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  #201  
Old 05-04-2013
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my schedule for today:
CATCH UP for the left topics,,,
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  #202  
Old 05-04-2013
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venky and rupesh - when is your exam..have you scheduled it for may or early june..? all the best guys..
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  #203  
Old 05-04-2013
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Quote:
Originally Posted by aaru20 View Post
venky and rupesh - when is your exam..have you scheduled it for may or early june..? all the best guys..
@aaru20....i already posted here in 1 old post....i postponed it to may 22nd
(so only 16 days more)
when is yours btw..?
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  #204  
Old 05-04-2013
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my schedule is cardio cardio cardio cardio cardio cardio cardio..(and few clinical vignettes if possible)
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  #205  
Old 05-04-2013
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Quote:
Originally Posted by aaru20 View Post
venky and rupesh - when is your exam..have you scheduled it for may or early june..? all the best guys..
i did postpone my exam from 14th may to 24th may coz i could not finish my schedule in time....
Good luck aaru20
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  #206  
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my schedule is cardio cardio cardio cardio cardio cardio cardio..(and few clinical vignettes if possible)
wad u mean by clinical vignettes? what source ure talking about?
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  #207  
Old 05-04-2013
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Originally Posted by bigBOSSguy View Post
wad u mean by clinical vignettes? what source ure talking about?
haha...nothing specified source--------> it's just my notes(algorithms) which i made abt clinical case next diagnosis and management
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  #208  
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well i plan to take it in the middle of june..maybe around 20th..but i havent taken a date yet..plus i have a lot to cover..i have only done 30% of uworld till now..and have only finished medicine reading for the time being..i have started with obgyn..too much to cover..
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  #209  
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Quote:
Originally Posted by aaru20 View Post
well i plan to take it in the middle of june..maybe around 20th..but i havent taken a date yet..plus i have a lot to cover..i have only done 30% of uworld till now..and have only finished medicine reading for the time being..i have started with obgyn..too much to cover..
dont worry aaru 20 you will have pace in u world after you finished kaplan
good luck
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  #210  
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this is a nice motivational song
http://www.youtube.com/watch?list=PL...yer_detailpage
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  #211  
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Today's High yield : (only cardio)

1) pericarditis treatment --->NSAID's (initial) ...if recurrent corticosteroids can be used ....no place for antibiotics
pericarditis post MI ----> aspirin is used instead (NSAIDs,steroids delay scar formation so not used )
Dressler's syndrome ---> ibuprofen




2) some mortality benefit and life saving treatments

a) stable angina----> aspirin and beta blockers (oral or transdermal patch nitrates for symptomatic relief)

CABG or angiolpasty for >70% stenosis

b) unstable angina/NSTEMI-----> aspirin (MONA protocol--morphine,oxygen,sublingual or chewable nitrates and aspirin---only aspirin has clear mortality benefit)
heparin (enoxaparin is better to use)
clopidogrel(for aspirin allergic----but no dipyridamole)
beta blockers
ACEI/ARBs
gp.2B/3A inhibitors(for those who undergoing PCI)

c) STEMI----> aspirin (MONA --same as NSTEMI)--clopidogrel if aspirin allergic
PCI(90mins) / thrombolysis (30 mins)
beta blockers
ACEI/ARBs

d) pulmonary edema ---> MOND protocol (morphine,oxygen, nitrates,diuretcs + nesiritide may be added but no clear benefit)
loop diuretics preferred

if not resolve ---follow by dobutamine (dont decrease mortality but used for treatment)

do echocardiography------to diagnose either systolic dysfunction or diastolic dysfunction (CHF)

systolic dysfuntion ----> ACEI/ARBs,
beta blockers(unclear--only metaprolol and carvedilol)
spironolactone (only in advanced disease)
diuretics(but no mortality benefit)
nitrates/hydralazine
implantable defibrillator (when EF < 35%)
biventricular pacemaker/cardiac resynchronization therapy (when QRS>120 ms)


diastolic dysfunction ----> beta blockers (diuretics also helpful)



