USMLE-Rx Step 2 Qmax Challenge #23734

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Check out today’s Step 2 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.

USMLE-Rx Step 2 Qmax Challenge #23734A 70-year-old man is seen in the emergency department because of lower left quadrant abdominal pain that he describes as “crampy.” He states that he has been able to tolerate foods and liquids. He has no past medical history of any gastrointestinal disease or surgery. Upon physical examining he is afebrile and has mild diaphoresis and abdominal pain without rebound. There is no bleeding per rectum; however, the stool is guaiac positive. CT of the abdomen is shown in the image.

Which of the following is the most appropriate management?

A. Outpatient treatment
B. Immediate surgery
C. Hospitalization for monitoring
D. Double contrast enema
E. Immediate change to a high-fiber diet

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Want to know the ‘bottom line?’ Purchasing a USMLE-Rx Subscription provides 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 test bank. Get more Step 2 study help at USMLE-Rx.com.

Med School Done Right: Practicing Residency Interviews Years In Advance

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By Luke Murray

This post is part of a series called “Med School Done Right,” which will look at not just succeeding in medical school in the narrow terms of “getting good grades,” but at shaping the kind of experiences you want to have during these (usually) four very important years of your life.

“Doing medical school right” means something different to everyone. For some, it means expanding their depth of medical knowledge for a future yet unknown. For others, it’s the preparatory stages for a specialty they’ve been focused on since childhood. But, for others still, the path is unclear. Considering your remaining time in this unique period of your life/career and thinking about how you’d like it to play out – what, exactly, the “right” experience should be for you – can be a vague and consequently daunting exercise. As I’m wrapping up this time in my life, I’ve come across an experience that would have helped me greatly, had I used it as a thought experiment at the beginning of my journey: the residency interview.

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For IMGs: Advice Regarding the ECFMG Certificate

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By Sarah Wesley

Congrats, you have matched! At this point, the euphoria of matching might be wearing off as you begin to receive zillions of emails and packets from your respective programs. You have probably already discovered that you are going to need to gather a ton of paperwork before you head across the pond to your U.S. residency. I would like to discuss one of the documents you will need – the ECFMG (Educational Commission for Foreign Medical Graduates) certificate.

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USMLE-Rx Step 1 Qmax Challenge #2216

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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.

USMLE-Rx Step 1 Qmax Challenge #2216A 71-year-old Russian man comes to the physician complaining of a 4-month history of fatigue, low-grade fevers, night sweats, and cough. He became extremely worried yesterday when he noticed blood in his sputum. On physical examination, he is extremely thin, with enlarged, nontender left-sided cervical lymph nodes. His x-ray film of the chest is shown. The physician prescribes medication not only for the patient, but also for those who may have been in close contact with the patient.

Which of the following is an important adverse effect of the first-line medication for the prevention of this disease?

A. Aplastic anemia
B. Inhibition of bone growth in children
C. Hepatotoxicity
D. Nephrotoxicity
E. A disulfiram-like reaction with alcohol

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Want to know the ‘bottom line?’ Purchasing a USMLE-Rx Subscription provides 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 Step 1 study help, try our Flash Facts and Step 1 Express video series.

DO Corner: DO Post Match Perspective

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By Sean Martin

This year, more MD and DO students alike elected to pursue postgraduate training in primary care specialties. In the osteopathic match, family medicine matches increased by 11% and internal medicine matches increased by 9%. So, from a DO perspective, what does it mean that more MDs are going into family medicine? Well, for now, not a whole lot.

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USMLE-Rx Step 2 Qmax Challenge #23682

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Check out today’s Step 2 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.

USMLE-Rx Step 2 Qmax Challenge #23682A 16-year-old girl who recently immigrated to the United States presents to her pediatrician with complaints of fever, nausea, and a rash all over her body. She describes the rash as fluid-filled lesions that are very itchy and crust over when she scratches them. Her younger brother had a similar rash 2 weeks ago. On examination the patient is febrile with normal findings except for the presence of fluid-filled vesicles on her trunk, face, and extremities that are in various stages of healing (see image).

Which of the following is the most appropriate next step in treatment?

A. Acyclovir
B. Amantadine
C. Supportive therapy only
D. Foscarnet
E. Immune globulin against the causative agent

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Want to know the ‘bottom line?’ Purchasing a USMLE-Rx Subscription provides 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 test bank. Get more Step 2 study help at USMLE-Rx.com.

USMLE-Rx Step 1 Qmax Challenge #2201

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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.

USMLE-Rx Step 1 Qmax Challenge #2201A 25-year-old man with a history of intravenous drug use presents to the physician with pain and swelling over his right upper arm. His temperature is 39.4°C (103°F), blood pressure is 90/55 mm Hg, and pulse is 100/min. Laboratory tests show a hematocrit of 44% and WBC count of 19,000/mm³. Blood cultures show numerous bacteria. CT of the leg demonstrates periosteal reaction of the fibula (see image).

Which of the following organisms is most likely causing this patient’s symptoms?

A. Salmonella species
B. Staphylococcus aureus
C. Clostridium perfringens
D. Sporothrix schenckii
E. Prevotella melaninogenica

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Want to know the ‘bottom line?’ Purchasing a USMLE-Rx Subscription provides 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 Step 1 study help, try our Flash Facts and Step 1 Express video series.

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