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internal-medicine-

  1. USMLE Step 2 CK Forum
    On pg 270 of MTB-CK second edition for hepatitis C it says "to treat chronic hep C use a combination of interferon, ribavirin, and either telaprevir or boceprevir." Then in the box on the side of the page it says "only acute hep c is treated" I am confused, can someone clear this up for me please?
  2. USMLE Step 2 CK Forum
    A 72-year-old man status post–coronary artery bypass graft (CABG) 5 years ago presents with hematochezia, abdominal pain, and fevers. Colonoscopy reveals patches of dusky-appearing mucosa at the splenic flexure without active bleeding. Which of the following is the most appropriate management of...
  3. USMLE Step 2 CK Forum
    Guys ... either i don't understand the whole concept how the dexamethasone suppression tests work or this is an error in MTB. what do you think? Thx
  4. USMLE Step 2 CK Forum
    So I just finished medicine from mtb2 and now started peds from mtb3 and kaplan. I'm mixing things up like cystic fibrosis, pneumonia treatments tests just to name a few examples.... any advice?
  5. USMLE Step 2 CK Forum
    Hey guys I need a good source for cardiac arrythmias cuz I suck in it .. where could I read them from? I feel that MTB is lacking too much and I'm getting all the arrythmia questions wrong in Uworld.. help please!
  6. USMLE Step 2 CK Forum
    Hypertension or Coronary Artery Disease?
  7. USMLE Step 2 CK Forum
    In UW Qustion ID 4596 an incidental pulmonary nodule is found on x-ray...the Question asks what is the next step in management? The patient is 53 YO and is an ex-smoker so obviously hes high risk Amongst the answers are: CT Percutanous biopsy Bronchoscopy According to what I learnt in kaplan...
  8. USMLE Step 2 CK Forum
    32 years old male jackhammer operator complains of pain and swelling right arm for 3 days, moderate exacerbation by exertion, examination reveals erythema and moderate edema, capillary refill less than 3 seconds : a) Axillary-subclavian venous thrombosis b) Deep vein valve insufficiency c)...
  9. USMLE Step 2 CK Forum
    if a patient had amenorrhea for 3 months , low BMI , Hx of vigorous exercise the next step is FSH or BHCG to rule out pregnancy ? thank you
  10. USMLE Step 2 CK Forum
    I know that all above 55 with new onset dyspepsia + below 55 with alarming signs must undergo upper endoscopy first In UW it's mentioned that upper endoscopy is also warranted if there's a family history of colon cancer does this mean that even if a young patient presenting with dyspepsia and...
  11. USMLE Step 2 CK Forum
    Hi there , how is your studying ?! Regarding IM , is there any one who studied from Jhons Hopkins Internal Medicine Board review ?
  12. USMLE Step 2 CK Forum
    hypertensive male pt. complain of taste impairment any thing tasted appear sweet even bitter sore salty all appear sweet.
  13. USMLE Step 2 CK Forum
    Over the past 2 weeks, a 60-year-old man has had shortness of breath on exertion. He also has paroxysmal nocturnal dyspnea with two-pillow orthopnea. He has taken aspirin daily since a myocardial infarction 3 years ago. He has a history of atrial fibrillation well controlled with digoxin and...
  14. USMLE Step 2 CK Forum
    in UW it says that when a liver metastasis is found on imaging or by clues like : firm hepatomegaly, microcytic anemia ( occult blood), cholestasis and pleural effusion -----> co CT abdomen with IV contrast isn't colon cancer is the most common especially when there's occult bleeding and we...
  15. USMLE Step 2 CK Forum
    when to treat hepatorenal syn with midodrine + octreotide and when to refer to transplantation center ?? thanks in advance:confused:
  16. USMLE Step 2 CK Forum
    Hi there. I found something in MTB2 that is different from what is described in FA step1. ASA (anterior spinal artery infarction): the lesion was said to include loss of pain and temperature/ Loss all the function except for posterior column in MTB2. But in FA, it was said to be different. It...
  17. USMLE Step 2 CK Forum
    Over the past 2 weeks, a 60-year-old man has had shortness of breath on exertion. He also has paroxysmal nocturnal dyspnea with two-pillow orthopnea. He has taken aspirin daily since a myocardial infarction 3 years ago. He has a history of atrial fibrillation well controlled with digoxin and...
  18. USMLE Step 2 CK Forum
    Male patient working in the cotton field, presented with 3 weeks history of cough. CXR showed bilateral hilar lymphadenopathy and biopsy (by bronchoscopy) showed non-caseating granuloma. What's your diagnosis? a) Sarcoidosis b) Amylidosis c) Histiocustosis d) Berylliosis e) Pneumoconiosis
  19. USMLE Step 2 CK Forum
    best initial therapy for severe parkinsonism??? KLN notes and video lectures say levodopa/carbidopa, while MTB 2 says pramipexole or ropinrole?
  20. USMLE Step 2 CK Forum
    A 70 year old female with a history of coronary artery disease, hypertension, arthritis, and breast cancer presents with dyspnea on exertion and dizziness slowly progressing over the past 2 weeks. She denies any chest pains. Her blood pressure is 80/40, heart rate 120, respirations 24, and...
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