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How does diarrhea cause hyponatremia and hypernatremia.
4:17 am | June 4, 2018Smashusmle Advising Team
Diarrhea can cause hypotonic hyponatremia and hypernatremia.Here is the explanation:In Hypotonic hyponatremia- which is true hyponatremia, first check the serum osmolality, if <280 mOsm/kg.Patient always have hypovolemia- (low i ... Continue reading
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7 Factors That Limit Your USMLE Step 1 or 2 CK Scores
4:58 am | May 15, 2018Smashusmle Advising Team
- Knowledge gap. We all have limited abilities to memorize content, some students are grea ... Continue reading
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My USMLE Step 1 experience
4:30 am | Smashusmle Advising Team
It was late April, 2008. it was a beautiful day outside, I glanced through the window watching the children playing outside on their school playing ground. The air condition in the apartment was not cooling the house well enough due to leaks on my wi ... Continue reading
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Board question of the day 4
5:34 pm | March 20, 2017Smashusmle Advising Team
4. A 62-year-old woman with a ten-year history of rheumatoid arthritis presents with painful swelling at the back of the knee that is visible on physical examination only when the knee is extended. Which of the following is the most likely diagnosis? ... Continue reading
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Question of the day 6
7:33 am | March 5, 2017Smashusmle Advising Team
6. A 32-year-old farmer consults with symptoms of night sweats, low-grade fever, cough, and fatigue. He does not smoke. He has a history of asthma. The chest x-ray required for immigration was normal 5 mo ago. He received the BCG vaccine as a child. ... Continue reading
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Board review question of day 5
7:04 am | Smashusmle Advising Team
A 16-year-old boy is referred to your practice for leg claudication. Blood pressure in his right arm is 150/110 mm Hg, while blood pressure in his left leg is 80/60 mm Hg. On auscultation, a systolic murmur best heard over the middle of the upper bac ... Continue reading
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Board question of the day 3
6:50 am | Smashusmle Advising Team
3. A 25-year-old woman with a history of epilepsy presents to the emergency room with impaired attention and unsteadiness of gait. Her phenytoin level is 37. Examination of the eyes is most likely to show which of the following?A) Abducens Palsy ... Continue reading
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Board question of the day 2
6:39 am | Smashusmle Advising Team
2. Laparotomy performed in a 4-year-old Caucasian girl with abdominal pain reveals a blind pouch connected to the ileum. The pouch is removed; under microscopy, it demonstrates pancreatic acini in the mucosa. The latter finding would be best describe ... Continue reading
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Board Question of the day-1
6:14 am | Smashusmle Advising Team
1. A 69-year-old retired fisherman with controlled hypertension complains of gradual impairment of vision. His history further reveals that he was recently diagnosed with mild adult-onset diabetes that is also well controlled. He is a retired fisherm ... Continue reading
USMLE Preparation: Our Perfect Recipe to Success
9:09 pm | January 22, 2017Smashusmle Advising Team
Unfinished projects, half-hearted attempts with your USMLE tests, and inconsistent study patterns are all going to hurt you while you on track to study for your USMLE exams.The tests are hard enough and you have no reason to make it any harder on ... Continue reading
