Board Rounds Prep for USMLE and COMLEX
Ryan Gray
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A collaboration between the Medical School Headquarters and BoardVitals, Board Rounds for the USMLE Step 1 and COMLEX Level 1 is here to make sure you are as prepared as possible when you walk into to take your board exam. This test can make or break your residency dreams and we want to make sure you do as well as you can. We'll provide the information and motivation that you need, to help you get the score you deserve. Use the promo code BOARDROUNDS to save 15% off at BoardVitals
Available episodes
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Oldest first
May 13, 2020
52: What's Causing This College Freshman's Anxiety?
An 18-y/o college freshman presents with increased social anxiety. He wants to make friends but is afraid of being rejected. What's his diagnosis? Links:
Full Episode Blog Post
BoardVitals
Meded Media
Follow us on Instagram @mike.natter and @medicalschoolhq
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May 6, 2020
51: What Is Making This Man's Heart Skip a Beat?
A 36-y/o male presents to the hospital because he fears his heart may be "skipping a beat." His workup and history are normal, so what's causing his symptoms? Links:
Full Episode Blog Post
BoardVitals
Meded Media
Follow us on Instagram @mike.natter and @medicalschoolhq
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Apr 29, 2020
50: Why Is This Boy Torturing and Killing Animals?
A 15-year-old boy has a history of torturing and killing animals. He has also exhibited violent behavior towards other students at school. What's his diagnosis? Links:
Full Episode Blog Post
BoardVitals (Use the promo code BOARDROUNDS to save 15% off.)
Meded Media
The Premed Years 373: From Art School to Med School
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Apr 22, 2020
49: Sweating the Details: Is it an Attack or a Disorder?
A 52-y/o female presents with short, reoccurring episodes of chest tightness, pounding palpations, shortness breath, and severe anxiety. What's her diagnosis? Links:
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BoardVitals (promo code BOARDROUNDS and get 15% off)
Meded Media
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Apr 15, 2020
48: What Is Causing This Student's Anxiety?
A 20-y/o student presents with anxiety, but her other symptoms suggest her diagnosis may not be so straight-forward. If it isn't GAD, what could it be? Links:
Full Episode Blog Post
BoardVitals
Meded Media
Follow us on Instagram at @mike.natter and @medicalschoolhq.
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Apr 8, 2020
47: USMLE and COMLEX Prep: Cranial Nerve Nuclei
Using our knowledge of cranial nuclei and some spacial awareness, which cranial nerve nuclei receives fibers from the carotid baroreceptors? Let's find out! Links:
Full Episode Blog Post
BoardVitals (Use the promo code BOARDROUNDS to save 15% off.)
Meded Media
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Apr 1, 2020
46: USMLE and COMLEX Prep: Glossopharyngeal Nerve Innervation
More glossopharyngeal neuroanatomy! This gland is innervated by the efferent autonomic fibers of the glossopharyngeal nerve. Name that gland!
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Mar 25, 2020
45: USMLE and COMLEX Prep: Glossopharyngeal Nerve Anatomy
Where does the branchial motor component of the glossopharyngeal nerve originate? Join us and see how well you know your neuroanatomy.
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Mar 18, 2020
44: USMLE and COMLEX Prep: Trigeminal Nerve Physiology
Can you accurately identify the various functions of the trigeminal nerve and its major divisions? Follow along to test your knowledge of neuroanatomy! Links:
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Mar 11, 2020
43: USMLE and COMLEX Prep: Chemical Composition of Gallstones
A 32-y/o woman with acute cholecystitis has a past medical history of autoimmune hemolytic anemia. Which substance is likely to be found in her gallstones? Links:
Full Episode Blog Post
Meded Media
BoardVitals (Use the promo code BOARDROUNDS to save 15% off.)
Follow us on Instagram @MedicalSchoolHQ and @mike.natter.
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Mar 4, 2020
42: USMLE and COMLEX Prep: Etiology of Postoperative Cholecystitis
A 46-y/o female has RUQ pain and distension following surgical repair of a splenic laceration. Which process most likely resulted in her current condition? Links:
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Meded Media
BoardVitals (promo code BOARDROUNDS and save 15% off)
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Feb 26, 2020
41: Thinking Through a Facial Neuroanatomy Question
A 62-year-old female presents with impared taste and drooping on the right side of her face, but her hearing is normal. Where is the probable lesion located? Links:
Full Episode Blog Post
BoardVitals (Use the promo code BOARDROUNDS to save 15% off)
Follow us on Instagram @medicalschoolhq and @mike.natter.
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Feb 19, 2020
40: Do You Know Your Anatomy in Reference to a C-Section?
