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  #201  
Old 01-30-2013
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Default NBME

hey guys, so im also trying for feb.. i have a question regarding NBMEs.. i wanna take an nbme every 10 days.. is there a specific order anyone recommends? i heard people save 7.. i think its all the same in the end.. any advice would be appreciated thanks
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  #202  
Old 01-30-2013
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Default DIT

Can anyone please tell me that, Do I have to do DIT for second time or I should only go through FA. I have finished UW once and want to do FA for second time.

Please guid me I really need it.
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  #203  
Old 01-30-2013
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can someone suggest me how long should i take UW suscription for? how long will 1st go and 2nd go of the q bank will take?
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  #204  
Old 01-30-2013
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d
Quote:
Originally Posted by docusmle9 View Post
can someone suggest me how long should i take UW suscription for? how long will 1st go and 2nd go of the q bank will take?
It depends how fast u are.
It is almost 48 blocks. each of 46 question. the explanation is long. so if you could do 2 blocks a day with reading should take a month. 2nd read would take 15-20 days.
Its better to get 3 month subcription.
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  #205  
Old 01-31-2013
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Default pulsus paradoxus: reason of fall in BP during inspiration

Quote:
Originally Posted by neha_subh View Post
normaly,
during inspiration increase venous return to right side of heart and right ventricle bulges forward and ocupies pericardial cavity---~ increase pulmonary venous return to left heart------increase cardiac output.
pathology,
during inspiration increase venous return to right side of heart but right ventricle unable to bulge forward into pericardial cavity due to pathology asociated with pericardium its restricts the forward bulging thats why right ventricle bulges to the oposide side(left side) and it decreases the capictance of left ventricle for incoming blood through pulmonary veins thats why decrease cardiac output this findings asociated with drop in BP with each inspiration
thats pathophysio which i know...
Reason of fall in BP during inspiration:
physio:
during inspiration normaly dec.in pleural and lung interstitial presure,increase pulmonary capictance--dec. inflow to left heart and thats why dec. cardiac output. compensatory response: inc.venous return to right heart, inc: heart rate during inspiration thereby compensate by inc: right ventricular output & pulmonary venous inflow into the left heart.

Pathology:
any conditions which limits this compensatory response right ventricular filing/output during inspiration wil exagrate the normal drop in left sided cardiac output during inspiration and dec. SBP.

pulsus paradoxus seen in: cardiac temponade,constrictive pericarditis,pulmonary emboli,COPD.

CARDIAC TEMPONADEon PE: mufled heart sounds,jvp raised,hypotension

corect me if i am wrong. thanks
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  #206  
Old 01-31-2013
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Quote:
Originally Posted by Medman11 View Post
Can anyone please tell me that, Do I have to do DIT for second time or I should only go through FA. I have finished UW once and want to do FA for second time.

Please guid me I really need it.

hey man, i think since u have completed dit, u should go thru FA.. take an nbme maybe to see where u stand, and also, do u think that u got the dit stuff down pretty well? if so, just go for FA.. but if u think u still dont know dit all the way, maybe u can go thru it again on some sections u werent too great on.. it all depends on u.. some people find it easier to follow videos to get thru FA, while others feel like they can get more done on their own.. good luck!
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  #207  
Old 01-31-2013
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Hey guys,

So, far did kaplan and FA materials and just started the UW online subscription.hopefully i will complete it in 45 days.i will keep updating my progress and i am open for any Q discussions.Wish me luck.Cheers
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  #208  
Old 02-01-2013
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Hi everyone,

I just did my first block in UW and i scored 59%(27/46 correct) random timed mode and avg score was 58%.
Is it a good start? just for comparison sake how much did u guys score in ur first test ? just to know where do i stand...
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  #209  
Old 02-01-2013
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Default UW

Quote:
Originally Posted by docusmle9 View Post
Hi everyone,

I just did my first block in UW and i scored 59%(27/46 correct) random timed mode and avg score was 58%.
Is it a good start? just for comparison sake how much did u guys score in ur first test ? just to know where do i stand...

With one block there is not much to say. you need to do at least 30-50% of UW and look at you cumulative performance.
Anybody could get this score. you may get 90% in second block. it is to early to judge.

Best of Luck.
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  #210  
Old 02-02-2013
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nbme 6. qn asking about risk factor for suicide when make took one of benzodiaz-ns drug.
My answer was the male gender but it was not correct.
Someone can help, pls?
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  #211  
Old 02-09-2013
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G6P to F6P during glycolsis, (G0) +400 standard enrgy activation,constand equilibrium Keq is 0.5,in+ve standard energy of activation formation of substrate is favored, how in above reaction ??here product formation is favored not substrate
pls explain it i forgot this
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  #212  
Old 02-09-2013
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Default

