How to Break Down a Question | USMLE Step 1 | Microbiology
Channel: MedSmarter
Date: 2021-07-07

How to break down a USMLE Step 1 question, from MedSmarter with Dr. Jason Colip.

The attached video is the breakdown of a question regarding Microbiology.  

A 50-year-old obese female with poorly controlled non-insulin-dependent diabetes mellitus presents with fever to 39.4° C (102.9° F), jaundice, hypotension, and acute onset of right upper quadrant pain. Abdominal imaging shows multiple gallstones and cholecystitis. Urgent cholecystectomy is performed, and subsequent gall bladder fluid and blood cultures grow aerobic, non-lactose-fermenting, oxidase-positive, gram-negative rods. Blood tests show: 

Hematocrit: 25%
WBC count: 15,300/mm3
Platelet count: 80,000/mm3 
International Normalized Ratio: 3.2 
D-dimer: 8200 ng/mL 
Fibrinogen levels: low 

Microscopic inspection of peripheral blood smear shows schistocytes and multiple helmet cells. Clinically, there is no evidence of active bleeding. What is the most appropriate treatment for this patients’ coagulopathy?
 
We break down the concepts in simple terms in shorter videos so students can focus on the Educational Objective to get a deep understanding of the concept.

We help Medical Students pass their USMLE Step 1 Exams and provide Live and Live Online Review Courses as well as 1:1 Tutoring.  

Jason Colip, MD - USMLE Instructor
AUIS Alumni
USMLE Promo Code: PROF1

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