USMLE Step 2 Success

These five cases demonstrate important medical ethics principles. When would you breach patient confidentiality? When would you honor patient autonomy over beneficence? What are advanced directives and living wills? What is the principle of determining last known wishes, and if those are not known, how do you proceed? What procedures are covered by a do not resuscitate order?

What is the diagnosis in this 50 year old man who was camping and later developed a flu-like illness and now a skin lesion? What is the diagnosis in this 65 year old man who has returned from his construction site with cough, fever, arthralgias, and erythema nodosum? What is the recommended treatment for a patient with blastomycosis? In what endemic mycosis would you expect to see spherules that contain endospores? What endemic mycosis might be transmitted from disturbed soil in a cave?

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What is the prognosis of this lip lesion? What medications increase the risk of squamous cell carcinoma in organ transplant patients? What is the most likely diagnosis in this 50-year-old African-American male with a change in the symptomatology and appearance of his chronic venous stasis like ulcer?

What is the most common location for malignant melanoma in a Caucasian man? What is the most common location in an African-American man? What is the best treatment for a patient with metastatic melanoma? What is the most common type of cancer in the United States?

For more resources on the residency match, please see our website at www.thesuccessfulmatch.com

For a patient who presents with wrist drop and numbness on the back of the hand, what nerve is involved? In Saturday night palsy, which nerve is involved? What is the diagnosis in a patient presenting with a unilateral infrascapular localized area of pruritus? For a patient with numbness and tingling of the fourth and fifth digits, what nerve is involved?

For more resources on the residency match, please see our website at www.thesuccessfulmatch.com

What is the correct diagnosis in this 60-year-old homeless man with a rash and irritability? What is the most likely diagnosis in this patient who presents with fatigue and newly diagnosed diabetes? What is the next best test for a 24-year-old patient who presents with a normocytic anemia?

In this patient with confusion and ataxia: What is the next best step in management? What are the risk factors for this condition? What is the most likely diagnosis in this 70 year old patient with fatigue, leg pain, and bruising? What is the best treatment? What are the risk factors for this condition?

When a patient presents with secondary amenorrhea, what is the differential diagnosis? What is the recommended testing for patients with suspected functional hypothalamic amenorrhea? For a suspected pituitary adenoma? For suspected PCOS? What are other potential causes outside of the hypothalamic-pituitary-gonadal axis?

Autonomy is one of the four major medical ethical principles, and it’s important to understand how physicians must respect patient autonomy, as well as understand the situations in which other considerations override patient autonomy. What is the definition of capacity? How do you determine capacity? In cases of elder abuse, should you breach patient confidentiality? In cases of domestic abuse, should you breach patient confidentiality? How does the principle of autonomy apply to a minor patient?

These five cases demonstrate important medical ethics principles. When would you breach patient confidentiality? When would you honor patient autonomy over beneficence? What are advanced directives and living wills? What is the principle of determining last known wishes, and if those are not known, how do you proceed? What procedures are covered by a do not resuscitate order?