By Theodore X. O'Connell
USMLE Step 2 secrets and techniques is an easy-to-read overview excellent for busy scholars such as you. Adam Brochert, MD-who scored within the 99th percentile at the Step 2 USMLE-and Theodore X. O’Connell, MD-author of numerous evaluate and medical reference books-present crucial questions and solutions overlaying the $64000 thoughts you must understand to attain good at the USMLE Step 2 examination: key stipulations you'll be anticipated to acknowledge, all forte and subspecialty issues, and precious scientific concepts.
- Learn crucial questions and solutions with the confirmed layout of the hugely acclaimed secrets and techniques Series.
- Master all uniqueness and subspecialty issues coated on Step 2.
- Identify key proof and secrets and techniques utilizing the head a hundred secrets and techniques chapter.
- Review fabric quick and simply because of bulleted lists, algorithms, and illustrations.
- Apply the pearls, suggestions, reminiscence aids, and "secrets" from famous and hugely well known authors, Adam Brochert, MD and Theodore X. O’Connell, MD.
- Find details fast with a moment colour highlighting bankruptcy and part titles, legends, bullets and icons, and key terms.
- Consult the e-book anywhere you pass because of the transportable dimension that matches on your lab coat pocket.
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Additional resources for USMLE Step 2 Secrets, 3rd Edition
05 may still have serious flaws. 2. A low p-value does not imply causation. 3. A study that has statistical significance does not necessarily have clinical significance. 0001, you still would not use drug X because the result is not clinically important given the minimal blood pressure reduction, the costs, and probable side effects. 32. Explain the relationship of the p-value to the null hypothesis. The p-value also is related to the null hypothesis (the hypothesis of no difference). For example, in a study of hypertension, the null hypothesis says that the drug under investigation does not work; therefore, any difference in blood pressure is due to random error or chance.
Describe the classic pattern of chest pain in an MI. The pain is classically described as a crushing or pressure sensation; it is a poorly localized substernal pain that may radiate to the shoulder, arm, or jaw. The pain usually is not reproducible on palpation and in patients with a heart attack often does not resolve with nitroglycerin (as it often does in angina). The pain usually lasts at least half an hour. 5. What tests are used to diagnose an MI? Other than an EKG, the patient with a possible MI should have serial determinations of the MB fraction of creatine kinase (CK-MB), troponin I or T, or myoglobin (usually drawn every 8 hours 3 times before a heart attack is ruled out).
With large heart attacks that cause heart failure, look for bilateral pulmonary rales in the absence of other pneumonia-like symptoms, distended neck veins, S3 or S4 heart sound, new murmurs, hypotension, and/or shock. 7. What historical points should steer you toward a diagnosis of MI? Patients often have a history of angina or previous chest pain, murmurs, arrhythmias, risk factors for coronary artery disease, hypertension, or diabetes. They also may be taking digoxin, furosemide, cholesterol medications, anti-hypertensives, or other medications.