P.S---->i only added life saving treatments ...not included others like digoxin and CCBs

please do correct if anything i missed or mistaken.

thanks

Last edited by venky2600; 05-05-2013 at 01:24 AM. Reason: added nitrates route of administration
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  #212  
Old 05-05-2013
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Quote:
Originally Posted by venky2600 View Post
Today's High yield : (only cardio)

1) pericarditis treatment --->NSAID's (initial) ...if recurrent corticosteroids can be used ....no place for antibiotics
pericarditis post MI ----> aspirin is used instead (NSAIDs,steroids delay scar formation so not used )
Dressler's syndrome ---> ibuprofen




2) some mortality benefit and life saving treatments

a) stable angina----> aspirin and beta blockers (oral or transdermal patch nitrates for symptomatic relief)

CABG or angiolpasty for >70% stenosis

b) unstable angina/NSTEMI-----> aspirin (MONA protocol--morphine,oxygen,sublingual or chewable nitrates and aspirin---only aspirin has clear mortality benefit)
heparin (enoxaparin is better to use)
clopidogrel(for aspirin allergic----but no dipyridamole)
beta blockers
ACEI/ARBs
gp.2B/3A inhibitors(for those who undergoing PCI)

c) STEMI----> aspirin (MONA --same as NSTEMI)--clopidogrel if aspirin allergic
PCI(90mins) / thrombolysis (30 mins)
beta blockers
ACEI/ARBs

d) pulmonary edema ---> MOND protocol (morphine,oxygen, nitrates,diuretcs + nesiritide may be added but no clear benefit)
loop diuretics preferred

if not resolve ---follow by dobutamine (dont decrease mortality but used for treatment)

do echocardiography------to diagnose either systolic dysfunction or diastolic dysfunction (CHF)

systolic dysfuntion ----> ACEI/ARBs,
beta blockers(unclear--only metaprolol and carvedilol)
spironolactone (only in advanced disease)
diuretics(but no mortality benefit)
nitrates/hydralazine
implantable defibrillator (when EF < 35%)
biventricular pacemaker/cardiac resynchronization therapy (when QRS>120 ms)


diastolic dysfunction ----> beta blockers (diuretics also helpful)



P.S---->i only added life saving treatments ...not included others like digoxin and CCBs

please do correct if anything i missed or mistaken.

thanks


FA says STEMI 1st intervention is always PCI (if presented within 90 mins of MI) , and if its more than that, then tPA.
so im guessing thrombolysis(tPA) is not in 30 mins of presentation .


also LMNOP can be used to remember Rx for pulm odema , Lasix-morphine-nitrates-O2-position (upright)
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  #213  
Old 05-05-2013
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Quote:
Originally Posted by j-sin View Post
FA says STEMI 1st intervention is always PCI (if presented within 90 mins of MI) , and if its more than that, then tPA.
so im guessing thrombolysis(tPA) is not in 30 mins of presentation .


also LMNOP can be used to remember Rx for pulm odema , Lasix-morphine-nitrates-O2-position (upright)
yeah, thanks for LMNOP ---i forgot abt upright position.. (and also in systolic heart failure treatment it should be hydralazine + nitrates not /)

i agree with FA ,although it can be used for first 12 hrs post-MI pain ,given in 1st 30 mins is the most effective time to prevent mortality..(check it in MTB's 2 and 3---they gave clear explanation for your doubt....)

so if we dont get in time for PCI(90 mins) then obviously tPA which is the next best step is the treatment (but remember, it works gr8 if given in 1st 30 mins itself)...

and yes, 1st intervention is PCI but always after aspirin
aspirin should be given to any patient first to any other drugs/PCI who presented with chest pain....(i already said morphine,oxygen and nitrates ---no survival benefit,treat symptoms only)

hope it clears

Last edited by venky2600; 05-05-2013 at 02:10 AM.
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  #214  
Old 05-05-2013
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Adding 1 more high yield point for today:

