Proximal versus Distal Muscle Weakness in USMLE Case Scenarios - USMLE Forums
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USMLE Step 2 CK Buzzwords Buzzwords that should ring a bell in USMLE Step 2 CK exam.


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Old 03-15-2010
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MusculoSkeletal Proximal versus Distal Muscle Weakness in USMLE Case Scenarios

The USMLE question will not tell you overtly that the patient is suffering from proximal or distal muscle weakness, instead, they'll give you clues "buzzwords" to make you think of these.

Examples of clues "buzzwords" that point to Proximal Muscle Weakness:
Inability to sit up or rise to standing, Inability to climb stairs, Inability to comb hair, Difficulty brushing teeth ...etc

Examples of clues "buzzwords" that point to Distal Muscle Weakness:
Inability to button up clothes, Inability to turn the door knob, Inability to write ...etc
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Old 03-22-2010
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Just wanted to add that "inability to comb hair" may be a "masking" towards Scalp tenderness a symptom usually seen in temporal arteritis.
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Old 04-24-2010
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Quote:
Originally Posted by rasheed View Post
The USMLE question will not tell you overtly that the patient is suffering from proximal or distal muscle weakness, instead, they'll give you clues "buzzwords" to make you think of these.

Examples of clues "buzzwords" that point to Proximal Muscle Weakness:
Inability to sit up or rise to standing, Inability to climb stairs, Inability to comb hair, Difficulty brushing teeth ...etc

Examples of clues "buzzwords" that point to Distal Muscle Weakness:
Inability to button up clothes, Inability to turn the door knob, Inability to write ...etc

consice and streight to the point ... tnx
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