Uworld | Step 2ck

2022-05-18 07:04:02 A 76-year-old woman is brought to the emergency department by her son with several days of confusion, disorientation, and decreased oral intake. Her other medical problems include mild dementia, hypertension, and type 2 diabetes mellitus. The son says that the patient has been talking to people who are not there and wandering around the house in the middle of the night. She has no history of recent falls. Her medications include metoprolol, valsartan, and metformin. Temperature is 37.2° C (99° F), blood pressure is 100160 mm Hg, and pulse is 1 OOfmin and regular. The fingerstick glucose level is 155 mgfdL Open / Comment

2022-05-17 21:04:01 Educational objective: Lambert-Eaton myasthenic syndrome is frequently associated with an underlying malignancy (eg, small cell lung cancer). It is caused by autoantibodies directed against the voltage-gated calcium channels in the presynaptic motor nerve terminal leading to symmetric proximal muscle weakness with depressed deep tendon reflexes. Open / Comment

2022-05-17 17:15:44 95% of the exam is repeated

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USMLE RECALLS (Previous exams) step 1,2 and 3

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https://t.me/USMLERECALLS2021/573 Open / Comment

2022-05-17 11:02:52 Open / Comment

2022-05-17 11:02:32 Open / Comment

2022-05-15 22:10:25 Educational objective: Spontaneous cerebellar hemorrhage is typically caused by poorly controlled hypertension and presents with occipital headache, neck stiffness, nauseafvomiting, nystagmus, and ipsilateral hemiataxia. There is usually no hemiparesis or sensory loss. Early diagnosis with noncontrast head CT scan is important as emergency surgical decompression may be life-saving . Open / Comment

2022-05-15 07:10:21 Open / Comment

2022-05-15 07:08:01 A 69-year-old man comes to the emergency department due to severe occipital headache, nausea, and vomiting for the last 3 hours. He has never had a headache like this before and has otherwise been in good physical condition. The patient was told several years ago that he has high blood pressure, but he has not been taking any medications or seen any health care providers. He has smoked half a pack of cigarettes daily for 40 years and drinks 1 or 2 cans of beer every evening. Both of his parents died of natural causes. Blood pressure is 160/90 mm Hg and pulse is 86/min and regular. His noncontrast head CT scan is shown in the image below. Open / Comment

2022-05-15 07:07:01 Open / Comment

2022-05-14 22:08:01 Educational objective: Chronic, excessive noise exposure can lead to sensorineural hearing loss due to the irreversible death of hair cells in the cochlea. Hearing screening proqrams are often mandated in high-risk occupations (eg, manufacturing, transportation). Open / Comment