Appleton & Lange's review for the USMLE step 2 by Carlyle H. Chan

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By Carlyle H. Chan

Supplying a finished overview of severe innovations in a query and resolution structure, this up to date version is an invaluable learn relief for college kids getting ready for the USMLE Step 2. All questions, 90 percentage of that are within the type of case experiences, stick with USMLE Step 2 examination guidance. This package deal additionally contains a new CD-ROM. this beneficial disk kinds questions through either physique structures and USMLE different types, presents diagnostic suggestions, and permits online registration.

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The serum hCG concentration must be greater than approximately 1500 mIU/mL for transvaginal ultrasonography to be reliable. Waiting 2 weeks after the expected menses to obtain a pregnancy test is too late—the risk of a ruptured tubal pregnancy and intraperitoneal hemorrhage increases with advancing gestation. (Speroff et al, pp 241–242) 62. (B) Cervical cancer is currently the only female reproductive tract cancer staged clinically according to FIGO standards. FIGO also requires that the clinical staging be based on technologies generally available worldwide, including third-world countries.

Cunningham et al, p 166) 20. (C) Hirsutism occurs when a woman is exposed to increased amounts of biologically active androgens, or when hair follicles are extrasensitive to normal amounts of androgens. Women with regular menstrual intervals usually have familial hirsutism, and it usually begins at or soon after puberty. Hirsutism associated with menstrual disturbances usually means exposure to increased amounts of androgens, either endogenous secretion from the ovaries or adrenal glands or ingestion of a drug with androgenic effects.

Lack of effective myometrial contraction (ie, uterine atony) is the major cause of postpartum hemorrhage. If the uterus is found to be firmly contracted, then other factors, such as cervical or vaginal lacerations or a coagulopathy, must be sought. (Scott et al, pp 165–166) 68. (A) Immediate management is bimanual massage and compression of the uterine fundus by placing one fist into the anterior vaginal fornix and the other hand abdominally posterior to the uterus. The uterine massage is often enough to cause myometrial contractions and slowing of the bleeding.

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