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

By Carlyle H. Chan

Supplying a entire evaluate of severe innovations in a query and resolution structure, this up-to-date variation is an invaluable research reduction for college students getting ready for the USMLE Step 2. All questions, 90 percentage of that are within the kind of case reports, persist with USMLE Step 2 examination directions. This package deal additionally features a new CD-ROM. this beneficial disk types questions by way of either physique structures and USMLE different types, offers diagnostic suggestions, and allows online registration.

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Advanced maternal age, uterine size greater than gestational weeks, and the absence of a fetal heartbeat are added features to suggest gestational trophoblastic disease. Hydramnios, which can be associated with anencephaly and other fetal developmental abnormalities, also predisposes to preeclampsia, but its onset does not occur before 24 weeks. Renal disease, diabetes mellitus, and chronic hypertension also increase the likelihood of pre-eclampsia, but not before 24 weeks of pregnancy. The incidence of preeclampsia is increased in twin gestation, but again its onset is not before 24 weeks.

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. For this reason, lymphangiography, angiography, CT or MR scans, laparoscopy, or hysteroscopy are not permitted to stage cervical cancer. Due to 29 the presence of abnormal para-aortic lymph nodes and hepatic changes consistent with metastases, she is actually a stage IVB.

There is no use for measurement of urinary androgen (17-ketosteroid or 17ketogenic steroid) excretion in modern gynecology. The best next step is to measure a serum DHEAS concentration, because it is elevated in adrenal disorders and normal or only slightly elevated in ovarian causes of hirsutism. (Speroff et al, pp 486–490) 21. (B) A history of irregular menses from menarche suggests a functional disorder, such as polycystic ovary syndrome or attenuated adrenal hyperplasia due to an inherited enzyme deficiency.

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