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Usmlestep1 Corrections List: September
Usmlestep1 Corrections List: September
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USMLE Step1 Corrections List
September7, 2002 1
Below is a list of errata; please make these corrections directly to your books. If you happen to find any additional corrections or have any questions, please contact us at medfeedback@kaplan.com. Thank you.
Pg.64 .
Pg.71 Pg.96 Pg. 128
Regions':
In answer choice A of Question 20, "miscoding" should be changed to "misreading". Substitute "misreading" for "miscoding" in the answer choice to Question 20. Under the "PGE2" heading, the text should read, after the first right arrow, "either misoprostol dinoprostone can be used for cervical ripening.. .." Under the "Adverse Effects of Probenecid and Sulfmpyrazone;' the word "nephritic" corrected to "nephrotic". (PGEI analog) or
The stem of Question 14, second line, should read: ".. .mechanism of action that leads to a decrease in the activity of tumor necrosis factor?" In the second column, row 4, of Table VII-I-I, replace the first word after the arrow ("Activity") with "Binding".
Replace the last sentence in the legend to Figure VII-I-I (beginning with "Heparins" and ending with "Xa") with two new sentences, as follows: "Heparins facilitate binding of antithrombin A (A-III) to factors IIa and Xa. A-III acts as a 'serpin; or serine protease inhibitor:' In the chapter summary, last paragraph, second line, exchange the phrase "inducing platelet aggregate and the formation of a fibrin plug" with "resulting in platelet aggregation and formation of a platelet plug." Under the heading "Ketoconazole," insert "prostate" so that the text reads: "... used in androgen receptor-positive prostate CA:' The second sentence under "Sulfonylureas" (beginning with "Glucose acts...") should read as follows: "Glucose acts as an insulinogen by increasing intracellular ATP -7 membrane depolarization -71 Ca influx -7 insulin release."
In Figure VIII-I-I, the fourth drug listed under "Go phase" is misspelled; the correct spelling is "dacarbazine". Revise the phrase beginning with "(dexrazoxane..." under the column "Adverse Effects" in the "Doxorubicin" row of Table VIII-I-I to appear as follows:". ..(dexrazoxane is an iron-chelating agent preventing the formation of free radicals; it is not a free radical 'trapper');..." In TableVIII-3-I, in first row ("AChE inhibitors") and last column ("Intervention and Antidotes"),tack on, after "atropine + pralidoxime," the parenthetical detail: "(for irreversible AChE inhibitors)': In Table VIII-3-3 tided "Summary of Antidotes;' in the "Atropine and pralidoxime" stub column, add "(for irreversible AChE inhibitors)':
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Pg. 110
Under "H. Facts About the Elderly and Aging;' change "22%" to "25%" as the estimate in 2030 (listed as 1.c. in the outline). Question #92. option A: The second line "do as the patient requests" should be removed. Under "B. HIV-Related Dementia;' include an additional statement: "6. HIV levels in the spinal fluid are good predictors of onset:' In the "Drugs to Highlight" margin note, under "Atypical antipsychotics," the line should read: "(serotonin/dopamine antagonists)"; i.e., the last word is incorrect as "agonist". The first bullet point under "5. Nefazodone" in the margin note should be expanded to read as: "S-HT2 postsynaptic receptor antagonist and antagonist of presynaptic S-HT reuptake."