A 28-y/o female presents with a painful, lower-abdominal mass two days after a c-section. What is the most likely site of injury that led to this hematoma? Links:
Full Episode Blog Post
BoardVitals (promo code BOARDROUNDS to save 15% off)
Meded Media
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Feb 12, 2020
39: USMLE and COMLEX Prep: Spinal Cord Pathology
A 70-y/o male has hypoesthesia of the trunk, hypoalgesia, and decreased temperature discrimination. Which diagnosis accounts for residual pallesthesia and fine touch? Links:
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Meded Media
BoardVitals (promo code BOARDROUNDS and save 15% off)
PMY 373: From Art School to Med School with Dr. Mike Natter
Follow me on Instagram @medicalschoolHQ.
Follow Dr. Mike Natter on Instagram @mike.natter and check out all his amazing artwork.
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Jan 22, 2020
38: USMLE and COMLEX Prep: Acute Renal Failure
A 52-year-old female with renal failure has perioral numbness, paresthesias of the hands and feet, and muscle cramps. What metabolic findings might we expect? Links:
Full Episode Blog Post
Meded Media
BoardVitals (Save 15% by using the promo code BOARDROUNDS.)
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Jan 15, 2020
37: Risk Factors and Signs of Kidney Disease
What does this patient's decreased creatnine clearance and oliguria tell you? What risk factors are behind his condition? Would you give him contrast dye?
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Nov 13, 2019
36: Thinking Through a Thyroid Problem With Histology
This adult female with persistent fatigue complains of feeling cold. Listen to the lab values and look at the image in the show notes. What is the etiology? Links:
Full Episode Blog Post
BoardVitals (promo code BOARDROUNDS to save 15% off)
Connect with Dr. Mike Natter on Instagram @mike.natter.
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Nov 6, 2019
35: What Organism Is Causing this Pneumonia?
Infectious Disease! A young man presents with increasing SOB and green sputum. Sputum culture shows α-hemolytic gram positive cocci in chains. Name that bug! Links:
Full Episode Blog Post
Meded Media
BoardVitals (Use the promo code BOARDROUNDS and get 15% off.)
Follow Dr. Mike Natter on Instagram @mike.natter.
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Oct 30, 2019
34: Possible Complications of Deep Vein Thrombosis
A patient with a DVT has not been using his heparin, and now he's back with LLE weakness. What are his heart sounds, cranial MRI, and history revealing? Links:
Full Episode Blog Post
Meded Media
BoardVitals (Use the promo code BOARDROUNDS to save 15% off.)
Follow Dr. Mike Natter and his amazing artwork on Instagram @mike.natter
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Oct 23, 2019
33: Thinking Through a Radiating Holosystolic Murmur
Session 33
This middle-aged male has hypertension and diabetes. Which cardiac abnormality is giving rise to his radiating, high-pitched, holosystolic murmur?
We’re joined by Dr. Mike Natter from BoardVitals. Go check out his amazing artwork on Instagram @mike.natter.
Listen to this podcast episode with the player above, or keep reading for the highlights and takeaway points. [02:30] Question of the Week
A 58-year-old male is presenting for an evaluation of a heart murmur that was recently discovered at a work health fair. His past medical history is remarkable for hypertension and diabetes.
He has a nice chest pain, palpitations, syncope, or dyspnea. Cardiac auscultation reveals a high-pitched, blowing, holocystolic murmur at the apex. It radiates toward the axilla. The murmur does not increase in intensity with inspiration.
What is the most likely diagnosis?
(A) Mitral stenosis
(B) Ventricular septal defect
(C) Tricuspid regurgitation
(D) Aortic stenosis
(E) Mitral regurg…
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Oct 16, 2019
32: What Is the Location of this Myocardial Infarction?
Crushing substernal chest pain, bradycardia, elevated troponin, and decompensating! What are the subjective and objective signs of myocardial infarction?
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Sep 11, 2019
31: A Lung Tumor With Popcorn-Like Calcifications
Session 31
A 55-y/o heavy smoker is shown to have a peripheral, well-circumscribed mass with popcorn-like calcifications in the RUL. What is the lesion likely composed of?
Dr. Karen Shackelford from BoardVitals joins us once again as we delve into another case to prepare you for your Step 1 or Level 1 exam. Save 15% off their QBank by using the coupon code BOARDROUNDS.
BoardVitals has a powerful QBank with comprehensive explanation and rationales behind all of their questions. Get up-to-date board review questions. You can avail of their 3 or 6-month plan and ask a clinician. Ask one of the physicians behind all of the questions.
