Table of Contents

 

 

 

 

Contributors

ix

 

Faculty Reviewers

xi

 

Preface

xiii

 

Acknowledgments

xv

 

How to Contribute

xvii

SECTION 1

GUIDE TO THE USMLE STEP 2 CS

1

 

Introduction

2

 

USMLE Step 2 CS—The Basics

2

 

Preparing for the Step 2 CS

7

 

Test-Day Tips

10

 

First Aid for the lMG

12

 

Supplement—The USMLE Step 2 CS Travel Guide

19

SECTION 2

THE PATIENT ENCOUNTER

37

 

Introduction

38

 

Doorway Information

39

 

Taking the History

42

 

The Physical Exam

52

 

Closure

61

 

How to Interact with Special Patients

63

 

Challenging Questions and Situations

64

 

Counseling

71

 

The Patient Note

74

SECTION 3

MINICASES

79

 

Headache

81

 

Confusion/Memory Loss

83

 

Depressed Mood

85

 

Psychosis

86

 

Dizziness

87

 

Loss of Consciousness

89

 

Numbness/Weakness

90

 

Fatigue and Sleepiness

91

 

Night Sweats

93

 

Insomnia

93

 

Sore Throat

94

 

Cough/Shortness of Breath

95

 

Chest Pain

97

 

Palpitations

99

 

Weight Loss

100

 

Weight Gain

101

 

Dysphagia

101

 

Nausea/Vomiting

102

 

Abdominal Pain

103

 

Constipation/Diarrhea

107

 

Upper Gl Bleeding

109

 

Blood in Stool

110

 

Hematuria

111

 

Other Urinary Symptoms

112

 

Erectile Dysfunction

113

 

Amenorrhea

114

 

Vaginal Bleeding

116

 

Vaginal Discharge

117

 

Dyspareunia

118

 

Abuse

118

 

Joint/Limb Pain

119

 

Low Back Pain

122

 

Child with Fever

123

 

Child with Gl Symptoms

124

 

Child with Red Eye

126

 

Child with Short Stature

126

 

Behavioral Problems in Childhood

127

SECTION 4

PRACTICE CASES

129

 

Case 1: 48-Year-Old Woman with Abdominal Pain

132

 

Case 2: 21-Year-Old Woman with Abdominal Pain

139

 

Case 3: 74-Year-Old Man with Right Arm Pain

147

 

Case 4: 21-Year-Oid Man with Sore Throat

154

 

Case 5: 55-Year-Old Man with Bloody Stool

161

 

Case 6: 46-Year-Old Man with Chest Pain

168

 

Case 7: 7-Month-Old Boy with Fever

175

 

Case 8: 18-Month-Old Girl with Fever

181

 

Case 9: 26-Year-Old Man with Cough

187

 

Case 10: 54-Year-Old Woman with Cough

194

 

Case 11: 52-Year-Old Woman with Jaundice

202

 

Case 12: 65-Year-Old Woman with Forgetfulness and Confusion

209

 

Case 13: 56-Year-Old Man Presents for Diabetes Follow-up

216

 

Case 14: 53-Year-Old Man with Dizziness

223

 

Case 15: 46-Year-Old Man with Fatigue

230

 

Case 16: 32-Year-Old Woman with Fatigue

237

 

Case 17: 61-Year-Old Man with Fatigue

244

 

Case 18: 35-Year-Old Woman with Headaches

251

 

Case 19: 57-Year-Old Man with Bloody Urine

258

 

Case 20: 54-Year-Oid Man Presents for Hypertension Follow-up

265

 

Case 21: 33-Year-Old Woman with Knee Pain

272

 

Case 22: 66-Year-Old Man with Tremor

280

 

Case 23: 49-Year-Old Man with Loss of Consciousness

288

 

Case 24: 30-Year-Old Woman with Weight Gain

295

 

Case 25: 36-Year-Old Woman with Menstrual Problems

302

 

Case 26: 28-Year-Old Woman with Pain During Sex

309

 

Case 27: 51-Year-Oid Man with Back Pain

316

 

Case 28: 6-Month-Old Girl with Diarrhea

322

 

Case 29: 75-Year-Old Man with Hearing Loss

328

 

Case 30: 8-Year-O!d Boy with Bed-Wetting

335

 

Case 31: 25-Year-Old Man Presents Following Motor Vehicle Accident

341

 

Case 32: 25-Year-Old Woman Presents Following Sexual Assault

349

 

Case 33: 28-Year-Old Woman Presents with Positive Pregnancy Test

356

 

Case 34: 20-Year-Old Woman with Sleeping Problems

363

 

Case 35: 27-Year-Old Man with Visual Hallucinations

370

 

Case 36: 10-Year-Old Girl with New-Onset Diabetes

377

 

Case 37: 35-Year-Old Woman with Calf Pain

384

 

Case 38: 31-Year-Old Man with Heel Pain

391

 

Case 39: 5-Day-Old Boy with Jaundice

399

 

Case 40: 2-Year-Old Girl with Noisy Breathing

405

 

Case 41: 32-Year-Old Man Presents for Preemployment Physical

411

 

Case 42: 62-Year-Old Man with Hoarseness

418

 

Case 43: 67-Year-Old Woman with Neck Pain

425

 

Case 44: 11-Month-Old Girl with Seizures

431

SECTION 5

TOP-RATED REVIEW RESOURCES

437

 

How to Use the Database

438

 

Appendix

445

 

Index

449

 

About the Authors

461