3) if pt. presents with irregular heart rate and stable(no chest pain/dyspnea)----EKG shows atrial fibrillation and duration of which unknown---------->then next step....?-------------> do TEE --->if thrombus present(in lt.atrium) ,then anticoagulate ---> if no thrombus then cardioversion.....(treat it as less than 48 hrs)
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  #215  
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Default facts

Congenital Varicella Syndrome
zig zag skin lines
limb hypoplasia
microphthalmia

Deafness
mc cause of SNHL in children is CMV
mc complication of rubella and meningitis is Hearing loss

the indication for c setion in a HIV pregnant mother is that if HIV load i>>>>1000

in case o neonatal hepatitis B 80% will develop chr.hepatitis whereas 10% will only develop chr. hepatitis in adult hepatitis.

Pre ecclampsia and antihypertensive:
Systolic BP >/160/100
coz it decreases utero placental blood flow

Hypothyroidism causes anovulation

Urso deoxy cholic acid is DOC for intrahepatic cholestasis of pregnancy..
Asymptomatic bacteriuria>>>30% associated with UTI
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  #216  
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Sorry to interrupt guys! i wanted to ask abt nbme 6. do u have any idea how much it is different from nbme 1?
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  #217  
Old 05-05-2013
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my schedule for today is to study ophthalmology and radiology.....and qs
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  #218  
Old 05-06-2013
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todays schedule is to study Psychiatry...
good luck......
http://www.youtube.com/watch?feature...&v=KFfCKy0nKr0....
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  #219  
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my schedule-----endocrine,rheumat and hematology
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  #220  
Old 05-07-2013
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my plan for today is to read Biostat...
good luck guys...
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  #221  
Old 05-08-2013
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my schedule today---> doing gastro now.....later followed by preventive med,acid base....

i think no one is ever posting except me an rupesh......do motivate guys..
so, i think many have finished their exams already....so atleast pls post your experiences which will be helpful to us..

thanks
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  #222  
Old 05-09-2013
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today's high yield notes--->some rare side effects of drugs...(i know it's quite difficult to remind all)

1) exenatide---causes pancreatitis
propylthiouracil--->associated with ANCA vasculitis
methimazole----> associated with cholestatis hepatitis
(both are associated with agranulocytosis)
ribavirin---->hemolytic anemia
rotavirus vaccine--->intussussception
chlorpropamide toxicity----------->treated by NaHCo3
nitroglycerin,dapsone---->causes methemoglobinemia
risperidone,fluphenazine-->galactorrhea(hyperprolactinemia)
aspirin -------->causes vit.K dependent clotting factors depletion-->so increase PT
amphotericin--->@ with RTA 1(so calcium stones and hypocalcemia,hypokalemia)

gold salts ---------->membranous glomerulonephritis

2) tumor lysis syndrome(due to chemo/radiotherapy) prevented by-----> allopurinol ,I.V hydration
allopurinol induced crystallopathy--------> prevented by IV hydration
contrast induced nephropathy(very rapid onset)---->IV hydration
rhabdo myolysis------->by vigorous IV hydration,NaHCo3,mannitol

3) ECG
J wave/osbourne--->hypothermia
delta wave----->WPW
U wave----->hypokalemia
pathologic Q wave---->transmural MI


