FirstAid-RStigall

FirstAid-RStigall

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Posts by FirstAid-RStigall

USMLE-Rx Step 1 Qmax Challenge #3316

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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 #3316A 16-year-old girl comes to the physician concerned that she has not yet begun menstruating. Her blood pressure is 160/100 mm Hg. Physical examination reveals anatomically normal female genitals but a lack of any secondary sexual development including breast buds or pubic hair.

In this patient, hormones from which layer of the adrenal gland shown in the image are overproduced?

A. 1
B. 2
C. 3
D. 4
E. 5

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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 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: The 5 Hs and 5 Ts of Cardiac Arrest

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By Michael Spinner

Cardiac arrest, defined by the loss of functional circulation, is a true medical emergency that may rapidly progress to death if not addressed immediately.

Emergent stabilizing measures include defibrillation for patients with a “shockable rhythm” (i.e. ventricular fibrillation or pulseless ventricular tachycardia) and immediate CPR and epinephrine for patients with a “non-shockable rhythm” (i.e. asystole or pulseless electrical activity).

After calling a code and initiating these emergent stabilizing measures, the American Heart Association Advanced Cardiovascular Life Support (ACLS) program states that healthcare providers should assess for any potentially reversible causes of the arrest and treat the patient accordingly. Remember the 5Hs and 5Ts listed below to rapidly recall the causes of cardiac arrest:

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USMLE-Rx Step 2 CK Qmax Challenge #21022

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Check out today’s Step 2 CK Qmax Question Challenge.

Know the answer? Post it in the comments 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 #21022A 2.5-year-old girl was diagnosed with a viral upper respiratory infection last week and now presents to her physician with a brassy cough and purulent airway secretions. Her parents believed that she may have croup and attempted mist therapy without success. The patient has been febrile to 39.0°C (102.2°F) for the past 24 hours and has had difficulty breathing during the past hour. Her review of systems is otherwise negative, and the mother denies that the patient has had any drooling or difficulty/pain when swallowing. Her heart rate is 92/min, blood pressure is 92/60 mm Hg, respiratory rate is 21/min, and temperature is 38.9°C (102°F). A Gram stain of secretions obtained in the office is shown in the image.

What organism is most likely responsible for this patient’s condition?

A. Moraxella catarrhalis
B. Nontypeable Haemophilus influenzae
C. Pseudomonas aeruginosa
D. Staphylococcus aureus
E. Anaerobic organisms

———————–

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.

USMLE-Rx Step 1 Qmax Challenge #3311

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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 #3311A 1-year-old child is brought to the emergency department by his concerned parents, who discovered bright-red blood in the child’s diaper. The pathologic lesion shown in the image was identified by a technetium scan and later excised.

Which two types of ectopic tissue are commonly present on this specimen?

A. Adrenal and gastric
B. Gastric and pancreatic
C. Gastric and thyroid
D. Pancreatic and adrenal
E. Thyroid and adrenal
F. Thyroid and pancreatic

———————–

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.

Great Expectations

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By Sasmit Sarangi

As residents, we are expected to meet and exceed the requirements of our patients, colleagues, and supervisors. After the completion of the Match, and after the euphoria settles down, we are ultimately left with weight of our own expectations.

There is a mixture of excitement about managing patients independently (almost!) and the trepidation of being stuck in an unfamiliar clinical situation with no help in sight. The long and arduous process of becoming an independent physician is well and truly in full swing. Managing these expectations well is a challenge as they will definitely help you stay motivated throughout residency, but at the same time you don’t want them to be your own personal albatross as well.

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USMLE-Rx Step 2 Qmax Challenge #21005

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Check out today’s Step 2 CK Qmax Question Challenge.

Know the answer? Post it in the comments 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 #21005A 2-year-old boy is brought to the clinic for evaluation after 2 days of low-grade tactile fever, irritability, and decreased activity. His mother reports that on waking him this morning, his pillow was stained with a small amount of yellow fluid. His heart rate is 92/min, blood pressure is 104/70 mm Hg, respiratory rate is 22/min, and temperature is 38.8°C (101.°F). His external ear canal is normal, and his otoscopic examination is shown in the image. Which of the following is the most likely bacterial pathogen implicated in this condition?

A. Haemophilus influenzae type B

B. Neisseria meningitidis

C. Pseudomonas aeruginosa

D. Staphylococcus aureus

E. Streptococcus pneumoniae

———————–

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.

Feeding your Long-term Memory

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dan heckman picBy Dan Hekman

First Aid Express Lecturer

MCW Dermatology Resident

www.linkedin.com/pub/daniel-hekman/72/34/445/

Over the past couple of years, countless second year medical students have plagued my inbox with questions regarding USMLE Step 1 advice and studying strategies. After contemplating for a while about whether to just ignore them all, I ultimately decided to be a good guy and provide them with a studying strategy that I discovered during my time in prison—I mean—second year of med school. Through a great deal of trial and error, I finally stumbled upon a pretty solid plan of attack that has helped quite a few students and may also help you. If not, then forget what I’m about to tell you (pun intended)! My strategy was designed specifically for med students, but I also feel that it could be applied to broader topics (https://www.youtube.com/watch?v=oBnLTUIDjjQ). Now…are you ready for the most memorable (hopefully) experience of your life??! Too bad! Here we go!

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