Nonsusstained ventricular tachy: >=3 consecutive ventricular beat w/ rate > 120, and the episodelasts < 30 sec. If you see this, pt most likely has structural heart diease. Ex. Prior MI scarring,ventricular hypertrophy, mitral valve prolapse (midsystolic click). If you pick up this rhythm on EKG,next step is to get echo and stress test to r/o ischemia.

Active nosebleed: can be 2/2 hot climate with low humidity or minor nasal trauma. Anterior nasalseptal mucosa is the MC source of epistaxis in kids and young adults. Anterior bleding source isfavored by findings of clear oropharynx while upright. Bleeding is first controlled by applying pressurewith a cotton pledget impregnated with a vasoconstrictor, like phenylephrine, and a topical anestheticlike lidocaine. If these fail, nasal packing is the next step.


Usmle World Step 1


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Rhinitis: If after H and P, you still cant figure out a cause, the next step I snasal cytology. If you seeneutrophils it means infectious cause. Eosinophils suggests that allergic rhinitis is the cause. Notethat these things are not specific.

Almost each student who wants to appear in Step 1 or CK etc, uses The USMLE world because the questions asked in exam are similar to the The USMLE step exams. So this giving the students a sense of confidence and joy in their life & improving a healthy life style by removing stress. For that i would like to ask all students not to read First Aid as much five times but do review it once or two times only, and use the USMLE world at least twice. This will make you a ready person for the passage of your exam.

So, you have to follow these 6 secrets in the link to get 270 scores in Step 1 during the USMLE World..

The United States Medical Licensing Examination (USMLE) is a three-step examination for medical licensure in the United States and is sponsored by the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME).

The USMLE Step II CK exam is a test of the clinical knowledge gained during the third year medical College core clerkships. It is similar in format to Step I, but is more clinically oriented, i.e. you are given a patient scenario and asked about the diagnosis or next step. The exam consists of eight blocks, which is one section longer than the seven blocks of Step I. 


Historically class officers have collected money on behalf of classmates to negotiate bulk discounts with USMLE Step 1 board preparation vendors. At the request of MSC and the Class of 2018, 2019, 2020, and 2021, Class Officers we are working with the Indiana University System and U-World to incorporate the discounted price of a 6-month U-world subscription into your Fall tuition and fee assessment. 006ab0faaa

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