pls guys do motivate...no one is ever posting

where are you guys..? @dralan ,@jose123, @aaru20 ,@nishaa(i think she has cs) ,@bigbossguy ,@usmlestep1 ,@salman------------> goodluck all for the exam
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  #223  
Old 05-09-2013
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hey venky..cardiology questions in the uworld are giving me a hard time..i have finished 40% of uworld with 67 % average..how many hours do you guys study in one day..? it seems i am the only one who ends up wasting time on facebook or skype after each block of uworld..
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  #224  
Old 05-09-2013
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Quote:
Originally Posted by aaru20 View Post
hey venky..cardiology questions in the uworld are giving me a hard time..i have finished 40% of uworld with 67 % average..how many hours do you guys study in one day..? it seems i am the only one who ends up wasting time on facebook or skype after each block of uworld..
hey buddy...ya cardiology is my weak point too...solution is keep practicing it by uworld and mtb2 and if you still feel difficulty then do the topic in kaplan LN..i think it will be more than sufficient..
regarding wasting of time.....i usually waste much of time compared to you (i guess) in Fb,skype and in forums too......and you have little more time than compared to us ,so may be that's the reason you're feeling like that.....you'll do better once you're getting nearer to exam...
goodluck...keep updating your work..
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  #225  
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Default Interesting Facys

buripion in used instead of SSRI in depression patient wHO smoke+impotence
if there is seizures or condition where there is distubance in electrolytes like anorexia nervosa we use SSRI

anaphylaxis is managed with im epinephrine .mc wrong ans is sub cut epinephrine...

in case of croup next best step in mangement is racemic epinephrine coz it has decreased the requirement for intubation.but in case of epiglottitis next step is intubation..

getting really tensed UW expires after 3 days and 800 mcqs left....
gl
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  #226  
Old 05-10-2013
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Good luck guys on your last 100 m preparation for Ck! Even though I haven't been posting for a while in Ck forum, I have been reading it and I found some interesting facts and information that I didn't know.

I plan to take Ck in July and today I will finish (75% unfortunately) my one month Kaplan QBank subscription with a 68% cumulative performance. I didn't like Kaplan QBank, because not only it tests a lot of tiny, rare and "have never heard of this" information, but also it formulates the questions in a rather weird way that can be misinterpreted. At least, this is my opinion.

I plan to subscribe tomorrow to UWorld for 2 months and start the serious preparation for Ck. I hope UWorld will be better.

Good luck to everyone and try to stay motivated until the end of the journey!
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  #227  
Old 05-12-2013
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sorry guys , had a internet problem

here is some biostatics notes


Hazard ratio is the ratio of an event rate occurring in the treatment group compared to an event rate occurring in the non-treatment group. A ratio less than 1 indicates that the treatment group had a significantly lower event rate while values greater than 1 indicate that the treatment group had a much higher event rate.

A ratio close to 1 implies little difference between the two groups. Additionally, a confidence interval contains the null value of 1, indicats that there is no significant difference in the risk of major bleeding between the 2 groups.
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  #228  
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Quote:
Originally Posted by dralan View Post
sorry guys , had a internet problem

here is some biostatics notes


Hazard ratio is the ratio of an event rate occurring in the treatment group compared to an event rate occurring in the non-treatment group. A ratio less than 1 indicates that the treatment group had a significantly lower event rate while values greater than 1 indicate that the treatment group had a much higher event rate.

A ratio close to 1 implies little difference between the two groups. Additionally, a confidence interval contains the null value of 1, indicats that there is no significant difference in the risk of major bleeding between the 2 groups.

most of abstract questions in UW are about Hazard ration
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  #229  
Old 05-13-2013
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Default facts

premature adrenarche:
prescence of axillary hair<6 year
benign self limiting condition

premature pubarche:
pubic hair growth<8 year
50% have CNS disorder do ct/mri

sildenafil:ischaemic optic neuropathy

good luck
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  #230  
Old 05-13-2013
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my points--->

1) Hashimoto thyroiditis present initially with increased RAIU(thyrotoxicosis) later followed by decreased uptake( hypothyroid)

2) bupropion is used not only for depression and side effects from SSRI's---but also in seasonal affective disorder , ADHD(2nd line) ,dysthymia

3) catatonia treatment---> ECT(electro convulsive) and benzodiazepines(diazepam)

4) ECT can be used for refractory mania, depressed pregnants,catatonia, neuroleptic malignant syndrome

5) steroid induced acne differ from general acne ----in absence of comedones

6) posture of sandifer syndrome ---->in infants GERD to avoid reflux ,they exhibit posture of hyperextension of spine
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  #231  
Old 05-13-2013
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Help Guys...