Listen to this podcast episode with the player above, or keep reading for the highlights and takeaway points. [01:48] Question of the Week:
A 55-year-old male with a 40-year history of smoking who undergoes a low-dose chest CT for lung cancer screening. Imaging results show a peripherally located, well-circumscribed 2-cm mass in his right upper lobe. It h…
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Sep 4, 2019
30: Which of These Bacteria Are Causing Pneumonia?
A 55-y/o heavy smoker is shown to have a peripheral, well-circumscribed mass with popcorn-like calcifications in the RUL. What is the lesion likely composed of?
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Aug 14, 2019
29: What Do Neurotransmitters Have to Do With Amenorrhea?
Session 29
Which of these neurotransmitters is mostly likely causing this patient’s galactorrhea and secondary amenorrhea? Where is it coming from?
Dr. Karen Shackelford from BoardVitals. When you're looking to prepare for your Step 1 or Level 1 board exams, check out how BoardVitals can help you. You can find all their amazing QBanks for Step1, Level 1, or even any of your SHELF exams. Use the coupon code BOARDROUNDS to save 15% off.
Listen to this podcast episode with the player above, or keep reading for the highlights and takeaway points. [01:37] Question of the Week
A 34-year-old woman presents with amenorrhea for six months (secondary amenorrhea). Her menstrual cycles have been regular until this episode. She has, most of her life, a period every 28 days with a menstrual period that lasted three days.
Today, on exam, a white nipple discharge is noted. A test for urine hCG is negative. Which of the following neurotransmitters suppresses the release of the hormone responsibl…
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Aug 7, 2019
28: The Clinical Signs of Renal Allograft Rejection
Session 28
A patient with a 2-month-old kidney transplant has elevated creatinine, fever, and tenderness at the graft region. What other finding is likely present?
As always, we’re joined by Dr. Karen Shackelford of BoardVitals as we dig into today’s case to help give you a better understanding.
Listen to this podcast episode with the player above, or keep reading for the highlights and takeaway points. [01:02] BoardVitals
If you're preparing for your USMLE Step 1 or COMLEX Level 1, check out how BoardVitals can help you prepare for your exam. Use the promo code BOARDROUNDS to save 15% off their QBanks. They have the 3-month version with over 1,700 questions. Once you're in medical school, they also have QBanks for the SHELF exams. [02:24] Question of the Week
The patient who has a history of kidney failure as a result of multicystic kidneys has an allograft kidney transplant. Two months later, she presents with fever, malaise, and tenderness in the graft region. Her lab work…
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Jul 31, 2019
27: Peptides and Isolated Cardiac Amyloidosis
Session 27
A patient with a history of arrhythmia is found to have atrial amyloid deposition on autopsy. Do you know what peptide is associated with this finding?
Dr. Karen Shackelford joins us for another round of interesting questions to help you ace your boards. If you haven’t yet, check out BoardVitals and use the promo code BOARDROUNDS to save 15% off.
Listen to this podcast episode with the player above, or keep reading for the highlights and takeaway points. [02:14] Question of the Week
The autopsy of the patient with a history of arrhythmia revealed amyloid deposition in the atria but no other amyloid was found in the ventricles. Which of the following peptides is associated with amyloid deposition in the atria? And what is that peptide's function?
(A) Calcitonin and reduction of blood calcium concentration
(B) Prolactin and gastric emptying
(C) Acetylcholine and positive chronotropy to sinoatrial node
(D) Immunoglobulin and cell-mediated immune response
(E) Atrial n…
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Jul 24, 2019
26: Why Is This Menstruating Patient So Sick?
Session 26
A 20-year-old menstruating adult is tachycardic, somnolent, and hypotensive with GI symptoms and macular rash. What sort of organism do you suspect?
As always, we're joined by Dr. Karen Shackelford from BoardVitals.
Listen to this podcast episode with the player above, or keep reading for the highlights and takeaway points. [01:35] Question of the Week
A 20-year-old female patient presents 5th day of her menstrual period complaining about abdominal pain, vomiting, watery diarrhea, and myalgia for 12 hours. On exam, her temperature is 103.13 F. Her blood pressure is 80/60 mm/Hg. And her heart rate is 135 beats per minute.
She is ill-appearing, somewhat somnolent, has hyperemic 02:04 and a generalized erythematous macular rash that involves her palms and soles. Which of the following best describes the cause of her illness?
(A) Gram-negative diplococci
(B) Gram-negative obligate intracellular bacteria
(C) Gram-positive facultative anaerobic cocci
(D) Single positive s…
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Jul 17, 2019
25: What will we See with Potential Pediatric Infection?
Session 25
Dr. Karen Shackelford form BoardVitals joins us once again as we dig deep into a question about the hematopoietic and immune system.
