Texas Tech University Health Sciences Center School of Medicine
The Step1 Test Prep Series was created by second-year students at the Texas Tech School of Medicine in Lubbock as a project of the MS2 Aging Block of Systems Disorders II. 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 2011 Step1 Sample Exam, available from http://www.ttuhsc.edu/som/fammed/ttmedcast/gerseries/gerstep1prep.aspx.
The second-year medical student studying for the Step 1 exam should be able to:
- Understand the pathophysiology of dehydration
- Describe signs and symptoms which indicate dehydration
- Use lab values to differentiate between volume depletion caused by dehydration, diabetic ketoacidosis, and gastrointestinal hemorrhage
- Understand that severe volume depletion may lead to acute renal failure and the lab values used to monitor kidney function
- Understand that urinalysis in SIADH may present similarly to dehydration, and describe how the underlying pathophysiology is different.
- Understand that patients and their families have more access to information than ever