... I'm getting tired. My exam is next Monday. Nbme 4 =500/237 (one week ago). It's getting hard to do last review. I'm pushing myself to read my notes and books. Tomorrow I'm doing UWSA, tell you guys how do it goes.... :sorry::sorry:


I feel so bored.... It gives me a lot of anxiety, but I can't help getting distracted so much.

Any advice?

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  #232  
Old 05-13-2013
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Quote:
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... I'm getting tired. My exam is next Monday. Nbme 4 =500/237 (one week ago). It's getting hard to do last review. I'm pushing myself to read my notes and books. Tomorrow I'm doing UWSA, tell you guys how do it goes.... :sorry::sorry:


I feel so bored.... It gives me a lot of anxiety, but I can't help getting distracted so much.

Any advice?

good luck dude ....i think we should just revise whatever we have studied....no more new materials..
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  #233  
Old 05-13-2013
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Originally Posted by venky2600 View Post
my points--->

1) Hashimoto thyroiditis present initially with increased RAIU(thyrotoxicosis) later followed by decreased uptake( hypothyroid)

2) bupropion is used not only for depression and side effects from SSRI's---but also in seasonal affective disorder , ADHD(2nd line) ,dysthymia

3) catatonia treatment---> ECT(electro convulsive) and benzodiazepines(diazepam)

4) ECT can be used for refractory mania, depressed pregnants,catatonia, neuroleptic malignant syndrome

5) steroid induced acne differ from general acne ----in absence of comedones

6) posture of sandifer syndrome ---->in infants GERD to avoid reflux ,they exhibit posture of hyperextension of spine

Good job, wanna add to steroid induced acne,

IT IS DESCRIBED AS MONOMORPHIC APPEARANCE, whereas in general acne can have all papules/pustules/nodules in varying combination
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  #234  
Old 05-13-2013
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hiii guys .... i have problem with the .. usmle tutorial .... its not working
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  #235  
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Originally Posted by think big View Post
hiii guys .... i have problem with the .. usmle tutorial .... its not working
try changing screen resolution to 600*400

if not resolves mail them(usmle.org) abt ur problem....they will reply fast

goodluck
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  #236  
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Quote:
Originally Posted by Dr. Mexito View Post
... I'm getting tired. My exam is next Monday. Nbme 4 =500/237 (one week ago). It's getting hard to do last review. I'm pushing myself to read my notes and books. Tomorrow I'm doing UWSA, tell you guys how do it goes.... :sorry::sorry:


I feel so bored.... It gives me a lot of anxiety, but I can't help getting distracted so much.

Any advice?


goodluck buddy.....dont worry you'll certainly do well
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  #237  
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i was forced due to shortage of time to book my date 27/5/2013
i was preparing relaxingly ,suddenly my hospital called me and they want me to join on June
my advice to you all ,book a date now and act according to that specific date so that u don't be foreced to choose a specific date despite not being fully prepared
best of luck
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i don't get it, u mean forced to join the hospital in ur home country or in the states
Quote:
Originally Posted by oraiby View Post
i was forced due to shortage of time to book my date 27/5/2013
i was preparing relaxingly ,suddenly my hospital called me and they want me to join on June
my advice to you all ,book a date now and act according to that specific date so that u don't be foreced to choose a specific date despite not being fully prepared
best of luck
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i don't get it, u mean forced to join the hospital in ur home country or in the states
im an img talking about residency in my home country
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  #240  
Old 05-14-2013
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Default I'm dying...

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Originally Posted by venky2600 View Post
goodluck buddy.....dont worry you'll certainly do well
But I made it... 620/244!!! I felt so weird durting this test (felt I was going to fail) thanks God I did well

I have a question for you guys:

Should I correct the exam or should I only focus on the topics according to my result (Lowest to highest performance)? My exam is this next monday, I want to try to get a higher score if possible.

