By Caryle Chan

Supplying a overview of serious ideas in a query and solution structure, this up-to-date variation provides a research relief for college kids getting ready for the USMLE Step 2. it really is geared for college kids taking the 1999 computerised examination, and encompasses a CD-ROM.

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Extra info for Appleton & Lange's Review for the USMLE Step 2 - 3rd Edition

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The fetal warfarin syndrome does not cause chromosomal abnormalities and a genetic amniocentesis is not indicated. Vitamin K reverses the anticoagulant effects of Coumadin but does not alter the risk that the fetus will develop anomalies. (Cunningham et al, p 949) 58. (A) Nasal hypoplasia and stippled vertebral and femoral epiphyses on radiographs are the most common abnormalities associated with the fetal warfarin syndrome. Other abnormalities include hydrocephaly or microcephaly, ophthalmologic abnormalities, fetal growth restriction, and developmental delay.

Her uterine fundus is firm. 100. The probable etiology of her postpartum hemorrhage is (A) (B) (C) (D) (E) cervical laceration uterine atony Couvelaire uterus acute thrombocytopenia placenta accreta 101. The most appropriate treatment of this patient is (A) (B) (C) (D) (E) transfusion with whole blood uterine packing supracervical hysterectomy hypogastric artery ligation intravenous administration of methylergonovine 16 1: Obstetrics and Gynecology 102. Ligation of the hypogastric (internal iliac) artery effectively controls intractable pelvic hemorrhage because (A) there is no collateral circulation to the uterus (B) uterine blood flow is stopped (C) arterial pulse pressure to the uterus is reduced (D) clotting in uterine capillaries is enhanced (E) blood flow is shunted to the ovarian veins Questions 103 Through 105 A 53-year-old woman with five adult children complains of losing urine shortly after coughing or jumping.

E) Premature thelarche is a disorder that probably occurs as a consequence of increased sensitivity of breast tissue to the low levels of circulating estradiol in prepubertal girls. The disorder occurs most commonly before the age of 3 years. The estradiol concentration may be normal in young girls ingesting estrogen if the serum estrogen concentration is not obtained at the time the estrogen is ingested. A negative medication history is helpful to exclude this possibility. The absence of a palpable lower abdominal mass and a prepubertal concentration of estradiol exclude a granulosa cell tumor.

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