100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
FIRST AID USMLE STEP 3 QUESTIONS AND ANSWERS $10.99
Add to cart

Exam (elaborations)

FIRST AID USMLE STEP 3 QUESTIONS AND ANSWERS

 0 purchase
  • Course
  • 30-YEAR-OLD FEMALE REASON FOR ENCOUNTER: NECK PAIN
  • Institution
  • 30-YEAR-OLD FEMALE REASON FOR ENCOUNTER: NECK PAIN

FIRST AID USMLE STEP 3 QUESTIONS AND ANSWERS

Preview 3 out of 17  pages

  • January 25, 2025
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • 30-YEAR-OLD FEMALE REASON FOR ENCOUNTER: NECK PAIN
  • 30-YEAR-OLD FEMALE REASON FOR ENCOUNTER: NECK PAIN
avatar-seller
examlecturer1
FIRST AID USMLE STEP 3 QUESTIONS
AND ANSWERS

Aj842j8yearj8oldj8womanj8presentsj8withj8HA,j8nausea,j8vomiting,j8andj8aj8redj8eyej8thatj8has
j8progressivelyj8worsenedj8sincej8thisj8morning.j8Shej8alsoj8notesj8visionj8changes.j8Exam

j8revealsj8conjunctivalj8injection:j8aj8mid-

rangej8fixed,j8dilatedj8pupil:j8andj8noj8focalj8weaknessj8inj8thej8extremities.j8Whatj8shouldj8
youj8doj8next?j8-j8answer--
Usej8tonometryj8toj8checkj8IOP.j8Aj8pressurej8ofj8overj830j8mmHgj8confirmsj8thej8diagnosis
j8ofj8acutej8closedj8anglej8glaucome.j8Emergentj8referralj8toj8ophthamologyj8andj8possiblej

8hospitalizationj8toj8reducej8IOP.j8Treatmentj8includesj8topicalj8BBj8(timolol),j8IVj8acetazol

amide,j8andj8topicalj8steroids.

Aj871j8yearj8oldj8manj8withj8aj8historyj8ofj8wellj8controlledj8asthmaj8presentsj8inj8Novemberj8
forj8hisj8annualj8checkup.j8Hej8hasj8noj8complaints,j8andj8hisj8PEj8findingsj8arej8unremarka
ble.j8Hej8receivedj8thej8pneumococcalj8vaccinej83j8yearsj8ago.j8Whatj8shouldj8bej8givenj8b
eforej8thej8completionj8ofj8hisj8visit?j8-j8answer--
Annualj8influenzaj8vaccinationj8isj8recommendedj8forj8allj8patientsj8overj86j8monthsj8ofj8ag
ej8whoj8lackj8contraindicationsj8(severej8allergy/
j8anaphylaxisj8toj8eggj8protein).j8Thej8livej8attenuatedj8vaccinej8shouldj8notj8bej8usedj8inj8p

opulationsj8whoj8arej8pregnant,j8immunosuppressed,j8orj8havej8takenj8influenzaj8antiviral
j8medicationj8withinj848j8hours.



Aj868j8yearj8oldj8womanj8isj8broughtj8toj8yourj8officej8becausej8herj8sonj8isj8concernedj8thatj
8shej8isj8losingj8herj8memory.j8Hej8describesj8severalj8instancesj8inj8whichj8shej8forgotj8wh

atj8hej8hasj8justj8toldj8her,j8addingj8thatj8shej8wasj8recentlyj8unawarej8thatj8hej8wasj8callingj8
toj8herj8atj8aj8crowdedj8park.j8Shej8spendsj8mostj8ofj8herj8timej8atj8homej8watchingj8televisi
on.j8Whatj8isj8thej8diagnosis?j8-j8answer--
Presbycusis,j8orj8agej8relatedj8hearingj8loss.j8Hearingj8lossj8inj8elderlyj8personsj8mustj8bej8
evaluated.j8Patientsj8mayj8havej8difficultyj8distinguishingj8voicesj8inj8aj8crowd,j8whichj8isj8o
ftenj8misinterpretedj8asj8memoryj8loss.j8Patientsj8mayj8becomej8sociallyj8isolated.