Listen to this podcast episode with the player above, or keep reading for the highlights and takeaway points. [01:05] About BoardVitals
If you're ready to prepare for your Step 1 or Level 1, go to BoardVitals. Their QBank system is set up to simulate the real USMLE Step 1 and COMLEX Level 1 exams. They have questions that are equally as hard to get you prepared for your exam.
Use the promo code BOARDROUNDS to save 15% off when you purchase any of their products. [02:20] Question of the Week
A 16-year-old male presents with a complaint of sore throat, fatigue and low-grade fever for three days. Exam reveals glossopharyngeal erythema with white exudates on his tonsils. He has enlarged posterior cervical lymph nodes and the posterior auricular lymph nodes are slightly enlarged. His spleen is palpable on abdominal exam. The throat culture is n…
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Jul 10, 2019
24: The Mechanism of Hepatitis D Superinfection
Session 24
We're joined by Dr. Karen Shackelford from BoardVitals as we talk about hepatitis and how antigens and antibodies appear and disappear during the course of infection.
Please also check out Specialty Stories, a podcast dedicated to helping you figure out what specialty you want to practice. Listen to different physicians as I interview them about why they chose their specialty, what they like and don't like about it, and much more.
Maximize your Step 1/Level 1 prep by checking out BoardVitals. Check out their 3 or 6-month plan where you get access to there over 1700-question QBank. Get detailed explanations and rationales for every question targeted to the Boards. Use the promo code BOARDROUNDS to save 15% off.
Listen to this podcast episode with the player above, or keep reading for the highlights and takeaway points. [02:20] Question of the Week
A 45-year-old male presents a sudden onset of flu-like symptoms and yellowing eyes which he thought looks scary to him when h…
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Jul 3, 2019
23: Etiology of an Absent Nerve Reflex of the Palate
Session 23
We're joined by Dr. Karen Shackelford from BoardVitals as we tackle a neuro question this week.
Maximize your Step 1/Level 1 prep by checking out BoardVitals. They have an amazing QBank that contains targeted questions. If you have a question about a question or explanation, for instance, simply click a button. This will allow you to ask a doctor and get a response within 24-48 hours. Use the promo code BOARDROUNDS to save 15% off.
Listen to this podcast episode with the player above, or keep reading for the highlights and takeaway points. [01:13] Question of the Week
A patient has a decreased level of consciousness and they're testing the gag reflex. The elevation of the soft palate is symmetric when he touched the left side. But when he touched the right side, there's no response.
Which of the following is true relating to this patient's condition?
(A) The glossopharyngeal nerve carries efferent fibers that mediate the gag reflex.
(B) The ideology of that absent ref…
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Jun 26, 2019
22: What is Causing This Pancreatitis?
Session 22
Today, we tackle a pathophysiology question related to pancreatitis. Once again, we're joined by Dr. Karen Shackelford from BoardVitals. Check out their QBanks containing 1,700+ questions for Step1/Level 1. Use the promo code BOARDROUNDS to save 15% off. [01:50] Question of the Week
A 45-year-old male presents to the hospital with abdominal pain and vomiting. He began to experience a dull pain in the epigastrium two days prior to admission that has progressively worsened. The pain radiates to his back.
He's had several episodes of bilious non-bloody vomiting. He has no prior medical conditions. And he takes no medications. He has a 20-pack per history of tobacco and drinks 6-10 beers daily.
The vital signs vary, has a temperature of 100 degrees Fahrenheit, and a heart rate of 102 beats per minute. He appears uncomfortable. On exam, his abdomen is soft and mildly distended, with marked right upper quadrant in epigastric tenderness to palpation. There is no rebound or guar…
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Jun 19, 2019
21: Sequelae of Streptococcal Pharyngitis
Session 21
Today, we’ve got some interesting case of a 14-year-old male with some malaise and abdominal pain.
Once again, we're joined by Dr. Karen Shackelford of BoardVitals. Check out the resources they have to offer. Use the promo code BOARDROUNDS to save 15% off upon purchasing a QBank.
Also, they have an Ask a Clinician feature where clicking a button gives you access to a physician who will help you through specific questions or content. This feature comes with their 3-month and 6-month plan.
This podcast is part of the Meded Media network where we help premeds and medical students as they journey towards becoming great physicians. [02:15] Question of the Week
A 14-year-old male is evaluated for malaise and abdominal pain. He reports passing dark urine this morning. His past medical history is significant for Streptococcal pharyngitis ten days ago, for which he received Amoxicillin.
