Usmle Step 2 Ck Review Notes

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  • Topic: Cancer, Squamous cell carcinoma, Abdominal pain
  • Pages : 373 (136428 words )
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  • Published : February 24, 2013
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PREPARED BY IRFAN MIR ---- USMLE STEP 2 CK

KICK THE BOARDS

BEFORE U CONSIDER THESE NOTES PLZ READ THIS.

CONTENTS NOTES FROM KAPLAN Q BOOK & MOCK EXAM ---------------------------------------------- page 2 - 24 NOTES FROM PASSING STEP 2CK 2009 - 2010 ------------------------------------------------- page 24 - 65 NOTES FROM KAPLAN REVIEW BOOK 2009 --------------------------------------------------- page 65 - 134 NOTES FORM UW Q BANK 2010 ------------------------------------------------------------------- page 134 - 199

BY THE TIME U FINISH THESE 199 PAGES U CAN CONSIDER UR SELF HAVING 4 REVIEWS. THIS MATERIAL CAN BE USE FOR PRIMARY PREPARATION BUT MEMORIZING THESE LITTLE STARS ARE THE KEY TO SUCCESS. IF U NOTES THAT POINTS ARE REPEATED, ITs ON PURPOSE DO NOT GET CONFUSED.

NOTES FORM KAPLAN Q BOOK & MOCK EXAM ARE BASED ON HY POINTS (no description) NOTES FROM PASSING STEP 2 CK ALSO BASED ON HY POINTS (some description). NOTES FROM KAPLAN REVIEW ARE COMPLETE (good description). NOTES FROM UW Q BANK ARE SUBJECT WISE BASED ON HY POINTS (some description). GOOD LUCK IN UR EXAM. IRFAN MIR 1 Copy Righted Material.

(u may need microsoft work to open this file)

PREPARED BY IRFAN MIR ---- USMLE STEP 2 CK

KICK THE BOARDS

INTERNAL MED * Anion Gap = (Na+ - K+) + ( HCO3 - - Cl-) Normal Anion gap is 8 - 14. * Normal Serum Osmolality = 280 - 300. * 0.1  in pH  0.7  in serum K+ * Every 100 mg Inc of glucose over 200 cause 1.7 mEq drop in serum Na+. * BMI = wt in lbs / Height in foot.. * BMI > 25 is over wt . BMI > 27.5 is Obese. BMI > 40 is Obesity with Inc risk of health problems. * Palm is 1% of BSA. * Pulmonary Thromboembolism ----- large S in lead I with deep Q in lead III and T inverted in various leads. * LUDWIG ANGINA --- Abscess of the floor of the mouth (danger of Airway Obstruction). * Leiomyoma are the most common tumor of women (20% of women) & is the most frequent indication of hysterectomy (which may restore fertility). * Leiomyoma --- (estrogen dependant) Asymmetric, Firm and Non tender vs. Edenomyosis --- Symmetric, Soft and Tender. * 2 types of Sarcoidosis ----- LOFGREN $ and HEERFORDT WALDENSTROME $. LOFGREN $ ---- Erythema nodusum, Arthritis and Hilar Lymphadenopathy. HEERFORDT WALDENSTROME $ ---- Fever , Parotid enlargement, Uveitis and Facial palsy. * FELTY's $ --- Rheumatoid Arthritis + Splenomegaly + Neutropenia. * Atrial fib + Pretebial myxedema suggest Grave Disease (hyperthyroidism). * Myasthenia Gravis is dx by Tensilon Test ( Edrophonium test ). * Influenza Vaccine is given to children who are on Aspirin therapy to prevent Rye $. * Proximal Facial nerve paralysis cause Paralysis of Stapedius muscle which results into Hyperacusis (Inc sensitivity to sound). * Nitrates in MI and Digoxin in CHF does not improve survival. * Hypomagnesaemia is common in Alcoholics due to renal magnesium loss. In the presence of hypomagnesaemia it is extremely difficult to correct hypokalemia (not even with high doses). That is why in this situation give magnesium and potassium supplement to correct the deficit. * LERICHE's $ --- Buttock Atrophy, Claudication with Impotence due to extensive Aortoilliac Occlusive dis from Atherosclerosis. * Hearing loss is most common sequela of meningitis in children, for that reason Auditory testing should be performed. * Pulsus Alternans suggest Left Ventricular dysfunction. * Choriocarcinoma (shows  hCG) occur after pregnancy and is highly sensitive to chemotherapy even if metastasis is present. * Pt with Breast mass plus Positive family Hx of breast cancer -------- Directly do Excisional biopsy. * Transverse cervical os means trauma to the cervix (may be due to previous vaginal delivery). * Estrogen or Stillbesterol can be used in Sickle Cell Anemia to prevent priepism (Do Needle Decompression or Surgery in Acute cases). * Shistosoma Hematobium Inc the risk of Squamous Cell Carcinoma of the Bladder. * Signs of Pregnancy -- Amenorrhea, Chadwick sign, Hegar sign, Linea...
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