Uworld | Step 1

2021-10-05 06:05:37 A 28-year-old woman, gravida 1 para 1, is seen in the clinic a week after spontaneous vaginal delivery. The delivery was performed under epidural analgesia and complicated by a prolonged second stage of labor. Since delivery, the patient has had frequent episodes… Open / Comment

2021-10-05 06:05:11 A 28-year-old woman, gravida 1 para 1, is seen in the clinic a week after spontaneous vaginal delivery. The delivery was performed under epidural analgesia and complicated by a prolonged second stage of labor. Since delivery, the patient has had frequent episodes of fecal incontinence, as well as mild perinea! pain that is relieved by ibuprofen and opioid analgesics. She reports no other medical conditions, and her pregnancy was otherwise uncomplicated. On examination, a healing perinea! laceration shows no signs of infection. Digital anorectal examination reveals decreased anal sphincter tone and loss of the anal wink reflex. Bilateral lower extremity reflexes are 2+ with normal tone. Open / Comment

2021-10-04 21:15:26 59-year-old man comes to the emergency department with diplopia that started several hours ago. His past medical history is significant for long-standing diabetes with poor glycemic control, right-knee osteoarthritis, and peptic ulcer disease. Physical examination… Open / Comment

2021-10-04 21:14:38 59-year-old man comes to the emergency department with diplopia that started several hours ago. His past medical history is significant for long-standing diabetes with poor glycemic control, right-knee osteoarthritis, and peptic ulcer disease. Physical examination shows right-sided ptosis with the right pupil in the inferolateral position. Pupils are equal in size and reactive to light bilaterally. Open / Comment

2021-10-02 21:34:43 37-year-old man comes to the office due to difficulty sleeping. He says that his new job as a business executive is very stressful and requires considerable travel. During the past 3 months, the patient has made numerous trips between the United States and… Open / Comment

2021-10-02 21:33:53 37-year-old man comes to the office due to difficulty sleeping. He says that his new job as a business executive is very stressful and requires considerable travel. During the past 3 months, the patient has made numerous trips between the United States and France. He experiences insomnia and daytime sleepiness for several days after these trips, but his sleep then improves significantly. Open / Comment

2021-10-02 10:45:31 23-year-old woman is brought to the emergency department unconscious after a motor vehicle accident. The patient was texting on her cell phone and was not wearing a seatbelt during the incident. She has no known medical problems and takes no medications. Her… Open / Comment

2021-10-02 10:44:49 23-year-old woman is brought to the emergency department unconscious after a motor vehicle accident. The patient was texting on her cell phone and was not wearing a seatbelt during the incident. She has no known medical problems and takes no medications. Her temperature is 36. 7 C (98 F), blood pressure is 155/90 mm Hg, pulse is 62/min, and respirations are 1 O/min. A linear skull fracture at the junction of the frontal, parietal, temporal, and sphenoid bones is seen on head CT scan. Open / Comment

2021-10-02 10:02:07 31-year-old female with new-onset generalized tonic-clonic seizures has an intracranial mass detected on head CT scan. Biopsy of the mass reveals neoplastic cells that stain positive for synaptophysin and negative for glial fibrillary acidic protein. Open / Comment

2021-10-02 10:01:29 31-year-old female with new-onset generalized tonic-clonic seizures has an intracranial mass detected on head CT scan. Biopsy of the mass reveals neoplastic cells that stain positive for synaptophysin and negative for glial fibrillary acidic protein. Open / Comment