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Step II Step up to step 2 Errata
Started by dshnay
DIT took it down, it is included in the DIT 2012 series where the lecturers will go through it (source: from the DIT facebook page where someone asked this very question)
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Errors Posted On 6-7-2011
21
Figure 1-19 - The Jones criteria are for the diagnosis of acute rheumatic fever, not rheumatic heart disease. The major Jones criteria include erythema marginatum, not erythema nodosum.
50
Hemothorax - #4 Should read CXR resembles that for pleural effusion (blunting of costophrenic angles). The x-ray findings listed correspond to pneumothorax, not pleural effusion/hemothorax.
83
Portal Hypertension - #7 should read paracentesis shows serum with albumin > ascites albumin by at least 1.1g/dL. (Look up serum-ascites albumin gradient [SAAG] for further information.)
93
Quick Hit - Nephrotic syndromes are characterized by the presence of proteinuria >3.5g/day, not 3g/day.
93
Nephritic Syndromes - #3 24-hr urine collection measures protein <3.5g/day, not 3g/day.
95
Nephrotic Syndromes - #1 the cut-off for diagnosing nephrotic syndrome is >3.5 g/day, not 3g/day.
130
Table 6-4 In the row for Hydrops Fetalis, write in Barts hemoglobin under characteristics. In the row for Hemoglobin H disease, cross out Barts hemoglobin in serum.
132
Table 6-5 Type II Hypersensitivity includes hemolytic disease of the newborn, not hemolytic disease of the syndrome.
Errors Posted On 6-22-2010
22
Endocarditis - #4a - replace Staphylococcus pyogenes with Streptococcus pyogenes.
209
Psoriatic arthritis - #1 - replace 1% with 10-30%.
210
Figure 9-7 - replace femur with tibia.
225
Precocious puberty #4b - Clarification of*the term*"adrenarche." Adrenarche indicates the onset of production of androgens by the adrenal cortex which precedes axillary hair growth.
Color plate 2-1
Replace Staphylococcus with Streptococcus.
233
Premenstrual syndrome - in the title replace dystrophic with dysphoric.
236
Cervicitis -*#5*- Fluoroquinolones are no longer used*for cervicitis due to antibiotic resistance.
251
Preeclampsia -*#4a - replace*"> 4g protein" with*"> 300mg protein."
263
Table 12-10 - Stage 1, Activity column -*Active phase should correctly state "1.2 cm/hr for nulliparous women, and 1.5 cm/hr for multiparous women."
Errors Posted On 7-16-2009
22
Table 1-7 - In the right column, to make the diagnosis of infective endocarditis using the Duke criteria, you either need 2 major criteria, 1 major and 3 minor criteria, or 5 minor criteria.
26
Table 1-11 - Neurogenic shock Mechanism - should read "Widespread peripheral vasodilation and bradycardia."
28
Polyarteritis Nodosa - #1e - delete the p-ANCA association with polyarteritis nodosa. In fact, if analysis reveals a (+) p-ANCA, this indicates that it is more likely to not be polyarteritis nodosa.*
35
Table 2-2 - FVC in obstructive lung disease should be down arrow not up arrow
35
Viral influenza - #4d - Amantadine is no longer used in the treatment of influenza due to widespread resistance. Oseltamivir (Tamiflu) or Zanamivir (Relenza) are currently used, but resistance is developing to these drugs as well.
38
Table 2-4 - Viral Pneumonia Treatment- Replace amantidine with oseltamivir or zanamivir (see above correction on p35).
38
Atypical Bacterial Pneumonia - Atypical pneumonias are called atypical because patients may not present with the classic symptoms of pneumonia despite obvious infection on CXR. The only organisms responsible for atypical pneumonia are M. pneumoniae, L. pneumophilia, and C. pneumoniae. The other organisms listed in this category do not cause atypical pneumonia.
50
Pneumothorax - #5e - immediate needle decompression should take place at either (1) 4th or 5th IC space at the mid-axillary line or (2) 2nd or 3rd IC space at the mid-clavicular line.
