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  #1  
Old 06-20-2013
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Question Do we have to diagnose the case from the pathology slide?

I wanted to know if there are questions in the exam that you cant solve without knowing the picture ? especially in pathology ? like might they for example give unclear or vague scenario of a pt with testicular cancer and then they put a picture for seminoma or choriocarcinoma or whatever and u must differentaite from the pic ?? or all questions are doable without pics only depending on stem , because I find it difficult for me to recongnize histopathological pics
thanks
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Old 06-20-2013
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where are you guys ?
really need to know this
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Old 06-21-2013
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From my experience of step 1, most picture questions on the exam can be answered based on the question stem itself. The pictures can be used just for confirming the answer. You might experience a couple of picture questions that aren't as straight forward where the answer is obvious without even seeing the picture, but no matter what, the question stem will give you clues to point you in the right direction so you know what to look for in the picture.

That said, there are quite a few anatomy questions (especially gross and MRI images) where the choices are based on the picture, as in you need to identify areas of the picture. So it is better to look at images before your exam so you know what part is where.
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swwal (06-22-2013), water (06-21-2013)
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Old 06-21-2013
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Quote:
Originally Posted by rohit39 View Post
From my experience of step 1, most picture questions on the exam can be answered based on the question stem itself. The pictures can be used just for confirming the answer. You might experience a couple of picture questions that aren't as straight forward where the answer is obvious without even seeing the picture, but no matter what, the question stem will give you clues to point you in the right direction so you know what to look for in the picture.

That said, there are quite a few anatomy questions (especially gross and MRI images) where the choices are based on the picture, as in you need to identify areas of the picture. So it is better to look at images before your exam so you know what part is where.
yes ofcourse for anatomy I will concentrate on pics
but for pathology ? I can answer all patho questions without pictures right ?
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Old 06-21-2013
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I agree with rohit39. I would like to add that you wont be asked to differentiate a nonseminamatous tumor from a seminoma from the pic alone. You will always be given that the alpha feto protein levels in the question stem. The nonseminamatous has increased AFP levels. The USMLE step 1 is not a pathology board exam. Differentiating non seminomatous from the other is only suitable for pathologists. Not step 1 candidates.

All you need to know are the basics that are there in first aid. For example , if you see a calcified concentric mass, then its undoubtedly a pasammoma body. And you need to know the differential for that.

If you see rods in a blast, then it is AML.

I think U world covers all the pics you have to know so depend on Uworld and First aid.

Hope this helps.
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Old 06-21-2013
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Quote:
Originally Posted by water View Post
I agree with rohit39. I would like to add that you wont be asked to differentiate a nonseminamatous tumor from a seminoma from the pic alone. You will always be given that the alpha feto protein levels in the question stem. The nonseminamatous has increased AFP levels. The USMLE step 1 is not a pathology board exam. Differentiating non seminomatous from the other is only suitable for pathologists. Not step 1 candidates.

All you need to know are the basics that are there in first aid. For example , if you see a calcified concentric mass, then its undoubtedly a pasammoma body. And you need to know the differential for that.

If you see rods in a blast, then it is AML.

I think U world covers all the pics you have to know so depend on Uworld and First aid.

Hope this helps.
thanks dude
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  #7  
Old 06-22-2013
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You are welcome.
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  #8  
Old 06-23-2013
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lol you have a nice username water, why did i not think of that
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  #9  
Old 06-23-2013
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Quote:
Originally Posted by ezguy View Post
lol you have a nice username water, why did i not think of that
LOL ezguy!!
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