Texas Tech University Health Sciences Center School of Medicine
The Step2CK Test Prep Series was created by fourth-year students at the Texas Tech School of Medicine in Lubbock as a project of the fourth-year geriatrics rotation. It was developed as part of the Reynolds Geriatrics Podcast series, which is supported in part by an Aging and Quality of Life grant from the D.W. Reynolds Foundation. The episodes in this series are based on questions that have geriatrics content and patient vignettes from the 2008 Step2CK Sample Exam, available from http://www.ttuhsc.edu/som/fammed/ttmedcast/gerseri.... For more information on the series, go to http://www.ttuhsc.edu/som/fammed/ttmedcast/gerseri....
This episode is based on Question 41 on page 82 of the 2005 Kaplan Step2CK QBook.
Learning Objectives: the third-year medical student studying for the Step2CK exam should be able to:
- Identify the importance of adverse drug effects on the geriatric population including reasons for variable drug effects, common drugs to avoid and the significance of the Beers list of inappropriate pharmacologic interventions
- Emphasize the types of musculoskeletal deficits in Parkinson's Disease as well as common presentations
- Discuss the cause, symptoms, and management of postural hypotension
- Identify symptoms associated with ischemia in the internal carotid distribution and differentiate them from ischemia in other areas of cerebral circulation.
- Identify the signs and symptoms of vertebrobasilar insuffiency.