USLME Mnemonics: Step 2 CK and Step 3

Congenital Rubella ABCDs

A: Art (heart disease)
B: Bluberry muffins baby
C: Cataracts
D: Deafness

Congenital Rubella ABCDs

A: Art (heart disease)
B: Bluberry muffins baby
C: Cataracts
D: Deafness

Congenital Toxoplasmosis

4Cs

C: Chorioretinitis
C: Calcification (intracranial)
C: Causes symmetrical IUGR
C: Cat feces, raw goat milk, infected meat

Contraindications to Tissue Plasminogen Activator in Stroke

SHIP BLAST

S: Stroke in last 3 months
H: Head injury in last 3 months
I : Intracranial hemorrhage
P: PT > 15 sec
B: BP > 185/110
L: Lumbar puncture in last 7 days
A: Anticoagulants use / Arterial puncture in last 7 days
S: Surgery within last 14 days
T: Thrombocytopenia < 100,000

Glaucoma Drugs

AABCDE

A: Alpha Agonist (non-selective) Epinephrine
A: Alpha2 agonist: Apraclonidine
B: Beta blocker : Timolol
C: Cholinomimetic : Pilocarpine
D: Diuretic : Acetazolamide, Mannitol
E: Eicosanoid: Latanoprost


or EAT PAL

Epinephrine
Apraclonidine
Timolol

P: Pilocarpine
A: Acetazolamide, mannitol
L: Latanoprost

Hepatic Encephalopathy Precipitating Factor

HEPATICS

H: Hemorrhage in GIT / Hyperkalemia
E: Excess protein in diet
P: Paracentesis
A: Acidosis / Anemia
T: Trauma
I : Infection
C: Colon surgery
S: Sedatives

Hypokalemia causes

4 Ds

D: Diarrhea
D: Diabetes
D: Digitalis
D: Diuretics

Post Op Fever Mnemonic

A Patient Ultimately Develops Wound Abscess

A: Atelectasis
P: Patient
U: UTI
D: DVT
W: Wound infection
A: Abscess (deep)

Preterm Labor Causes

C CUP

C: Change in dilation or Effacement on exam
C: Cervical dilation of 2 cm or more
U: Uterine contraction of 3cm or more in 30min
P: Pregnancy from 20-36wks

Puetz-Jeghers Syndrome

PJ

P: Pigmented lips and oral mucosa
J: Jejunal polyps

RhoGAM indications

ABCD

A: Amniocentesis / Abruptio placenta
B: Baby RhD positive delivered
C: CVS (Chorionic Villus Sampling)
D: D&C

RhoGAM is given at 28 wks of gestation with in 72hrs of above mentioned conditions

Schizoid, Schizotypal, Schizophreniform

schizOID = avOIDs

schizoTYPAL = not your TYpical PAL (weirdo)

schizophreniFORM = schizophrenia FORMing (shizophrenia after 6 months)

SLE Diagnostic Criteria

SOAP BRAIN MD

S: Serositis (eg pleuritis or pericarditis)
O: Oral ulcers
A: Arthritis (usually oligo or polyarticular)
P: Photosensitivity

B: Blood disorders (hemolytic anemia, leukopenia, lymphopenia, thrombocytopenia)
R: Renal (nephrotic picture)
A: Anti nuclear antibodies (in 95%)
I : Immunologic abnormalities (Anti-sm, Anti dsDNA, Anti-phospholipid )
N: Neurologic (seizures, psychosis)

M: Malar rash
D: Discoid rash

ST segment elevation

STudents LEAP into PuB

ST: ST segment elevation

L: Left ventricular aneurysm
E: Early repolarization
A: Acute myocardial infarction
P: Prinzmetal angina

P: Pericarditis
B: Bundle branch block

Staphylococcal Scalded Skin Syndrome

7 S of SSSS

S: Staphylococcal
S: Skin tenderness
S: Scarlatiform diffuse erythema
S: Nikolsky
S: Sterile intact bulla (non contagious)
S: Subcorneal granular split of epidermis (biospy)
S: skin moistened and cleaned with isotonic saline and antibiotics

The Fours Hs of Secondary Pseudogout

H: Hyperparathyroidism
H: Hemochromatosis
H: Hypophosphatemia
H: Hypomagnesemia

USLME Mnemonics: Step 1

Antisocial Personality Disorder

CORRUPT

C: Conformity to law lacking
0: Obligations ignored
R: Reckless disregard for safety of self or others
R: Remorse lacking
U: Underhanded (deceitful, lies, cons others)
P: Planning insufficient (impulsive)
T: Temper (irritable and aggressive)

Autosomal Dominant Genetic Disorders

"MOCHA STAND"

M: Marfans & MEN
O: Osler-Weber-Rendu
C: Cholesterolemia
H: Huntington & von-Hippel-lindau
A: APKD & Achondroplasia
S: Spherocytosis
T: Tuberous Sclerosis
A: Adenosis polyposis
N: NF 1 and 2
D: myotonic Dystrophies

Autosomal Dominant Genetic Disorders

Very Powerful DOMINANT Humans

V- Von willibrands disease/ Von hippel lindau

P – Pseudo hypoparathyroidism

D – Dystrophia myotonica

O – Osteogenesis imperfecta/Osler-weber-rendu

M – Marfans syndrome

I – Intermittent porphyria

N – Neurofibramatosis

A – Achondroplasia, Adult polycystic kidney disease

N – Noonans syndrome

T- Tuberous sclerosis

H – Hypercholestrolemia

H – Huntington’s disease

H – Hypertrophic obstructive cardiomyopathy

H – Hereditary spherocytosis

H – Hereditary non polyposis coli

H – Hereditary hemorrhagic telengiectasia

Autosomal Recessive Disorders

A: albinism ,alpha 1 antitrypsin deficiency
B: beta thalassemia
C: cystic fibrosis,CGD,CAH
D: deafness(SNHL),dubin johnson
E: enzyme deficiencies(glycogen storage and lysosomal storage)
F: Friedrich's ataxia, fanconi anemia
G: G6PD,galactosemia
H: Hemochromatosis