57
Table 3-1 - C. diff Signs and Symptoms - C. diff. can cause either a watery or bloody diarrhea.
69
Figure 3-9 - Change "perform string test (Giardia)" to "Ova & Parasites x3 sets (O&Px3)" - (explanation in the course videos).
77
GI bleeding - #6 - Change "prophylactic antibiotics in patients with a known history of cirrhosis" to "prophylactic beta-blockers in patients with*esophageal varices to decrease the incidence of rebleeding"
101
Figure 4-5 -*This figure is so messed-up*that you'll have to watch the course video for this correction!
Errors Posted On 6-30-2009
3
Figure 1-3 -*The PR interval*as drawn should begin at the start of the P wave and continue*to the beginning of the QRS complex.
13
Next Step in margin should read "In a patient with Afib of unknown duration or duration greater than 2 days, TEE (transesophageal echocardiogram) should be performed before cardioversion..."
14
Table 1-4 - Add MAT to the potential uses of beta-blockers.
15
CHF - #2b - cross-out Eisenmenger's syndrome. Eisenmenger's syndrome occurs when an uncorrected congenital left-to-right shunt later becomes a right-to-left shunt with cyanosis.
148
Figure 7-1 - In adults, each arm represents 9% of the body surface area and each leg represents 18% of the body surface area.
154
Figure 7-4 - The new treatment protocol for V.fib starts with shocking at 360J initially rather than the previous protocol of 200J --> 300J --> 360J.
171
Figure 8-2 - The labels of anterior and posterior should be reversed.
174
TIA - #1 should read "Acute focal neurologic deficits that last < 24 hours ...
177
last Quick Hit - should read "... can help differentiate it from blood in the CSF resulting from subarachnoid hemorrhage." Xanthochromia is the yellowing of the CSF that occurs as hemoglobin is broken down into bilirubin after subarachnoid hemorrhage.
182
ALS - #1 add "...involving degeneration of the anerior horn cells and corticospinal tract."
184
Syringomyelia - #3b - delete the entire sentence due to the fact that with syringomyelia there are no symptoms below the cavity especially not involving the dorsal columns (proprioception and vibration) or the corticospinal tract (spasticity and increased DTRs)
185
first Quick Hit - delete the entire Quick Hit due to the fact that one of the hallmarks of Guillain-Barre is the notable absence of sensory impairment.
185
last Quick*Hit - Astrocytoma is the most common brain tumor in children followed by Medulloblastoma then Ependymoma.
188
Figure 8-6 - Multiple errors: (1) ocular mobility -->*ice water (caloric testing) -->*conjugate deviation toward the ice water side -->*intact brain stem (2) motor function --> spastic paralysis --> high spinal cord injury (3) motor function -->*decerbrate posturing (elbows extended, legs extended)
195
Meniere's disease - In #4 Treatment, replace acetazolamide with thiazide diuretics.
290
Somatization disorder - #3 H/P should read "*diagnosis requires symptoms in four unrelated regions:"
21
Figure 1-19 - The Jones criteria are for the diagnosis of acute rheumatic fever, not rheumatic heart disease. The major Jones criteria include erythema marginatum, not erythema nodosum.
50
Hemothorax - #4 Should read CXR resembles that for pleural effusion (blunting of costophrenic angles). The x-ray findings listed correspond to pneumothorax, not pleural effusion/hemothorax.
83
Portal Hypertension - #7 should read paracentesis shows serum with albumin > ascites albumin by at least 1.1g/dL. (Look up serum-ascites albumin gradient [SAAG] for further information.)
93
Quick Hit - Nephrotic syndromes are characterized by the presence of proteinuria >3.5g/day, not 3g/day.
93
Nephritic Syndromes - #3 24-hr urine collection measures protein <3.5g/day, not 3g/day.
95
Nephrotic Syndromes - #1 the cut-off for diagnosing nephrotic syndrome is >3.5 g/day, not 3g/day.
130
Table 6-4 In the row for Hydrops Fetalis, write in Barts hemoglobin under characteristics. In the row for Hemoglobin H disease, cross out Barts hemoglobin in serum.