Today, his vital signs are within normal limits, except for an elevated blood pressure of…
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Jun 12, 2019
20: Fetal Stress Test: USMLE and COMLEX Prep
Session 20
Today, we tackle another maternal-fetal or pregnancy question.
We're joined once again by Dr. Karen Shackelford from BoardVitals. They offer a comprehensive QBank for Step 1 and Level 1. And even as you continue on your medical school journey, they have QBanks for Shelf exams as well. Use the promo code BOARDROUNDS to save 15% on your purchase. Or text BOARDROUNDS to 44222 and we'll send you the link and promo code. [01:58] Question of the Week
A 39-year-old G1P0 presents at 37 weeks of gestation. She has not noticed any fetal movement for the past six hours. The fetal heart rate is 110 and a nonstress test was performed and it's nonreactive. Which of the following statements is correct?
(A) A fetal heart rate of 110 is abnormal.
(B) Fetal heart rate acceleration results from dopaminergic stimulation.
(C) Fetal hypoxemia usually leads to light decelerations.
(D) Fetal head compression results in reflex flowing of the fetal heart rate.
(E) Usually, a nonstress test le…
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Jun 5, 2019
19: Appropriate Management of PPROM at 26 Weeks Gestation
Session 19
Today, we have Dr. Karen Shackelford from Bard Vitals, joining us as we break down another question.
Meanwhile, have a look at Meded Media for more resources available to premeds and medical student.
Another podcast medical students could listen to is Specialty Stories, where I talk to different physicians about their career and their specialty. They talk about why they chose it and what they like about it. Also, learn about what you as a medical student could be doing to make yourself more competitive for this specialty. [01:40] Question of the Week:
A young woman is 26 weeks pregnant. She's 25 years old. Gravida 1 Para 0. 26 weeks gestation. She came into the emergency department complaining of leaking vaginal fluid for about three days, not huge, just some leaking.
She's had some intermittent contractions but they're fairly infrequent. A sterile speculum exam is performed. It revealed some pale, yellow, watery fluid in the vaginal valve. Her cervix is dilated 4 cm. T…
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May 29, 2019
18: Determining Causative Agent of a Severe and Painful Rash
Session 18
As always, I'm joined by Dr. Karen Shackelford from Board Vitals. If you haven't yet, check out Board Vitals and use the promo code BOARDROUNDS to save 15%. They have a huge database and question bank to help you get the practice you need to get the score that you need. [01:35] Question of the Week
An older patient comes in with a painful rash. We have a 64-year-old female who presents complaining of a severe painful rash that is localized to the left side of her upper back and neck. She knows that the area of the rash feels hot and burning and extremely painful.
She is otherwise healthy with no significant past medical history. On exam, her vital signs were within normal limits. And her exam is significant, primarily, because she has a large, red vesicular rash running along her left shoulder in confluent patches. She remarks that the lesions were smaller a few days ago and they quickly start to bubble over into larger 02:39. The physician performed a Tzanck smear to con…
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May 22, 2019
17: USMLE and COMLEX Prep: 10 y/o Pediatric Patient
Session 17
Dr. Karen Shackelford from BoardVitals is joining me once again for another round of discussion. This week, we tackle a certain kind of pediatric illness. [01:11] Question of the Week:
A 10-year-old male patient is evaluated for abdominal pain he has had for two days. He has a rash on his buttocks and thighs. It appeared about three days ago.
He's also complaining of some pain in his ankles and knees. His past medical history is unremarkable. But he was seen in the clinic two weeks ago with symptoms of an upper respiratory infection.
On physical exam, his abdomen has standard palpation. 01:42 He has multiple palpable purpuras on his buttocks and upper thighs. 01:50 His ankle is swollen and tender on the right. There's no warrant for eczema. His knee is tender.
But otherwise, his exam was unremarkable. His laboratory study is showing a normal CBC. On urine 02:09, he has microhematuria.
What is the most likely diagnosis?
(A) IgA vasculitis (formerly Purpura)
(B) Hemoly…
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May 15, 2019
16: USMLE and COMLEX Prep: 26 y/o Pregnant Immigrant
Session 16
We're joined once again by Dr. Karen Shackelford from BoardVitals. This week, we discuss a case about an immigrant from Central America who's pregnant. [01:30] Question of the Week:
A 26-year-old, G1P0 female is a recent immigrant from Central America and she presents with crampy abdominal pain and vaginal bleeding. By her dates, because she hasn't received prenatal care. She's of 25 weeks gestation and her past medical history is unremarkable.
She takes an over-the-counter multivitamin but no other medication. She denies alcohol, tobacco, or illicit drug use. And she spontaneously delivers a stillborn fetus.
The fetus is noted to have microcephaly and imaging performed reveals thinning of the cerebral cortices, ventriculomegaly, and subcortical calcifications.
