USMLE-Rx Step 2 Qmax Challenge #23885

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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 #23885A 20-year-old nulliparous obese woman with a recent history of diabetes mellitus complains of increased facial hair and abnormal menses since menarche. Results of ultrasonography are shown in the image.

What is the most likely underlying cause of this condition?

A. 45,X genotype
B. Adrenocortical carcinoma
C. FMR1 premutation
D. Hyperandrogenic state
E. Thyroid dysfunction

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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.

Identifying a Research Mentor

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Jocelyn Compton

In a previous post called Getting The Most Out of Your Research Experience, we presented a few points of advice on how to optimize research. We think that research is a great way to enhance your academic profile and improve your effectiveness as a resident and practicing physician. Once you’ve figured out the kind of research you are interested in (see previous post), and have narrowed down your options to a few mentors, these few pieces of advice may be helpful to you in making the final decision!

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USMLE-Rx Step 1 Qmax Challenge #3100

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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 #3100A 50-year-old man presents to the physician because of right upper quadrant pain and unexpected weight loss. He has a 30-pack-year history of smoking and is a social drinker. On physical examination, a bruit is heard over the liver. Imaging reveals a nodule, which is subsequently biopsied (see image).

Which of the following is associated with these findings?
A. Budd-Chiari syndrome
B. Gilbert’s syndrome
C. Hepatic hemangioma
D. Hepatitis C
E. Primary biliary cirrhosis

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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.

The Importance of Being Earnest (with Step 2 CS)

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By Sasmit Sarangi

The Step 2 Clinical Skills (CS) exam is a fundamental step toward the process of residency. The basic purpose of the exam is to assess the core clinical competence of a future physician in the context of a typical clinic visit as seen in a US hospital. IMGs are often lulled into a false sense of security by the format of this exam, which stresses absolute fundamentals. However, in my opinion, and based on my experience, the Step 2 CS is perhaps the single most important exam in the current residency application process.

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On the Road Again: Away Rotations!

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By Molly Lewis

On the Road Again - Away Rotations!During the first several months of the 4th year of med school, many students pack their bags, pre-pay their rent, and fly off to a new med school to spend four weeks on an away rotation. Sean’s post about DO audition rotations has some quality advice that applies to MD away rotations, but here is a bit more advice from my perspective. (Caveat: I only know the world of ortho away rotations. I think my advice will help with other specialties, too, but just keep that it mind).

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USMLE-Rx Step 2 Qmax Challenge #23847

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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 #23847A 55-year-old woman with type 2 diabetes mellitus and chronic kidney disease presents to her physician with her fourth episode of postprandial right upper quadrant pain, nausea, and vomiting. Unlike her previous presentations, the pain is more severe and has persisted for 24 hours. Her temperature is 39°C (102.2°F). Physical examination is notable for right upper quadrant tenderness and cessation of inspiration during deep palpation of the area. Amylase and bilirubin levels are within normal limits. Results of ultrasonography are shown in the image.

What is the most appropriate next step in management?

A. Endoscopic retrograde cholangiopancreatography, stone removal, and sphincterotomy
B. Immediate appendectomy
C. Intravenous antibiotics and hydration alone
D. Intravenous antibiotics and hydration, and elective cholecystectomy in 4-6 weeks
E. Intravenous antibiotics and hydration, and then early cholecystectomy within 72 hours of symptom onset

———————–

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.

What to do When you Match into a Different Specialty than you Planned

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By Luke Murray

What to do When you Match into a Different Specialty than you Planned 1Susan sat in the front of every class, was the first to approach the teacher with questions between classes, and, not surprisingly, ended up at the top of the class.

Because of her positive attitude and bubbly personality, Susan was able to pull this off without being labeled a ‘gunner’ or being generally shunned for the insane and occasionally obnoxious amount of effort she put in to being the best medical student she could be.

After the first two years, Susan took all that front-of-the-classroom energy into her pursuit of the residency she ‘knew’ would fit her best: orthopedic surgery.  She spent three months of her 4th year working 80+ hrs a week at away rotations, showing how sharp she was, how far above the expectations she would go, and ultimately putting herself in a position to have the best shot possible to match into what she knew was one of the most competitive specialties. Not surprisingly she got AOA and graduated summa cum laude.

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