USMLE-Rx Step 2 Qmax Challenge #21558

9

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 #21558A 12-month-old boy is brought to his pediatrician by his parents. He had a normal, healthy childhood until 1 month ago. His parents complain that over the past month he has been vomiting frequently, and also appears to be increasingly irritable. He is now taking more naps during the day and is playing less than usual. His parents also think there is a problem with his sight, as he often does not appear to see toys and furniture that are directly in his line of vision. The child is afebrile with a pulse of 140/min, blood pressure of 90/56 mm Hg, and respiratory rate of 24/min. Results of ophthalmologic examination are shown in the image.

Which of the following is the most appropriate next step in managing this patient?

A. Administer mannitol
B. Administer timolol
C. CT of the head without contrast
D. Lumbar puncture
E. MRI of the brain

———————–

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.

The 10 Commandments of Step 1 Dedicated Study

0

By Tim Durso

The 10 Commandments of Step 1 Dedicated StudyIt’s that scary time of year again. A time when med students, much like groundhogs, burrow into study hibernation in preparation for Step 1.

Many of you will take a few weeks off, affectionately known as “dedicated study,” in order to best train your brains to tackle this beast of a test.

I made this list of rules for myself this time last year, so I thought I’d put them out there for the rest of you to live by. Having gone to Catholic school since kindergarten, I don’t know how to structure a list of ten rules in any other way. Without further ado, I give you the 10 Commandments of Step 1 Dedicated Study: (more…)

USMLE-Rx Step 1 Qmax Challenge #3813

13

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 #3813The image is from a 51-year-old man at autopsy. Prior to his death he suffered from an illness characterized by increasing shortness of breath, lower extremity edema, and a loud holosystolic heart murmur. In childhood he suffered from several bouts of an illness with polyarthritis, rash, chorea, and fever.

Which of the following is the most common histologic finding in heart tissue following death from this illness?

A. Caseous granuloma
B. Degenerative calcification
C. Fibroblast infiltrate and collagen deposition
D. Lymphocytic infiltrate
E. Myxoid degeneration
F. Non-caseating granuloma with multi-nucleated giant cells

———————–

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: Back to Preschool!! Mnemonics for Pediatric Fine Motor Skills Milestones

1

By Molly Lewis

In your Step 1 prep, you’ll most likely run across questions similar to this: “A mother brings her 4-year-old son into the pediatrician for a well-child visit. The boy is able to hop on one foot, has imaginary friends, can speak with prepositions, and can copy a circle. How is his development in terms of fine motor, gross motor, social, and verbal skills?

(more…)

Abstracts, Ads, and the Exams: 6 Tips for Approaching Step 2 Abstract and Ad Questions

1

By Edison Cano

Abstracts Ads and the ExamsMedical abstracts and drug ads are an especially difficult addition to the USMLE Step 2 exam, especially for International Medical Graduates unfamiliar with American “Big Pharma.” Here are some key points to help you approach this type of question. (more…)

USMLE-Rx Step 1 Qmax Challenge #3777

9

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 #3777A 26-year-old man presents with left eye pain and intermittent double vision. When at rest, his left eye is deviated downward and laterally, as pictured in the image. Upgaze and adduction are limited in the affected eye; however, abduction appears intact. Also, the left lid droops, and the left pupil is dilated and unresponsive to light as shown in the image.

Which of the following cranial nerves is most likely to have been injured?

A. Abducens nerve
B. Oculomotor nerve
C. Optic nerve
D. Trigeminal nerve
E. Trochlear nerve

———————–

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: What a Pain in the Back!

8

By Joe Savarese

What a Pain in the BackAbout a year ago, I was scrolling through some medical humor website and I came across this meme. I laughed and then swiped to the next picture without a second thought. I recently came across the meme again. To be honest, I laughed again, but I also took a second to think (because overthinking is what I do best) about clerkships years.

As my third year of medical school comes to a close, I think about some of the medical conditions that are brought up over and over again by patients – vague complaints of headaches, back pain, abdominal pain, weakness, fatigue, etc. They are simple medical concepts to nearly everyone, but a wide differential diagnosis and varying clinical picture make it difficult to narrow them down to a specific condition without forgetting others.

I think organization is the key. An organized approach to the patient interview and physical exam are certainly learned skills that we practice frequently throughout the third and fourth years. As for the differential diagnosis and management, that part is up to you, books, and mnemonics. Hope this one helps for back pain. (more…)

Go to Top