Aj824j8yearj8oldj8medicalj8studentj8developsj8aj8rashj8whenj8hej8putsj8onj8aj8pairj8ofj8latexj8e
xaminationj8gloves.j8Whatj8isj8thej8mechanismj8leadingj8toj8thisj8rash?j8-j8answer--
Allergicj8contactj8dermatitisj8isj8aj8resultj8ofj8delayedj8contactj8(typej8IV)j8hypersensitivityj8
causedj8byj8allergen-
primedj8memoryj8Tj8lymphocytesj8(vsj8irritantj8contactj8dermatitis,j8whichj8resultsj8fromj8cy
tokinesj8releasedj8followingj8irritantj8contact).

Aj826j8yearj8oldj8manj8presentsj8withj8targetoidj8papulesj8thatj8appearedj8onj8hisj8palmsj82j8
daysj8ago.j8Hej8statesj8thatj8hej8wasj8recentlyj8prescribedj8aj8newj8antiseizurej8medicationj
8forj8hisj8epilepsy.j8Hej8deniesj8anyj8otherj8symptoms,j8andj8examj8revealsj8noj8otherj8lesio

ns.j8Whatj8isj8thej8diagnosis?j8-j8answer--
Erythemaj8multiformej8secondaryj8toj8thej8newj8antiseizurej8medication.j8EMj8differsj8fro
mj8Steven-Johnsonj8syndrome/

, toxicj8epidermalj8necrolysisj8inj8thatj8lesionsj8arej8genrallyj8localizedj8toj8thej8extremitiesj8
j8

(vsj8spreadingj8fromj8thej8facej8andj8trunk),j8andj8thej8diseasej8coursej8isj8usuallyj8lessj8se
vere.

Aj871j8yearj8oldj8manj8complainsj8ofj8aj8lesionj8onj8hisj8rightj8flankj8thatj8wasj8preceededj8byj
8tinglingj8inj8thej8samej8areaj81j8dayj8ago.j8Examj8revealsj8aj84j8inchj8bandj8ofj8painfulj8vesic

lesj8withj8secondaryj8crustingj8andj8aj8clearj8midlinej8border.j8Whatj8testj8doj8youj8sendj8toj8
confirmj8yourj8clinicalj8diagnosis?j8-j8answer--
Althoughj8aj8clinicalj8examj8isj8typicallyj8sufficientj8forj8thej8diagnosisj8ofj8herpesj8zoster,j8aj
8PCRj8ofj8fluidj8fromj8thej8lesionj8canj8bej8confirmatory.j8NSAIDsj8mayj8bej8usefulj8forj8painj

8control,j8andj8antiviralj8therapyj8mayj8speedj8resolutionj8andj8decreasej8thej8likelihoodj8ofj

8postherpeticj8neuralgia.



Aj8patientj8presentsj8forj8evaluationj8ofj8aj8pigmentedj8skinj8lesions.j8Biopsyj8revealsj8mela
nocytesj8withj8markedj8atypiaj8characteristicj8ofj8melanoma.j8Whatj8featurej8isj8thej8mostj8i
mportantj8prognosticj8factor?j8-j8answer--Depthj8ofj8invasionj8ofj8thej8melanoma

Aj874j8yearj8oldj8manj8presentsj8withj8inabilityj8toj8maintainj8anj8erection.j8Althoughj8thej8pr
oblemj8startedj8severalj8yearsj8ago,j8hej8statesj8thatj8hej8ignoredj8itj8becausej8hej8thoughtj8
itj8wasj8aj8normalj8partj8ofj8aging.j8Howj8shouldj8thej8patientj8bej8counseled?j8-j8answer--
Althoughj8erectilej8dysfunctionj8isj8associatedj8withj8age,j8itj8isj8stillj8consideredj8abnormal
,j8andj8patientsj8withj8erectionj8difficultiesj8shouldj8bej8adequatelyj8evaluatedj8forj8allj8pote
ntialj8causes.