Quote:
Originally Posted by neha_subh View Post
MI treatment: SANBHA

Suplemental O2:for ischemia
ACEIs: dec.the after load + left vent.dilatation
Nitrates: dec.preload
Beta blockers: dec. the risk for arythmia
Heparin: limits the thrombosis formation
Aspirin: limits the thrombosis formation
Nitrates not to use in inf wall MI.. Since would further decrease preload and aggravate ischemia..
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  #213  
Old 02-09-2013
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Quote:
Originally Posted by neha_subh View Post
G6P to F6P during glycolsis, (G0) +400 standard enrgy activation,constand equilibrium Keq is 0.5,in+ve standard energy of activation formation of substrate is favored, how in above reaction ??here product formation is favored not substrate
pls explain it i forgot this
if G0 positive - Keq less than 1-formation of substrate is favored;
if G0 negative - Keg more than 1 - formation of products.

on Monday I will take a practice session in the prometric center .
Want to see and feel how it is))
Don't no when to set the date of my exam - next Friday or wait another Friday. probably will wait - more review
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  #214  
Old 02-09-2013
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Default NBME form 13 anyone???

Hi

I have my exam on the 28th and just scored a 500/221 on form 13. I am freaking out and need to know the answers. Please anybody who has taken the form 13 kindly let me know for discussion. The answer keys I found online are completely wrong. I found almost all the answers wrong.. So kindly someone let me know..

Thanks guys.
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  #215  
Old 02-09-2013
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Correct Answer

Quote:
Originally Posted by Pectoralis86 View Post
Hi

I have my exam on the 28th and just scored a 500/221 on form 13. I am freaking out and need to know the answers. Please anybody who has taken the form 13 kindly let me know for discussion. The answer keys I found online are completely wrong. I found almost all the answers wrong.. So kindly someone let me know..

Thanks guys.
There s a key with name feed ur brain. Its a good key. Google it by searching for nbme13 explanations
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  #216  
Old 02-10-2013
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My exam is after 10 days, just want to know in these days what should i do, whether to do DIT or do as many questions as possible with u world. i have done 3 revisions of kaplan medessential(FA by kaplan) pls guide.
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  #217  
Old 02-12-2013
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Default TNF-@

TNF-@: it produced by the macrophages during bacterial infections and as well as by some neoplastic cells..
It mediates the paraneoplastic chachexia in humans by supressing the appetite thru hypothalamus, inhibits the lipoprotein lipase activity,increases the insulin resistance.
during bacterial infections TNF-@ With IL-1 causes the symptoms of septic shock and causes release of acute phase reactants: C-reactive protein and fibrinogen...
anti-inflamatory action:decreases the T-cell proliferation and cytokine production

kaplan imuno..
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  #218  
Old 02-14-2013
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Default first aid skin conditions:

Actinic keratosis: erythematous papule with central scale due to hyperkeratosis (which may turn into cutaneous horns) and a sandpaper-like-texture..
40-60 yrs age
sites: face,ears,scalp,dorsum of hands and arms, as wel as on other sun exposed areas like back,legs,uper chest.
parakeratosis,hyperkeratosis,dyskeratosis,acanthos is,inc.mitosis and inflamatory cells seems as wel.
sebhoric keratosis: stuck on deeply pigmented or flesh colored lesion with velvety or greasy squamous epithelial proliferation with keratin filed cysts (horn cysts) seen.
age: elders
sign of leser-trelat: rapid increase in no.of keratosis indicating undrlying malignancy.
psoriasis: wel circumscribed raised papule and plaque covered with silvery scales.
sites: scalp,trunk,extensor surfaces (elbows,knees).
pityriasis rosea: pink or brown scaly plaque with central clearing and collaterals of scales (herald patch) on the trunk neck and on extremities. it is folowed by maculopapular rash (christmas tree patern) on skin tension lines.
acanthosis nigricans: striatum spinosum hyprplasia,hyprpigmentation of skin in axila,groin.
asociated with obesity,hyperinsulinemia
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  #219  
Old 02-14-2013
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Question Aspirin:

Aspirin:
MOA: inhibits the COX thereby decrases the PGS as wel as TXA2 foramaiton:
INDICATION: used for the treatment of MI (given for prophyactic purpose as well as for prevention of recurnce of the MI).
Its all about aspirin everyone knows about it nothing is new ok dont be panic .
Q:
now mine question is that if If it prevents the PGs + TXA2 formation then what wil be the net efect whether it wil cause vasoconstriction or vasodilatation??

i know the answer of this question but i wana to get some new concepts from you peoples,i like this question thats why i have asked.tel me whatever you know about it dont wory whether it wil be wrong answr or corect its not exame, its discusion group so must tel what you know about it.

thanks
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Last edited by neha_subh; 02-14-2013 at 07:01 AM.
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  #220  
Old 02-14-2013
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Question coronary vasospasm:

diagnostic test for coronary vasospasm (prinzmetal angina) ??
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  #221  
Old 02-14-2013
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Default

Quote:
Originally Posted by neha_subh View Post
Aspirin:
MOA: inhibits the COX thereby decrases the PGS as wel as TXA2 foramaiton:
INDICATION: used for the treatment of MI (given for prophyactic purpose as well as for prevention of recurnce of the MI).
Its all about aspirin everyone knows about it nothing is new ok dont be panic .
Q:
now mine question is that if If it prevents the PGs + TXA2 formation then what wil be the net efect whether it wil cause vasoconstriction or vasodilatation??

