Check Out First Aid Step 1 Flash Facts 2015

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Now updated with:

  • 650 NEW Cards
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Click here to get Flash Facts for as low as $49.00!

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Why You Should Stop Apologizing: Playing to Win in Med School

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By Luke Murray

Why You Should Stop ApologizingIn my last post, I urged medical students to stop apologizing, and I spelled out the logic from which these inappropriate apologies originate. What I didn’t do was really drive home why you should stop apologizing.

Some of those reasons could be implied by the text of the last post. For example, communicating to your peers and superiors, “I have unreasonable expectations” – in other words, “I have an inappropriate grasp of reality” – does not make you look intelligent and calibrated.

In addition to making you look unreasonable, it makes the interaction awkward. What are people supposed to say? “I accept your apology?” It’s like hanging around with someone that’s dogging on themselves completely out of context. (“Man, I’m terrible at math.” ….”Umm.. yeah man. That’s rough. Uhh…They’re ready to take our order, so do you know what you want, or should I go ahead?”). Your lack of comfort with yourself makes everyone else around you uncomfortable. (more…)

USMLE-Rx Step 2 Qmax Challenge #21566

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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 #21566A 3-year-old girl is brought to the emergency department from her day care center. Over the course of the day, she has had four episodes of nonbloody nonbilious emesis. She has also been extremely lethargic and difficult to arouse. The day care center tried to reach her mother at work but was unsuccessful. She was born vaginally at 39 weeks’ gestation after a normal uncomplicated pregnancy and delivery. She is the youngest of seven children and her father has been incarcerated for the past 2 years. Her heart rate is 60/min. Her anterior fontanelle is full and her pupils are poorly reactive to light bilaterally. Cardiac examination is normal. Her lungs are clear to auscultation bilaterally with shallow breath sounds. She has bruising and tenderness over her posterior lower ribs. An image from a non-contrast head CT is shown below.

Which of the following is the most likely diagnosis?

A. Coagulation disorder
B. Glutaric aciduria type 1
C. Intracranial aneurysm
D. Meningitis
E. Shaken baby syndrome

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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.

Stop Apologizing: How to Stop the Expectation of Perfection

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By Luke Murray

Stop ApologizingI can tell he’s nervous before he even opens his mouth. Poor third year.

“The patient is a 58-year-old male with a past medical history of congestive heart failure and…hold on a second…,” he flips over his ragged sheet of collected notes. Still searching, he looks up, “Sorry,” and then back down, scanning the paper back and forth.

“Coronary Artery Disease.” He almost shouts it, as the air in his lungs and the tension in his body release with the expulsion of the words.

“…who presents today with shortness of breath and chest pain since 9am today. His first troponin was .01, second was .02.”

He’s already going out of order. He hasn’t finished giving the HPI (describing the presenting symptoms) and he needs to tell me other relevant PMH and physical exam information before he starts giving lab values. I want to guide him in the proper direction without calling him out, so I interrupt with a question. (more…)

USMLE-Rx Step 1 Qmax Challenge #3856

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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 #3856An 86-year-old man presents to his physician with 4 months of increasing fatigue, a 6.8-kg (15-lb) unintentional weight loss, and an uncomfortable sense of fullness in the left upper quadrant. A complete blood cell count shows:

WBC count: 14,000/mm³
Hemoglobin: 9 g/dL
Hematocrit: 30%
Platelet count: 470,000/mm³

Several attempts at bone marrow aspiration were unsuccessful, A peripheral blood smear is shown in the image.

Which of the following processes is associated with the cells indicated on the peripheral smear?

A. Aplastic anemia
B. Asplenia
C. Extramedullary hematopoiesis
D. Hemoglobin clumping
E. Intravascular hemolysis

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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: “FEEL My Conjunctivitis” – Kawasaki Disease Mnemonic

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By Molly Lewis

Kawasaki disease (AKA mucocutaneous lymph node syndrome) may sound like a rare entity found only in Japan, but it happens more often than you might expect- in the US, 19 children per 100,000 each year! It is a systemic vasculitis that most often affects young kids, and is idiopathic (no known cause). It can be surprisingly difficult to distinguish it from scarlet fever and erythema multiforme. So, here is a helpful mnemonic to remember the criteria for diagnosing Kawasaki’s!

(more…)

Check out the 2015 First Aid Express Video Series! Hematology and Oncology

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They’re here! The 2015 First Aid Express Video Series!

Over the next few weeks, we will feature sample clips of the 2015 videos, and we want to know what you think.

Check out the first video clip and post your comments, questions, and suggestions in the comments section below.

Want to purchase your own subscription to First Aid Express Videos? Click here to get everything listed below for as little as $99.00!

  • 60+ hours of high-yield videos explain each fact from First Aid for the USMLE Step 1
  • Complimentary access to 2013 and 2014 videos
  • 600+ extra images and multimedia clips enhance First Aid instructor explanations
  • Exclusive color First Aid workbook reinforces the highest yield facts when used with the video course
  • No talking heads – we keep you engaged with on-screen highlights and active learning questions
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Enjoy your sneak peek, and stay tuned for more samples.

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