Aj870j8yearj8oldj8manj8isj8prescribedj8terazosinj8forj8hisj8benignj8prostaticj8hyperplasia.j8Ho
wj8doesj8thej8drugj8treatj8hisj8condition,j8andj8whatj8otherj8medicalj8conditionj8doesj8itsj8me
chanismj8ofj8actionj8address?j8-j8answer--
Alphaj8blockersj8suchj8asj8terazosinj8actj8onj8smoothj8musclej8inj8thej8prostate,j8bladderj8n
eck,j8andj8urethra.j8Theyj8alsoj8actj8onj8vascularj8smoothj8muscle,j8causingj8vasodilation;j8
therefore,j8theyj8canj8workj8toj8lowerj8HTNj8asj8well.

Aj841j8yearj8oldj8womanj8withj8womanj8withj8noj8significantj8medicalj8historyj8comesj8toj8yo
urj8clinicj8forj8herj8firstj8checkup.j8Herj8motherj8hasj8typej82j8DM.j8Herj8PEj8findings,j8includi
ngj8BMI,j8arej8normal.j8Whichj8screeningj8testsj8mightj8youj8recommend?j8-j8answer--
Aj8Papj8smearj8andj8HTNj8screening.j8Aj8diabetesj8workupj8(fastingj8glucosej8test,j8HbA1c
)j8isj8notj8neededj8asj8thej8patientj8isj8underj845j8yearsj8ofj8agej8withj8aj8normalj8BMI.j8Givenj
8thej8patient'sj8age,j8aj8screeningj8mammogramj8isj8controversial.j8Itj8isj8importantj8toj8disc

ussj8thej8risks,j8benefits,j8andj8alternativesj8ofj8screeningj8beforej8proceeding.

Aj858j8yearj8oldj8womanj8withj8longj8standingj8HTNj8isj8admittedj8toj8thej8hospitalj8withj8dys
pneaj8onj8exertionj8andj8bibasilarj8crackles,j8andj8youj8suspectj8heartj8failure.j8Whichj8ima
gingj8modalityj8wouldj8confirmj8yourj8diagnosis?j8-j8answer--
Transthoracisj8echocardiographyj8(TTE).j8TTEj8providesj8specificj8information,j8suchj8asj
8leftj8ventricularj8ejectionj8factorj8(LVEF)j8andj8diastolicj8compliancej8andj8relaxation,j8whi

chj8canj8confirmj8thej8diagnosisj8ofj8systolicj8andj8diastolicj8heartj8failure.j8Itj8alsoj8yieldsj8in
formationj8aboutj8specificj8etiologiesj8orj8precipitantsj8suchj8asj8valvularj8orj8wallj8motionj8
abnormalities.

Aj854j8yearj8oldj8businessj8executivej8developsj8chestj8painj8whilej8atj8work.j8Hisj8vitalj8sign
sj8remainj8stable.j8Thej8chestj8painj8isj8partiallyj8relievedj8byj8nitroglycerinj8butj8worsensj8w

, ithj8coughj8andj8deepj8inspiration.j8Hej8isj8broughtj8toj8thej8ED,j8wherej8hisj8ECGj8revealsj8d
iffusej8ST-
Tj8elevations.j8Hisj8cardiacj8biomarkersj8arej8normal.j8Whatj8isj8thej8appropriatej8treatmen
t?j8-j8answer--
NSAIDs.j8Thej8patientj8mostj8likelyj8hasj8pericarditis,j8whichj8isj8aj8clinicalj8diagnosis.

Aj864j8yearj8oldj8womanj8suddenlyj8developsj8hypotensionj8andj8SOBj81j8dayj8afterj8CABG
j8surgery.j8Examj8revealsj8JVDj8andj8muffledj8heartj8sounds,j8andj8bedsidej8pulsusj8parad

oxusj8isj8present.j8Besidesj8orderingj8anj8urgentj8echocardiogram,j8whatj8arej8yourj8nextj8t
herapeuticj8steps?j8-j8answer--
Administerj8IVj8fluidsj8pursuej8emergentj8therapeuticj8pericardiocentesisj8orj8pericardialj8
window.

