Mnemonic Monday – Positions of Heart Auscultation

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By Haley Masterson

All Physicians Take Money

(Aortic, Pulmonic, Tricuspid, Mitral)

From left to right across your chest:  A is the right upper sternal border (the second right interspace), P is the left upper sternal border (the second left interspace), T is the left lower sternal border, and M is the apex.

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Patient Safety and Quality Improvement for IMGs

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By Edison Cano

Patient safety and quality improvement (PSQI) questions are some of the dreaded changes that were announced for the USMLE exams months before. PSQI gained global attention several years ago and constant research is leading to improvements in the delivery of care all around the world. Assuring excellence in the delivery of care is paramount in medical practice and is the reason why this dynamic field has fallen under the scope of the boards.

Learning PSQI will demand extra time for Step 2 CK and Step 3, especially for international medical graduates. The most challenging part to studying has been finding a condensed review of PSQI, however I want to share some basic concepts that will serve as a starting point for you to tackle PSQI. (more…)

USMLE-Rx Step 1 Qmax Challenge #3574

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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 #3574A 68-year-old man suffers a stroke of his left posterior inferior cerebellar artery. One of the cell types damaged by the stroke is shown in the image.

What is the neurotransmitter used by this neuron subtype?

A. ?-Aminobutyric acid
B. Acetylcholine
C. Dopamine
D. Glutamate
E. Glycine
F. Norepinephrine

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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: X-linked Recessive Disorders

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By Joe Savarese

In my previous posts involving mnemonics, I stress one main theme: simplicity. (See my posts on QT Intervals or on the GI Tract Plexuses). If a mnemonic is not simple or easy to commit to memory, it simply will do you no good come test day. In my mnemonics, I want every letter to mean something rather than use the first letter of each word in a sentence or a mixture of the two. I believe using acronyms is the best way to emphasize whether or not you are missing components of the mnemonic. (Think you are a pro? Check out the practice question at the bottom of the page!)

So here is my slightly nerdy mnemonic of the day pertaining to The Lord of the Rings and X-linked recessive disorders.

HOB
GOLD
FTW (more…)

Some Things to Remember About the Match

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By Luke Murray

Some Things to Remember About the MatchAs a second year resident, I have been sitting in on match rank list meetings (as well as meeting and interviewing some residents), and I’m starting to see firsthand something that I couldn’t appreciate as a medical student:

As hard as we try to rank people in an appropriate way – there’s a bunch of arbitrary-ness that gets mixed in.

It’s easy to understand this inevitability if you think about it like this: (more…)

USMLE-Rx Step 1 Qmax Challenge #3567

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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 #3567A 37-year-old man complains of an unsteady gait when he walks. He has a history of drug abuse, alcohol abuse, and numerous sex partners. A myelin stain of the spinal cord is shown in the image.

Which of the following organisms is responsible for this spinal cord lesion?

A. Herpes simplex virus
B. HIV
C. Mycobacterium tuberculosis
D. Poliovirus
E. Treponema pallidum

———————–

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: Cyanotic Congenital Heart Defects

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By Haley Masterson

This mnemonic has been passed around pediatric residency programs for decades but is rarely mentioned in the medical school setting (which is unfortunate, because it works so well).  You can, however, check it out in First Aid for the USMLE Step 1.

  (more…)

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