By Conrad Fischer
Now designed to paintings with Kaplan's Step 2 excessive Yield direction, Kaplan's grasp the forums USMLE Step 2 CK is the single illustrated, single-volume publication that concisely compiles the must-know and hugely verified innovations for the Step 2 medical wisdom board examination. Highlighting crucial examination advice and hugely established situations, this advisor complements studying and remember and is helping you know the main most probably resolution at the try.
There are hundreds of thousands extra U.S. clinical scholars graduating every year. This distinct overview by way of famous USMLE professional Conrad Fischer, MD, grants crucial info you must understand to excel at the examination.
A logical, step by step method of sufferer care
Assessment of severity, analysis, and subsequent plan of action for particular stipulations
Principles outlining easy methods to prioritize whereas handling, specifically in emergency or acute instances
Common signs, in addition to acceptable diagnostic and lab exams
All ailments are provided within the layout of: what's the probably prognosis? what's the most sensible preliminary attempt? what's the such a lot exact diagnostic test?
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The first choices are either atazanavir, darunavir, or raltegravir combined with emtricitabine/tenofovir. Antiretroviral First-line Medications by Class Nucleoside and nucleotide reverse transcriptase inhibitors (RTIs) • Zidovudine • Didanosine • Stavudine • Lamivudine • Emtricitabine • Abacavir • Tenofovir Non-nucleoside RTIs Protease inhibitors • Efavirenz • Etravirine • Nevirapine • Rilpivirine • Darunavir • Atazanavir • Ritonavir • Saquinavir • Nelfinavir • Amprenavir • Fosamprenavir • Lopinavir • Indinavir • Tipranavir Ritonavir in small dose is used to “boost” darunavir or atazanavir levels.
Decreased hearing and fever also occur. Which of the following is the most sensitive physical finding for otitis media? Decreased light reflex e. indb 13 10/24/12 11:53 AM Master the Boards: USMLE Step 2 CK Answer: B. Immobility is so sensitive a physical finding that a fully mobile tympanic membrane essentially excludes otitis media. ▶▶TIP Radiologic tests for otitis are always the wrong answer. Diagnostic Tests/Treatment Tympanocentesis for a sample of fluid for culture is the most accurate diagnostic test.
Use a combination of one drug for gonorrhea and one for Chlamydia. Quinolones are not the best initial therapy because of resistance. Treatment of Urethritis Gonorrhea Chlamydia Cefixime Azithromycin Ceftriaxone Doxycycline Cervicitis Cervicitis presents with cervical discharge and an inflamed “strawberry” cervix on physical examination. The testing and treatment are identical to that previously described for urethritis. indb 22 10/24/12 11:53 AM Infectious Diseases If all of these symptoms are present, the most appropriate next step in management is always to exclude pregnancy first in a woman with lower abdominal pain or tenderness or cervical motion tenderness.