USMLE STEP 2 SECRETS

350 Pages·036.864 MB·English

by  coll.

USMLE STEP 2
Fourth Edition
Theodore X. O’Connell, MD
Program Director, Family Medicine Residency Program
Kaiser Permanente Napa-Solano, California
Assistant Clinical Professor, Department of Community and Family Medicine
University of California, San Francisco School of Medicine, San Francisco, California
Assistant Clinical Professor, Department of Family Medicine
David Geffen School of Medicine at UCLA
Los Angeles, California
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
USMLE STEP 2 SECRETS, FOURTH EDITION ISBN: 978-0-323-18814-2
Copyright © 2014, 2010, 2004 by Saunders, an imprint of Elsevier Inc.
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Library of Congress Cataloging-in-Publication Data
O’Connell, Theodore X., author
USMLE step 2 secrets : questions you will be asked / Theodore X. O’Connell. -- Fourth edition.
p. ; cm. -- (Secrets series)
Preceded by USMLE step 2 secrets / Theodore X. O’Connell, Adam Brochert. 3rd edition. 2010.
Includes bibliographical references and index.
ISBN 978-0-323-18814-2 (alk. paper)
I. Title. II. Series: Secrets series.
[DNLM: 1. Clinical Medicine--Examination Questions. WB 18.2]
RC58
616.0076--dc23 2013021243
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Plate 1. Infant with fetal alcohol syndrome. Note short palpebral fissures, mild ptosis, nostrils, smooth philtrum, and
narrow vermillion of the upper lip. See Figure 2-1, p. 26. (From Gilbert-Barness E. Potter’s pathology of the fetus,
infant, and child, 2nd ed. Philadelphia: Elsevier, 2007, Fig. 4.1.12.)
Plate 2. Xanthelasma. Multiple soft, yellow plaques involving the lower eyelid. Xanthelasma is usually a normal finding
with no significance but is classically seen on the USMLE because of its association with hypercholesterolemia. Screen
affected patients with a fasting lipid profile. See Figure 5-1, p. 52. (From Yanoff M, Duker JS. Ophthalmology, 3rd ed.
Philadelphia: Mosby, 2008, Fig. 12-9-18.)
Plate 3. Allergic contact dermatitis of the leg caused by an elastic wrap. Notice the well-marginated distribution that
differentiates it from cellulitis. See Figure 6-1, p. 55. (From Auerbach PS. Wilderness medicine, 6th ed. Philadelphia:
Mosby, 2011.)
Plate 4. Tinea corporis. Red ring-shaped lesions with
scaling and some central clearing. See Figure 6-2,
p. 56. (From K liegman RM. Nelson textbook of pediatrics,
19th ed. Philadelphia: Saunders, 2011.) Plate 5. Pityriasis rosea. Small oval plaques as well
as multiple small papules are present. See Figure 6-3,
p. 59. (From Habif TP. Clinical dermatology, 5th ed. St.
Louis: Mosby, 2009.)
Plate 6. Lichen planus. Flat-topped, purple polygonal papules of lichen planus. See Figure 6-4, p. 60. (From Kliegman RM.
Nelson textbook of pediatrics, 19th ed. Philadelphia: Saunders, 2011.)
Plate 7. Erythema multiforme. “Bull’s-eye” annular lesions with central vesicles and bullae. See Figure 6-5, p. 60.
(From Goldman L. Goldman’s Cecil medicine, 24th ed. Philadelphia: Saunders, 2011.)
Plate 8. Erythema nodosum on the legs of a young woman. See Figure 6-6, p. 61. (From Hochberg MC. Rheumatology,
5th ed. Philadelphia: Mosby, 2010.)
Plate 9. Bullous pemphigoid. Tense subepidermal bullae on an erythematous base. See Figure 6-7, p. 61. (From
Goldman L. Goldman’s Cecil medicine, 24th ed. Philadelphia: Saunders, 2011.)
Plate 10. Dermatitis herpetiformis is characterized by pruritus, urticarial papules, and small vesicles. See Figure 6-8,
p. 62. (From Feldman M. Sleisenger and Fordtran’s gastrointestinal and liver disease, 9th ed. Philadelphia: Saunders,
2010; Courtesy Dr. Timothy Berger, San Francisco, Calif.)
Plate 11. Melanoma (superficial spreading type). See Figure 6-9, p. 63. (From Goldman L. Goldman’s Cecil medicine,
24th ed. Philadelphia: Saunders, 2011.)
Plate 12. Keratoacanthoma on the right upper lid. Lesions are solitary, smooth, dome-shaped red papules or nod-
ules with a central keratin plug. See Figure 6-10, p. 64. (From Albert DM. Albert & Jakobiec’s principles and practice
of ophthalmology, 3rd ed. Philadelphia: Saunders, 2008.)
Plate 13. Keloid of the earlobe after piercing. See Figure 6-11, p. 64. (From Kliegman RM, Stanton BF, St. Geme JW III,
et al. Nelson textbook of pediatrics, 19th ed. Philadelphia: Saunders, 2011.)
Plate 14. An ulcerated basal cell carcinoma with rolled borders on the posterior ear. See Figure 6-12, p. 65. (From
Abeloff DA, Armitage JO, Niederhuber JE, et al. Abeloff’s clinical oncology, 4th ed. Philadelphia: Churchill Livingstone,
2008.)
Plate 15. Squamous cell carcinoma on the lower lip. See Figure 6-13, p. 65. (From Rakel RE, Rakel DP. Textbook of
family medicine, 8th ed. Philadelphia: Saunders, 2011. © Richard P. Usatine.)
Plate 16. Multiple actinic keratoses visible as thin, red, scaly lesions. See Figure 6-14, p. 66. (From Goldberg DJ.
Procedures in cosmetic dermatology: lasers and lights, Vol 1, 2nd ed. Saunders, 2008.)
Plate 17. Nailbed melanoma. See Figure 6-15, p. 67. (From Goldman L, Schafer AI. Goldman’s Cecil medicine, 24th ed.
Philadelphia: Saunders, 2011.)