USMLE-Rx Step 2 CK Qmax Challenge #23840

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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 CK Qmax Challenge #23840A 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.

Know Your SOAP (just in case…)

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By Sasmit Sarangi

Vamsi wrote an excellent introductory post on the Supplemental Offer and Acceptance Program (SOAP) last year. The SOAP is the current system for filling unmatched positions in the Main Residency Match. This post is primarily a companion piece to Vamsi’s post and I would encourage reading both.

An unmatched applicant can apply to up to 45 unfilled programs (35 max in the 1st round of applications and 10 max in the 2nd round) using the ERAS website. These applications are followed by communication initiated only by the program.

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Don’t Miss Thursday’s FREE Webinar: First Aid for the USMLE Step 1 by Dr. Tao Le

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Join us for a FREE Webinar on March 13

Space is limited.

Reserve your Webinar seat now at: http://bit.ly/1jLtwCW

 This high-yield talk from Dr. Tao Le, the series editor for First Aid, will cover the basics of the USMLE Step 1 including an overview of the boards, goal setting, high-yield topics in each subject area, study strategies, review resources, and study schedules.

Stay with us after the webinar for a live, interactive Q & A session.

Title: First Aid for the USMLE Step 1 by Dr. Tao Le

Date: Thursday, March 13, 2014

Time: 9:00 PM – 10:00 PM EDT

After registering, you will receive a confirmation email with information about how to access the Webinar.

System Requirements

PC-based attendees Required: Windows® 7, Vista, XP or 2003 Server

Macintosh®-based attendees Required: Mac OS® X 10.6 or newer

Mobile attendees Required: iPhone®, iPad®, Android™ phone or Android tablet

apamsa webinar

Be the first to view the new First Aid Step 1 Express videos! Respiratory Anatomy

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Be the first to view the new First Aid Step 1 Express videos!

Over the next few weeks, our YouTube channel will feature draft versions of the 2014 videos, and we want to know what you think about our expanded coverage.

Reading an x-ray of the lung will be much easier after watching our next sneak-peek draft video, as Jocelyn Compton discusses the anatomy of the respiratory tree and how to tell which lobe is affected in pneumonia based on the underlying anatomy.

She also covers pneumocytes and the law of Laplace, and the role of surfactant in fetal lung maturity.

Take a deep breath, sit back, and get ready to test how well you understand these key concepts.

Let us know how you like this video by posting your comments on YouTube, in the comments section below, or by emailing us.

Thanks, and stay tuned for more samples.

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USMLE-Rx Step 1 Qmax Challenge #3058

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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 #3058A young woman goes to her primary care physician complaining of 8 weeks of fevers, chills, night sweats, fatigue, and weight loss. About 3 weeks ago she noticed a large bump around her clavicle. The mass is surgically removed and biopsied (see image).

What is the best treatment for this patient’s most likely illness?

A. Imatanib
B. Raloxifene
C. Trastuzumab
D. Valacyclovir
E. Vincristine

———————–

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.

CUSHINGOID – Side Effects of Corticosteroids

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By Michael Spinner

Corticosteroids are commonly prescribed medications used to suppress an overactive and unwanted immune response. This may include suppression of an immune response to innocuous, environmental antigens (allergies or asthma), self-antigens (autoimmunity), and foreign, transplanted antigens (allograft rejection).

While beneficial in reducing inflammation in these conditions, there are numerous pathologic side effects of corticosteroids, which should temper their use when possible. Remember the major side effects of corticosteroids with the mnemonic CUSHINGOID:

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Join us for a FREE Webinar: First Aid for the USMLE Step 1 by Dr. Tao Le

0

Join us for a FREE Webinar on March 13

Space is limited.

Reserve your Webinar seat now at: http://bit.ly/1jLtwCW

 This high-yield talk from Dr. Tao Le, the series editor for First Aid, will cover the basics of the USMLE Step 1 including an overview of the boards, goal setting, high-yield topics in each subject area, study strategies, review resources, and study schedules.

Stay with us after the webinar for a live, interactive Q & A session.

Title: First Aid for the USMLE Step 1 by Dr. Tao Le

Date: Thursday, March 13, 2014

Time: 9:00 PM – 10:00 PM EDT

After registering, you will receive a confirmation email with information about how to access the Webinar.

System Requirements

PC-based attendees Required: Windows® 7, Vista, XP or 2003 Server

Macintosh®-based attendees Required: Mac OS® X 10.6 or newer

Mobile attendees Required: iPhone®, iPad®, Android™ phone or Android tablet

apamsa webinar

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