First Aid Q&A for the USMLE Step 2 CK,

764 Pages·2009·4.85 MB·English

by  Tao Le

FIRST AID
™
Q&A
FOR THE
USM LE
STEP 2 CK
Second Edition
SENIOR EDITORS EDITORS
TAO LE, MD, MHS HERMAN SINGH BAGGA, MD
Assistant Clinical Professor Resident
Chief, Section of Allergy and Clinical Immunology Department of Urology
Department of Medicine University of California, San Francisco Medical Center
University of Louisville
THOMASL.H. HOCKER, MD
KRISTEN VIERREGGER, MD
Resident
Resident Department of Dermatology
Department of Pathology Mayo Clinic
University of California, Irvine Medical Center
CHRISTOPHER R. KINSELLA, JR., MD
Research Fellow
University of Pittsburgh Medical Center
MATTHEW O'ROURKE, MD
Resident
Morgan Stanley Children's Hospital of New York–
Presbyterian
Columbia University Medical Center
JOHN RHYNER, MD
Resident
Department of Internal Medicine
University of Michigan Medical Center
SADE CLARKE UDOETUK, MD
Resident
Department of Psychiatry
Baylor College of Medicine
New York / Chicago / San Francisco / Lisbon / London / Madrid / Mexico City
Milan / New Delhi / San Juan / Seoul / Singapore / Sydney / Toronto
Copyright © 2010, 2008 by Tao Le. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be repro-
duced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher.
ISBN: 978-0-07-162930-0
MHID: 0-07-162930-0
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DEDICATION
To the contributors to this and future editions, who took time to share their
knowledge, insight, and humor for the benefi t of residents and clinicians.
and
To our families, friends, and loved ones, who supported us in the task of
assembling this guide.
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CONTENTS
Authors vii
Faculty Reviewers ix
Preface xi
Acknowledgments xiii
How to Contribute xv
SECTION I ORGAN SYSTEMS 1
Chapter 1 Cardiovascular 3
Chapter 2 Dermatology 47
Chapter 3 Endocrinology 57
Chapter 4 Epidemiology and Preventive Medicine 91
Chapter 5 Ethics and Legal Issues 117
Chapter 6 Gastrointestinal 127
Chapter 7 Hematology/Oncology 167
Chapter 8 Infectious Disease 211
Chapter 9 Musculoskeletal 261
Chapter 10 Neurology 285
Chapter 11 Obstetrics 321
Chapter 12 Gynecology 351
Chapter 13 Psychiatry 375
Chapter 14 Pulmonary 409
Chapter 15 Renal/Genitourinary 441
SECTION II FULL-LENGTH EXAMINATIONS 471
Test Block 1 473
Test Block 2 507
Test Block 3 539
v
Test Block 4 573
Test Block 5 607
Test Block 6 641
Test Block 7 675
Test Block 8 709
About the Authors 743
vi
AUTHORS
CYNTHIA ADAMS, MD LAURA MEINTS
Resident Vanderbilt University School of Medicine
Boston Combined Residency Program in Pediatrics Class of 2009
Children's Hospital Boston
ROBERT MICHELETTI, MD
CLARISSA BARNES, MD
Resident
Resident Departments of Internal Medicine and Dermatology
Department of Internal Medicine Hospital of the University of Pennsylvania
Johns Hopkins University School of Medicine
DANIEL L. MILLER
RACHEL BORTNICK, MPHIL
Johns Hopkins University School of Medicine
Medical Scientist Training Program Class of 2009
Harvard Medical School Johns Hopkins Bloomberg School of Public Health
Class of 2009
CHRISTOPHER CHAPMAN, MD
Resident DEEPIKA NEMANI
Department of Internal Medicine
University of Pennsylvania School of Medicine
University of Chicago Medical Center
Class of 2009
LIA CLATTENBURG, MD, MPH
TIMOTHY NIESSEN
Resident
Johns Hopkins University School of Medicine
Department of Internal Medicine
Class of 2009
Union Memorial Hospital
Johns Hopkins Bloomberg School of Public Health
Baltimore, Md.
Class of 2009
GILLIAN DIERCKS
HOWARD O'ROURKE, MD
Columbia University College of Physicians and Surgeons
Resident
Class of 2009
Department of Diagnostic Radiology
VAHID ENTEZARI, MD University of Pittsburgh Medical Center
Postdoctoral Research Fellow