Viral RNA is identified in both maternal and fetal body fluids. The virus is a neurotropic virus that disrupts proliferation migration and differentiation of neural precursor cells in the developing fetus.
Which…
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May 8, 2019
15: USMLE and COMLEX Prep: Tropical Medicine—Dengue Fever
Session 15
This week, we're joined by Dr. Karen Shackelford from BoardVitals.
If you're looking for more prep with your USMLE Step 1 or COMLEX Level 1 training, visit BoardVitals and check out their QBanks for Step 1 and Level 1.
Sign up for either 3 months, 6 months, or even 1 month. Your signup will have a vaccine donated through the #GiveVax program. If you sign up for the 3 months and 6 months, you'll get access to Ask a Clinician, where you can connect with the BoardVitals medical experts to answer your content questions.
Use the promo code BOARDROUNDS to save 15% off of your purchase. [02:17] About Dr. Karen Shackelford
Karen is a former ER clinician. She did her residency in medical school at the University of Mississippi. She eventually moved to Pennsylvania and began working remotely with BoardVitals as a contributor and editor. [03:20] Question of the Week
A 35-year-old female patient returned 10 days ago from a mission trip to Nigeria. He was evaluated in the clinic a…
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Apr 24, 2019
14: USMLE and COMLEX Prep: Psychiatry—Coping Mechanisms
Our psychiatry question is asking us to identify the description of behavior for our 38 y/o male patient. Follow along to test your knowledge of psychiatry!
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Apr 17, 2019
13: USMLE and COMLEX Prep: Mechanism of Injury for Foot Weakness
Session 13
We have a great musculoskeletal question for today. As always, we’re joined by Dr. Andrea Paul from Board Vitals. [01:30] Question
A 27-year-old male is undergoing evaluation for left foot weakness. On his exam, he’s unable to curl his toes. He has one of five strength with plantar foot flexion and five out of five with dorsiflexion. His foot is everted at rest and he has decreased sensation on the sole of his foot.
What was the most likely mechanism of his injury?
(A) Fibular neck fracture
(B) Hip dislocation
(C) L3 disc dislocation
(D) Knee trauma
(E) Pelvic fracture [03:45] Thought Process
If you have a fibular neck fracture, this will injure your perennial nerve where you will have lots of dorsiflexion and the sensation on the dorsum of the foot. So choice A is out
L3 is too high up as well. This involves the sciatic nerve. The patient would have felt a neuropathic pain down the back of the leg.
Hip dislocation is unlikely because the patient is a 27-year-…
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Apr 10, 2019
12: USMLE and COMLEX Prep: 65 y/o Female with a GI Bleed
Session 12
Today, we have a question regarding a 65 y/o patient with a GI bleed. Our job is to find where in the GI tract she is most susceptible to ischemia
We're joined once again by Dr. Andrea Paul from Board Vitals. If you're looking for a QBank to help you with your Step 1 or Level 1, check them out. Use the promo code BOARDROUNDS to save 15%. You may also sign up for a free trial to get a feel of what their platform is all about. They have over 1,750 questions for Step 1 and over 1,500 questions for Level 1 – enough to help make sure you have the knowledge necessary to get the best score possible. [02:55] Question of the Week
A 65-year-old female develops abdominal pain, bloody diarrhea 24 hours after undergoing hemicolectomy for recurrent diverticulitis. Her surgery was complicated by hypotension, blood pressure down to 70/50, treated, and her medical history is remarkable for diverticulitis, hypertension, dyslipidemia, coronary artery disease, no other episodes of any GI b…
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Apr 3, 2019
11: USMLE and COMLEX Prep: Glossopharyngeal Nerve Anatomy
Session 11
Today, we discuss a more straightforward, neuro-anatomy question about the glossopharyngeal nerve.
As always, we’re joined by Dr. Andrea Paul of Board Vitals. If you’re in the market for QBanks and practice tests for the USMLE/COMLEX, check out Board Vitals. Use the promo code BOARDROUNDS to save 15% on your purchase. [02:00] Question
Which of the glands of the options below are innervated by the efferent autonomic fibers of the glossopharyngeal nerve? [02:14] Answer Choices
You have to know what the glossopharyngeal nerve and what type of fibers are innervating the glands.
