Which criteria do you think are high yield?

[pedsmedstudent]

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Which criteria do you feel are high yield for Step 2?

Here are some that I have seen in other threads. Are these what you consider important for Step 2, or are there more, or are some of these not as important?

Just curious on your thoughts. CK in 6 days!

SAAG, Lights, Ranson, CHADS, MELD, ATP3, Ottawa rules

 

[lord_jeebus]

SAAG and Light's seem fair, I could see them testing Ranson's also.

The others seem unlikely to come up.

 

[DrTacoElf]

For ATP3 it suggests LDL to be less than 100 but I see all over the place for very high risk we want it less than 70. Comments?

 

[Captopril]

I've seen ATP3 a couple times on UWorld, so wouldn't hurt to learn that either. It's about 3 minutes of studying anyway.

SAAG and Light's seem fair, I could see them testing Ranson's also.

The others seem unlikely to come up.

 

[DoctorBob]

For ATP3 it suggests LDL to be less than 100 but I see all over the place for very high risk we want it less than 70. Comments?

For test purposes I would say <100. The not so updated ATP3 (2004, latest one though), states that <70 is an optional goal. I think this guideline is too hazy to actually test. But who knows.

 

[OveractiveBrain]

Which criteria do you feel are high yield for Step 2?

Here are some that I have seen in other threads. Are these what you consider important for Step 2, or are there more, or are some of these not as important?

Just curious on your thoughts. CK in 6 days!

SAAG, Lights, Ranson, CHADS, MELD, ATP3, Ottawa rules

I think in general, the Step 2 is about diagnosis, and a little management. I think all of these are too detailed to be tested on the Step.

Ransons. What they want you to know is positional epigastric pain that radiates to the back. Give IVF, NPO, Analgesia. DONT get a CT at initial presentation, get it to evaluate complications days to weeks later. Drain psuedocyst if >6cm or >6weeks. They don't want you to say "what is this guys chance of dying using a table of 10 factors at admission and at 48 hours, a thing you could easily look up, but we want you to memorize."

Definitely not MELD, thats a ridiculous calculation. MAYBE Childs-Pugh, but I didn't get a question on it. (the Albumin, PT, Ascites, yadda yadda).

CHADS is a clinical decision maker, and there is no cutoff score for "start" or "dont start." Great knowledge for life, useless for the test. Its going be "dude with afib needs what?" (Warfarin, I don't Think Dabigatran/Pridaxa is on the test yet)

I could go on. I think it's great knowledge to have, so I don't want to discourage you. But I also would not perseverate on the details of each criteria, only to miss the questions on the test. Step 2 is WAY easier than those criteria would test.

For reference, I got a 252, with everything to the right of average (usually red star) except for OB/GYN, which was to the left of average. Oops.