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医院实习每个科结束时要有shelf exam, MS3实习完后,6月底前考完Step2,靠死记硬背过不了的。

(2024-04-02 13:32:41) 下一个

Step2的题就是看病,诊断,处置。像个全科医生,比考Step1的基础理论难多了。考完Step2后可以松口气,也该好好放松一下。很多MS4都take one or two blocks off for vacations!

https://www.usmle.org/prepare-your-exam/step-2-ck-materials/step-2-ck-sample-test-questions

"A 17-year-old girl comes to the office for an examination prior to entering college. She reports that she feels well but is nervous about leaving home for the first time. She states that she has tried to diet to improve her appearance but that food restriction often "backfires" because she becomes hungry and then engages in episodes of binge eating. She reports a loss of control during these episodes, saying, "It's like I stop thinking at all and before I know it, I have eaten two pizzas." She induces vomiting several times during each binge and has developed a pattern of binging and purging every evening. She has no history of serious illness and takes no medications. She is 165 cm (5 ft 5 in) tall and weighs 57 kg (125 lb); BMI is 21 kg/m2. Vital signs are within normal limits. Physical examination shows dry mucous membranes, erosion of enamel on the lingual surface of the front teeth, and hypertrophy of the parotid gland. Serum studies are most likely to show which of the following sets of findings in this patient?"

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