USMLE-Rx Step 1 Qmax Challenge #3401

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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 #3401A 67-year-old nurse dies and an autopsy is performed to determine the cause of death. She was the victim of a needle stick injury about 40 years ago. Prior to her death, she appeared jaundiced and had abdominal ascites. Her husband states that she abstained from alcohol but smoked 1 pack of cigarettes a day for 25 years, quitting 10 years ago. The woman’s liver at autopsy is shown in the image.

Based on the pathology seen in the image, which of the following laboratory findings would be expected?

A. ?-Fetoprotein level of 64 ng/mL
B. ?-Human chorionic gonadotropin level of 10,000 mIU/mL
C. Aspartate aminotransferase and alanine aminotransferase levels of 590 and 967 U/L, respectively
D. International Normalized Ratio of 1.0
E. Total protein level of 14 g/dL
F. WBC count of 25 × 10³/?L

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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.

An Attempt to Clean the Mess of the GI Tract Plexuses

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By Joe Savarese

Perhaps I am the only one out there with this particular problem, but for some reason, I would always confuse the gastrointestinal tract plexuses. Like most miscellaneous Step 1 topics, I remembered the concept well when as I was reviewing it, but give me a week or two during Step 1 studying and those layers became a mess.

So here is my gift to you. Since I created this mnemonic, I have never mixed up these layers. (more…)

A Message from the Editor

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I am pleased to fill some impressive shoes. Dr. Walter Wiggins had an amazing tenure as editor of the USMLE-Rx Web Team, and I encourage readers to check out some of his work (use the search box, and search by “Walter Wiggins”). His leadership as a student, author, and father has inspired everyone with the First Aid Team as well as readers from around the world. I also thank Dr. Tao Le for his mentorship and reminder that medicine is a profession encompassing all aspects of patient care, including equipping future generations to succeed.

The First Aid team has produced material on almost every subject ranging from the Basic Sciences to specialty boards like Orthopedics (a personal favorite). And of course, the ubiquitous and ever-evolving First Aid for the USMLE Step 1 (that’s the newest edition, keep an eye out for it!). This blog has enjoyed the opportunity of discussing equally broad subjects from app reviews to odes just begging for an acoustic overlay. We’ve discussed finances, depression and burnout, and the general work-life balance. (more…)

USMLE-Rx Step 2 Qmax Challenge #21106

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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 #21106A 24-year-old woman presents to her primary care physician with a chief complaint of 1 week of increased vaginal discharge with an unpleasant odor. She is sexually active with one partner and uses oral contraception for birth control. A pregnancy test is negative. Gynecologic examination reveals a pink cervix and a thin white discharge. The discharge has a positive amine “whiff” test and a pH of 6. Wet saline mount microscopy yields the following image.

What is the etiology of this condition?

A. Facultative intracellular bacteria infection
B. Fungal infection
C. Parasitic infection
D. Polymicrobial synergistic infection
E. Viral infection

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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.

Become a First Aid/USMLE-Rx Student Ambassador at Weill Cornell Medical College

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THE FIRST AID TEAM NEEDS YOU!
Do you attend Weill Cornell Medical College?
Would you like to:
  • Earn free stuff worth hundreds of dollars?
  • Help your fellow classmates save $$$ on First Aid/USMLE-Rx products?
  • Help your fellow classmates receive expert board prep info and advice from the First Aid authors?

 

If you answered “Yes” to any (or all) of these questions, then you are ready to become a USMLE-Rx Student Ambassador. Simply click here to apply.

 

What does a Student Ambassador do?

 

  • Student Ambassadors promote First Aid webinars and specials on USMLE-Rx.com by sending e-mail blasts to classmates throughout the school year. We provide the text for the e-mails — all you do is press “SEND” and earn your rewards.

 

Click Here to Apply Now!

Becoming A Perfect 3rd Year Student – Part 3: Avoid Distractions

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By Luke Murray

Becoming A Perfect 3rd Year Student Part 3 Avoid DistractionsIn my last couple of posts, I’ve argued that all you have to do to be a “good” third year medical student is be “engaged.” In order to make this insight more actionable, I described the biggest source of disengagement for me (not accepting my circumstances and calibrating my expectations) and what I wish I would have done about it.

In this post, I’ll cover the second category of reasons I would often “check out” while on the wards and how I was able to fix it:

Even if you’ve accepted the fact that you’re going to be ignored by the team for 97% of the day, you will be tempted to do something besides be bored. Perhaps it’s texting your friends, or browsing your favorite website, or playing CandyCrush on your iPad. You know you’re not supposed to be doing these things, but when you’re dying of thirst, it may be too difficult to expect yourself to ignore the wellspring of distraction vibrating in your pocket. (more…)

USMLE-Rx Step 1 Qmax Challenge #3394

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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 #3394A family requests an autopsy after the death of their 70-year-old father. He was a nonsmoker, never drank alcohol, and until his retirement 5 years ago, had never missed a day of work at the shipyards. A Prussian blue stain of lung tissue is shown in the image.

What additional pathology may be uncovered during the autopsy?

A. Black scars in the lungs, as well as progressive massive fibrosis
B. Hemorrhagic pleural effusions
C. Irregular black patches of the lung on gross inspection
D. Keratin pearls and intercellular bridges
E. Noncaseating epitheliod granulomas

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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.

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