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CrossWards USMLE Step 2 Board Review PDF

210 Pages·2014·1.97 MB·English
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CrossWards USMLE Step 2 Board Review Anthony J. Viera, MD, MPH Associate Professor Department of Family Medicine University of North Carolina at Chapel Hill Chapel Hill, North Carolina Matthew A. Sutton, MD Family Medicine Physician Winslow Indian Health Care Center Winslow, Arizona Acquisitions Editor: Susan Rhyner Product Manager: Catherine Noonan Production Project Manager: Alicia Jackson Marketing Manager: Joy Fisher-Williams Designer: Stephen Druding Compositor: Aptara, Inc. Copyright © 2014 Lippincott Williams & Wilkins, a Wolters Kluwer business. 351 West Camden Street Two Commerce Square Baltimore, MD 21201 2001 Market Street Philadelphia, PA 19103 Printed in China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appear- ing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Lippincott Williams & Wilkins at 2001 Market Street, Philadelphia, PA 19103, via email at [email protected], or via website at lww.com (products and services). 9 8 7 6 5 4 3 2 1 DISCLAIMER Care has been taken to confirm the accuracy of the information present and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omis- sions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of this information in a particular situation remains the professional responsi- bility of the practitioner; the clinical treatments described and recommended may not be considered absolute and universal recommendations. The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with the current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug. Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the healthcare provider to ascertain the FDA status of each drug or device planned for use in their clinical practice. To purchase additional copies of this book, call our customer service department at (800) 638-3030 or fax orders to (301) 223-2320. International customers should call (301) 223-2300. Visit Lippincott Williams & Wilkins on the Internet: http://www.lww.com. Lippincott Williams & Wilkins customer service representatives are available from 8:30 am to 6:00 pm, EST. Puzzled by USMLE preparation or your latest rotation? Tired of the same old boring review? Welcome to CrossWardsTM! We hope you will find these puzzles a more engaging way to review your medical knowledge as you prepare for examinations, ward rotations, or just want to have a fun way to study. Contributors to this edition of CrossWardsTM Step 2: Meredith Gilliam was a medical student at the University of North Carolina at Chapel Hill School of Medicine at the time of contri- bution, now a resident in internal medicine at the University of Michigan. Look for CrossWardsTM Step 1 and other future editions of CrossWardsTM. Do YOU want to contribute to an upcoming edition of CrossWardsTM? Send your puzzle clues, solutions, and “extra info” in an Excel or Word table (or a Clinical Scramble as a Word file) to: crosswards.submit@ gmail.com. We’d also love to receive your other ideas for puzzles! Include your name, address, and current position/medical school. We will let you know if your puzzle is selected for inclusion in an upcom- ing edition. PUZZLES 1. Loosen Up with Some Medical Eponyms 2 2. Cross My Heart 4 3. Put Some Skin in the Game 6 4. Lytes Out! 8 5. Immune to Myself? 10 6. I’m “Gland” You’re Doing This Puzzle 12 7. Abdominal Pains 14 8. Clinical Scramble 16 9. This Confounded Puzzle! 18 10. GI Feel Terrible 20 11. Nerve-racking Puzzle 22 12. One More . . . For Old Timer’s Sake 24 13. This Puzzle May Cause Petechiae 26 14. A Borderline Puzzle 28 15. This Puzzle is Infectious 30 16. The Heart of Pharmacology 32 17. An Ounce of Prevention 34 18. Puz-culoskeletal 36 19. Catching My Breath 38 20. Are You Smarter than a First-year? 40 21. Not Just Little Adults 42 22. Renal & Lytes 44 23. Surgery Rounds 46 iv 24. Just for Fun—Movie Docs 48 25. I Got Rhythm . . . 50 26. Clinical Scramble 52 27. Birth of a Puzzle 54 28. Labor Pains 56 29. A pHuzzle 58 30. Onco-Logical 60 31. Clear to Auscultation? 62 32. Some Lovers Try . . . This Puzzle 64 33. Doc, I Think It’s My Hormones 66 34. This Puzzle is Giving Me Gas 68 35. BuzzWards 70 36. A Trich Puzzle 72 37. Widow Maker 74 38. Don’t Mess Around with the Pancreas 76 39. Most Common . . . 78 40. Clinical Scramble 80 41. BrainTeaser 82 42. This Puzzle is Kidstuff 84 43. This Puzzle Might Cause Extrapyramidal Symptoms 86 44. Claiming the Inheritance 88 45. CN 2-12 Intact? 90 46. This Puzzle DeLivers 92 47. I Need a Puzzle—Stat! 94 48. Shock and Awe 96 49. Doc Says “I’ve got good news and bad news” 98 50. Step 2 Potpourri 100 CrossWard Solutions (with a little extra info!) begin on page 102. v CCrroossssWWaarrddss™™ 1 Loosen Up with Some Medical Eponyms 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 2 Across: Down: 3 - Nodules or macules on palms or soles 1 - People being watched (studied) seen in endocarditis: behave differently: lesions effect 5 - When standing on one leg unable 2 - Dermatology lines to lift opposite side of pelvis: 4 - body dementia sign 6 - Free Ig light chains seen in plasma 7 - To detect eosinophils in urine, ask for cell dyscrasias: - a stain proteins 9 - One of the tests for meniscal tear 8 - Flexing the neck causes flexion 13 - Failure of third and fourth pha- of the hips/knees in meningitis: ryngeal pouches to differentiate: sign syndrome 10 - Primary adrenal insufficiency: 15 - score: Five parameters disease assessed at birth 11 - For distinguishing transudative 17 - When rubbing sole of foot in upper from exudative pleural effusion: motor neuron lesion, great toe criteria goes up and other toes fan out: 12 - Carpal tunnel test in which wrists are sign flexed for a minute 18 - BPV treatment maneuver 14 - Vascular tumor associated with HHV- 19 - Deep palpation of LLQ provokes pain 8: sarcoma in RLQ in appendicitis: 16 - Most common cause of mild sign unconjugated hyperbilirubinemia: 21 - Necrotizing infection of genital fascia: syndrome gangrene 20 - Distended neck veins, distant heart 22 - In hypocalcemia, tapping over sounds, low BP: triad facial nerve causes facial twitch: sign 3 Solutions on page 103. CrossWards™ 2 Cross My Heart 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 4

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