132
Table 6-5 Type II Hypersensitivity includes hemolytic disease of the newborn, not hemolytic disease of the syndrome.
Errors Posted On 6-22-2010
22
Endocarditis - #4a - replace Staphylococcus pyogenes with Streptococcus pyogenes.
209
Psoriatic arthritis - #1 - replace 1% with 10-30%.
210
Figure 9-7 - replace femur with tibia.
225
Precocious puberty #4b - Clarification of*the term*"adrenarche." Adrenarche indicates the onset of production of androgens by the adrenal cortex which precedes axillary hair growth.
Color plate 2-1
Replace Staphylococcus with Streptococcus.
233
Premenstrual syndrome - in the title replace dystrophic with dysphoric.
236
Cervicitis -*#5*- Fluoroquinolones are no longer used*for cervicitis due to antibiotic resistance.
251
Preeclampsia -*#4a - replace*"> 4g protein" with*"> 300mg protein."
263
Table 12-10 - Stage 1, Activity column -*Active phase should correctly state "1.2 cm/hr for nulliparous women, and 1.5 cm/hr for multiparous women."
Errors Posted On 7-16-2009
22
Table 1-7 - In the right column, to make the diagnosis of infective endocarditis using the Duke criteria, you either need 2 major criteria, 1 major and 3 minor criteria, or 5 minor criteria.
26
Table 1-11 - Neurogenic shock Mechanism - should read "Widespread peripheral vasodilation and bradycardia."
28
Polyarteritis Nodosa - #1e - delete the p-ANCA association with polyarteritis nodosa. In fact, if analysis reveals a (+) p-ANCA, this indicates that it is more likely to not be polyarteritis nodosa.*
35
Table 2-2 - FVC in obstructive lung disease should be down arrow not up arrow
35
Viral influenza - #4d - Amantadine is no longer used in the treatment of influenza due to widespread resistance. Oseltamivir (Tamiflu) or Zanamivir (Relenza) are currently used, but resistance is developing to these drugs as well.
38
Table 2-4 - Viral Pneumonia Treatment- Replace amantidine with oseltamivir or zanamivir (see above correction on p35).
38
Atypical Bacterial Pneumonia - Atypical pneumonias are called atypical because patients may not present with the classic symptoms of pneumonia despite obvious infection on CXR. The only organisms responsible for atypical pneumonia are M. pneumoniae, L. pneumophilia, and C. pneumoniae. The other organisms listed in this category do not cause atypical pneumonia.
50
Pneumothorax - #5e - immediate needle decompression should take place at either (1) 4th or 5th IC space at the mid-axillary line or (2) 2nd or 3rd IC space at the mid-clavicular line.
57
Table 3-1 - C. diff Signs and Symptoms - C. diff. can cause either a watery or bloody diarrhea.
69
Figure 3-9 - Change "perform string test (Giardia)" to "Ova & Parasites x3 sets (O&Px3)" - (explanation in the course videos).
77
GI bleeding - #6 - Change "prophylactic antibiotics in patients with a known history of cirrhosis" to "prophylactic beta-blockers in patients with*esophageal varices to decrease the incidence of rebleeding"
101
Figure 4-5 -*This figure is so messed-up*that you'll have to watch the course video for this correction!
Errors Posted On 6-30-2009
3
Figure 1-3 -*The PR interval*as drawn should begin at the start of the P wave and continue*to the beginning of the QRS complex.
13
Next Step in margin should read "In a patient with Afib of unknown duration or duration greater than 2 days, TEE (transesophageal echocardiogram) should be performed before cardioversion..."
14
Table 1-4 - Add MAT to the potential uses of beta-blockers.
15
CHF - #2b - cross-out Eisenmenger's syndrome. Eisenmenger's syndrome occurs when an uncorrected congenital left-to-right shunt later becomes a right-to-left shunt with cyanosis.
148
Figure 7-1 - In adults, each arm represents 9% of the body surface area and each leg represents 18% of the body surface area.
