USMLE 252

A collection of my personal notes and thoughts on the USMLE exams.

The good, the bad, and the ugly! (anticoagulants)

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Wa rfarin Uses: Afib Mechanical valves DVT/PE Overdose: Bleeding to death: give FFP with will immediately help, and give Vit K (takes a coup...
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Question Dissection

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Note that you don't need to know what the right answer is. It is easier to disprove the other answers.
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Front, back, left and right.

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Knowledge of what heart chamber is most anterior, posterior, left or right is clinically useful. A stab wound to the anterior chest wall is...
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Big Mac for MAC

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Mycobacterium Avi um Compl ex (MAC) is usually found in HIV+ patients with a CD4 count . Prophylaxis against MAC is a MAC rolide (clarithro...
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Pathology Review from Pathguy

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Pathology can be a daunting subject to approach. There are a lot of resources but here is a couple links to a really good pathology review...
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Heart Murmurs

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The key to understanding heart murmurs is realizing that: Systole=ventricle contracting Diastole=atria contracting or the aortic pressure pu...
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A video is worth a thousand words.

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Let's say you're having a tough time visualizing the fetal circulation in your head and diagrams just aren't cutting it. Google...
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Sloppy Joes!

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Both HCV and HIV are sloppy reproducers, making their structure too variable to create a working vaccine against them. Neisseria gonorrhea i...
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Inguinal Canal and Hernias

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Check out this flash animation !
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Is it Crohn's Disease or Ulcerative Colitis?

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I grew tired of all those annoying tables comparing Crohn's Disease (CD) with Ulcerative Colitis (UC). I've boiled these tables down...
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He's get Heinz Bodies!

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X-linked Recessive disorders ( " HE 's" get x-linked recessive disorders) Never answer one of these diseases for a woman! If ...
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M's the letter for Mycoplasma pneumonia

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When you think of mycoplasma, first don't get it confused with mycobacterium! Then think of the M's M ycoplasma M ilitary and M inor...
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My tips for estrogen

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My rule: Estrogen causes growth. Estrogen comes from 3 main areas: ovaries, adrenal cortex, and placenta. You should associate FSH with est...
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Mother of All Inducers

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Barbiturates, as a class, are the most prolific inducers known, affecting almost all P450 enzymes. Inducers generally do not create drug-to...
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DDx of Positional Headaches

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Two conditions that cause positional headaches are: 1. Colloid Cysts in the third ventricle which block the Foramen of Monro when a person...
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Vomiting in Peds

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Pyloric Stenosis vs Viral Gastroenteritis PS: voracious appetite Viral GE: no appetite
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Internship

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Hi everyone. Recently, I haven't posted as often because I started my internship last week. I'll pick up the posting in a week or ...
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The ABCD's of drugs that slow down the AV node.

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Four drugs can slow down the AV node and thus lead to heart block and probably should not be used in WPW. A=Adenosine B=Beta Blocker C=Calci...
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What goes through my head when I get a calcium question...

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#1: Is calcium too high or too low? #2: What is the phospate level? The question stem might not give calcium levels so I might have to...
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Answer to the Endocrine Question

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This question really boils down to a calcium question and the choices should be broken down into what causes hypocalcemia and what causes hy...
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