Any insight???

Thank you guys...
Attached Files
File Type: pdf Screen Shot 2013-05-14 at 7.46.39 PM.pdf (326.4 KB)
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  #241  
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Embarrassed advice plz

hello friends...nice active thread here...i have a dilemma i need ur advice
i am scheduled 17th June for CK ( 80% done with UW)
and My CS scheduled 9th July,

was wondering if i shift my CK to 31th July and adding these three weeks, give two for CK and one for CS,

the only drawback here, is that i will have to take CS very close to CS, three weeks apart in addition to travelling to states.....

but the positive thing i will get more time for CK + 2 weeks and more time for CS 28 days instead of 20......

what do u guys think, shall i stick to the original scheme or take the second one???? plz i need feedback as i have only two days b4 deadline to change my CK exam date without paying extra fees
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Quote:
Originally Posted by smartfetus View Post
hello friends...nice active thread here...i have a dilemma i need ur advice
i am scheduled 17th June for CK ( 80% done with UW)
and My CS scheduled 9th July,

was wondering if i shift my CK to 31th July and adding these three weeks, give two for CK and one for CS,

the only drawback here, is that i will have to take CS very close to CS, three weeks apart in addition to travelling to states.....

but the positive thing i will get more time for CK + 2 weeks and more time for CS 28 days instead of 20......

what do u guys think, shall i stick to the original scheme or take the second one???? plz i need feedback as i have only two days b4 deadline to change my CK exam date withif ut paying extra fees
in my point of view first finish your UW then do UWSA if you r ready then give exam on time otherwise shift your exam afterall you can give ck upto mid august right...
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  #243  
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Default psychiatry facts

recently my score is at 25 th percentile in psychiatry gonna have to focus a lot in less time...
depression with neuropathic pain is treated with DESVENLAFAXINE
abrupt cessation of short acting benzos ie alprazolam results in Generalized tonic clonic seiz and confusion.

>/=3 maniac episodes requires life long treatment with valproic acid.
good luck and keep moving .....
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  #244  
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Default duration

@Dr.Mexito.....very good score my friend... best of luck
any chance i could know total duration of ur preparation till today....i mean for how many months have u been preparing? thanks and good luck in ur exam

Quote:
Originally Posted by Dr. Mexito View Post
But I made it... 620/244!!! I felt so weird durting this test (felt I was going to fail) thanks God I did well

I have a question for you guys:

Should I correct the exam or should I only focus on the topics according to my result (Lowest to highest performance)? My exam is this next monday, I want to try to get a higher score if possible.

Any insight???

Thank you guys...
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  #245  
Old 05-14-2013
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Question

Quote:
Originally Posted by Dr. Mexito View Post
But I made it... 620/244!!! I felt so weird durting this test (felt I was going to fail) thanks God I did well

I have a question for you guys:

Should I correct the exam or should I only focus on the topics according to my result (Lowest to highest performance)? My exam is this next monday, I want to try to get a higher score if possible.

Any insight???

Thank you guys...
dude..gr8 score..

just do work on your cardio,nervous and hemat part ---(you scored less comparitive to other subj.)....do uworld uworld uworld

goodluck buddy.....you'll rock for sure.....
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  #246  
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Despite this sudden shortage of time I am dead sure you will rock this exam. You have worked really hard and you've shown good results. InshAllah you will score great. All the best.

Quote:
Originally Posted by oraiby View Post
i was forced due to shortage of time to book my date 27/5/2013
i was preparing relaxingly ,suddenly my hospital called me and they want me to join on June
my advice to you all ,book a date now and act according to that specific date so that u don't be foreced to choose a specific date despite not being fully prepared
best of luck
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  #247  
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Quote:
Originally Posted by Dr. Mexito View Post
But I made it... 620/244!!! I felt so weird durting this test (felt I was going to fail) thanks God I did well

I have a question for you guys:

Should I correct the exam or should I only focus on the topics according to my result (Lowest to highest performance)? My exam is this next monday, I want to try to get a higher score if possible.

