By Tao Le, Elizabeth Halvorson
344 situations provide the side you must ace the USMLE Step 2 CK!
This robust casebook is full of 344 exam-type scientific situations that educate you ways to paintings via questions about the examination. Completedly up to date in accordance with scholar suggestions, it comprises active-recall questions and solutions that strengthen key concepts.
- 344 high-yield cases--94 NEW!--written via scholars who aced the examination
- instances emphasize board-relevant illnesses and ideas
- Open-ended energetic remember questions and solutions educate you to paintings via situations and reinformce must-know evidence and ideas
- Two-column layout for simple self-quizzing
- a hundred+ photos, diagrams, and tables supplement the situations
- geared up an analogous methods as First relief for the USMLE Step 2 CK and First reduction Q&A for the USMLE Step 2 CK to facilitate parallel study
Read or Download First Aid USMLE Step 2 CK Cases PDF
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Extra resources for First Aid USMLE Step 2 CK Cases
In this patient with widespread atherosclerotic disease (coronaries, peripheral vasculature), recent-onset and refractory hypertension, a high serum creatinine, and a magnetic resonance angiogram (MRA) showing bilateral stenosis of the renal arteries (see Figure 1-4), renal artery stenosis is the most likely diagnosis. Ⅲ What are the most common causes of this condition? The two most common causes of renal artery stenosis are ﬁbromuscular dysplasia (in female patients < 25) and atherosclerotic disease (in patients > 50).
However, the speciﬁc cause of her heart failure is likely chronic hypertensive cardiac left ventricular (LV) hypertrophy. Other common causes of diastolic dysfunction include amyloidosis, diabetes, constrictive pericarditis, hemochromatosis, coronary artery disease, sarcoidosis, severe aortic regurgitation, and severe mitral regurgitation. Ⅲ What other tests should be considered for this patient? Many patients with symptoms and signs of heart failure also give a history of angina or ischemic heart disease.
This patient’s dyspnea, jugular venous distension, and tachypnea in the presence of crackles, pulmonary edema, elevated brain natriuretic peptide (BNP) level, and cardiomegaly suggest an acute exacerbation of CHF. An exacerbation of COPD is unlikely given that this patient does not have fever, productive cough, or wheezing. Additionally, the patient reported increasing intake of soup, a particularly salty food, which can signiﬁcantly increase water retention, thereby worsening CHF. ) Renal failure Embolus (pulmonary) CARDIOLOGY Ⅲ 14 How is this condition classiﬁed?