USMLE-Rx Step 2 Qmax Challenge #21025

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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 #21025A 2.5-month-old boy is brought to the emergency department for evaluation of fever. Two days prior to admission the patient developed a fever to 39.1°C (102.3°F) and became irritable with nasal discharge and decreased oral intake. His birth history is unremarkable. He lives at home with his mother and 6-year-old brother, who attends elementary school where several kids have been absent recently for illness. His heart rate is 137/min, blood pressure is 72/48 mm Hg, respiratory rate is 35/min, and rectal temperature is 39.3°C (102.7°F). Neurologic examination is remarkable for a lethargic-appearing child who is responsive to stimulation. His anterior fontanel is open and bulging. The resident caring for the patient is certain that he has acute bacterial meningitis and orders a lumbar puncture.

Which of the following cerebrospinal fluid results from the lumbar puncture would be most consistent with acute bacterial meningitis?

A. A
B. B
C. C
D. D
E. E

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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.

Perseveration, or Perseverance?

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By Patrick Sylvester

Alternately titled… what to do about topics you just don’t feel comfortable with!

From my own experience, and from talking to other students, a common theme that comes up during Step 1 studying is the nagging feeling that “I just can’t remember X,” or “How long did you spend on Y topic?”

As we’ve discussed before on FirstAidTeam.com, including this post by editor, Walter Wiggins, an important part of studying for Step 1 is setting a schedule and sticking to it!

Let’s take a moment to talk about what happens if you feel “stuck.”

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USMLE-Rx Step 1 Qmax Challenge #3243

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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 #3243A 72-year-old man with a chronic cough comes to a local clinic complaining of a sharp pain in his ribs that started this morning after he had an episode of severe coughing. He notes that he has also been feeling very fatigued lately and has lost 10 lb (4.5 kg) in the past 3 months. The physician orders a chest x-ray, which reveals a rib fracture on the lateral view. Suspicious, the physician then orders a bone marrow biopsy. The results are shown in the image.

Which of the following additional pathologic findings is this patient most likely to have?

A. Aplastic anemia

B. Hypercalcemia

C. Hypocalcemia

D. Reed-Sternberg cells

E. Severely elevated prostate-specific antigen level

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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.

 

 

Finding US Clinical Electives for IMGs

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By Fady Akladios

As an IMG who has been through the residency application process in the US, I have learned the importance having US clinical experience (USCE) firsthand. I have almost always been asked the same question in every single interview: “where have you done rotations in the US?”

Having USCE not only gives you more exposure to the health system in this country, but it also gives you more of an edge as an applicant by enabling you to meet program directors and obtain letters of recommendation from American programs.

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How To Tackle The Hardest Part About Studying

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By Luke Murray

“The hard part about writing is not the writing. It’s sitting down to write.”

- Steven Pressfield, author of “The Legend of Bagger Vance”

 

How To Tackle The Hardest Part About StudyingWhen it comes to studying, or any endeavor requiring great physical, mental, or emotional effort, having momentum on your side can make the difference between victory and defeat. It can also make the difference between enjoying the process and dreading every lap, every page, or every conversation, because momentum in either direction will self-perpetuate. If you’re building it in the right way, then things will keep moving that way for you with less and less effort – especially compared to the effort required to get going from a standstill (remember how the coefficient of static friction is always greater than the coefficient of kinetic friction?…well, you did when you took physics).

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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

———————–

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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