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  1. USMLE Step 2 CK Forum
    A 36-year-old man is brought to the emergency department after being involved in a motor vehicle collision. He is in obvious distress. His blood pressure is 80/30 mm Hg, pulse is 140/min and respirations are 23/min. Examination reveals collapsed neck veins. Breath sounds are present bilaterally...
  2. USMLE Step 2 CK Forum
    When there is acute alkali ingestion after preventing further exposure and washing with water what should be the next step in management and why??:toosad::eek:
  3. USMLE Step 2 CK Forum
    A 26-year-old woman was hit by a car and brought to the trauma bay with a blood pressure of 62/40 mm Hg. On xamination she is unresponsive, her pupils are equally round and reactive, her distal pulses are weak, and her extremities are cold. X-ray of the chest is normal. Peritoneal lavage shows...
  4. USMLE Step 2 CK Forum
    An 81-year-old woman visits the emergency room complaining of the worst headache of her life. It radiates to the posterior neck and is worse with head movement. The pain began 2 hours ago. There are no other complaints. Medical history is significant for hypertension and two myocardial...
  5. USMLE Step 2 CK Forum
    Hi all: In Kaplan surgery it says that if we know where is bleeding then we should stop the bleeding first and if we dont know the culprit for bleeding then we give fluid first. So if today we have gun shot in the neck we should stop bleeding first?
  6. USMLE Step 2 CK Forum
    A 3-year-old boy is brought by ambulance to the emergency department after he and his mother are in a motor vehicle accident. The mother is not available to speak, but the paramedics tell you that the boy was awake but lethargic when they arrived, sitting on the floor of the car in front of the...
  7. USMLE Step 2 CK Forum
    A 45-year-old woman with a 6-month history of diplopia, which gets worse as the day goes by, presents at the emergency room (ER). She has also been feeling weaker in the evenings for the last couple of months. A week ago, she started getting short of breath and ran low fevers, and her primary...
  8. USMLE Step 2 CK Forum
    Nerve gas and Organophosphates(pesticides) poisoning can be absorbed through the skin. If a patient with salivation, vomiting, sweating, urination, loose stools and shortness of breath is arrived to ER, what would be the first step? a) administer atropine OR b) remove all the clothing and wash...
  9. USMLE Step 2 CK Forum
    A 70-year-old patient is brought by ambulance to the emergency department for seizures. On arrival the patient is confused and is judged delirious. His wife arrives soon after and provides a medical history of an unspecified mental disorder treated with thiothixene and hypertension treated with...
  10. USMLE Step 2 CK Forum
    A 65 yr old suffered from 50% TBSA burn while burning trash in the backyard. The patient is resuscitated with Ringer lactate solution using Parkland formula and a weight of 80 kg. What is the rate of solution given in first 8 hr in ml/hr. 1- 100 2- 500 3- 1000 4- 5000 5- 10000
  11. USMLE Step 2 CK Forum
    During a bar brawl, a student sustained 4-in laceration his left arm from glass and presents to emergency room the following morning 10hr left, He is neurovascularly intact and the wound is deeper, extending down to fascia. Which of the following is the appropriate management of wound 1- Closure...
  12. USMLE Step 2 CK Forum
    A 24-year-old woman presents to the emergency department after being involved in a motor vehicle accident. She is moving all extremities and is conversant. She indicates that while driving at 30 mph, she veered off the road to avoid an oncoming car and crashed into a guard fence. Her airbag...
  13. USMLE Step 2 CK Forum
    frequency of organ injury: I tried to post the table but copy rights wont allow me to do so, so I have seen some confusion about this and I decided to post this. The list is top 10 but I guess top 3 is all that is needed for the exam. Hope it helps.:D Trauma Frequency of organ injury: 2...
  14. USMLE Step 2 CK Mnemonics
    Concussion = normal CT = go home Contusion = abnormal CT = stays in the hospital ConTusion = CT positive Subdural vs Epidural in the CT? SuBdural = Crescent = # 1 B Epidural = Biconvex = # 1 B Happy-2
  15. USMLE Step 2 CK Forum
    Hi, For example, if a patient has an asymptomatic sinus bradycardia, no treatment is necessary. I don't understand symptomatic vs asymptomatic symptoms? Can someone please explain? Thank you!
  16. USMLE Step 2 CK Forum
    Post fall from 18 feet, pt is immobilized and placed on back board for transfer. He moans, and pulse is 130, resp-16, BP.85/40. No external bleed but echymosis on the forehead, left chin. Pt intubated and IV bore needles inserted. Next best in management: IV 5% Dextrose in water FFP 5% in .9%...
  17. USMLE Step 1 Forum
    Our Med school gave this First-Aid question in the exam. Question 2 No signs of life means a patient is: A) Unconscious / unresponsive B) Not breathing C) Not moving D) All of the above (meeting at least one criterion) E) All of the above (meeting all criteria) I thought the answer is E, but...
  18. USMLE Step 2 CK Forum
    23 YO male is history of asthma, presented to the ER with SOB & wheezing, at ER they started O2 supplementation. What is the best step to do in this patient to take him out of this exacerbation state? 1. Albuterol 2. Anticholinergic drug 3. Steroid 4. Albuterol &...
  19. USMLE Step 2 CK Forum
    which is the commonest visceral injury in blunt abd trauma?? Kaplan says its liver...(though commonest cause of significant bleed is spleen...) n uworld says commonest injury is spleen....n 2nd is liver ( q.id 2327 (376069) )
  20. USMLE Step 1 Forum
    A 24-year-old woman is in a car accident and is taken to an emergency room, where she receives a chest x-ray and a film of her lower spine. It is later discovered that she is 10 weeks pregnant. Which of the following is the most appropriate statement to make to the patient? a. The fetus has...
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