S: Sickle cell disease
P: Phenylketonuria
w: Wilson's

Avoidant Personalty Disorder

CRINGES

C: Certainty (of being liked required before willing to get involved with others)
R: Rejection (or criticism) preoccupies ones thoughts in social situations
I : Intimate relationships (restraint in intimate relationships due to fear of being ashamed)
N: New interpersonal relationships (is inhibited in)
G: Gets around occupational activity (involving significant interpersonal contact)
E Embarrassment (potential) prevents new activity or taking personal risks
S: Self viewed as unappealing inept or inferior

Borderline Personality Disorder

AM SUICIDE

A: Abandonment
M: Mood instability (marked reactivity of mood)

S: Suicidal (or self-mutilating) behavior
U: Unstable and intense relationships
I : Impulsivity (in two potentially self-damaging areas)
C: Control of anger
I : Identity disturbance
D: Dissociative (or paranoid) symptoms that are transient and stress-related
E: Emptiness (chronic feelings of)

Cystic Fibrosis: CFPANCREAS

Chronic bronchitis/bronchiectasis
Failure to thrive
Pancreatic Insufficiency (steatorrhea & low ADEK)
Alkalosis
Neonatal GI obstruction (meconium ileus)
Clubbing of fingeRs
Elevated electrolytes in sweat (Cl>60)
Atresia of vas deferens (infertility)
Staph/Pseudomonas in sputum

Dependent Personality Disorder

RELIANCE


R: Reassurance required for decisions
E: Expressing disagreement difficult (due to fear of loss of support or approval)
L: Life responsibilities (needs to have these assumed by others)
I : Initiating projects difficult (due to lack of self-confidence)
A: Alone (feels helpless and discomfort when alone)
N: Nurturance (goes to excessive lengths to obtain nurturance and support)
C: Companionship (another relationship) sought urgently when close relationship ends
E: Exaggerated fears of being left to care for self

Essential Amino Acids

PVT TIM HALL
P Phenylalanine
V Valine
T Threonine

T Tryptophan
I Isoleucine
M Methionine

H Histidine
A Arginine
L Leucine
L Lysine

Histrionic Personality Disorder

PRAISE ME


P: Provocative (or sexually seductive) behavior
R: Relationships (considered more intimate than they are)
A: Attention (uncomfortable when not the center of attention)
I: Influenced easily
S: Style of speech (impressionistic, lacks detail)
E: Emotions (rapidly shifting and shallow)

M: Made up (physical appearance used to draw attention to self)
E: Emotions exaggerated (theatrical)

Hypokalemia causes

4 Ds

D: Diarrhea
D: Diabetes
D: Digitalis
D: Diuretics

Narcissistic Personality Disorder

SPECIAL

S: Special (believes he or she is special and unique)
P: Preoccupied with fantasies (of unlimited success, power, brilliance, beauty, or ideal love)
E: Entitlement
C: Conceited (grandiose sense of self-importance)
I : Interpersonal exploitation
A: Arrogant (haughty)
L: Lacks empathy

Obsessive-Compulsive Personality Disorder

LAW FIRMS

L: Loses point of activity (due to preoccupation with detail)
A: Ability to complete tasks (compromised by perfectionism)
W: Worthless objects (unable to discard)

F: Friendships (and leisure activities) excluded (due to a preoccupation with work)
I: Inflexible, scrupulous, overconscientious (on ethics, values, or morality, not accounted for by religion or culture)
R: Reluctant to delegate (unless others submit to exact guidelines)
M: Miserly (toward self and others)
S: Stubbornness (and rigidity)

Paranoid Personality Disorder

SUSPECT

S: Spouse fidelity suspected
U: Unforgiving (bears grudges)
S: Suspicious of others
P: Perceives attacks (and reacts quickly)
E: Enemy of friend? (suspects associates, friends)
C: Confiding in others feared
T: Threats perceived in benign events

Reportable diseases

Hep, Hep, Hep, Hooray, the SSSMMART Chick is Gone

Hep A
Hep B
Hep C
HIV :actually varies by state
Salmonella
Shigella
Syphilis
Measles
Mumps
AIDS
Rubella○ TB
Chickenpox
Gonorrhea

Schizoid Personality Disorder

DISTANT

D: Detached (or flattened) affect
I : Indifferent to criticism and praise
S: Sexual experiences of little interest
T: Tasks (activities) done solitarily
A: Absence of close friends
N: Neither desires nor enjoys close relations
T: Takes pleasure in few activities

Schizotypal Personality Disorder

ME PECULIAR


M: Magical thinking or odd beliefs
E: Experiences unusual perceptions

P: Paranoid ideation
E: Eccentric behavior or appearance
C: Constricted (or inappropriate) affect
U: Unusual (odd) thinking and speech
L: Lacks close friends
I : Ideas of reference
A: Anxiety in social situations
R: Rule out psychotic disorders and pervasive developmental disorder

Staphylococcal Scalded Skin Syndrome

7 S of SSSS

S: Staphylococcal
S: Skin tenderness
S: Scarlatiform diffuse erythema
S: Nikolsky
S: Sterile intact bulla (non contagious)
S: Subcorneal granular split of epidermis (biospy)
S: skin moistened and cleaned with isotonic saline and antibiotics