What's the first thing you think of? Image source: James Gathany, #CDC #medstudent #medschool #premed #usmle #step1 #step2 #meded
What's the first thing you think of?
Image source: James Gathany, #CDC
#medstudent #medschool #premed #usmle #step1 #step2 #meded
What's the first thing you think of? Image source: CDC #infectiousdisease #medstudent #doctor #medschool #premed #usmle #step1 #step2 #meded #cdc
What's the first thing you think of?
Image source: CDC
#infectiousdisease #medstudent #doctor #medschool #premed #usmle #step1 #step2 #meded #cdc
Question -
A 20-year-old man presents to the urgent clinic reporting a 3-day history of a progressively worsening sore throat. He thinks he had a fever, has had a headache, and has been unable to work due to fatigue. Yesterday, his neck and right ear started hurting and today he can hardly swallow because of severe pain. He has been taking ibuprofen for the pain by crushing it up. He is taking no routine medications and has no allergies. Vital signs reveal his temperature is 38.5° C (101.3° F), blood pressure is 130/80 mm Hg, heart rate is 99/min, and pulse oximetry is 98% on room air. Physical examination reveals a young moderately ill appearing man. He has very bad breath. His voice is muffled, and he holds his neck stiffly. There is some erythema in the right tympanic membrane. After some encouragement, oral examination reveals a carious right second molar that is not tender and findings as shown in the image (Image). There is some tenderness and swelling along the right mandible, and there are enlarged, tender anterior cervical lymph nodes on the right. Lungs are clear to auscultation. Heart sounds are normal.
Which of the following is the most likely explanation for these findings?
A) Microbial invasion of the epiglottis
B) Microbial invasion of the tonsils
C) Microbial invasion of the posterior wall pharynx
D) Microbial invasion of the right second molar
E) Microbial invasion of soft tissues below the mandible
Drop your answer and we’ll let you know if you got it right! This question comes from our Step 2 Qbank+, start your subscription now and get full access to the Step 2 Qbank+ for just $29 a month! See our link in bio to subscribe.
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☀️📚 Study Outside This Summer! Are you ready to soak up the sun while hitting the books for some board prep? Summer is the perfect time to take your study sessions outdoors! 🌞 Mixing up your study spot can work wonders for your focus and motivat
☀️📚 Study Outside This Summer!
Are you ready to soak up the sun while hitting the books for some board prep? Summer is the perfect time to take your study sessions outdoors! 🌞
Mixing up your study spot can work wonders for your focus and motivation. Here’s why:
1) Boost Your Mood: Natural sunlight increases serotonin levels, improving your mood and making studying feel less like a chore.
2) Increase Productivity: A change of scenery can help you stay more alert and engaged with your material.
3) Get Inspired: New environments stimulate your brain, sparking creativity and new ways of thinking.
4) Stay Active: Outdoor study spots often encourage you to move around more, keeping you physically active and energized.
So grab your books and find a spot by the pool, beach, or even your backyard. Make the most of your summer by combining study time with sunshine and fresh air! 🌸📖🌳
Tag us in your favorite outdoor study spots! 📸✨
#SummerStudying #StudyMotivation #StudentLife #MedicalStudent #StudyTips #Medicine #MedSchoolLife
Not us going for gold 🥇
#MedMeme #Medicine #MedHumor #Meme #Olympics #Residency #ResidentLife #Resident #MedicalResident
Question -
A 12-year-old girl presents to her pediatrician's office because of a sore throat that began yesterday which continues to worsen. Her mother took her temperature this morning and it was 38.3° C (100.9° F), so she gave her daughter some liquid acetaminophen. The patient says she is tired, has a headache, and that it hurts to swallow. History reveals she is on no chronic medications and immunizations are up to date. Vital signs reveal her temperature is 37.2° C (99.0° F), blood pressure is 114/76 mm Hg, and heart rate is 99/min. The patient is awake and alert. She is not drooling, and her voice sounds normal. She has some tender anterior cervical lymph nodes. On oral examination, tonsils are enlarged and have exudate (Image). The uvula is midline. Lungs are clear to auscultation. Heart sounds are normal. The abdomen is benign.
Which of the following is the most appropriate "gold standard" diagnostic study to obtain at this time?
HINT! Note in particular the finding of tonsillar exudate associated with anterior cervical lymphadenopathy.
A) Group A Streptococcus PCR testing
B) Group A Streptococcus rapid antigen test
C) Group A Streptococcus throat culture
D) Infectious mononucleosis rapid test
Drop your answer and we'll let you know if you got it right!
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🚨 Welcome to SHOCK MONTH! 🚨 All month long we'll be bringing you board review videos featuring our critical care expert, Dr. Raj, on all things shock.
These pearls are essential for your IM board exam prep and are a must-watch for those just starting their intern year!
In this first edition, Dr. Raj reviews:
🔹 When to evaluate for neurogenic shock
🔹 Why does it go under the category of distributive shock?
🔹 What happens when your patient loses sympathetic tone?
🔹 How does unopposed parasympathetic activity affects heart rate?
