Contributors

ix

Faculty Reviewers

ix

Preface

xi

Acknowledgments

xiii

How to Contribute

xv

Guide to the USMLE Step 2 CS

1

Introduction

2

USMLE Step 2 CS-The Basics

2

Preparing for the Step 2 CS

8

Test-Day Tips

10

First Aid for the IMG

12

Supplement-The USMLE Step 2 CS Travel Guide

21

The Patient Encounter

39

Introduction

40

Doorway Information

42

Taking the History

42

The Physical Exam

53

Closure

61

How to Interact with Special Patients

63

Challenging Questions and Situations

65

Counseling

72

The Patient Note

75

Minicases

81

Headache

83

Confusion/Memory Loss

85

Depressed Mood

87

Psychosis

88

Dizziness

89

Loss of Consciousness

90

Numbness/Weakness

91

Fatigue and Sleepiness

93

Night Sweats

94

Insomnia

95

Sore Throat

96

Cough/Shortness of Breath

97

Chest Pain

99

Palpitations

101

Weight Loss

101

Weight Cain

102

Dysphagia

102

Nausea/Vomiting

103

Abdominal Pain

104

Constipation/Diarrhea

108

Upper GI Bleeding

110

Blood in Stool

110

Hematuria

111

Other Urinary Symptoms

112

Erectile Dysfunction

113

Amenorrhea

114

Vaginal Bleeding

115

Vaginal Discharge

116

Dyspareunia

117

Abuse

118

Joint/Limb Pain

119

Low Back Pain

122

Child with Fever

123

Behavioral Problems in Childhood

124

Particle Cases

127

Case 1

48-Year-Old Woman with Abdominal Pain

130

Case 2

21-Year-Old Woman with Abdominal Pain

136

Case 3

74-Year-Old Man with Right Arm Pain

143

Case 4

21-Year-Old Man with Sore Throat

149

Case 5

55-Year-Old Man with Bloody Stool

156

Case 6

46-Year-Old Man with Chest Pain

162

Case 7

7-Month-Old Boy with Fever

168

Case 8

18-Month-Old Girl with Fever

174

Case 9

26-Year-Old Man with Cough

180

Case 10

54-Year-Old Woman with Cough

186

Case 11

52-Year-Old Woman with Jaundice

193

Case 12

65-Year-Old Woman with Forgetfulness and Confusion

200

Case 13

56-Year-Old Man Presents for Diabetes Follow-up

207

Case 14

53-Year-Old Man with Dizziness

214

Case 15

46-Year-Old Man with Fatigue

220

Case 16

32-Ye3r-Old Woman with Fatigue

227

Case 17

61-Year-Old Man with Fatigue

234

Case 18

35-Year-Old Woman with Headaches

241

Case 19

57-Year-Old Man with Bloody Urine

247

Case 20

54-Year-Old Man Presents for Hypertension Follow-up

253

Case 21

33-Year-Old Woman with Knee Pain

260

Case 22

66-Year-Old Man with Tremor

267

Case 23

49-Year-Old Man with Loss of Consciousness

273

Case 24

30-Year-Old Woman with Weight Gain

279

Case 25

36-Year-Old Woman with Menstrual Problems

285

Case 26

28-Year-Old Woman with Pain During Sex

291

Case 27

51-Year-Old Man with Back Pain

297

Case 28

6-Month-Old Girl with Diarrhea

303

Case 29

75-Year-Old Man with Hearing Loss

309

Case 30

8-Year-Old Boy with Bed-Wetting

315

Case 31

25-Year-Old Man Presents Following Motor Vehicle Accident

321

Case 32

25-Year-Old Woman Presents Following Sexual Assault

328

Case 33

28-Year-Old Woman Presents with Positive Pregnancy Test

335

Case 34

20-Year-Old Woman with Sleeping Problems

342

Case 35

27-Year-Old Man with Visual Hallucinations

349

Case 36

10-Year-Old Girl with New-Onset Diabetes

355

Case 37

35-Year-Old Woman with Calf Pain

361

Case 38

31-Year-Old Man with Heel Pain

367

Case 39

5-Day-Old Boy with Jaundice

375

Case 40

2-Year-Old Girl with Noisy Breathing

381

Case 41

32-Year-Old Man Presents for Pre-Employment Physical

387

Top Rated Review Resources

395

How to Use the Database

397

Appendix

403

Index

407

About the Authors

415