On these “Gold Standard Step 1 Facts” pages you will find Free:
- USMLE Audio Review files from our “Gold Standard USMLE Reviews”
- Transcriptions of those files
- And videos (as they become available)
The idea is that you can review for the USMLE online by:
- Listening to the Audio
- Following along with the transcription
- Or by watching the video (if available)
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Let’s start our USMLE Review with Anatomy from the Gold Standard USMLE Step 1 Audio Review program.
Play USMLE Audio MP3 27 05 Lesions of the Medulla Below
Begin 27 05 Lesions of the Medulla Transcription
Now we’re going to take a look at lesions of the medulla.
- The medial medullary syndrome.
What are the three symptoms or groups of symptoms of the medial medullary syndrome?
- And we’ll take these in order from cephalic to caudal.
- First, ipsilateral flaccid paralysis of the tongue.
- Second, contralateral loss of proprioception, tactile discrimination, and vibration sensation from the trunk and extremities. And
- third, contralateral hemiparesis of the trunk and extremities.
Now let’s turn these around. What syndrome is indicated by the following symptoms: Ipsilateral flaccid paralysis of the tongue, contralateral loss of proprioception, tactile discrimination, and vibration sensation from the trunk and extremities, and contralateral hemiparesis of the trunk and extremities?
- These are the symptoms of the medial medullary syndrome.
****END OF TRANSCRIPTION****
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