Any insight???

Thank you guys...
congrats dude you r in good shape....
just focus on weak areas and you r done...
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  #248  
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Hi guys,
This is my first post here in this form which I've found it very useful.
My exam next Monday, and I did take NBME 4 one week ago and I really screwed it up. I got A low score. Anyways, I'm not gonna give up cuz I cant postpone my exam. I'm gonna take another one this Friday after reviewing the materials again.

I need ur advise, shall I take NBME form 2 or 3?

Thank you a lot.
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Quote:
Originally Posted by Andrea88 View Post
Hi guys,
This is my first post here in this form which I've found it very useful.
My exam next Monday, and I did take NBME 4 one week ago and I really screwed it up. I got A low score. Anyways, I'm not gonna give up cuz I cant postpone my exam. I'm gonna take another one this Friday after reviewing the materials again.

I need ur advise, shall I take NBME form 2 or 3?

Thank you a lot.
hey....thats gr8 you're not giving up...but be prepared well..

regarding nbme---3 would be gr8 but scoring is somewhat tough which may lower your confidence level at this peak level
nbme-6 would be gr8 if you havent given----nbme2 would also be okay..

goodluck...dont forget to give fred free 150
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  #250  
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Quote:
Originally Posted by venky2600 View Post
hey....thats gr8 you're not giving up...but be prepared well..

regarding nbme---3 would be gr8 but scoring is somewhat tough which may lower your confidence level at this peak level
nbme-6 would be gr8 if you havent given----nbme2 would also be okay..

goodluck...dont forget to give fred free 150



Sorry I didn't get ur last sentence

Anyways,Thank you so much for the reply
I think I'm gonna take UWSA.
I hope it goes well:sorry:

Either ways I can't postpone, wish me luck.
And best of luck for all of you guys.
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  #251  
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Its the free practice material online

USMLE Free Practice Materials (Free 150)

http://www.usmle.org/practice-materials/index.html
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  #252  
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Help ...

Quote:
Originally Posted by rupesh View Post
recently my score is at 25 th percentile in psychiatry gonna have to focus a lot in less time...
depression with neuropathic pain is treated with DESVENLAFAXINE
abrupt cessation of short acting benzos ie alprazolam results in Generalized tonic clonic seiz and confusion.

>/=3 maniac episodes requires life long treatment with valproic acid.
good luck and keep moving .....
Something that helped me: review neurology and psychiatry drugs form FA 1. Are pretty cool, short, concise, cover the same things you need for CK. Take it as a review for your preparation.
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  #253  
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Quote:
Originally Posted by hypermedic View Post
@Dr.Mexito.....very good score my friend... best of luck
any chance i could know total duration of ur preparation till today....i mean for how many months have u been preparing? thanks and good luck in ur exam
Almost 7 moths since I started. However, I've stopped my preparation on several times (personal reasons).... so total study time, I'll say like about 5 1/2 moths to 6 moths. Also, I started CK 2 moths after finishing step 1.
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Help Yeah...

Quote:
Originally Posted by venky2600 View Post
hey....thats gr8 you're not giving up...but be prepared well..

regarding nbme---3 would be gr8 but scoring is somewhat tough which may lower your confidence level at this peak level
nbme-6 would be gr8 if you havent given----nbme2 would also be okay..

goodluck...dont forget to give fred free 150
B careful with nbme 3, it can scare the @&$@&$ out of you. Use it to see weak areas... But... Don't trust that much on the score prediction part. Relax man... Something that I've learned during this preparation is: not to overwhelm myself (not good for your preparation, not good for your mental health)

Trust your knowledge... You are almost there.
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Thumbs Up

today's points...:

1)blind loop syndrome (stagnation syndrome)---->complication of abdominal surgery which lead to bacterial overgrowth(due to adhesions/stagnation)---->leading to defective absorption of all vitamins and minerals,chronic watery diarrhea, wt. loss----->
Rx---antibiotics,vit.B12 supplement

