USMLE-Rx Step 1 Qmax Challenge #3232

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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 #3232A 27-year-old homeless man presents to the clinic because of a 5-day history of pain and swelling in his right upper arm. MRI of the area reveals diffuse soft tissue and bone inflammation. Results of bone biopsy are shown in the image. Blood cultures grow Pseudomonas.

Which of the following would a complete history of this patient most likely reveal?

A. Corticosteroid use
B. Intravenous drug use
C. Miliary tuberculosis
D. Multiple sexual partners
E. Sickle cell anemia

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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.

Mnemonic Monday: The CURB-65 Criteria – Prognosis & Management of Pneumonia

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By Michael Spinner

The CURB-65 Criteria – Prognosis & Management of PneumoniaThe prognosis and management of community-acquired pneumonia may vary considerably from patient to patient. Some are treated effectively with oral antibiotics in the outpatient setting, others should be hospitalized for IV antibiotics, and the most severe cases may require ICU admission to provide ventilatory and/or hemodynamic support. Use the CURB-65 criteria listed below to help estimate the prognosis and determine the appropriate management for patients with community-acquired pneumonia:

C – Confusion (new change in mental status)

U – Urea >7 mmol/L

R – Respiratory rate ³30

B – Blood pressure <90 systolic or £60 diastolic

65 – Age ³65

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USMLE-Rx Step 2 Qmax Challenge #28028

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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 #28028A 62-year-old white man presents to the clinic with complaints of burning substernal pain. The pain begins about 1 hour after meals and recurs several times a week. It is worst when he lies flat at night and is sometimes associated with a sour taste. The patient’s voice is often hoarse the next morning. He admits that although the symptoms have bothered him for many years, he has never sought treatment until now. Social history is significant for a 40-pack-year smoking habit and chronic, heavy alcohol use. Physical examination is unremarkable, with no palpable lymphadenopathy. Esophagogastroduodenoscopy is performed, and the gastroesophageal junction is shown in the image.

Which of the following is biopsy of the distal esophagus likely to reveal?

A. Adherent pseudomembranes with hyphae
B. Columnar metaplasia with intestinal goblet cells
C. Fibrotic submucosa with mucosal atrophy
D. Ulcerated mucosa and endothelial cells containing nuclear and cytoplasmic inclusions
E. Ulcerated mucosa and epithelial cells containing nuclear inclusions

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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.

New Beginnings: Farewell from the Editor

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By Walter Wiggins

I have had the great pleasure of serving as the Editor of FirstAidTeam.com for the past two years. In this time, I have worked with an amazing team of authors and editorial staff. I’ve seen my authors (who were already very good writers at baseline) develop into great writers. I’ve even been a first-hand beneficiary of their outstanding advice, and I’ve learned much from the experiences they’ve shared on this blog.

I like to think I’ve made a positive impact on the blog and our social media presence during my tenure. However, I’m certain that working in this capacity has had a major impact on me. In fact, one of the things that came up most often during my residency interviews this past winter was not my Step 1 score or my clinical grades or my class rank or even my doctoral work in neuroscience, but rather the faculty at some of the top academic institutions in the US were interested in my experience as the Editor of FirstAidTeam.com.

As I leave to start my internship and residency, I know this website, the blog, and our social media outlets will be in good hands. USMLERx and First Aid remain on the cutting edge of medical education and study tools. New authors and editors will come along and provide a different perspective. They’ll shape this organization with their own vision and the next wave of medical students will benefit greatly from their efforts.

If I had to leave you with just one piece of advice, it would be this:

Do what you need to do to take care of the “checklist” items in your life (Step 1, clinical rotations, landing a great residency in the specialty of your choice), but make sure that you leave time for the people and things you love and enjoy. Often you’ll find that taking care of yourself and nurturing your relationships will help you perform at a higher level and work more efficiently. But more importantly, life just isn’t any fun when you’re singularly focused on your “checklist.”

Cheers and best wishes for a satisfying career in medicine,

walter

 

 

 

 

USMLE-Rx Step 1 Qmax Challenge #3228

11

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 #3228A biotechnology firm is developing a new small protein drug designed to prevent the spread of a sexually transmitted infection. Scientists want to block the infectious step of the bacteria’s reproductive cycle. A Giemsa-stained smear of a patient’s urethral discharge shows cytoplasmic inclusions similar to those shown in the image.

During which stage of this pathogen’s life cycle is it most infectious?

A. Cytoplasmic inclusion body
B. Extracellular elementary body
C. Intracellular elementary body
D. Multiplication of reticulate bodies
E. Reticulate body

———————–

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.

Test-Taking Strategies: Laminated Paper/Whiteboard Topics

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By Patrick Sylvester

Part of what we’re hoping to do with these First Aid Team posts is to share with you things that we really wish (or were really glad) that someone had told us about a variety of things related to medical school, the USMLE exams, and everything else. With this in mind, I’d like to talk about laminated writing surfaces.

Laminated writing services?? Yes, that’s correct. Laminated writing surfaces (as they’re described in the 2014 USMLE Bulletin of Information) are quite possibly one of my favorite things—and on the day of your USMLE exam, you’ll probably feel the same way.

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Perfect Practice Makes Perfect

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By Mark Ard

In the immortal words of NCAA legend John Wooden, “Practice does not make perfect. Only perfect practice makes perfect.” When it’s time to hunker down, lay the pedal to the metal, chug coffee, skip showers, and generally do things that compromise your sociability to prepare for Step 1, it’s important to remember how to study. You’ll find great resources here at FirstAidTeam.com, including books, banks, and example schedules, but here’s some tips, adapted for Step 1 from Practice Perfect: 42 Rules for Getting Better at Getting Better

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