当前在线人数14611
首页 - 博客首页 - 美国医学教育博客 - 文章阅读 [博客首页] [首页]
tinyapollo: Step 3 passed
作者:USMedEdu
发表时间:2014-07-27
更新时间:2014-07-27
浏览:836次
评论:0篇
地址:72.
::: 栏目 :::
现代医学vs“中医”
社会、艺术与医学
住院/FELLOW单位
中外医学网站精选
国内外医学交流信息
生物医学人物
力刀美加医学教育专
临床见习/实习/义工
医学生理学诺贝尔奖
医生助理(PA)职业
医学书籍照片及图谱
社会与医学瞬间定格
医学典故/医史杂谈
USMLE复习和考试
申请和面试住院医生
住院医生生活和工作
FELLOWSHIP
医生就业、工作及生
医学科普及问题解答
美加医学院申请/MCA
中美医学临床教育比
医学新进展及新闻
社会医学伦理

发信人: USMedEdu (US_CMGs), 信区: Pre_Resident_Club
标 题: tinyapollo: Step 3 passed
发信站: BBS 未名空间站 (Sun Jul 27 13:14:25 2014, 美东)

发信人: tinyapollo (Apple), 信区: MedicalCareer
标 题: Step 3 passed
发信站: BBS 未名空间站 (Wed Jun 4 01:17:04 2014, 美东)

Just found out i passed it. Well, not a big surprise and finally, I
can say
good by to USMLE

Material: MTB3 and UptoDate. Step 1/Step2: 250/249 but those were 3
years
ago. Step 3: 227. Time: on/off for 3 months.

Good luck to everybody.

Not a whole lot of thoughts about this test. if you can memorize MTB3
and UW
, then there should be NO problem to pass it.


here are some thoughts about this CCS (combined mine and others)

Step I: patients: VASCULAR
Vitals/Age/Sex/Chief complaint/Urgent symptoms: N/V, Pain, fever
/Life style: smoking/alcohol/drug, etc/Allergies/Remember PMH:
DM/Lipid/
HTN

Step II:
1. ER: ABCEDFGH+PE+BUOPI
2. Non-ER: PE+BUOPUI+ABCDEFGH

--- ABCDEFG to stabilize the emergency pts.
1. A: Airway, Suction of airway, cannula, face mask, oral or nasal
trumpet, CPAP/Bi-PAP, and intubation
2. B: O2, albuterol, steroids, PE (Trachea midline?, breath sounds
exist
/symmetric?), SO2, ABG, CXR, and PEFR.
3. C: NPO, fluid( IVA, NSS) and blood (PT/PTT, DIC panel, and Type
and
screen, and Transfusion).
4. D: Devices (monitors SO2, EKG, Bp; defibrillator)
5. E: EKG and ASA( if no aortic dissection)
6. F: Finger stick glucose
7. G: Glu, naloxone, and thiamine
8. H: hCG for all child bearing age women.

--- PE: focused if patients are unstable, or have pain, N/V; or
comprehensive

---- BUOPI ABCDEFGH
1. Blood tests:
--- CBCwDiff, ESR and CRP
--- BMP, Mg, P
--- BT, PT and PTT, DIC panels
--- Blood culture
--- Type and screen
2. U: UA, urine culture
3. Others:
1) CSF
2) Thyroid: TSH, fT4, total T3
3) Pulmonary: ABG, sputum smear and culture
4) Cardiology: Troponin, CKMB and BNP
5) GI: LFT, HBV/HCV; Amylase/lipase, and Lactate, stool
6) Adrenal: Ald/renin, 24h cortisol, 1mg Dexadron, ACTH, CTRH
releasing
7) Lipid profile
4. Panels specific for
1) Disease diagnosis
2) Differential diagnosis
3) Etiology diagnosis
4) Severity determination
5) Therapeutic plan and follow up
6) Prognosis
5. Imaging: Ultrasound, CXR, KUB, CT, etc

Step III: ADMIT ---SMTP
1. A: Activity, bed rest, ambulate, etc
2. D: Diet: NPO, normal, low salt, low fat, soft food
3. M: Home Meds to D/C (metformin) or continue
4. I: In (NG) and out (urine output/foley)
5. Transferring: ER, In-patient, ICU or Office

6. Symptoms: Pain, N/V, F, Diarrhea/constipation
7. Monitoring:
a. Interval H/P
b. Vitals
c. Neuro-check
d. Labs: H&H (bleeding) ; CBC (infection); BMP (Electrolyte),
ABG;
PT/INR/PTT for heparin; LFT; PFT
e. Drug side effect
8. Therapy: Medications/procedures/Consultations
9. Prophylaxis and precaution:
a. HOB: 30c
b. DVT prevention: T and K; heparin
c. Stress ulcer prevention
d. Seizure precaution, aspiration precaution
e. IS

Step IV: Adult RATED SEX AM or RSV-Evaluation
Peds: RSVE




--
※ 修改:·tinyapollo 於 Jun 4 01:22:44 2014 修改本文·[FROM: 173.]
--

[上一篇] [下一篇] [发表评论] [写信问候] [收藏] [举报] 
 
暂无评论
 
用户名: 密码:
发表评论
评论:
[返回顶部] [刷新]  [给USMedEdu写信]  [美国医学教育博客首页] [博客首页] [BBS 未名空间站]
 
Site Map - Contact Us - Terms and Conditions - Privacy Policy

版权所有BBS 未名空间站(mitbbs.com) since 1996