154
Figure 7-4 - The new treatment protocol for V.fib starts with shocking at 360J initially rather than the previous protocol of 200J --> 300J --> 360J.
171
Figure 8-2 - The labels of anterior and posterior should be reversed.
174
TIA - #1 should read "Acute focal neurologic deficits that last < 24 hours ...
177
last Quick Hit - should read "... can help differentiate it from blood in the CSF resulting from subarachnoid hemorrhage." Xanthochromia is the yellowing of the CSF that occurs as hemoglobin is broken down into bilirubin after subarachnoid hemorrhage.
182
ALS - #1 add "...involving degeneration of the anerior horn cells and corticospinal tract."
184
Syringomyelia - #3b - delete the entire sentence due to the fact that with syringomyelia there are no symptoms below the cavity especially not involving the dorsal columns (proprioception and vibration) or the corticospinal tract (spasticity and increased DTRs)
185
first Quick Hit - delete the entire Quick Hit due to the fact that one of the hallmarks of Guillain-Barre is the notable absence of sensory impairment.
185
last Quick*Hit - Astrocytoma is the most common brain tumor in children followed by Medulloblastoma then Ependymoma.
188
Figure 8-6 - Multiple errors: (1) ocular mobility -->*ice water (caloric testing) -->*conjugate deviation toward the ice water side -->*intact brain stem (2) motor function --> spastic paralysis --> high spinal cord injury (3) motor function -->*decerbrate posturing (elbows extended, legs extended)
195
Meniere's disease - In #4 Treatment, replace acetazolamide with thiazide diuretics.
290
Somatization disorder - #3 H/P should read "*diagnosis requires symptoms in four unrelated regions:"
Thanks http://forums.studentdoctor.net/member.php?u=366937Guillemot
Just noticed a couple of errors in the GI section that aren't already on the list.
p. 61 - it says that esophageal SCC is more common than esophageal adenocarcinoma. This is true in developed countries, but not in the US.
p. 63 - it mentions cisapride as the prototypical example for promotility agents, but cisapride is no longer on the market.
p. 58 - it says the treatment for HCV is "IFN-a; consider ribavirin" - recent evidence shows that IFN and ribavirin should always be used together.
Later down in the same table, it mentions high infant mortality in pregnant women with HEV, but it's not just infant mortality - fulminant hepatic failure in the mother is much more strongly associated with HEV infection in pregnancy.
And those are just the mistakes that I noticed.
p. 61 - it says that esophageal SCC is more common than esophageal adenocarcinoma. This is true in developed countries, but not in the US.
p. 63 - it mentions cisapride as the prototypical example for promotility agents, but cisapride is no longer on the market.
p. 58 - it says the treatment for HCV is "IFN-a; consider ribavirin" - recent evidence shows that IFN and ribavirin should always be used together.
Later down in the same table, it mentions high infant mortality in pregnant women with HEV, but it's not just infant mortality - fulminant hepatic failure in the mother is much more strongly associated with HEV infection in pregnancy.
And those are just the mistakes that I noticed.
I think it's still the only book that's comprehensive and detailed. FA is a bit superficial, and the other books aren't really comprehensive.
Yeah, it is a pretty good book. While some of the errors in the errata are real errors, some others are just bad sentence constructions. Also, the very first one about ER burn %, I think Step up book is actually correct because they are showing both anterior and posterior with 9% on each leg. That makes it a total of 18% per leg.
Thanks shan564! About the IFN-a + ribavirin and that type of stuff-- it is new evidence. My professors have told us a couple of different times that for step 2 CK, the right answer on the test itself might actually be wrong in the clinic. Apparently it takes some time, maybe like a year or two, before new information can be incorporated into questions, tested as experimental questions, then actually used for scoring. Regardless, I'm sure that knowing the most recent evidence will help in ending up at the "correct" answer on the test. 🙂
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Is there an errata PDF out for the third edition? I know people are saying DIT has an errata version can anyone post that or is that the one above?
bump....just to make sure is the 3rd edition good and mostly fixed from the errors of the 2nd edition?
Anyone have a list of errata from the 4th edition?