Aj865j8yearj8oldj8Caucasianj8manj8whoj8hasj8aj8historyj8ofj8diabetesj8andj8isj8currentlyj8onj8
meforminj8hasj8BPj8readingsj8ofj8150/90j8andj8140/95j8onj8multiplej8officej8visits.j8Youj8star
tj8himj8onj8anj8ACEI,j8butj8hej8returnsj8forj8follow-
upj8complainingj8ofj8aj8dryj8coughj8withj8aj8measuredj8BPj8ofj8145/92.j8Whatj8isj8yourj8BPj8g
oalj8forj8thisj8patient,j8andj8whatj8arej8additionalj8optionsj8forj8treatingj8hisj8hypertension?j8-
j8answer--

Thiazidej8diuretics,j8CCBs,j8ACEIs,j8andj8ARBsj8arej8allj8therapeuticj8options.j8Thej8BPj8g
oalj8forj8thisj8patientj8wouldj8bej8underj8130/80.j8Inj8lightj8ofj8hisj8coughj8(aj8potentialj8adver
sej8effectj8ofj8ACEIs),j8youj8couldj8switchj8thej8patientj8toj8anj8ARBj8andj8addj8aj8secondj8m
edicationj8toj8achievej8goalj8BP.

Aj869j8yearj8oldj8hospitalj8administratorj8presentsj8toj8thej8EDj8withj8severe,j8tearingj8chestj
8painj8thatj8radiatesj8toj8hisj8back.j8CXRj8isj8unrevealing.j8Givenj8yourj8concernj8forj8potenti

alj8aorticj8dissection,j8whatj8isj8thej8nextj8diagnosticj8step?j8-j8answer--
Chestj8CTj8withj8IVj8contrast.j8TEEj8isj8appropriatej8forj8patientsj8withj8aj8historyj8ofj8allergi
cj8reactionj8toj8IVj8contrast.

Aj873j8yearj8oldj8manj8withj8aj8historyj8ofj8diabetesj8mellitus,j8butj8withj8noj8historyj8ofj8clinic
alj8CAD,j8comesj8toj8yourj8officej8forj8thej8resultj8ofj8hisj8recentj8bloodwork.j8Hisj8fastingj8lipi
dj8panelj8isj8significantj8forj8anj8LDLj8ofj8130j8mg/
dL,j8andj8hisj810j8yearj8riskj8ofj8atheroscleroticj8cardiovascularj8diseasej8isj87%.j8Inj8additio
nj8toj8educatingj8himj8onj8dietj8andj8lifestylej8changes,j8whatj8actionj8shouldj8youj8take?j8-
j8answer--Startj8moderatej8intensityj8statinj8therapyj8withj8aj8goalj8LDLj8reductionj8ofj830-

50%.

Aj826j8yearj8oldj8IVj8drugj8userj8isj8admittedj8toj8thej8hospitalj8withj8feversj8andj8chills.j8Desp
itej8broadj8antibioticj8therapy,j8bloodj8culturesj8remainj8persistentlyj8(+),j8butj8TTEj8isj8nor
mal.j8Givenj8yourj8suspicionj8ofj8infectivej8endocarditis,j8whatj8isj8yourj8nextj8step?j8-
j8answer--

Orderj8aj8TEE,j8whichj8isj8morej8sensitivej8thanj8TTEj8forj8visualizingj8vegetationsj8andj8dia
gnosingj8endocarditis.j8Whenj8endocarditisj8isj8suspectedj8clinicallyj8butj8TTEj8isj8normal,j
8aj8TEEj8isj8indicatedj8toj8betterj8confirmj8orj8rulej8ourj8infection.



Aj873j8yearj8oldj8womanj8whoj8hasj8hadj8palpitationsj8forj84j8daysj8presentsj8withj8AFj8withj8r
apidj8ventricularj8response.j8Otherj8thanj8mildj8shortnessj8ofj8breath,j8shej8isj8hemodynam
icallyj8stable.j8Whatj8isj8thej8bestj8managementj8approach?j8-j8answer--

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller examlecturer1. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69605 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$10.99
  • (0)
Add to cart
Added