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First Aid for the USMLE Step 3 PDF

513 Pages·2010·11.81 MB·English
by  Tao Le
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USMLE Step 3 Third Edition TAO LE, MD, MHS Assistant Clinical Professor of Medicine and Pediatrics Chief, Section of Allergy and Immunology Department of Medicine University of Louisville VIKAS BHUSHAN, MD Diagnostic Radiologist HERMAN SINGH BAGGA, MD Resident, Department of Urology University of California, San Francisco New York Chicago San Francisco Lisbon London Madrid Mexico City Milan New Delhi San Juan Seoul Singapore Sydney Toronto Copyright © 2010, 2008, 2005 by The McGraw-Hill Companies, Inc. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced 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: 978-0-07-173603-9 MHID: 0-07-173603-4 The material in this eBook also appears in the print version of this title: ISBN: 978-0-07-171297-2, MHID: 0-07-171297-6. All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every occurrence of a trademarked name, we use names in an editorial fashion only, and to the benefi t of the trademark owner, with no intention of infringement of the trademark. Where such designations appear in this book, they have been printed with initial caps. McGraw-Hill eBooks are available at special quantity discounts to use as premiums and sales promotions, or for use in corporate training programs. To contact a representative please e-mail us at [email protected]. NOTICE Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. The authors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the authors nor the publisher nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they disclaim all responsibility for any errors or omissions or for the results obtained from use of the information contained in this work. Readers are encouraged to confi rm the information contained herein with other sources. For example and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this work is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is of particular importance in connection with new or infrequently used drugs. TERMS OF USE This is a copyrighted work and The McGraw-Hill Companies, Inc. (“McGrawHill”) and its licensors reserve all rights in and to the work. Use of this work is subject to these terms. Except as permitted under the Copyright Act of 1976 and the right to store and retrieve one copy of the work, you may not decompile, disassemble, reverse engineer, reproduce, modify, create derivative works based upon, transmit, distribute, disseminate, sell, publish or sublicense the work or any part of it without McGraw-Hill’s prior consent. You may use the work for your own noncommercial and personal use; any other use of the work is strictly prohibited. Your right to use the work may be terminated if you fail to comply with these terms. THE WORK IS PROVIDED “AS IS.” McGRAW-HILL AND ITS LICENSORS MAKE NO GUARANTEES OR WARRANTIES AS TO THE ACCURACY, ADEQUACY OR COMPLETENESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY INFORMATION THAT CAN BE ACCESSED THROUGH THE WORK VIA HYPERLINK OR OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. McGraw-Hill and its licensors do not warrant or guarantee that the functions contained in the work will meet your requirements or that its operation will be uninterrupted or er- ror free. Neither McGraw-Hill nor its licensors shall be liable to you or anyone else for any inaccuracy, error or omission, regardless of cause, in the work or for any damages resulting therefrom. McGraw-Hill has no responsibility for the content of any information accessed through the work. Under no circumstances shall McGraw-Hill and/or its licensors be liable for any indirect, incidental, special, punitive, consequential or similar damages that result from the use of or inability to use the work, even if any of them has been advised of the possibility of such damages. This limitation of liability shall apply to any claim or cause whatsoever whether such claim or cause arises in contract, tort or otherwise. ®® From the Authors of FIRST AID 3 Qmax STEP 1000+ high yield Step 3 questions with detailed explanations Create highly custom tests Simulate a half-day or full-day exam Pass guarantee - pass or we will double your subscription wwwwww.. ..ccoomm uussmmlleerrxx YYoouurr PPrreessccrriippttiioonn ffoorr UUSSMMLLEE SSuucccceessss DEDICATION To the contributors to this and future editions, who took time to share their experience, advice, and humor for the benefi t of students. and To our families, friends, and loved ones, who endured and assisted in the task of assembling this guide. This page intentionally left blank v Contents Authors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii CHAPTER 10. Infectious Disease . . . . . . . . . . . 