necrosis
E. Liquefactive necrosis

———————–

Want to know the ‘bottom line?’ Purchase a USMLE-Rx Subscription and get many more features, more questions, and passages from First Aid, including images, references, and other facts relevant to this question.

This practice question is an actual question from the USMLE-Rx Step 1 test bank. For more USMLE Step 1 prep, subscribe to our Flash Facts and Step 1 Express video series. Score the best deal on all three products with a Step 1 Triple Play Bundle.

Mnemonic Monday: 7 Cute Ladies- Mnemonics for the Patient Interview

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By Molly Lewis

Whether you are a first year in Physical Diagnosis class, a second year in Continuity Clinic, a third year seeing consults, or an attending deciding if a patient needs emergency surgery, taking a complete history is a key aspect of patient care. How can you remember everything you need to ask? Try a mnemonic!

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Viscerosomatics for the COMLEX Made Easy: SLP SKU BLP

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By Ryan Nguyen

Viscerosomatic reflexes (VSR’s) account for up to 20% of Osteopathic Manipulative Treatment questions for COMLEX examinations. While VSR’s for the head and neck (T1-4), heart (T1-4), and respiratory tract (T2-7) may make intuitive sense for most DO students, the rest of the visceral organs and corresponding spinal level are easy to confuse. However, these points can be easily memorized with a little effort in order to boost COMLEX Level 1 scores.

Savarese’s OMT Review (“the green book”) provides a chart of all the relevant VSR’s that may be tested on the COMLEX (3rd edition, chapter 10), but there is a better way to ensure you are maximizing your OMT section points on test day: SLP SKU BLP.

What does SLP SKU BLP mean, exactly? Besides the delirious ramblings of second-year deep in board preparation, SLP SKU BLP is a mnemonic I used to increase scores on the OMT portion of my COMLEX Level 1 exam. Each of the letters represents a visceral organ that is linked to spinal cord levels that innervate that viscera. The following table highlights the relationship between these organs and their spinal levels:

Viscerosomatics for the COMLEX Made Easy 1 (more…)

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