i know the answer of this question but i wana to get some new concepts from you peoples,i like this question thats why i have asked.tel me whatever you know about it dont wory whether it wil be wrong answr or corect its not exame, its discusion group so must tel what you know about it.

thanks
hey i am using concpt of ASA-induced asthma
by giving ASA- COX is inhibited & LOX remains open
LOX-----> INCREASED LT(leukotrines)----> vasoconsriction/bronchoconstriction..
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  #222  
Old 02-15-2013
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Default aspirin:

Quote:
Originally Posted by nandish_m View Post
hey i am using concpt of ASA-induced asthma
by giving ASA- COX is inhibited & LOX remains open
LOX-----> INCREASED LT(leukotrines)----> vasoconsriction/bronchoconstriction..
conventional doses of aspirin results in inhibition of the Platelets TXA-2
(no TXA-2 therefore inhibits the platelet agregation and vasoconstriction) but it dont signifcantly afects the endothelial PGs formation,therefore endothelial cels continusly synthesizes the PGs (pGs G/H synthetase) thus conventional doses of the aspirin doesnt provokes the vasoconstriction.

thats all about aspirin
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  #223  
Old 02-15-2013
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Default ergonovine test:

Quote:
Originally Posted by neha_subh View Post
diagnostic test for coronary vasospasm (prinzmetal angina) ??
ergonovine test:
most sensitive and diagnostic test for coronary vasospasm.

like methacholine chalenge test for asthmatic patients.
and edrophonium for diagnosis of the mysthania gravis
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Last edited by neha_subh; 02-15-2013 at 12:58 AM.
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  #224  
Old 02-17-2013
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Default GIT conditions: age of onset and presentation..

Meconium ileus:
imediately after birth
abd:distension
billious vomiting

Duodenal atresia:
few hours after birth
bilious vomiting without abd:distension,
double buble sign

jejunoileal atresia:
within 24hrs after birth,
abd: distension
vomiting
air fluid levels on abd: film,
most likely complication is pneumonia

malrotation with volvulus:
at 3 to 7 days bilious vomiting
rapid deterioration with volvulus
spiral sign on uper GI U/S
abnormal location of Superior mesentric vesels

Necrotizing ileus:
10-12 days after birth
bloody stools
abd:distension
bilious vomiting

Hirschsprung disease:
upto 90% of infants unable to pas meconium within 24hrs after birth (normaly they pas b/w 24hrs),
bilious vomiting,
poor feeding
progresive bowel distension
dificuilt bowel movements
(age varies, in 80% cases symptoms apears within 1st 6weeks of life, and in 90% cases: neonates unable to pas meconium within 24hrs its diagnosed at that time)

Pyloric stenosis:
vomiting after every feeding (projectile non bilious vomiting) starts between 3 weeks-5months of age

Intussusception:
6months-3years of age
triad of s/s :
abdominal pain
vomiting
pasage of blood per rectum..

corect me if i am wrong,thnx
http://www.aafp.org/afp/2000/0501/p2791.html
wikipedia,encyclopedia.medscape
http://www.usmle-forums.com/usmle-st...tml#post174806
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  #225  
Old 02-23-2013
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Default

Quote:
Originally Posted by vnagubandi View Post
This is a big one

African-American it is kind of like a buzzword. I mean what are all the things associated with African americans? (Diagnosis,Disorders,traits,associations,incidence ....anything). If we discuss it here i think we can group them all in one place and can get an idea of what to think about during the exam when we see "African American".

I mean NO OFFENSE to anyone. It is just to group under one heading the various things we see on the exam and for easier recall. I am just asking this because i've seen it on a lot of questions repeatedly.
one more i got- lactase deficiency(african-american and asians)
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  #226  
Old 02-23-2013
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Default doubt

What is the difference between confounding bias and effect modification?
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  #227  
Old 03-10-2013
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Default lysosomal storage disease

Quote:
Originally Posted by drdj View Post
is there any mnemonics or easier way to remember lysosomal storage diseases enzyme deficiency n substrate accumulated??
Gaucher : Deficit in Glucocerebrosidase, accumulation In Glucocerebroside
Tay Sachs: Tay saX, deficit heXosaminidase , accumulation ganglioside
Nieman Pick, picks (nose ) with fingers...sFingolipipose: sphingolipidose, accumulation sphingomyelin.
Hope that helps
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  #228  
Old 04-05-2013
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Default brain physiology:

http://www.cnsforum.com/imagebank/se...n/default.aspx

http://www.med.wayne.edu/diagradiolo...rainaxial.html
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  #229  
Old 01-28-2015
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Kids March 2015 step2 (ck) takers:

Hi,
i am planning to take step 2 in march 2015,have finished 25% uworld , have planned to complete uworld in feb,after that i will go thru MTB2 &3 ,and i will take online NBME.
well this is mine study plan, lets motivate and encourage each thru this journey who are also taking step2 exame by march2015..


Get ready for march 2015 and lets kick some doors open and help each other to reach our destinies....
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