In column three of the table ("Important Normal Flora"), two rows up from the bottom, "Streptococcusfaecalis" should be "Enterococcus faecalis". In the second line of the page, "structured" should be "structural" (i.e., "Serves as a structural toxin... "). Figure 1-2-1 should appear as follows (note changes in cytoplasmic membrane placement on left side):
Pg.S Pg.10
glycan
Flagellar Hook
lasmic lace
In Figure 1-2-2, the largest bracket on the far right should descend further to include "Lipoprotein". Delete "so 50% are vaccine failures" from the second and third line under "Neisseria vaccine" in the margin side note. In Table 1-2-12, move "Osteomyelitis" from the third column, first row, into the column to its immediate right (beneath "Suppurative lesions" in the "Common Diseases" row). Under "Distinguishing Characteristics" of "Staphylococcus aureus;' delete "PYR test +" from the second bullet. In Table 1-2-14, delete "(A disk)" and "(P disk)" from the first two rows of the third column. In the same cell that "(P disk)" should be deleted from, capitalize the "c" in "cAMP". In Table 1-2-16, in the "Rheumatic fever" row, last column, change "nodosum" to "marginatum': There are three instances on the page where "cAMP" should begin with a capital letter. The margin note ("In a Nutshell") is discussing "E. faecalis;' not "S. faecalis." In the third bullet beneath "Distinguishing Characteristics;' change "from beginning of" to "from the middle of". Near the end of the margin note on this same page, the penultimate line should be a separate item, appearing as
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In the explanation to Question 14, the word "Atopy" should be "Anergy" in the fourth line down. The label "Repeating Monomers" in Figure II-9-4 is incorrect; it should be "Repeating Epitopes': Insert "variable region" before "beta chain of TCR" in answer choice A of Question 3. Remove "(and B cells)" from the end of Question 10. The explanation for Question 2 should read as follows (changes in bold):
A thymus-independent antibody response is one where the B cells respond to large molecularweight carbohydrate molecules with a large number of repeating epitopes. The antibody formed is only IgM, and there is no memory cells produced in these responses.
In the first line of the third paragraph within the Chapter Summary, "Th2" should be changed as "Th1" to rea(!: "...when activated by Th1-cell-generated cytokines." Insert the word "by" in between "formation" and "perforin" in answer choice C for Question 4. Replace the last sentence of the Question I explanation with the following: "It kills intracellularly with granule enzymes, oxygen or halide radicals, or extracellularly with cytokines (TNF-a)." Revise the second line of text (changes in bold): ". ..RhoGAMTM,a preparation of human anti-RhD IgD antib dY at 28 'reeks of gestation and anti-RhD IgG antibody again within 24 hours after birth." In the penultimate paragraph on the page, second line, "thrombocytic" should be "thrombocytopenic," Le., "thrombocytopenic purpura':
In th~ last paragraph of this same page,"pneumonia"in the fifth line should be "pneumonitis". In the penulti . ate
Pg. 420 Pg.432 Pg. 433 Pg.437 Pg.439 line of this same paragraph, it should read as "hepatitis B." I In the first Clinical Correlate, delete "Opsonization not efficient (leukocyte adhesion deficiency) from the last bulleti..point, and replace with "systemic lupus erythematosus." The s~cond word of the second paragraph of the Chapter Summary should be "systemic," not "systematic". I At the, end of the second line of the third paragraph, "thrombocytic" should be corrected to "thrombocytopeni ': ComBine the first two sentences of the explanation of Question 1 to read as follows: "This disease is characteril ed by an;tenlarged thyroid gland, lymphocyte and plasma cell infiltrates, and hypothyroidism." In thelsecond line of the first paragraph, insert the word "identical" between "find" and "haplotypes". Remove the last sentence from the explanation for Question 3, beginning with "These grafts..." and add the fohowing detailed explanation: I In reality, even transplants between monozygotic (identical) twins must be followed by immunosuppressivetherapies because somatic mutations create minor differences,which
ultimately may be rejected. The amount of immunosuppression required, however,is minimal. The only type of transplant that requires no immunosuppression is an autograft. I
Pg.446
The first word of the last line in the figure legend should be "antibodies;' not "antisera". 'I
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PhysiologyLecturbNotes
I Pg.414 Remoye the last sentence ("It accelerates the metabolism of glucose to CO2 and H2O") under the heading "Summary ofInsulin's Effects on Carbohydrate (CHO), Lipid, and Protein Metabolism." I I
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Anatomy Lecture~otes
Pg.275 In thdnargin note alongside Figure III-6-1, one cranial nerve is misnumbered, and another is missing. The firs two sentences should read as follows (changes in bold): "Jugular foramen syndrome may be caused by a tumor pressing on CN IX, X, and XI. Patients present with hoarseness, dysphagia (CN IX and X). . .." I
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Old Notes Fig. 6-1 Fig. 6-2 Fig. 6-3 Fig. 6-4 Fig. 6-5 Fig. 6-6 Fig. 6-7 Fig. 6-8 Fig. 6-9 Fig. 6-10
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New Notes Deleted; refer to note on page 81 Fig. 6-1 Fig. 6-2 Margin note on page 84 (Restriction Maps) Combined into Fig. 6-3 Fig. 6-5 Fig. 6-4 Fig. 6-6 Fig. 6-7
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