http://usmleforum.forumotion.com/mcq-ccs-f33/-t1.htm Wed, 24 Jun 2009 13:58:39 GMT 10 http://i89.servimg.com/u/f89/13/99/71/35/12457310.gif http://usmleforum.forumotion.com/mcq-ccs-f33/-t1.htm http://usmleforum.forumotion.com/mcq-ccs-f33/2-day-history-of-temperatures-to-395-c-1031-f-and-pain-t51.htm Admin A 5-year-old girl is brought to the physician because of a 2-day history of temperatures to 39.5 C (103.1 F) and pain in the right side. She has had two episodes of vomiting during this period but no diarrhea or symptoms of upper respiratory tract infection. She has vesicoureteral reflux and a history of recurrent urinary tract infections. She appears ill. Her temperature is 39.8 C (103.6 F), blood pressure is 110/60 mm Hg, pulse is 150/min, and respirations are 25/min. Examination shows right-sided ... MCQ & CCS Wed, 24 Jun 2009 13:58:39 GMT http://usmleforum.forumotion.com/mcq-ccs-f33/2-day-history-of-temperatures-to-395-c-1031-f-and-pain-t51.htm#66 http://usmleforum.forumotion.com/mcq-ccs-f33/2-day-history-of-temperatures-to-395-c-1031-f-and-pain-t51.htm http://usmleforum.forumotion.com/mcq-ccs-f33/my-step-3-cases-t34.htm rock82 1. 40ish woman with newly diagnosed DM II 2. Ectopic pregnancy 3. 60ish man with dyspnea: newly diagnosed CHF 4. PUD 5. 30ish woman with Colles fracture – Domestic Violence 6. 9 month old child with FUO (all cultures negative) 7. TCA OD with suicide note (never got better) 8. Adolescent girl with DUB 9. Elderly man with abdominal pain: ischemic bowel • Ectopic Preg Case: I prepped her for surg (OB consult, coags, Foley, type & cross) but forgot the NPO order. Actually, ... MCQ & CCS Fri, 12 Jun 2009 04:39:35 GMT http://usmleforum.forumotion.com/mcq-ccs-f33/my-step-3-cases-t34.htm#36 http://usmleforum.forumotion.com/mcq-ccs-f33/my-step-3-cases-t34.htm http://usmleforum.forumotion.com/mcq-ccs-f33/a-7yr-girl-with-sickle-comes-after-scraping-her-leg-while-climbing-t37.htm rock82 a 7yr girl with sickle comes after scraping her leg while climbing over a barbed fence.Her mom applied mercurochrome at the time of injury but brought her 2 u today after discussing with a friend.She says tar the child recieved her last DPT at 4yrs.On exam there is a red crusted incision approx 3cm long on Lt lat gastonemius.Appropriate management, a.tetanus boost,incision and drain of wound b.tetanus immunoglob 250U c.oxacillin and nafficillin d.intramuscularly irrigation with 1lt ... MCQ & CCS Fri, 12 Jun 2009 04:44:40 GMT http://usmleforum.forumotion.com/mcq-ccs-f33/a-7yr-girl-with-sickle-comes-after-scraping-her-leg-while-climbing-t37.htm#39 http://usmleforum.forumotion.com/mcq-ccs-f33/a-7yr-girl-with-sickle-comes-after-scraping-her-leg-while-climbing-t37.htm http://usmleforum.forumotion.com/mcq-ccs-f33/a-19-year-old-woman-gravida-2-para-1-at-39-weeks-gestati-t36.htm rock82 A 19-year-old woman, gravida 2, para 1, at 39 weeks' gestation is admitted in labor. Contractions occur every 2 to 3 minutes. The cervix is 4 cm dilated and 80% effaced. She requests an epidural for pain control. Ten minutes after the epidural is administered, she becomes nauseated and diaphoretic and vomits. Her blood pressure is 60/palpable mm Hg. A fetal heart tracing shows sustained fetal decelerations. The cervix is now 8 cm dilated. The most appropriate next step in management is administration ... MCQ & CCS Fri, 12 Jun 2009 04:42:59 GMT http://usmleforum.forumotion.com/mcq-ccs-f33/a-19-year-old-woman-gravida-2-para-1-at-39-weeks-gestati-t36.htm#38 http://usmleforum.forumotion.com/mcq-ccs-f33/a-19-year-old-woman-gravida-2-para-1-at-39-weeks-gestati-t36.htm http://usmleforum.forumotion.com/mcq-ccs-f33/mnemonics-for-usmle-step-2-cs-cases-t21.htm Admin Ask for: LIQOR AAA L Location of the symptom (forehead, wrist...) I Intensity of the symptom (scale 1-10, 6/10) Q Quality of the symptom (burning, pulsating pain...) O Onset of the symptom + precipitating factors R Radiation of the symptom ( to left shoulder and arm) A Associated symptoms ( palpitations, shortness of breath) A Alleviating factors (sitting with my chest on my knees) A Aggravating factors (effort, smoking, large meals) PMH (past medical history) Search ... MCQ & CCS Wed, 10 Jun 2009 15:46:29 GMT http://usmleforum.forumotion.com/mcq-ccs-f33/mnemonics-for-usmle-step-2-cs-cases-t21.htm#22 http://usmleforum.forumotion.com/mcq-ccs-f33/mnemonics-for-usmle-step-2-cs-cases-t21.htm