Archer USMLE Step 3 CCS – HighYield Sample Videos

Here are samples from highly subscribed Archer USMLE Step 3 CCS strategies and high-yield CCS case protocols and demonstrations from https://ArcherReview.com . All case demonstrations during live sessions are on official USMLE exam software to give you hands-on experience with USMLE STEP 3 EXAM Software. Please realize that these strategies of diagnosis, monitoring, sequencing and timing are extremely crucial to get high performance on Step 3 CCS.

Interactive software like UWorld CCS does not teach the strategy to excel on the exam software, misses several highyield steps, does not respect the simulated time when orders are placed and therefore, is not an exact replica of your exam software. UWORLD CCS is not designed to change response based on your input unlike your Exam software. Therefore, you are left without a clue if you are optimal or unnecessarily invasive or being scored optimally for your actions.. This is one reason why several students get poor performance on their Step 3 CCS component despite practicing UWorld software several times. The following video will prove how different and responsive your EXAM software is!

Please go over above sample to see how intelligent your Exam software is and changes it’s response based on your input. In Archer CCS workshops, some important points are repeatedly applied in various case scenarios so the attendees can retain the subject better – please note these are from Live session. This video shows some case demos and few strategies. Please note that this sample does not include highly popular hundreds of Archer CCS strategies and highyield case demonstrations.

To access and subscribe to ARCHER CCS STRATEGIES AND WORKSHOPS with many more important CCS strategies, High-Yield cases, including on-demand videos of 2018 CCS workshops, please visit @ https://ArcherReview.com or @ http://www.ccsworkshop.com/Pay_Per_View.html
Available both Live and On-demand (PPV)

 

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USMLE Step 3 Question of the Week #495

495.  A 49-year-old obese female presents with abdominal pain.  Patient states the pain acutely onset several hours ago and describes it as constant, severe, localized around the umbilicus and radiating to her back.  She says the pain feels better if she is sitting up and bending slightly forward.   Patient also says she feels nauseous and vomited once after the pain began.  No relevant past medical or surgical history.  No current medications or allergies.  Review of systems is significant for several recent episodes of abdominal pain after eating.

On exam, the patient is in distress, sitting upright, and leaning slightly forward.  Vitals are temperature 38.3 °C (101.1 °F), blood pressure 110/78 mm Hg, pulse 105/min, respirations 25/min, and oxygen saturation 98% on room air.  Cardiac exam is normal.  Lungs are clear to auscultation.  Abdominal exam reveals tenderness to palpation in the periumbilical region.  Bowel sounds are diminished.

Laboratory values are:

Sodium                                                            140 mEq/L

Potassium                                                        4.0 mEqL

Chloride                                                          100 mEq/L

Bicarbonate                                                    25 mEq/L

BUN                                                                 35 mg/dL

Creatinine                                                       1.1 g mg/dL

Glucose (fasting)                                             90 mg/dL

Calcium                                                           7.0 mg/dL

Phosphorous                                                    4.1 mg/dL

Bilirubin, conjugated                                      1.5 mg/dL

Bilirubin, total                                                 3.0 mg/dL

AST (SGOT)                                                      325 mU/mL

ALT (SGPT)                                                      175 mU/mL

Alkaline Phosphatase                                      295 U/L

Amylase                                                          250 U/L

Lipase                                                              89 U/L

TSH                                                                  1.1 mIU/L

PTH                                                                  30 pg/mL

Troponin I (cTnI)                                             <0.02 ng/mL

Lactate Deydrogenase (LDH)                          750 U/L

C-reactive protein                                           45 mg/L

b-hCG                                                              <1 mIU/mL

 

WBC                                                                19,000 / mm3

RBC                                                                 4 x 106/mm3

Hematocrit                                                      45%

Hemoglobin                                                    13.0 g/dL

Platelet Count                                                 275,000 / mm3

Differential

Neutrophils (%)                                               85

Lymphocytes (%)                                             10

Monocytes (%)                                                5

Eosinophils (%)                                                3.5

Basophils (%)                                                   1.5

Chest and KUB x-rays, and EKG are unremarkable.

Aggressive fluid resuscitation and supplemental 100% oxygen are given.  Meperidine 150 mg intramuscularly is administered.  Abdominal ultrasound reveals the presence of a gallstone in the common bile duct (CBD).  Patient is kept NPO.

What is the next best step in management?


A. Contrast CT of the abdomen

B. Endoscopic retrograde cholangiopancreatography (ERCP)

C. Administer meropenem 1 g IV every 8 hours

D. Laparoscopic cholecystectomy

E. Magnetic resonance cholangiopancreatography (MRCP)

@hagemanGIstep2

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