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 9
Test-Day Tips 11
First Aid for the IMG 13
Supplement—The USMLE Step 2 CS Travel Guide 21
SECTION 2 THE PATIENT ENCOUNTER 39
Introduction 40
Doorway Information 42
Taking the History 44
The Physical Exam 54
Closure 63
How to Interact with Special Patients 65
Challenging Questions and Situations 67
Counseling 77
The Patient Note 79
SECTION 3 MINICASES 85
Headache 87
Confusion/Memory Loss 89
Loss of Vision 91
Depressed Mood 92
Psychosis 93
Dizziness 94
Loss of Consciousness 95
Numbness/Weakness 96
Fatigue and Sleepiness 98
Night Sweats 100
Insomnia 100
Sore Throat 101
Cough/Shortness of Breath 102
Chest Pain 105
Palpitations 107
Weight Loss 108
Weight Gain 109
Dysphagia 110
Neck Mass 111
Nausea/Vomiting 111
Abdominal Pain 112
Constipation/Diarrhea 116
Upper Gl Bleeding 118
Blood in Stool 119
Hematuria 119
Other Urinary Symptoms 120
Erectile Dysfunction 122
Amenorrhea 123
Vaginal Bleeding 124
Vaginal Discharge 126
Dyspareunia 126
Abuse 127
Joint/Limb Pain 128
Low Back Pain 132
Child with Fever 133
Child with Gl Symptoms 134
Child with Red Eye 136
Child with Short Stature 136
Behavioral Problems in Childhood 137
SECTION 4 PRACTICE CASES 139
Case 1 46-Year-Old Man with Chest Pain 142
Case 2 57-Year-Old Man with Bloody Urine 152
Case 3 51-Year-Old Man with Back Pain 161
Case 4 25-Year-Old Man Presents Following Motor Vehicle Accident 170
Case 5 28-Year-Old Woman Presents with Positive Pregnancy Test 180
Case 6 10-Year-Old Girl with New-Onset Diabetes 189
Case 7 74-Year-Old Man with Right Arm Pain 197
Case 8 56-Year-Old Man Presents for Diabetes Follow-up 206
Case 9 25-Year-Old Woman Presents Following Sexual Assault 216
Case 10 35-Year-Old Woman with Calf Pain 225
Case 11 62-Year-Old Man with Hoarseness 235
Case 12 67-Year-Old Woman with Neck Pain 243
Case 13 48-Year-Old Woman with Abdominal Pain 251
Case 14 35-Year-Old Woman with Headaches 260
Case 15 36-Year-Old Woman with Menstrual Problems 269
Case 16 28-Year-Old Woman with Pain During Sex 278
Case 17 75-Year-Old Man with Hearing Loss 287
Case 18 5-Day-Old Boy with Jaundice 296
Case 19 7-Month-Old Boy with Fever 305
Case 20 26-Year-Old Man with Cough 314
Case 21 52-Year-Old Woman with Jaundice 323
Case 22 53-Year-Old Man with Dizziness 332
Case 23 33-Year-Old Woman with Knee Pain 340
Case 24 31-Yea r-Old Man with Heel Pain 350
Case 25 18-Month-Old Girl with Fever 360
Case 26 54-Year-Old Woman with Cough 369
Case 27 61-Year-Old Man with Fatigue 379
Case 28 54-Year-Old Man Presents for Hypertension Follow-up 388
Case 29 20-Year-Old Woman with Sleeping Problems 397
Case 30 2-Year-Old Girl with Noisy Breathing 407
Case 31 21-Year-Old Woman with Abdominal Pain 416
Case 32 65-Year-Old Woman with Forgetfulness and Confusion 426
Case 33 46-Year-Old Man with Fatigue 436
Case 34 32-Year-Old Woman with Fatigue 445
Case 35 27-Year-Old Man with Visual Hallucinations 454
Case 36 32-Year-Old Man Presents for Preemployment Physical 463
Case 37 55-Year-Old Man with Bloody Stool 472
Case 38 66-Year-Old Man with Tremor 481
Case 39 30-Year-Old Woman with Weight Gain 490
Case 40 6-Month-Old Girl with Diarrhea 499
Case 41 8-Year-Old Boy with Bed-Wetting 507
Case 42 11-Month-Old Girl with Seizures 515
Case 43 21-Year-Old Man with Sore Throat 523
Case 44 49-Year-Old Man with Loss of Consciousness 532
SECTION 5 TOP-RATED REVIEW RESOURCES 541
How to Use the Database 542
Appendix 547
Index 551
About the Authors 573