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  #1  
Old 05-04-2011
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Arrow My experience for May 3rd exam..

I read these books once to get an overview: KLN, FA, BRS physio and RR Path 3rd Goljan
Then I focused on KME and UW and in my last week I read secrets
Nbme 1: 450
Nbme 2: 470
Nbme 5: 430
Nbme 6: 490
Nbme 7: 460
UWSA 1: 480
UWSA 2: 510

IMHO all you need is FA and UW. RR path is great book but it has excess details.

About the exam:
This exam is very fair exam and the question makers are very clever. They test concepts in way that you have to think to get the answer which is only possible if you know the concept rather than memorizing the material. Initially ever question seems weird and foreign but when you think about it they are asking a concept that you already know. I think the best preparation for this exam is to study hard the first 2 years.

Subjects:

Physio: about 5-7qs questions 3 of which were GI hormones. These involved easy ones and some experimental type. for example: they will say an animal was given a molecule and the serum HCO3 level from the pancreas was measured. then they ask which hormone was given: 1. Secretin 2. CCK....etc

Path: 50-60% of the test not too bad. They ask the typical UW and FA stuff. You have to know the disease characteristics. for example they will give Marfans case and ask you some findings in this syndrome

Pathphysio: about 10-15Qs almost all involved arrows going up/down

Pharm: about 20-30Qs, I was so glad as this was my favorite area. 95% of the questions asked MOA. rest 5% involved classic side effects, some drug-drug interactions. I had 2 questions with graphs where you had to figure out what drug X is. FA covers the graphs well.

Micro: 10-15Qs. the questions are easy like what organism is causing it. But the hard ones are the characteristics of the microbes like knowing virulence factors and those EF2 stuff. Viruses: based on the stem you will know the type of virus so dont worry much about the characteristics of the viruses. But if you had to know something make sure you know the DNA viruses and which ones are enveloped (i only had 1q)

Biochem: I had less than 5Qs and they were enzyme deficiencies.

Gross Anatomy: sh!t I had like 10-12 Qs and 90% of these involved a picture like a CT scan of the pelvis where you have to identify the structure. When you read the question you will know the diagnosis but the hard part is knowing where the structure of the abnormality is. Please review the basic CT scans so you know where structures are located.

Embro: 2-3Qs where they give a disease like M.diverticulium and ask you the embryological defect. not too hard

Neuro: 5-10Qs. 90% of them were easy and they involved identifying structures, like circle of willis...etc

BS: Sh!t I had 3-5 very challenging "what the physician should say" type of cases. I had only 3 stats, 2 study questions, 1 p-value question. Psych was not that bad, they were about 5qs
-----------------------------------------------
Even though it was a thinking test, nevertheless it was fair and not too difficult as people like to say it. When I was doing the exam I felt like I was doing NBME 7 again because of the type of questions. I had 3 repeat qs from Nbme 7. The length of the stems were mixed and time was not an issue.

If you need to ask questions feel free.
Gl to you all.
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  #2  
Old 05-04-2011
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Hi

How long did u spend for studying ?

Do u need to memorize lab values ?

thank u
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  #3  
Old 05-04-2011
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Default hi,

does FA mean the first aid book.
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Old 05-04-2011
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seems like you had your stuff together! What was your World %? And do you recommend reading Goljan RR? I don't know if I have the time for it, but I'm considering just going through the side margin blue points 2x.

Also do you think its worthwhile to go through a separate anatomy review book like BRS anatomy?
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  #5  
Old 05-04-2011
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Quote:
Originally Posted by sf_simmi View Post
does FA mean the first aid book.
yup!

and RR = Goljan Rapid Review
and CMMRS = Cell Molecular Biology Made Ridiculously Simple
(in case you didn't know those)
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  #6  
Old 05-04-2011
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Thank you for posting your experience, hope you take to time to relax and enjoy being done. You studied hard and it looked like it paid off
Did you have a lot of immunology? Did you take NBME 11 &12 and how did those compare?
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  #7  
Old 05-04-2011
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Default Thank you!

Thank you for telling us about your experience..!!

Good luck with the results!! I'm sure your work paid off!!

I'm sure you did great!!

Thanks and Good Luck with the rests of your steps!
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  #8  
Old 05-04-2011
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waooo

great contribution
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  #9  
Old 05-04-2011
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Congrats on finishing!!


I had a quick question: I have heard that there is no point in memorizing eponym's like Rokatansky-Aschoff Sinuses or KW nodules because the questions generally describe the pathology/findings rather than give these names. Did you come across eponyms in either the question stem or answer choices?
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  #10  
Old 05-04-2011
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Quote:
Originally Posted by apx85 View Post
Congrats on finishing!!


I had a quick question: I have heard that there is no point in memorizing eponym's like Rokatansky-Aschoff Sinuses or KW nodules because the questions generally describe the pathology/findings rather than give these names. Did you come across eponyms in either the question stem or answer choices?
Excellent question. Interested in this as well
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  #11  
Old 05-04-2011
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Thanks for sharing warrior doc

when you say, 5-10 questions of something do you mean 5-10 in each block or 5-10 including all the blocks? Sorry if this is a silly questions because its kinda hard to imagine what 7 blocks in a row looks like
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  #12  
Old 05-04-2011
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Quote:
Originally Posted by ambition4 View Post
Hi

How long did u spend for studying ?

