Usmle step 3 Study guides, Class notes & Summaries
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USMLE Step 3 exam 2024 with 100% correct answers
- Exam (elaborations) • 32 pages • 2023
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What is the highest risk factor for pelvic inflammatory disease? - correct answer Multiple sexual partners (4.6 - 20 fold) 
 
What is the name of the perihepatitis caused by pelvic inflammatory disease? - correct answer Fitz-Hugh-Curtis Syndrome 
 
What is the outpatient treatment for pelvic inflammatory disease? - correct answer Ceftriaxone plus doxycycline 
 
What is the inpatient treatment for pelvic inflammatory disease? - correct answer Cefoxitin plus doxycycline 
 
What are the lon...
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USMLE step 3 exam 2024 with 100% correct answers
- Exam (elaborations) • 186 pages • 2023
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Clues to ischemic disease - correct answer dull pain 
15-30 minutes 
occurs on exertion 
substernal 
radiates to jaw or left arm 
 
PE findings for ischemic chest pain - correct answer S3 (dilated LV) 
S4 (hypertrophic LV) 
holosystolic murmur (MR) 
JVD 
Rales (CHF) 
Edema 
Gen: distressed, SOB, clutching chest. 
 
MI: diagnostic testing: 
1. first test to do: 
2. if choosing between testing and treatment: 
3. first treatment to give: 
4. Other tests to do: 
5. most accurate test: - co...
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USMLE step 3 Study Guide: Updated A+ Guide Solution
- Exam (elaborations) • 173 pages • 2024
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Clues to ischemic disease 
(Ans- 
dull pain 
15-30 minutes 
occurs on exertion 
substernal 
radiates to jaw or left arm 
 
PE findings for ischemic chest pain 
(Ans- 
S3 (dilated LV) 
S4 (hypertrophic LV) 
holosystolic murmur (MR) 
JVD 
Rales (CHF) 
Edema 
Gen: distressed, SOB, clutching chest. 
 
MI: diagnostic testing: 
1. first test to do: 
2. if choosing between testing and treatment: 
3. first treatment to give: 
4. Other tests to do: 
5. most accurate test: 
(Ans- 
1. EKG 
2. tr...
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FIRST AID USMLE STEP 3 EXAM 2024 WITH 100% CORRECT ANSWERS
- Exam (elaborations) • 18 pages • 2024
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FIRST AID USMLE STEP 3 EXAM 2024 WITH 100% CORRECT ANSWERS 
 
 
A 42 year old woman presents with HA, nausea, vomiting, and a red eye that has progressively worsened since this morning. She also notes vision changes. Exam reveals conjunctival injection: a mid-range fixed, dilated pupil: and no focal weakness in the extremities. What should you do next? - correct answer Use tonometry to check IOP. A pressure of over 30 mmHg confirms the diagnosis of acute closed angle glaucome. Emergent referral...
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USMLE Step 3 Review exam 2024 with 100% correct answers
- Exam (elaborations) • 78 pages • 2023
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Tx of IBS - correct answer Best initial therapy: *Fiber* 
 
If fiber fails: Antispasmodic/anticholinergic agents. 
First line: 
1. Dicyclomine 
2. Hyoscyamine 
 
Secondline: 
1. TCA's (amitriptyline) 
 
CCS, What test should you order for IBS? - correct answer 1. Stool: stool guiac, leukocytes, cultures, ova & parasites. 
2. Colonoscopy 
3. Abdominal CT scan 
 
Umbilical hernia in newborns is associated with? - correct answer Congenital hypothyroidism 
 
Screen with TSH (you should scree...
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USMLE Step 3 Review exam 2024 with 100% correct answers
- Exam (elaborations) • 65 pages • 2023
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Tx of IBS - correct answer Best initial therapy: *Fiber* 
Antispasmodic/Anticholingergics: dicyclomine, Hyoscyamine 
Second line- TCAs (amitryptiline) 
 
CCS, What test should you order for IBS? - correct answer 1. Stool: stool guiac, leukocytes, cultures, ova & parasites. 
2. Colonoscopy 
3. Abdominal CT scan 
 
Umbilical hernia in newborns is associated with? - correct answer Congenital hypothyroidism 
Screen with TSH (you should screen for TSH anyway) 
 
What three metabolic conditions...
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USMLE Step 3 pt. 2 exam 2024 with 100% correct answers
- Exam (elaborations) • 30 pages • 2023
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what is the best initial thing to do in a patient with a hyperosmolar hyperglycemic state - correct answer aggressive volume resuscitation - they are generally severely volume depleted 
 
then IV insulin 
 
*avoid management of hyperkalemia because these guys usually have a total body potassium deficit 
 
what can occur in patients with poorly controlled diabetes - correct answer hyperosmolar hyperglycemic state (HHS) or DKA 
 
describe Hyperosmolar hyperglycemic state (HHS) - correct answe...
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USMLE Step 3 High Yield exam 2024 with 100% correct answers
- Exam (elaborations) • 74 pages • 2023
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What is the genetic inheritance pattern of Hemophilia A? - correct answer X-linked recessive: women born to fathers with X linked recessive disorder will be carriers. Males are 50% carriers if born to an affected mother. 
 
What is tx of Lewy body dementia? - correct answer Dopamine agonist therapy (PD) & AchE inhibitors (Alzeihmer's) - watch for dopamine agonist therapy causing complex visual hallucinations. 
 
A patient treated for LTBI and now has positive PPD. Asymptomatic and also has ...
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USMLE Step 3 Review exam 2024 with 100% correct answers
- Exam (elaborations) • 26 pages • 2023
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Antimitochondrial antibodies? - correct answer Primary biliary cirrhosis 
 
Antismooth muscle antibody? - correct answer Primary sclerosing cholangitis 
 
What is the best initial test for primary sclerosing cholangitis? Most accurate? - correct answer Initial: elevated ALP, *elevated bilirubin* 
Best: ERCP (beading of biliary system) 
Others: antismooth muscle antibody, ANCA positive 
 
Treatment for both primary biliary cirrhosis and primary sclerosing cholangitis? - correct answer Urs...
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(Updated) USMLE Step 3 Study Guide: Guaranteed A+ Guide Solution
- Exam (elaborations) • 39 pages • 2024
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Pseudogout associations 
(Ans - hemochromatosis, hyperparathyroidism, acromegaly, hypothyroidism 
 
Gout crystals 
(Ans - negatively birefringent needles 
 
Pseudogout crystals 
(Ans - positively birefringent needles 
 
Vasculitis associated with chronic Hep B 
(Ans - polyarteritis nodosa 
 
Vasculitis associated with chronic Hep C 
(Ans - cryoglobulinemia 
 
Best blood test for polyarteritis nodosa 
(Ans - There is none. Get abdominal angiography first, then biopsy of muscle, skin, or sural ner...
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