165 Faculty Reviewers . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ix CHAPTER 11. Musculoskeletal . . . . . . . . . . . . . 195 Acknowledgments. . . . . . . . . . . . . . . . . . . . . . . . . . . . .xi How to Contribute. . . . . . . . . . . . . . . . . . . . . . . . . . . .xiii CHAPTER 12. Nephrology. . . . . . . . . . . . . . . . . . 213 CHAPTER 1. Guide to the USMLE Step 3 and CHAPTER 13. Neurology. . . . . . . . . . . . . . . . . . . 235 Supplement: Guide to the CCS. . . . . . . . . . . . . . . .1 CHAPTER 14. Obstetrics. . . . . . . . . . . . . . . . . . . 257 CHAPTER 2. Ambulatory Medicine. . . . . . . . . . . 15 CHAPTER 15. Gynecology. . . . . . . . . . . . . . . . . . 275 CHAPTER 3. Cardiovascular. . . . . . . . . . . . . . . . . 31 CHAPTER 16. Pediatrics . . . . . . . . . . . . . . . . . . . 289 CHAPTER 4. Emergency Medicine . . . . . . . . . . . 49 CHAPTER 17. Psychiatry. . . . . . . . . . . . . . . . . . . 331 CHAPTER 5. Endocrinology . . . . . . . . . . . . . . . . . 73 CHAPTER 18. Pulmonary . . . . . . . . . . . . . . . . . . 357 CHAPTER 6. Ethics and Statistics. . . . . . . . . . . . 91 CHAPTER 19. High-Yield CCS Cases. . . . . . . . . 375 CHAPTER 7. Gastroenterology . . . . . . . . . . . . . 103 Appendix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 467 CHAPTER 8. Hematology . . . . . . . . . . . . . . . . . . 127 Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 473 About the Authors. . . . . . . . . . . . . . . . . . . . . . . . . . 497 CHAPTER 9. Oncology. . . . . . . . . . . . . . . . . . . . . 143 This page intentionally left blank vii AUTHORS Clarissa Barnes, MD K. Pallav Kolli, MD Resident, Department of Internal Medicine Imaging Editor Johns Hopkins Hospital Resident, Department of Radiology and Biomedical Imaging University of California, San Francisco Jonathan Day, MD Resident, Department of Internal Medicine Heidi Reetz, MD Saint Vincent Hospital Resident, Family Medicine Santa Rosa Family Medicine Residency Amar Dhand, MD, DPhil Sapna Shah, MD Resident, Department of Neurology Resident, Department of Internal Medicine University of California, San Francisco University Hospitals Case Medical Center Catherine R. Harris, MD Shannon Shea, MD, MPH Resident, Department of Urology Resident, Department of Pediatrics University of California, San Francisco University of California, San Francisco Sandarsh Kancherla, MD Benjamin Silverberg, MD, MS Fellow, Department of Gastroenterology Resident, Department of Family Medicine St. Luke’s-Roosevelt Hospital University of Virginia Nilay Kavathia, MD Alex Wu, MD Resident, Department of Internal Medicine Resident, Department of Urology Thomas Jefferson University University of California, San Francisco FACULTY REVIEWERS Charles Angell, MD Gregory C. Kane, MD Assistant Professor of Medicine Professor of Medicine, Vice-Chairman, Education Johns Hopkins University Jefferson Medical College Rizwan Aslam, MD Armand Krikorian, MD Associate Clinical Professor, Department of Radiology and Assistant Professor, Division of Clinical and Molecular Biomedical Imaging Endocrinology University of California, San Francisco Case Western Reserve University Lowell Lo, MD Mitchell Conn, MD Assistant Professor, Department of Medicine Associate Professor of Medicine, Department of Gastroenterology University of California, San Francisco Thomas Jefferson University Hospital Andrea Marmor, MD, MSEd Vanja Douglas, MD Assistant Clinical Professor, Department of Pediatrics Assistant Clinical Professor, Department of Neurology University of California, San Francisco University of California, San Francisco Charles J. Nock, MD Aleksandr Gorenbeyn, MD, FACEP Assistant Professor, Department of Medical Oncology Assistant Professor, Department of Traumatology and Emergency University Hospitals Case Medical Center Medicine Maria Isabel Rodriguez, MD University of Connecticut Clinical Instructor, Department of Obstetrics and Gynecology Sharad Jain, MD University of California, San Francisco Professor, Department of Clinical Medicine David Schneider, MD University of California, San Francisco Faculty, Santa Rosa Family Medicine Residency Gregory S. Janis, MD Associate Clinical Professor, Department of Family and Associate Director, CCU Community Medicine St. Luke’s-Roosevelt Hospital Center University of California, San Francisco This page intentionally left blank

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