Feeding your Long-term Memory

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dan heckman picBy Dan Hekman

First Aid Express Lecturer

MCW Dermatology Resident

www.linkedin.com/pub/daniel-hekman/72/34/445/

Over the past couple of years, countless second year medical students have plagued my inbox with questions regarding USMLE Step 1 advice and studying strategies. After contemplating for a while about whether to just ignore them all, I ultimately decided to be a good guy and provide them with a studying strategy that I discovered during my time in prison—I mean—second year of med school. Through a great deal of trial and error, I finally stumbled upon a pretty solid plan of attack that has helped quite a few students and may also help you. If not, then forget what I’m about to tell you (pun intended)! My strategy was designed specifically for med students, but I also feel that it could be applied to broader topics (https://www.youtube.com/watch?v=oBnLTUIDjjQ). Now…are you ready for the most memorable (hopefully) experience of your life??! Too bad! Here we go!

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USMLERx Step 1 Qmax Challenge #1205

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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).

USMLERx Step 1 Qmax Challenge #1205Mutation can cause hemoglobinopathy (see image).

This is an example of which type of mutation?

A. Frameshift mutation
B. Insertion mutation
C. Missense mutation
D. Nonsense mutation
E. Silent mutation

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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.

USMLE-Rx Step 2 Qmax Challenge #21423

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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 #21423A 32-year-old man is found to have a solitary, firm mass in the thyroid on routine physical examination. He has no complaints and the remainder of his physical examination is unremarkable. Family history is significant for an uncle who died of thyroid cancer at age 40 years. A biopsy of the thyroid stained with Congo red is shown in the image.

What further study should be done in this patient?

A. Barium swallow
B. Measurement of serum insulin-like growth factor-1
C. Measurement of urinary metanephrine levels
D. MRI of the brain
E. Renal biopsy

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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.

Step 2 Clinical Skills PROtips

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By Jocelyn Compton

Step2CS4thEdStep 2 Clinical Skills is the final national examination we take as medical students. It is required for most medical school graduations.

According to the USMLE website, “Step 2 CS uses standardized patients to test medical students and graduates on their ability to gather information from patients, perform physical examinations, and communicate their findings to patients and colleagues.”

On test day, you’ll see 12 patients for 15 minutes each and then have 10 minutes to write a note. Many medical schools will provide mock exams to help prepare their students; others encourage students to use a clinic day at a primary care physician’s office to simulate test day. However, inevitably Step 2 CS will present a few surprises that are unlike the real world clinic patient. This is entirely because Step 2 CS is not the real world clinic.

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USMLE-Rx Step 1 Qmax Challenge #3278

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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 #3278A 35-year-old woman visits her primary care physician after feeling a hard lump in her neck. Her physician notes that she has a single, hard, nontender nodule in the left lobe of her thyroid that moves when she swallows. The patient denies tremor, restlessness, heat intolerance, or an increased level of anxiety. Blood tests show normal thyroid hormone and calcitonin levels. A scintiscan shows a cold nodule in the left lobe of her thyroid. Tissue is obtained and a histological section is shown in the image.

This patient most likely has which of the following?

A. Follicular carcinoma
B. Medullary carcinoma
C. Multinodular goiter
D. Papillary carcinoma
E. Thyroglossal duct cyst

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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.

USMLE-Rx Step 2 Qmax Challenge #21049

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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 #21049An adolescent boy is evaluated for a recent skin infection (as shown in the image). He is otherwise healthy and has never had a similar episode. He has a noncontributory social and family history. During the interview, he mentions he really enjoys working out at the community gym each day. On physical examination, he has no symptoms other than a localized infection that is pruritic and mildly malodorous.

Which of the following tests is best to confirm diagnosis?

A. Full-thickness biopsy
B. Potassium hydroxide preparation
C. Skin allergen test
D. Tzanck smear
E. Wood’s lamp

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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.

How to Not Freak Out While Prepping for Step 1

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By Luke Murray

How to Not Freak Out While Prepping for Step 1So, you’re sitting down to start studying for Step 1 and you’re freaking out. That’s understandable. I sure as heck did. It’s the most important test that you’ll take on your journey to becoming a physician.

The problem with worrying was that it hurt my chances of not just success on the test, but on my quality of life and attitude surrounding all things Step 1. I remember getting overwhelmed with information and so concerned that I hadn’t read enough that I would just bang through material without understanding anything. I also remember being a nervous wreck whenever I wasn’t studying, making me a burden to be around. I even pouted about not doing as well as I’d liked despite all the worrying I’d done, while others did better and seemed to stress less. It was as if putting myself through all that (unnecessary) mental anguish made me feel like I deserved to do better.

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