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  1. #1
    Anonymous is offline Unregistered Guest
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    USMLE Step 3 CCS

    Please add any recent CCS cases or solutions to this thread. Good luck.


    Recent CCS posted by someone

    1. A 30 year old female patient with a cold and infraorbital headache --maxillary sinusitis.
    2. A Latino 30 yr old pharmacist with low grade fever and PPD test positive -- treatment of tuberculosis.
    3. A Latino male who is s/p colon carc resection and admitted to hosp. for treatment of pneumonia developed chest pain - pul.edema/chf.
    4. A Latino alcoholic female who is pale and tired; cbc shows hyperseg. neutrophils and increased MCV--folic acid deficiency anemia.
    5. A Latino 12 month old child with high fever (40 C) --blood culture showed gram positive coocci in pairs(work up of sepsis)
    6.A 25 year old female with H/o DM Type I came to er with n/v loss of appetite ---DKA with urinary tract infection ( as UA showed positive nitrites and leukocytes)
    7. A young female with burning urination and foul smelling vag discharge--Trich vaginitis.
    8. A 60 year old female with headaches and stiffness of joints----Polymyalgia rheumatica.

  2. #101
    Anonymous is offline Unregistered Guest
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    CCS

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    CCS
    1. Young women in DKA and UTI Her UTI did not get better till end.

    2. Homeless man with cough and white sputum and SOB. I did HIV test it was negative. did every thing but did not get better. He did not have fever or high wbc, so I did not give him abx. I dont know what was that.

    3. G6PD deffi

    4. GERD

    5. Complete Heart block.

    6. 46 yr AA female with fatigue. TSH was normal. Did all the workup.
    7. cystic fibrosis.

    8. uti with pregnancy.

    9. Trichomonas vaginitis.
    I did bad in 4 ccs out of 9 did not know what is going on. you have to be careful about time. When working on ccs time is not enough.

  3. #102
    Anonymous is offline Unregistered Guest
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    ccs

    I took the test yesterday and here is my ccs qs.
    1-intussusception--kid was brought by his mother to office so after I examin him sent him to Er and xay showed the diag. called pads surgery and barium enema
    2-cystic fibrosis--again kid was brought to office for not gaining wt. but was not in distress, no active symptoms, sent him home with lbs and when came back confirmed diag of cydtic fibrosis, panc enzyme, vaccine, geneic counse, multi vit, diet consult.
    3- panic attack-- gave one dose of alprazolam and put him on paroxitin, then screen showed that pt. never had attack again
    Lung cance- confirmed by bronchoscopy and biopsy and onco was consulted.
    4-preg. with UTI responded v well to ABX and when came back to office I did prenatal testing and repeated the UA case ended
    5-Diverticulitis cepro and flagyl responded v well
    6-DKA and MI this was tough in the sense I couldnt send the pt. home long mgt.
    7-hypothyroidism--I forgot to do lipid profile other wise when sh came back I did pap smear and ordered mamo cause she was 44 and no mammo befor
    8-asthma case
    I think USMLE world is very helpfl to pactice for ccs, good luck and I will try to writ soe MCQ too very soon good luck

  4. #103
    Anonymous is offline Unregistered Guest
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    ccs

    1. Atelectasis= once you did spirometry and bronchoscopy the case will end. cheer up
    2. fatigue with borderline hypertension.
    3. fatigue and FOBT +ve. but it will come to erosive gastritis.
    4. bilateral infiltrates (PCP
    5. Lead poisoning in child
    6. G6PD
    7. Trauma basic management.
    8. poisoning basic management. may b it was opiod ?

    Hope this helps
    i had these cases recently. Good Luck

  5. #104
    kayracepin is offline Newbie 510 points
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    my css cases were:
    1.hypoglycemia in newborn
    2.Acute cholicystitis
    3.pneumonia(strep)
    4. turner(rutine check up)
    5.opioid intoxication
    6.MI
    7.pud
    8.UTI
    9.?

  6. #105
    MOST Guest

    Thumbs up Md

    Thanks for your time and energy

  7. #106
    Unregistered1234 Guest

    CCS cases strategy

    Thanks everyone for your contributions. The list of cases on here are a great resource.
    I find the notes on UW (usmle world) and FA (First Aid) good for study.
    The interactive CCS cases on US123 (usmle ***** ***.com) are good for practice.

  8. #107
    placenta is offline Newbie 510 points
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    with CCS, is the diagnosis usually pretty obvious after the initial H &P? one just has to then order things algorithmically?

  9. #108
    m2512 is offline Junior Member 510 points
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    they are

    pretty much the same as nowadays cases

  10. #109
    kmans is offline Newbie 510 points
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    For step 3 , CCS- I would reccomend *************.com for the CCS.

    they are very good

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