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)
If you like what you here, you can purchase the entire Gold Standard Step 1 MP3 audio USMLE review for your iPhone, iPod, or computer here.
Let’s continue our USMLE Review with Anatomy from the Gold Standard USMLE Step 1 Audio Review program.
Play USMLE Audio MP3 03 04 Anatomy Where Things Get Stuck Below
Begin 03 04 Anatomy Where Things Get Stuck Transcription
When children swallow something and it gets stuck, where does it most often get stuck?
- And the cricopharyngeal narrowing, the first constriction of the esophagus.
And what’s the second most common site?
- At the thoracic inlet.
When adults swallow something and it gets stuck, where does that tend to get stuck in the esophagus?
- Pretty much all the way down at the diaphragm, sometimes in the middle constrictions.
When something is lodged at the lower constrictor of the esophagus at the gastroesophageal junction and it is not corrosive, what is the recommended drug of choice?
What kind of drug is Nifedipine?
- Calcium channel blocker.
What’s a name for a very popular trade name?
What kind of tissue does Nifedipine work upon?
- Smooth muscle.
Many objects swallowed by children that lodge in the esophagus can be allowed to pass, however there is one that is a true emergency, and what is that? A button battery.
- Because the alkaline substance inside the button battery can cause erosion right through the wall of the esophagus.
What is the recommended technique for removing a lodged button battery from the esophagus?
****END OF TRANSCRIPTION****
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