Answer choices:
(A) Nasal
(B) Submandibular
(C) Sublingual
(D) Parotid
(E) Lacrimal [02:45] Thought Process in Answering the Question
Glosso refers to the tongue and pharyngeal refers to the pharynx area. So this is somewhere around the mouth. The interesting with glossopharyngeal is that it has a range of effects. Some of the places it touches would surprise you. But first, you can elimina…
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Mar 27, 2019
10: USMLE and COMLEX Prep: Physiology of Cystic Fibrosis
Session 10
This week, we're going to tackle respiratory stuff, specifically about cystic fibrosis. Again, we're joined by Dr. Andrea Paul from Board Vitals. This podcast is part of the MedEd Media Network. Please share us with fellow residents as well as medical students and premeds who are also on this path towards becoming a physician. [02:41] Question of the Week:
An 8-year-old boy is presenting with a history of recurrent respiratory infections. His parents are complaining that the patient complains of fatty stools. Positive sweat chloride test confirms his diagnosis. The patient will likely have difficulty storing which of the following:
(A) Folate
(B) Vitamin B12
(C) Vitamin C
(D) Vitamin D
(E) Zinc [03:11] Thought Process
Most students would easily be able to identify the condition here would be cystic fibrosis. But this is not what they're asking. So the "sweat chloride" would be a strong buzzword painting that picture of cystic fibrosis.
Recurrent infection and fatty…
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Mar 20, 2019
9: USMLE and COMLEX Prep: Renal Pathology Patterns
Session 09
In our renal question today we are asked to identify the pattern we would see on electron microscopy. See if you can find where the question leads you!
Once again, we're joined by Dr. Andrea Paul from Board Vitals. If you're getting ready to start preparing for your Step 1 or Level 1exam, check out Board Vitals and their QBank. Use the promo code BOARDROUNDS to save 15% off your QBank purchase. For more resources, be sure to check out all our other podcasts on the MedEd Media Network. [02:50] A Challenging Area
Renal tends to come up in the top 3 of questions where people are going back because they answered them incorrectly or that they're saving and redoing questions in this category. This indicates a level of less confidence or knowledge gap that needs to be filled for most students. Andrea thinks renal is a challenging area being a complicated system with a lot of memorization involved in the different syndromes. It's a combination of genetics and pathophysiology and…
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Mar 13, 2019
8: USMLE and COMLEX Prep: Side Effects of Diabetes Medications
Session 08
Step 1 and Level 1 love to test the mechanisms or side effects of medications that treat diabetes. Follow along to test your knowledge of diabetic medications and side effects.
Once again, we're joined by Dr. Andrea Paul, Chief Medical Officer at Board Vitals. Reminder to everyone is that you may know the diagnosis but the question is not going to be that simple. So be prepared for so many different levels of questions and knowledge that you have to know. Use the promo code BOARDROUNDS to save 15% off their QBanks. [02:00] Diabetes Medications
There are lots of medications for diabetes so it makes it extra complicated and they have their own interesting set of side effects and mechanisms of action that you want to know because they're commonly tested.
As you're studying medications, first look at the overarching category. You don't have to remember every single medication within that overarching category. But in some cases like insulin, it's helpful to know the different…
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Mar 6, 2019
7: USMLE and COMLEX Prep: Application of Biochemistry
Session 07
We often associate biochemistry with undergrad, but biochemistry is present in many specialties! Let’s dive into the types of biochem questions you may see!
We're joined once again by Dr. Andrea Paul from Board Vitals as we help you prepare for your first board exam so you have what it takes to score high and match into your specialty of choice. Use the promo code BOARDROUNDS to save 15% on your QBank purchase. [03:30] Why Biochemistry?
Biochemistry is more applicable to some specialties than others. But just basic genetics and metabolic diseases, for instance, are seen in many specialties. Biochemistry comes into play especially when you talk about metabolic diseases. Hence, it's a commonly tested subject on the exam, more than the other basic science components. [04:41] Question for this Week:
A healthy married couple has a child who develops clinical symptoms of what you suspect to be a rare disease. Genetic testing revealed the patient's mother carries the mutated…
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Feb 27, 2019
6: 60 y/o Male with a Murmur: USMLE and COMLEX Prep
Session 06
Today, we start our board content. We thought that there is no better way to start than with the heart.
As always, I'm joined by Dr. Andrea Paul from Board Vitals, a company that helps you with your board prep. They feature an amazing QBank and software platform to help you maximize your score. Save 15% off any of their QBank packages by using the promo code BOARDROUNDS at checkout. [03:11] Scenario of a Heart Murmur in a 60-Year-Old Male
Case: A 60-year-old male is undergoing evaluation for a heart murmur. He's asymptomatic and his physician discovers a holosystolic murmur at the cardiac apex. The frequency of that murmur is increased when he expires and an echo confirms that there's a diagnosis to be found.
Question: Compared to a normal patient, which of the following hemodynamic changes would be most likely present?