NISHANT PATEL
Orthopedic Biomechanics Laboratory
Beth Israel Deaconess Medical Center Johns Hopkins University School of Medicine
Class of 2009
JOHNATHAN ETHRIDGE
ROHITH PIYARATNA, MD
Johns Hopkins University School of Medicine
Class of 2009 Resident
Department of Anesthesiology
ERICA Y. FAN Stanford University Medical Center
St. Louis University School of Medicine
ANTHONYPRINCE, MD
Class of 2009
Resident
CARL ERIK FISHER Department of Otolaryngology
Columbia University College of Physicians and Surgeons Mount Sinai Medical Center
Class of 2009
FIORELLA SAPONARA, MD
SATTAR GOJRATY, MD
Resident
Resident Transitional Program
Department of Internal Medicine Maimonides Medical Center
Hospital of the University of Pennsylvania New York City
NILAY KAVATHIA, MD ASHA JAYENDRAKUMAR SHAH, MD
Resident Intern
Department of Internal Medicine Department of Internal Medicine
Thomas Jefferson University Hospital Emory University School of Medicine
vii
MONICA E. SHUKLA BRANT W. ULLERY, MD
Vanderbilt University School of Medicine Resident
Class of 2009 Department of Surgery
Hospital of the University of Pennsylvania
MEGHAN SISE
Columbia University College of Physicians and Surgeons KELLY VRANAS, MD
Class of 2009 Resident
Department of Internal Medicine
D'MITRI SOFIANOS, MD
Hospital of the University of Pennsylvania
Resident
Department of Orthopedic Surgery DAVID WEI
University of Utah Medical Center Columbia University College of Physicians and Surgeons
Class of 2009
ANNA E. TEETER
Duke University School of Medicine ZACHARY ZAVODNI
Class of 2009
Duke University School of Medicine
JOSHUA D. UDOETUK, MD Class of 2009
Transitional Intern
University of Texas-Houston Medical School
ASSOCIATE AUTHORS
MARINA FRIMER, MD SUNIL SHETH
Resident Harvard Medical School
Department of Obstetrics and Gynecology and Women's Health Class of 2009
Albert Einstein College of Medicine
LEANNE STANLEY
MARK J. MANN, MD
Duke University School of Medicine
Resident Class of 2009
Department of Urology
State University of New York Upstate Medical University TIAN ZHANG
Syracuse, N.Y. Harvard Medical School
Class of 2009
PARIN J. PATEL, MD
Resident
Department of Internal Medicine
Hospital of the University of Pennsylvania
viiiviii
FACULTY REVIEWERS
JONATHAN W. BRESS, MD KERILYN MORGAN, MD
Nephrologist Associate Program Director
Philadelphia Hypertension & Nephrology Consultants Department of Internal Medicine
Banner Good Samaritan Medical Center
RACHEL CHONG, MD Phoenix, Ariz.
Endocrinologist
RINI BANERJEE RATAN, MD
Lakeridge Health Corporation
Assistant Clinical Professor
PETER DANYI, MD, MPH, MBA Department of Obstetrics and Gynecology
Instructor, Hospitalist Program Columbia University College of Physicians & Surgeons
Division of General Internal Medicine
ELIZABETH SASTRE, MD
Johns Hopkins University School of Medicine
Assistant Professor
ROBIN GIRDHAR, MD Vanderbilt University Medical Center
Vice Chairperson and Director of Quality Assurance Attending Physician
Division of Cardiology Medical Service, Primary Care
Shadyside Hospital Tennessee Valley Healthcare Veteran’s Administration Hospital
University of Pittsburgh School of Medicine
JERRY D. SMILACK, MD
ANDREW J. LENNEMAN, MD Emeritus Associate Professor of Medicine
Clinical Fellow Mayo College of Medicine
Cardiovascular Medicine Division Retired Consultant
Vanderbilt University School of Medicine Department of Internal Medicine
Mayo Clinic
ESTER C. LITTLE, MD
MYRA J. WICK, MD, PHD
Associate Director
Banner Liver Disease Center Department of Medical Genetics
Clinical Assistant Professor of Medicine Mayo Clinic
University of Arizona College of Medicine
APRIL ZHU, MD
MARCUS A. MCFERREN, MD, PHD The Permanente Medical Group
Department of Dermatology Santa Clara, Calif.
Yale-New Haven Hospital
ix