#NeurogenicShock #CriticalCare #Residency #InternalMedicine #Internist #BoardExam #IMResidency
Question - A 6-year-old girl presents to the emergency department after falling from a tree and hurting her wrist. On physical examination, there is tenderness of her left wrist, with mild edema. She refuses to move the wrist, but she has full range of m
Question -
A 6-year-old girl presents to the emergency department after falling from a tree and hurting her wrist. On physical examination, there is tenderness of her left wrist, with mild edema. She refuses to move the wrist, but she has full range of motion of her elbow. Her left hand is warm and well perfused, without any motor or sensory deficits. An anteroposterior x-ray of the left wrist shows compression of the distal radius.
Which of the following best describes the type of fracture this patient sustained?
HINT! Note the finding of compression of the fractured radius.
A) Spiral
B) Greenstick
C) Comminuted
D) Torus
E) Avulsion
Drop your answer in the comments!
#usmle #usmlequestions #usmlestep1 #usmleprep #medstudent #medstudentlife #step2
🌞 Med Student Summer Tip! 🌞 You don't want to come to the end of your break and realize you've spent most of it doom scrolling. https://hubs.li/Q02zSSWq0
One key strategy for success as a medical student is to prioritize your time. By blocking dedicated study periods on your calendar (and switching your phone to focus mode), you can create a structured routine to make sure you get in some concentrated and uninterrupted study time.
Defending your time also means setting boundaries! Communicate your availability to others and establish clear expectations.
The only person standing in your way is YOU. 💪🏼✨ Tag someone who needs this motivation today!
#Motivation #Dedication #YouGotThis #Study #StudyGram #StudyGrammer #Studying #USMLE #Step1 #Step2 #MedSchool #MedStudent #Doctor #Physician #Resident #InternalMedicine #Pediatrics
QUESTION -
A 5-year-old girl is brought to the emergency department by her mother, who states the child has diarrhea, joint pain and swelling, and a rash on her legs. The family has not traveled recently. The patient has not had fever, chills, shortness of breath, chest pain, vomiting, or headaches. She did have an upper respiratory infection last week, with sore throat and mild cough, but those symptoms have resolved. Vital signs include temperature 37.2° C (99.0° F), pulse 95/minute, and blood pressure 90/62 mm Hg. On physical examination, a slightly raised rash is present on the patient’s lower extremities bilaterally (Image). Her lungs are clear to auscultation. Heart examination shows regular rate and rhythm, with no murmurs, rubs, or gallops. The abdomen is soft, mildly tender, and nondistended, with normal bowel sounds. The wrist and knee joints are warm and swollen, but no effusions are noted. The remainder of the physical examination is unremarkable. A urine dipstick is positive for blood.
Which of the following is the underlying mechanism of this patient’s medical condition?
HINT! This patient’s symptoms of palpable purpura, joint swelling and pain, abdominal pain, and urine abnormalities following a viral respiratory infection are consistent with Henoch-Schönlein purpura.
A) IgA-mediated small-vessel vasculitis
B) Synovium immunocellular infiltration
C) Molecular mimicry
D) Thrombotic microangiopathy
E) Hypersensitivity vasculitis
Question - A 55-year-old man presents with a partial loss of vision. During the past year, his vision has progressively worsened, and he now has to turn his head to the right or left to see what is in front of him. He denies headache or eye pain, redness
Question -
A 55-year-old man presents with a partial loss of vision. During the past year, his vision has progressively worsened, and he now has to turn his head to the right or left to see what is in front of him. He denies headache or eye pain, redness, or drainage. He is frightened because his father went blind in his 60s, although he does not know what caused the blindness. The patient has a medical history of hypertension, asthma, and a 20-year history of smoking. He is referred to an ophthalmologist. Slitlamp (biomicroscope) examination findings reveal the following (Image):
HINT - The history of this patient’s father going blind is significant
Which of the following is the most appropriate initial management of this patient’s condition?
A) Intravenous ganciclovir
B) Laser iridotomy
C) Corticosteroids
D) Vitamins with zinc and antioxidants
Drop your answer and we'll let you know if you got it right! This question comes from our Step 1 Qbank+, check it out and start a free trial in our link in bio! No credit card required.
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A 5-year-old boy presents to the clinic with his mother because of a sore throat and hoarseness for 4 days. He is not eating or drinking and has had a fever on and off. They arrived in the United States 2 weeks ago from El Salvador. He has never seen a d
A 5-year-old boy presents to the clinic with his mother because of a sore throat and hoarseness for 4 days. He is not eating or drinking and has had a fever on and off. They arrived in the United States 2 weeks ago from El Salvador. He has never seen a doctor before and has not received any immunizations. On physical examination, his temperature is 38.9° C (102.0° F), his nares are patent, and his oropharynx is erythematous, with an adherent posterior pharyngeal grayish exudate (Image). The exudate bleeds when touched by a cotton swab. Prominent bilateral cervical lymphadenopathy is present.
Which of the following is the most likely pathogen?
HINT! Note that this patient is unimmunized and has a pharyngeal exudate that bleeds when touched.
A) Corynebacterium diphtheriae
B) Group A Streptococcus
C) Parvovirus B19
D) Respiratory syncytial virus
E) Streptococcus pneumoniae
Drop your answer and we'll let you know if you got it right! This question comes from our Step 1 Qbank+, check it out and start a free trial in our link in bio! No credit card required.
#MedicalStudent #MedSchool #MedStudent #MedicalSchool #LifeOfAMedicalStudent #USMLE #Step1 #USMLEStep1 #Medicine #Comlex