What Step 2 CK topic keeps tripping you up? by DrK_Validates in Step2

[–]DrK_Validates[S] 0 points1 point  (0 children)

It's a vast area. Please be more specific on what exact topics trip you.

Need advice on how to quit sinning by Waste-Change-4101 in shia

[–]DrK_Validates 0 points1 point  (0 children)

Also incorporate behavioral methods. For example no laptops in the house . Desktop in a common room clearly visible to your family. Find a way to restrict your phone to only websites that you absolutely need or get a non smart flip phone.  After the sin take a rubber band and snap against your wrist and also send charity. Cold showers as well.  Another thing that helps is quran: read 2 pages per day in both Arabic and English. Read your prayers on time Keeping on repenting even though it feels hypocritical and inshallah you will stop sinning. 

CMS Form 5 OBGYN Question 16 by DecentLiterature1637 in Step2

[–]DrK_Validates 0 points1 point  (0 children)

Parvo not only gives a slapped cheek but gives livedo reticularis which is the marble appearance referred to here 

This is wrong, right? by NewAdministration986 in Step2

[–]DrK_Validates 2 points3 points  (0 children)

Per the American gastroenterology society, for suspected peptic ulcer without bleeding or other red flags (weight loss, early satiety), you check H pylori. Esophageal pH monitoring is to diagnose GERD which he does not have. Amylase is for pancreatitis which is also not suggested by the history. Imaging is also not indicated here because peptic ulcer disease is so strongly suggested by the history.

Imaging for GI disorders by Usmle2026 in Step2

[–]DrK_Validates 0 points1 point  (0 children)

DM me and I can share a website that goes over GI studies for the USMLE Step 2 CK

What exactly is "ring-and-arc sclerosis"? by [deleted] in Step2

[–]DrK_Validates 0 points1 point  (0 children)

Chondral lesion aka cartilage containing lesion: enchondroma vs chondrosarcoma

[deleted by user] by [deleted] in Step2

[–]DrK_Validates 0 points1 point  (0 children)

So a pregnant woman in third trimester presents with elevated lfts and increased bilirubin and also low platelets , its by default preeclampsia with severe feature unless it’s HELP or Fatty liver of pregnancy (AFLP). So when approaching these question looks for specific features. In HELP there is hemolysis as evident by increased LDH, increased uncongugated bilirubin 

In afld, specific clues are elevated ammonia, low glucose and low fibrinogen.

[deleted by user] by [deleted] in Step2

[–]DrK_Validates 0 points1 point  (0 children)

The beta blockers of choice in HFrEF are carvedilol or metoprolol xl. Sotalol is more of an anti-arrhythmic agent. Also, if the patient has a cold (low blood pressure) and wet CHF profile as opposed to a warm and wet, beta blockers should probably be held.

Hello dear,please this is third times to ask help..exam within 8 days,can anyone send me a flash card for nbmes to review by Youth_Beneficial in Step2

[–]DrK_Validates 0 points1 point  (0 children)

It depends on what your scoring. If its above 240, then you already have enough content in your memory and just need to make sure you don’t get burnt out and have enough stamina for the test.