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Medicine (MD/DO)
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First Aid
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First Aid for the USMLE Step 1 (2023)
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First Aid for the USMLE Step 1 (2023) | Medicine (MD/DO) School Study Aid

Page 285 -
8 Picmonics to Learn | 16 mins
Ventricular Septal Defect (VSD)
Pathophysiology
Opening at Intraventricular Septum
Most Common Congenital Heart lesion
Symptoms
High-pitched Holosystolic Murmer (over left sternal border)
Dyspnea and Respiratory Distress
Loud Pulmonic S2
Diagnosis
Echocardiogram
Treatment
Small VSDs Close Spontaneously
Large VSDs Require Surgery
Complications
Endocarditis
Eisenmenger's Syndrome
CHF
picmonic thumbnail
2 mins
Transposition of Great Vessels
Pathophysiology
Pulmonary and Systemic Circulation are in Parallel
Incompatible with Life Without a Shunt
Symptoms
Severe Cyanosis at Birth
Single S2 sound
Diagnosis
Echocardiogram
Chest X-ray shows "Egg-shaped Silhouette"
Treatment
Prostaglandin
Avoid NSAIDs
Surgical Correction
Balloon Atrial Septostomy
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2 mins
Tetralogy of Fallot (TOF)
Features
Blue Baby Syndrome
Mechanism
PROVe Acronym
Pulmonary Infundibular Stenosis
Right Ventricular Hypertrophy
Overriding Aorta
Ventricular Septal Defect (VSD)
Diagnosis and Treatment
Boot-Shaped Heart
Squatting for Tet Spells
Surgery
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2 mins
Persistent Truncus Arteriosus
Common Arterial Trunk
Single Trunk Emerges from Both Ventricles
Symptoms
Cyanosis
Pulmonary Congestion
Heart Failure
Single S2 Sound
Diagnosis
Echocardiogram
Chest X-ray
Treatment
Early Surgical Correction
Avoids Pulmonary Hypertension
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2 mins
Pharyngeal Arch Derivatives: 1st Arch
Cartilage
Meckel's Cartilage
Mandible
Malleus
Incus
Sphenomandibular Ligament
Muscles
Muscles of Mastication
Tensor Tympani
Tensor Veli Palatini
Anterior Belly of the Digastric
Mylohyoid
Nerves
CN V2
CN V3
Conditions
Treacher Collins Syndrome
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3 mins
Pharyngeal Arch Derivatives: 2nd Arch
Cartilage
Reichert's Cartilage
Stapes
Styloid Process
Lesser Horn of Hyoid
Stylohyoid Ligament
Muscles
Muscles of Facial Expression
Stapedius
Stylohyoid
Platysma
Posterior Belly of Digastric
Nerves
CN VII
Conditions
Congenital Pharyngocutaneous Fistula
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2 mins
Pharyngeal Arch Derivatives: 3rd Arch
Cartilage
Greater Horn of Hyoid
Muscles
Stylopharyngeus
Nerves
CN IX (Glossopharyngeal)
Arteries
Common Carotid
Internal Carotid
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1 min
Pharyngeal Arch Derivatives: 4-6 Arches
Cartilage
Thyroid
Cricoid
Arytenoids
Corniculate
Cuneiform
Muscles
4th: Cricothyroid
4th: Pharyngeal Constrictors
6th: Intrinsic Muscles of Larynx
Nerves
4th: CN X (Vagus Nerve)
Superior Laryngeal Branch
6th: CN X (Vagus Nerve)
Recurrent Laryngeal Branch
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2 mins

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