Highest Yield MSK & Ortho Concepts for USMLE Step 2 CK (Surgery Shelf & Family Medicine Shelf)
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- Опубликовано: 8 июл 2023
- We cover: Caplan Syndrome, Felty Syndrome, Rheumatoid Arthritis, Psoriatic Arthritis, Latent TB updated guidelines, Ankylosing Spondylitis, Osteoarthritis, Gout, Pseudogout, Septic Arthritis, Lyme Disease, Gonococcal Arthritis, Bone metastases, Scaphoid fractures, Monteggia vs Galeazzi Fracture, Fat embolism, Colles vs Smith fracture, Torn meniscus, Cauda Equina Syndrome, Rotator Cuff injury vs Torn Glenoid labrum and some Test Taking Clues.
This video should give you a boost on some high yield / rare topics to see on your USMLE Step 2 CK and Surgery/Family Medicine Shelf exams. I estimate this video can add 2-4 points to your USMLE Step 2 if you're currently scoring 220-250, and approximately 1-3 points if you're scoring above 250. I hope you enjoy!
👋 Who am I?
My name is Dr. Austin Price, and I am a Vascular Surgery Resident with ~2 years left of residency! (can't wait). This channel is dedicated to sharing some high yield USMLE / COMLEX tips, strategies to help make medical school just a bit better, and improve your efficiency as a student physician. I appreciate you stopping by & really hope you will subscribe to follow the journey.
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Your videos have become a part of my daily routine!!! Looking forward to more!
I’m so grateful to hear that!! It honestly means a lot. I will continue working to create more! Please share with your class 🙏
Great! Thank you so much! Very helpful 😊
I’m happy it was helpful for you!!
super helpful!!! Thank you!!!
your videos has really help me put together all these knowledge have been gathering for a while now, thank you so much, they are really helpful.
You're very welcome! So glad to hear that!!!
Dr GOAT to the rescue ! Thankyou kind sir!
Hahaha appreciate that!! Love to help 👍👍
Very good content for conclusions
Glad it was helpful!
Need a video on pediatric knee diseases differentials, adult heel pain differentials as well as hip pain differentials, very minor differences in exam findings and demographics
Nice man. Sounds like a good video for you to put together ;) I’ll add it to the list but it may not be for awhile
I recently saw a question for femoral head fracture and an xray showing osteopenia of the bone secondary to chronic prednisone use. Answer was Do MRI due to avascular necrosis of femoral head. Even though XRAY was normal.
Love it! Phenomenal point 💪💪
this is what is called super good medical content plz keeeep uploading i really appreciate your work Sir
Appreciate you. Please share & spread the word if you enjoy the high yield series
For the septic arthritis, I learned the gram stain is incorrect 50% of the time so continue to assume most common cause is staph a and give vancomycin. And that’s why we get a blood culture
Same exact premise: if unsure, give vanc
Oftentimes gram stains/cultures will be culture negative in real life for various pathologies. ID isn’t as easy as it’s made out to be ;)
Most common is gonorrhea and staph is most common in IV drug users.
For the septic arthritis- Isn't it also possible for the answer to be gonococcal arthritis? Especially with a negative culture so you do NAT? Tx with ceftriaxone? But the question stem will mention a younger adult with risky sexual activities, perhaps a rash, etc? just want to make sure to differentiate between regular s. aureus septic arthritis vs gonococcal. Thank you
Yes absolutely! Phenomenal point. Use your question stem to help differentiate. If question stem mentions almost anything sexual, start considering stuff like gonorrhea/chlamydia at TOP of differential. Good work
Thank you. Quick question though, in your 20 high yield facts from nbme 12 video, you mentioned treatment of OA is acetaminophen. And this video your 1st line is exercise and NSAIDs, so I’m quite confused which one is really the 1st line tx of OA
Depends which NBME form you use (as well as if it’s a new or older form). I’ve seen both listed as options. They will typically not be listed simultaneously as answer choice. I’ve also seen conflicting information across my studies for OA. Generally people are trialed on both Tylenol +/- NSAID in order to help with the pain.
How I would approach this:
Question may also give you factors to make it easier to differentiate: i.e. - kidney disease patient gets tylenol first line. Liver disease patient gets NSAID first line.
Use the clues in the question stem to help. Hope this helps.
@@ActionPotentialMentoring thank you so muchh
@@dunganh4774 happy to help!
Aren't NSAIDs/glucocorticoids also used for symptomatic relief in acute flares of RA?
NSAIDs/Steroids for acute flairs and DMARDs for long term management. I've also had questions where it was acetominophen as first line for osteoarthritis over NSAIDs. I think you should consider acetaminophen as first line because NSAIDs are contraindicated in the elderly, CKD, heart disease
For pediatric patients with lyme under 18 yo you can give doxycycline now? Or is that only for Rocky mountain spotted fever?
Great question! U can actually give doxy to kids < 8 years old now per the American association of pediatrics I believe! (Instances I can imagine this would be pertinent- if patient had a severe penicillin allergy)
When would you use probenecid in gout? chronic?
I don’t believe it’s really used much anymore. Used to be used in the wars to cause penicillin to have longer serum levels by inhibiting the PCT of the nephron.
Probenecid was only used in chronic gout
Psoriatic arthritis is better treated with an DMARDS according to Amboss.
And NSAIDs showed limited efficacy
What do u think of that?
I teach based on NBME. Amboss is a 3rd party resource
@@ActionPotentialMentoring Amboss is just a collective resource of recent evidence based medicine.
But that's fine thx 🙏
@@AhmedAyman74I’m aware of amboss & have went through the Qbank many times. I was stating that for nbme teaching purposes, I rely on nbme guidelines/resources
I have one question. Can fat embolism occur after 6 days since the onset of bone fracture?
Hmm I haven’t seen it that late but perhaps
@@ActionPotentialMentoring I have one question on my exam today about a pt with bone fracture 6 days ago presents with sudden dyspnea and tachycardia. I wonder if it could be that late, but I went with PE anyways
Do you release your notes?
There are 1000’s of pages of these style notes & 100’s of hours of videos within my coaching program :) feel free to check our website if you’re interested
Which software you used for MCAT exam
I don’t remember. My mcat was > 10 years ago
WHO would fall like this (smith fx)
Hahahaha legit no idea 😂🤣
I think I would fall like that 😭😭😭😭
🤣🤣🤣
These exams are not going to use these buzz words
Awesome. Watch another video then if you feel that way
No SCFE? 🫣
Why don’t u record content on scfe then?