Kaplan Medical USMLE Step 3 Qbook

• Publisher: Kaplan Publishing
• Year: 2004
• Tongue: English
• Leaves: 595
• Category: Library

✦ Table of Contents

Kaplan Medical USMLE Step 3 Qbook
Title Page
Copyright
Contributors
CONTENTS
Preface
Section 1: Test-Taking and Study Strategies Guide
Chapter 1: Inside the USMLE Step 3 Exam
Chapter 2: Study Strategies
Chapter 3: Test-Taking Strategies
Chapter 4: Physical and Mental Preparation
Section 2: Qbook Practice Tests
Internal Medicine Test 1
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Answers and Explanations
Internal Medicine Test 2
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Items 11-12
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Items49-50
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Answers and Explanations
Internal Medicine Test 3
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Laboratory studiesshow
The most appropriate next diagnostic is
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Urinalysis shows
Microscopic examination of the urine revealed
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Items 14-15
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His history is significant for
His neurological examination is
Laboratory studies show
The agent that best reduces the likelihood of a furtherseizure in this patient is
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The most appropriateimmediate management is to administer
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The most likelycause of her acute skin disorder is
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On examination
The most likely diagnosis is
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ltems28-29
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Answers and Explanations
Internal Medicine Test 4
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L The correct answer is
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Laboratory studies show
The most appropriate nextstep in management is to
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She has
Therest of the physical examination is
Laboratory studies show
Flow cytometry reveals
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Items37-39
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Answers and Explanations
Neurology Test 1
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Answers and Explanations
Neurology Test 2
vision
visual hallucinations
recurrent episodes offlashing, zigzagging lights, which typically last for 30minutes.After the lights “go away” she gets a throbbingpain behind one of her eyes as well as nausea, vomiting,photophobia, and phonophobia.
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A 75-year-old otherwise healthy woman comes to theoffice with new onset frontotemporal right-sidedheadaches for the last 10 days and an acute onset ofpainless decreased vision in her right eye yesterday.Shehas tenderness and pain in her frontotemporal regionwhen combing her hair.She has lost 10 pounds in thelast month, which she suggests is because she is unableto chew her food normally. She reports that she has hadmore “aches and pains” in her shoulder.
Headache
recurrent episodes offlashing, zigzagging lights, which typically last for 30minutes.After the lights “go away” she gets a throbbingpain behind one of her eyes as well as nausea, vomiting, photophobia, and phonophobia.
A 75-year-old otherwise healthy woman comes to theoffice with new onset frontotemporal right-sidedheadaches for the last 10 days and an acute onset ofpainless decreased vision in her right eye yesterday.Shehas tenderness and pain in her frontotemporal regionwhen combing her hair.She has lost 10 pounds in thelast month, which she suggests is because she is unableto chew her food normally. She reports that she has hadmore “aches and pains” in her shoulder.
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Appropriate management of a 68-year-old woman with a history of severe headaches for the last few months. Shehas also been having progressive trouble writing andspeaking and occasional urinary incontinence. Over thepast 2 days she has been having problems with balanceand has been “walking like a drunk”
urinary incontinence
Appropriate management of a 68-year-old woman with a history of severe headaches for the last few months. Shehas also been having progressive trouble writing andspeaking and occasional urinary incontinence. Over thepast 2 days she has been having problems with balanceand has been “walking like a drunk”
balance
Appropriate management of a 68-year-old woman with a history of severe headaches for the last few months. Shehas also been having progressive trouble writing andspeaking and occasional urinary incontinence. Over thepast 2 days she has been having problems with balanceand has been “walking like a drunk”
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The most appropriate medication for Alzheimer and requests one that is lowest in side affects in a patient with a long history of drinking and now has a moderate to severe hepatic impairment
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Dizziness
Brief episodes of dizziness (“as if I was going to pass out”) would come about mostly when he would stand up fast and would last 30 seconds to 1 minute and would be alleviated by sitting down started 1 week ago like he was on a merry-go-around as he stood up, without any nausea, vomiting, or focal neurological symptoms. Yesterday as he was going upstairs he had another dizzy feeling with a two to three-stair fall with a loss of consciousness. He came around quickly but was noted to be dysarthric. Immediatel
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The most pertinent part of the neurologic examination in a patient presents with the sensation that body is spinning for a few moments with a PMH of NPH had a ventriculoperitoneal shunt placed however, he is still using a cane for walking outside of the house
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epilepsy
generalizedtonic-clonic seizure this morning. He hadabout 2 hours of sleep last night because he was studyingfor a final exam that he just missed because of thisseizure.He had been healthy until age 12 but then aftera fall off a ladder, he began to have “eye fluttering”episodes.He has been treated with valproic acid.At onepoint he was off all medications, but the seizuresreturned, and so he restarted to the medication.
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Huntington disease
The chances that the son will be affected with Huntington disease if father has Huntington disease
Cognitive
The chances that the son will be affected with Huntington disease if father has Huntington disease