Do u need to memorize lab values ?

thank u
Since Jan, 2010 but on and off but serious for 6 months.
about lab values i would say know the following cold: Thyroid, CSF glucose, bilirubin, Na, K, HCO3, BUN, cretin, AST/ALT/Albumin. Basically the questions in UW that you couldnt answer because of not knowing the values. 99% of the qs can be asnwered without lab memorization.
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  #13  
Old 05-04-2011
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Quote:
Originally Posted by pullandbear View Post
seems like you had your stuff together! What was your World %? And do you recommend reading Goljan RR? I don't know if I have the time for it, but I'm considering just going through the side margin blue points 2x.

Also do you think its worthwhile to go through a separate anatomy review book like BRS anatomy?
Thanks. my UW was 72 or 73% cant remember. RR has too much details and honestly the most important thing about this book is the mechanism aka pathogenesis. After reading one time I copied the Mechanisms and put them into Word and just read them. This exam is all about mechanims. Dont bother with Anatomy just focus on the CTs because they will give you portal hypertension and ask you which structure is affected in the CT so even though we may know that Portal vein is the answer, we have to identify it in the CT.
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  #14  
Old 05-04-2011
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Quote:
Originally Posted by heights View Post
Thank you for posting your experience, hope you take to time to relax and enjoy being done. You studied hard and it looked like it paid off
Did you have a lot of immunology? Did you take NBME 11 &12 and how did those compare?
thanks. I didnt have too much immuno. honestly the key to immuno is to get the general concept that's how things fit together rather than knowing individual players. the questions were concept oriented. I found Kaplan Medessential book sufficient for Immuno particularly the first page that puts things together and I believe the 5th page. I didnt do 11 and 12 but my exam was like NBME 7.
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  #15  
Old 05-04-2011
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Quote:
Originally Posted by apx85 View Post
Congrats on finishing!!


I had a quick question: I have heard that there is no point in memorizing eponym's like Rokatansky-Aschoff Sinuses or KW nodules because the questions generally describe the pathology/findings rather than give these names. Did you come across eponyms in either the question stem or answer choices?
absolutely right. NO BUZZ WORDS however if you know 50% of the disease characteristics you will be able to diagnose the stem. Every question we had to diagnose the disease before we even answer the question.
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  #16  
Old 05-04-2011
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Quote:
Originally Posted by step1saga View Post
Thanks for sharing warrior doc

when you say, 5-10 questions of something do you mean 5-10 in each block or 5-10 including all the blocks? Sorry if this is a silly questions because its kinda hard to imagine what 7 blocks in a row looks like
total in all & blocks. dont worry you wont feel the 7 hours time goes fast. Btw dont bother with stamina drill. if you do 4 blocks of NBME that's enough because in the remaining 3 blocks ur catecholamines will do the job. But one important thing, i didnt feel tired and I could give another 2 blocks if I had to, and this was possible because I slept 12 hours the night before and I was eating/urinating/washing my face every block. gl
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  #17  
Old 05-05-2011
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Wow so you only had 5 Biochem Q's... That's great!

Good luck, I'm sure you did awesome!
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Old 05-05-2011
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thankyou for sharing your experience.....frm where shud i do,C.T.Scans n histo patho slides?i did nbme 7 way bak bt dint get gd scores in it...now shud i do nbme 6 or again nbme 7 to re evaluate myself?
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Old 05-05-2011
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hey congrats on writing step...good luck on your score....i had a question...what was your feeling about equations/formulas type question (like was there biostats or cardic output stuff or renal GFR stuff)..also was neuro sufficient from first aid and where did you study the CT, MRI, etc pictures from? thanks
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Old 05-06-2011
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Quote:
Originally Posted by sana akbar View Post
thankyou for sharing your experience.....frm where shud i do,C.T.Scans n histo patho slides?i did nbme 7 way bak bt dint get gd scores in it...now shud i do nbme 6 or again nbme 7 to re evaluate myself?
Thanks. Honestly I didnt do any CT, and histo slides. Dont worry about them whatever you see in UW and NBMEs are good enough. The most important thing about CTs is knowing how to read the normal CT so when they give you a pathoogy case and they ask you the structure involved you can identify. FA CTs are very good. If you didnt see the offline NBME 7 questions then you can do it online again, however NBME 11 and 12 is good too. If I had to re-do all over again, I would know every clinical gross anatomy pathology in picture form. Like, femoral head fracture, Commen Peroneal nerve palsy, Scafoid fracture...etc. Try to know how to read CTs of abdomen/Thorax and Pelvic. gl
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Old 05-06-2011
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Quote:
Originally Posted by jattdoc View Post
hey congrats on writing step...good luck on your score....i had a question...what was your feeling about equations/formulas type question (like was there biostats or cardic output stuff or renal GFR stuff)..also was neuro sufficient from first aid and where did you study the CT, MRI, etc pictures from? thanks
My test was very weird. Can you believe I only had 3 caculations to make one of which I had to guess. I had PPV, Sensitivity and probablity questions. Im not good with calculations too but I made sure that I knew the following cold: 1. PPV 2. NPV 3. Sensitivity 4. Specificity 5. All the real formulas like GFR, FF..etc. Really if you know these, there is 90% chance you will get the calculations right. Neuro FA is enough except the tracts which you can see them in Kaplan neuro or Kaplan Medessentials book. I didnt study CT, MRI and all these. UW and NBME pictures are enough. gl.
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  #22  
Old 05-06-2011
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warriordoc , did you do all the NBME's? I mean besides the ones for asseessment- did you go over answers, explanations etc on nbme and was it helpful..?
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Old 05-06-2011
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congratulations on writing the step!!
good luck for ur score
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  #24  
Old 05-07-2011
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That was very helpful...

Good luck on your score
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Old 09-09-2012
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Thank you very much! I found your report extremely useful. Good luck in your next Steps!
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