First Aid for the USMLE Step 2 CK Clinical Knowledge

593 Pages·2012·31.56 MB·English

by  Tao Le

USMLE Step 2 CK
Eighth Edition
TAO LE, MD, MHS
Associate Clinical Professor of Medicine and Pediatrics
Chief, Section of Allergy and Immunology
Department of Medicine
University of Louisville
VIKAS BHUSHAN, MD
Diagnostic Radiologist
NATHAN WILLIAM SKELLEY, MD
Resident, Department of Orthopaedic Surgery
Washington University in St. Louis School of Medicine
Barnes-Jewish Hospital
St. Louis, Missouri
New York Chicago San Francisco Lisbon London Madrid Mexico City
Milan New Delhi San Juan Seoul Singapore Sydney Toronto
Copyright © 2012, 2010, 2007 by Tao Le. 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: 978-0-07-176749-1
MHID: 0-07-176749-5
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DeDication
To our families, friends, and loved ones, who supported
and assisted in the task of assembling this guide.
and
To the contributors to this and future editions, who took time to share
their knowledge, insight, and humor for the benefit of students.
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Contents
Contributing Authors . . . . . . . . . . . . . . . . . . . . . . . . . . vii Infectious Disease. . . . . . . . . . . . . . . . . . . . . . . . . . 179
Image Editor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Musculoskeletal. . . . . . . . . . . . . . . . . . . . . . . . . . . . 217
Web Contributor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Neurology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241
Faculty Reviewers . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Obstetrics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281
Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ix Gynecology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317
Acknowledgments. . . . . . . . . . . . . . . . . . . . . . . . . . . . .xi Pediatrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 353
How to Contribute. . . . . . . . . . . . . . . . . . . . . . . . . . . .xiii Psychiatry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 393
How to Use This Book. . . . . . . . . . . . . . . . . . . . . . . . . xv Pulmonary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 419
Renal/Genitourinary . . . . . . . . . . . . . . . . . . . . . . . . 439
SECTION 1: GUIDE TO EFFICIENT EXAM Selected Topics in Emergency Medicine . . . . . . . . 465
PREPARATION . . . . . . . . . . . . . . . . . . 1 Rapid Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 487
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
USMLE Step 2 CK—Computer-Based Testing SECTION 3: T OP-RATED REVIEW
Basics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 RESOURCES . . . . . . . . . . . . . . . . . .513
Defining Your Goal . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 How to Use the Database. . . . . . . . . . . . . . . . . . . . 514
Study Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Comprehensive. . . . . . . . . . . . . . . . . . . . . . . . . . . . 516
Test-Day Checklist. . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Question Banks. . . . . . . . . . . . . . . . . . . . . . . . . . . . 520
Testing Agencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Internal Medicine. . . . . . . . . . . . . . . . . . . . . . . . . . . 522
Neurology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 527
SECTION 2: DATABASE OF HIGH-YIELD OB/GYN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 529
FACTS . . . . . . . . . . . . . . . . . . . . . . . . 15 Pediatrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 532
How to Use the Database. . . . . . . . . . . . . . . . . . . . . 16 Psychiatry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 535
Cardiovascular . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Surgery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 538
Dermatology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 Commercial Review Courses . . . . . . . . . . . . . . . . . 541
Endocrinology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Epidemiology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 Appendix I: Abbreviations and Symbols. . . . . . . . . 543
Ethics and Legal Issues. . . . . . . . . . . . . . . . . . . . . . 113 Appendix II: Common Laboratory Values. . . . . . . . 549
Gastrointestinal . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 551
Hematology/Oncology . . . . . . . . . . . . . . . . . . . . . . 151 About the Authors. . . . . . . . . . . . . . . . . . . . . . . . . . 575
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contRiBUtinG aUtHoRS
Peter DeBartolo, MD Jessica Schiffman, MD/MPH candidate
Resident, Department of Emergency Medicine Harvard School of Public Health
Maricopa Medical Center Class of 2011
Whitney Green, MD Johns Hopkins University
Class of 2012
Resident, Department of Pathology
The Johns Hopkins Hospital Jason Solus, MD
Mark Jensen Resident, Department of Pathology
Massachusetts General Hospital
University of Rochester School of Medicine
Class of 2012 Sophia Strike, MD
Anisha Khaitan, MD Resident, Department of Orthopaedic Surgery
The Johns Hopkins Hospital
Resident, Department of Pediatrics
The Children’s Hospital of Philadelphia Allison Leigh Tsao, MD
Richard Pollock, MD Resident, Department of Medicine
The Johns Hopkins Hospital
Resident, Department of Anesthesiology
The Johns Hopkins Hospital
iMaGe eDitoR
S . Jarrett Wrenn, MD, PhD
Resident, Department of Radiology and Biomedical Imaging
University of California, San Francisco
WeB contRiBUtoR
Lauren Rothkopf, MD
Resident, Department of Internal Medicine
Beth Israel Deaconess Medical Center
FacULtY ReVieWeRS
Kia Afshar, MD Tina Latimer, MD, MPH
Fellow, Division of Cardiology Assistant Program Director, Emergency Medicine Residency
Cleveland Clinic Foundation Johns Hopkins University School of Medicine
Susan W . Lehmann, MD
Eric Darius Balighian, MD
Faculty, Department of Psychiatry and Behavioral Sciences
Instructor, Department of Pediatrics
Johns Hopkins University School of Medicine
Saint Agnes and Johns Hopkins Hospital
Michael Levy, MD, PhD
David cosgrove, MD
Assistant Professor, Department of Neurology
Assistant Professor, Department of Medical Oncology
Johns Hopkins University School of Medicine
Johns Hopkins University School of Medicine
Murray A . Mittleman, MD, DrPH
Abigail Dennis, MD Director, Cardiovascular Epidemiology Research Unit
Assistant Professor, Obstetrics/Gynecology Beth Israel Deaconess Medical Center
Johns Hopkins Bayview Medical Center
Kendall Moseley, MD
Sameer Dhalla, MD Instructor, Division of Endocrinology and Metabolism
The Johns Hopkins Hospital
Postdoctoral Fellow, Division of Gastroenterology and Hepatology
Johns Hopkins University School of Medicine Adam Spivak, MD
Instructor, Department of Medicine
Mark Hughes, MD, MA
Johns Hopkins University School of Medicine
Assistant Professor, Division of General Internal Medicine
R . Scott Stephens, MD
Johns Hopkins University School of Medicine
Faculty, Division of Pulmonary and Critical Care Medicine
Core Faculty, Berman Institute of Bioethics
Johns Hopkins University School of Medicine
Nancy Hueppchen, MD
Miho J . Tanaka, MD
Assistant Professor, Department of Gynecology/Obstetrics
Orthopaedic Fellow, Sports Medicine and Shoulder Service
Johns Hopkins University School of Medicine
Hospital for Special Surgery
Adrianna Jackson, MD Sumeska Thavarajah, MD
Resident, Department of Dermatology Assistant Professor, Division of Nephrology
Johns Hopkins University School of Medicine Johns Hopkins Bayview Medical Center
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