All right, welcome.

My name is Divine.

This is episode 628 of the Divine Intervention Podcasts.

And in today's podcasts, we're going to be continuing the rapid review series for the USMLA Step 2C and Step 3 exams.

This is going to be series 131.

All right.

So, what if they give you a question about a patient? And they tell you that this

patient, you know, is a 32-year-old male, and you're told that he has a history of Hashimoto's

thyroiditis, and he's currently on level thyroxine therapy.

And then you're told that, you know, for the last six months, he has been having a lot

of vomiting after meals, right?

So a lot of post-pranilla vomiting, and that he feels full very, very early.

And then, you know, you're told that he has a lot of abdominal pain and that when he is,

you know, that he, you know, he has been having like some minor weight loss over the last two,

three months. And then they ask you which of the following represents the most appropriate

next best step in management. I would really hope you're picking the answer that says to check this person's A1C. You're like, what? Define. Okay. This is 2026, buddy. Like, what are you doing here? Okay, so let's kind of talk through this, right? This stuff is actually pretty high old to know for your exams, right? So the first thing I think we're going to start off with is that it's important to know this

principle with the us emily exams whenever they're testing an autoimmune disease they will

almost always give you a past medical history of another autoimmune disease i'm going to say that

again when the us mle's are testing an autoimmune disease,

I can almost guarantee they will give you, not always, but a lot of the time,

they'll give you a past medical history of another autoimmune disease.

So what other autoimmune disease does this person have?

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