Note: This involves multi-steps where you have to figure out from the murmur and it's confirming there is something so you could look at the murmur and…
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Feb 20, 2019
5: What Step 1 Score or Level 1 Score Should I Try to Get?
Session 05
USMLE Step 1 and COMLEX Level 1 scores can play a major role in the specialty that you match in to. Let’s talk about the score that you want to shoot for!
We're joined as always by Dr. Andrea Paul from Board Vitals, a testing platform to help you prepare for every step of your journey as a medical student, whether it's Step 1, Level 1, Step 2, Step 3, or all of the Shelf Exams that you have to take as a medical student, and beyond that once you're out in practice. They offer QBanks and everything they have to offer you, you're sure to be prepared for your test when it comes to test day. Save 15% when using the promo code BOARDROUNDS. [02:12] What Scores to Shoot For
Andrea says that USMLE has a secret recipe that they score with but they don't disclose it but the scores range from 1 to 300. (But they won't officially say that.) Most people score between 140 and 260. The average in 2018 was 229 with a standard deviation of 20. So you're looking at a 209 to 249, which is…
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Feb 13, 2019
4: Biggest Mistakes Students Make When Studying for the Boards
Session 04
Every year med students around the world prepare for their boards. Many of those students are making mistakes preparing for USMLE Step 1 and COMLEX Level 1.
Once again, we’re joined by Dr. Andrea Paul from Board Vitals. Be sure to check them out because not only do they have the Level 1/Step 1 QBanks, but all of the shelf exams as you continue to move forward through your medical education! [03:03] Mistake #1: Not Giving Your Full Attention
Students can find themselves doing so many stuff that they forget to focus on what they really need to focus on. If your mind starts to stray away, then that's a signal that you need to take a rest or break. Reset so you can get back to focus instead of just pushing through. Otherwise, you may just miss how many important points. So get up. Take a stretch. Take a minute. And then come back and be fully focused again. Slow down and it will help you in the long run.
"The length of time isn't necessarily reflective of the quality of th…
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Feb 6, 2019
3: When Should I Start Studying for USMLE Step 1 and COMLEX?
Session 03
Board Rounds is back with BoardVitals and Dr. Andrea Paul to discuss when you should start preparing for the USMLE Step 1 and COMLEX Level 1 exams.
This week, we're going to dive into when you should start preparing for these exams. The Step 1/Level 1 are going to be one of the most important pieces in your residency journey. And so we need to make sure you're preparing as best as possible and when you start doing that. [02:11] When to Start Thinking About Preparing for the Boards
Sit down and start with setting a goal. Which specialty are you planning to apply to or would you like to be able to apply to? What's the minimum score would you feel is acceptable or competitive for those areas.
Then look at your schedule to see what time you're available or what time do you want to dedicate for studying. And sticking to that is really important. Be present and work harder on those hours. Always have some flex days, especially towards the end. [04:49] Setting Dedicated Time
Y…
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Jan 30, 2019
2: What are the USMLE Step 1 and COMLEX Level 1 Exams?
Session 02
Once again, we're joined by Dr. Andrea Paul from BoardVitals. In this episode, you will learn all you need to know about Step 1, how long to take it, when to take it, and what makes it different from the MCAT so you know what to expect before we jump right into the actual test prep! [01:10] More About Board Vitals
If you need more help, check out Board Vitals and you get everything you need to expect from a board prep company including challenging questions, time and untimed question banks, progress tracker and advanced analytics and reports to help you direct your studying. This is something most students don't take enough advantage of. You really need to know what you're doing or missing, or what you're getting right to be able to know what to do tomorrow.
Plus, you get to see how you rank with your peers. With over 1,750 questions in their USMLE question bank, BoardVitals will make sure you have access to the questions you need to be prepared and confident going into y…
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Jan 23, 2019
1: Welcome to Board Rounds with BoardVitals
Session 01
The Medical School Headquarters and BoardVitals are going to help you prepare for your first board exam with questions, pearls of information, and guidance to make sure you have what it takes to score high and match into your specialty of choice!
Board Rounds is a podcast for medical students as they prepare for Step 1 or Level 1 of the USMLE or COMLEX exams. Please follow us along with all our other podcasts on MedEd Media Network.
BoardVitals is an amazing test prep company that helps medical students and almost everybody in health care with their exams. Whether it's the Shelf Exam while you're doing rotations or your clinical years, or even later on as a physician studying for your boards, BoardVitals has got something that will help you every step of the way!
Today, we're joined by Dr. Andrea Paul and learn all about her journey and all about BoardVitals. [02:00] About Dr. Paul and BoardVitals
A physician by training, Andrea took the Internal Medicine route and tran…
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