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1-month history of stiffness in her neck that began after lifting weights. Tenderness at the left superior trapezius, minimally restricted neck range of motion, and weakness of the left deltoid and biceps. Normal light touch, pinprick, and joint proprioception. Vibration is minimally decreased in the toes. Deep tendon reflex is absentat the left bicep.
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multiple sclerosis
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Most appropriate pharmacologic treatment for decreased sensation in the palm of the left hand that has gotten a little worse two days ago she began to notice, diminished sensation along the lower left trunk in the front and back yesterday with decreased light touch over the left trunk andback, roughly at T8-T12 dermatomes. She has normalfinger tapping, rapid alternating movements, fingernose-finger, and heel tapping to shin.
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Answers and Explanations
Obstetrics/Gynecology Test 1
Answers and Explanations
Obstetrics/Gynecology Test 2
Answers and Explanations
Obstetrics/Gynecology Test 3
Answers and Explanations
Pediatrics Test 1
Answers and Explanations
Pediatrics Test 2
Answers and Explanations
Pediatrics Test 3
Answers and Explanations
Pediatrics Test 4
Answers and Explanations
Psychiatry Test 1
Answers and Explanations
The standard of care for recurrent depression with five depressive
1.
The correct answer is
Alcoholic patient who enjoys his present lifestyle and does not feel that he is hurting anyone by living in the manner that he does. Mini-mental status examination score is 30/30 wants to to discharge, given that he does not wish to live in the suggested residence or pursue outpatient alcohol treatment. he is not depressed and does not feel suicidal with no hallucinations or paranoia.
A young patient who was a formerly high-achieving student grades has irritability & academic difficulties in the last 4 months and that she refuses to do her schoolwork. She does not want to go to see her friends and has stopped going to her afterschool activities. The patient, in private, denies that she is sexually active or using illicit drugs or alcohol, and a urine hCG and drug screen are both negative. No indications of physical or sexual abuse. No suicidal intent, ideation, or plan, perceptual distur
A lady with recurrent panic attacks started on paroxetine 30 mg a day actually feels more anxious, having feelings of internal restlessness, and poor sleep since starting paroxetine and would like to consider a change in medication.
Next step in the management of low blood level of carbamazepine today in a woman with bipolar disorder comes to the clinic for a follow-up appointment after she was discharged from the hospital 10 days ago after a manic episode that was successfully treated with carbamazepine 400 mg bid, It was 8 Mg/mL (4-12 (Mg/mL therapeutic dosing range) upon discharge from the hospital and insists that she is taking it as directed.
Next step in management of confused patient recently got a prescription for a “medicine for anxiety that she takes only when she needs to” She has been under a great deal of stress lately and has been taking more and more of the pills.They do not remember the name of the medication and could not find the bottle. vital signs are mildly depressed, and respirations are stable.
The most appropriate option for this patient with respect to treating his opiate withdrawal symptoms but he does not want methadone or other opiate agonist maintenance therapy
Appropriate management to improvea 6-year-old boy’s behavior who started to act in an immature manner wth sucking his thumb and throwing temper tantrums in public Since the birth of a younger sister 2 months ago.
The most appropriate management of lady with no symptoms consistent with psychosis and adamantly denies any suicidal intent, ideation,or plan is not given sufficient narcotic pain medication to manage diffuse abdominal pain that she has had for 6 months with a negative workup. The patient’s nurses have disagreement among themselves over the severity of the patient s actual symptoms and the appropriate way to interact with her.
Next step in management of brief periods of palpitations and diaphoresis while at work and often drinks 4 to 5 cups of coffee while at work. Normal physical examination and laboratory studies, including complete blood count, chemistries, and thyroid function tests.
Next step in management of a hospitalized patient who “feels very depressed and tired.” & adds that it feels “like I can barely move”. He denies suicidal ideation, feelings of guilt, paranoia, or perceptual disturbances. Vital signs are stable following his cocaine binge preceding hospitalization. The patient, before gave no history of recent symptoms of depression or mania.
A young man states that he feels frustrated to the extent that he feels like stabbing both his ex-girlfriend and her new boyfriend with a knife that he bought that day “extreme sadness ” has been depressed For the past couple of weeks, sleeping 12 hours per day,and has had “no appetite ” began when his girlfriend of 2 years terminated their relationship and started dating one of their classmates. No suicidal intent, ideation, or plan. These symptoms.
Next step in management of normal lithium level is in the middle of the therapeutic range, and normal complete blood count, TSH, and chemistries in a patient with a mild intention tremor.
Psychiatry Test 2
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Items 28-29
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Items 39 and 40
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45.46.Section Two: Qbook Practice TestsPsychiatry Test TwoThe correct answer is
46.
46.Section Two: Qbook Practice TestsPsychiatry Test TwoThe correct answer is C. From the available information,this patient is experiencing alcohol withdrawal.The treatment of this disorder, and appropriate interventionto prevent the onset of delirium tremens, is theadministration of a benzodiazepine such as lorazepam.Gabapentin (choice A) is a gaba-ergic agent used in thetreatment of seizures. It has no role in the managementof alcohol withdrawal or in the prevention of deliriumtremens.Glucose (choice B) is not useful in the treatment ofalcohol withdrawal or in the prevention of deliriumtremens. It is also unlikely that this patient's anxiety willimprove with glucose administration because thepatient is not hypoglycemic.Morphine (choice D) has no role in the management ofalcohol withdrawal or in the prevention of deliriumtremens.Phenytoin (choice E) is a sodium channel antagonistused in the treatment of seizures. It has no role in themanagement of alcohol withdrawal or in the preventionof delirium tremens.The correct answer is
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SO. The correct answer is
Answers and Explanations
Surgery Test 1
Answers and Explanations
1.
Surgery Test 2
Answers and Explanations
Standard Reference Laboratory Values