USMLE World Racist?

[iliacus]

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I'm about 70% done with the questions and my ego is bruised and battered. Some of these questions are so outrageous the only thing that gives me comfort is that only 19% of you get some of them right...and I'm assuming those were lucky guesses. It seems that every other question with "hispanic female" is an STD question? Are hispanic females more prone to STD's? I live in south florida and date a lot of hispanic girls...is there something I should know..or did Lou Dobbs write these questions?

 

[cbdoctor]

Though that has crossed my mind on other questions (different ethnicities than Hispanics), but I'm not convinced that UW is racist. The nature of Step 2 questions is to often place detectable cues of a specific pathology; one cue is ethnicity.

I just did a question on a Hispanic female with intrahepatic cholestasis of pregnancy (highest incidence in people from Bolivia/Chile). Not STD related.

 

[watermen]

I'm about 70% done with the questions and my ego is bruised and battered. Some of these questions are so outrageous the only thing that gives me comfort is that only 19% of you get some of them right...and I'm assuming those were lucky guesses. It seems that every other question with "hispanic female" is an STD question? Are hispanic females more prone to STD's? I live in south florida and date a lot of hispanic girls...is there something I should know..or did Lou Dobbs write these questions?

I don't think it is racist. They always like to typify...examples:

Garderner got cut on the finger, think of sporotrichosis.

South East Asian just came to US, think of TB.

Someone p/w with a CXR nodules living in Ohio, think of histoplasmosis.

Someone from the north east..think of lyme.

Very sick African American boy, think of sickle cell.

Repeat URI in a white person, think of cystic fibrosis.

Diarrhea after eating chinese fried rice, think of bacillus cereas.

12 yo fat boy with limping, think of Legg-Calve-Perthes Disease.

Someone from Brazil, p/w abnormal EKG, think of Chagas disease.

There are just so many more typical scenarios...it is not really racist, since every race is involved.

 

[arthrodisiac]

12 year old boy is scfe, not legcalvesperthes. if you are going to be a racist...get it right. : )

 

[watermen]

12 year old boy is scfe, not legcalvesperthes. if you are going to be a racist...get it right. : )

😀 Sorry about it, you are right, SCFE is more common,...but 12 yo boy can p/w Legg-Calve-Perthes Disease as well.😀

 

[iliacus]

Here's one I got tonight...tell me if you've had it.

46 year old female with ruq pain. U/S showed a fluid filled cyst. What job could she have worked before?

commercial sex worker

sheep farmer

pig farmer

railroad worker

nurse

Who is the xenophobic SOB who writes this sh#t!

 

[iliacus]

I'm sorry I forget the most important part..the question was

46 y/o MEXICAN female...

 

[watermen]

Here's one I got tonight...tell me if you've had it.

46 year old female with ruq pain. U/S showed a fluid filled cyst. What job could she have worked before?

commercial sex worker

sheep farmer

pig farmer

railroad worker

nurse

Who is the xenophobic SOB who writes this sh#t!

Sheep farmer, hydatid cyst?

Gay = Amebic Liver Abscess

 

[Law2Doc]

I don't think it is racist. They always like to typify...examples:

Garderner got cut on the finger, think of sporotrichosis.

South East Asian just came to US, think of TB.

Someone p/w with a CXR nodules living in Ohio, think of histoplasmosis.

Someone from the north east..think of lyme.

Very sick African American boy, think of sickle cell.

Repeat URI in a white person, think of cystic fibrosis.

Diarrhea after eating chinese fried rice, think of bacillus cereas.

12 yo fat boy with limping, think of Legg-Calve-Perthes Disease.

Someone from Brazil, p/w abnormal EKG, think of Chagas disease.

There are just so many more typical scenarios...it is not really racist, since every race is involved.

I'm not sure any of those are really the same thing as the OP was talking about. Saying folks from foreign countries or certain ethnic groups are more likely to have had exposure to certain diseases or genetics is very different than suggesting they are more promiscuous, which is what an STD questions presumably implies.

 

[Old_Mil]

CDC Numbers...

In 2004, the rate of chlamydia among African-American females in the United States was more than 7 times higher than the rate among white females (1,722.3 and 226.6 per 100,000, respectively). The chlamydia rate among African-American males was more than 11 times higher than that among white males (645.2 and 57.3 per 100,000 population, respectively). .

In 2004, 69.6% of the total number of cases of gonorrhea reported to CDC occurred among African-Americans. In 2004, the rate of gonorrhea among African-Americans was 629.6 cases per 100,000 population, among American Indian/Alaska Natives the rate was 117.7, and among Hispanics the rate was 71.3. These rates are 19, 4, and 2 times higher, respectively, than the rate among whites in 2004 of 33.3 cases per 100,000 population. The rate of gonorrhea among Asian/Pacific Islanders in 2004 was 21.4 cases per 100,000 population . . . .

In 2004, 41% of all cases of P&S syphilis reported to CDC occurred among African-Americans and 40% of all cases occurred among non-Hispanic whites. The 2004 rate for African-Americans was 6 times greater than the rate among non-Hispanic whites . . . . The rate among Hispanics in 2004 was 2 times greater than the rate among non-Hispanic whites.

In the end, when it comes to STDs, incidence and prevalence are merely measures of collective human behavior. It would seem as if USMLEWorld is merely writing questions that reflect the above.

 

[radiocures]

Sheep farmer, hydatid cyst?

Gay = Amebic Liver Abscess

mexican commercial sex worker with intimate contact w/ sheep perhaps? sounds like a usmle world explanation to me.