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

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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.

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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USMLE-Rx Step 1 Qmax Challenge #3090

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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 #3090A patient has a hematocrit level of 31.2%, a mean corpuscular volume of 76.5 ?m³, and the peripheral blood smear results shown in the image. This patient’s sibling died from hydrops fetalis.

Which of the following is most likely the cause of the patient’s anemia?

A. ?-Thalassemia
B. ?-Thalassemia
C. Glucose 6-phosphate dehydrogenase deficiency
D. Hereditary elliptocytosis
E. Sickle cell disease

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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.

So you didn’t match … now what? (An IMG Perspective)

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By Fady Akladios

Being unable to secure a residency after an educationally and personally demanding journey of a decade is probably one of the most disheartening experiences any of us can have. However, having that extra year until the next ERAS/NRMP cycle is not an excuse for a much needed vacation. This is a critical time for an IMG to unflinchingly and quickly assess what went wrong, how you can fix it, and if you truly can fix it.

Understand that an IMG will usually not match because he/she did not apply to a good number of programs, to programs seeking applicants like him/herself, or his/her application was simply not competitive enough. This becomes such a dilemma for IMG’s, who end up thinking the solution is blindly applying to 200 or even 300 programs. Applying to 200 programs blindly is not the equivalent  of applying to the right amount programs.

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Pass Pass Pass [Dance (A$$) Med School Parody] – Washington University School of Medicine Class of 2016

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We love this video from:
Washington University School of Medicine Class of 2016

Got a video you would like us to feature? Let us know by emailing a link to submissions@usmle-rx.com

2014 First Aid for the USMLE Step 1 Errata Posted!

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FA 2014

We’ve posted the First Aid for the USMLE Step 1 2014 Edition errata!

The OFFICIAL errata for the 2014 version of First Aid for the USMLE Step 1 is now posted on our Errata Page.

Remember, you can help us update our errata throughout the year.  If you find an error in the 2014 edition that has not yet been reported, tell us about it.  If you are the first to submit an errata, you may qualify to win a $20.00 Amazon.com gift card.

Please visit the page or click here to download the new errata.

Congrats! You Matched! Now What?

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By Molly Lewis

OK, you can breathe easy- you have a job next year! But you also have less than three months to “get your affairs in order” before the craziness of intern year begins. What do you need to get done before residency orientation begins? Here’s a checklist that should get you started:

 

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