2) dumping syndrome--->post bill-roth 2 operation---->early hyperosmolar food enters intestine(as there is no stomach)---->lead to nausea,bloating,vomiting---->chronic lead to hypoglycemia(sweating,trembling)
Rx---short,frequent meals

3)short bowel syndrome-----> due to resection of small bowel (in crohn's /volvulus etc)---->lead to malabsorption of fat,vitamins and minerals---->wt.loss,diarrhea,steatorrhea
Rx----> antidiarrheals (loperamide) ,lactase supplement,vitamin supplements

thanks...goodluck
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  #256  
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hey guys , took my exam yesterday
time was an issue but don't rush yourself and think for a second if the Q needs that couldn't return to marked Qs except in 2 blocks
of course many Qs weren't discussed either in UW , MTB , FA and even kaplan - about 5 in each block - but stick to UW the holy book of step 2
my blocks were 44, 45 , 43, 44, 45, 45, 45, 43
2 easy drug ads , 1 was about Bb asking mechanism of drug which is B antagonist
1 abstract - I think it would have been doable if I had more time - it was in a 43 block
about 5 biostat Qs - 2 of them needed lot of calculation
3 easy ECGs : AF , SVT , pericarditis
3 heart sounds : MVP ( asking IE prophylaxis ) , AS and AR in a dissection
wiered surgical management Qs about severe venous ulcers , bioterrerism ( anthrax ... etc ) , tanner staging , expected years this patient will live !! skin rash after phenytoin , vaginal vulvo vaginitis TTT
some Vague psychiatry Qs
hope I will get a good score like UWSA 248
I wish I can stop thinking about CK and concentrate on CS exam I am having soon
Happy to answer any Qs
Good luck
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  #257  
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my plan for today is to do biostat and ethics 100 cases that i could not finished in last revision....
gonna start my weakest subject CARDIO tomorrow
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Quote:
Originally Posted by dralan View Post
hey guys , took my exam yesterday
time was an issue but don't rush yourself and think for a second if the Q needs that couldn't return to marked Qs except in 2 blocks
of course many Qs weren't discussed either in UW , MTB , FA and even kaplan - about 5 in each block - but stick to UW the holy book of step 2
my blocks were 44, 45 , 43, 44, 45, 45, 45, 43
2 easy drug ads , 1 was about Bb asking mechanism of drug which is B antagonist
1 abstract - I think it would have been doable if I had more time - it was in a 43 block
about 5 biostat Qs - 2 of them needed lot of calculation
3 easy ECGs : AF , SVT , pericarditis
3 heart sounds : MVP ( asking IE prophylaxis ) , AS and AR in a dissection
wiered surgical management Qs about severe venous ulcers , bioterrerism ( anthrax ... etc ) , tanner staging , expected years this patient will live !! skin rash after phenytoin , vaginal vulvo vaginitis TTT
some Vague psychiatry Qs
hope I will get a good score like UWSA 248
I wish I can stop thinking about CK and concentrate on CS exam I am having soon
Happy to answer any Qs
Good luck

dude ...sure you gonna do well...by looking at your uwsa..everyone can tell,dont worry......goodluck for CS

so how many multimedia q's did you get...?(audio and video)
what did you do for CXR...?-----i'm finding very difficult in diagnosing CXR sometimes(hemothorax,pulmonary contusion,myocardial contusion,ARDS)....
btw how was neuro Q's ....and pediatrics milestone Q's..?

thanks
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  #259  
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Quote:
Originally Posted by venky2600 View Post
dude ...sure you gonna do well...by looking at your uwsa..everyone can tell,dont worry......goodluck for CS

so how many multimedia q's did you get...?(audio and video)
what did you do for CXR...?-----i'm finding very difficult in diagnosing CXR sometimes(hemothorax,pulmonary contusion,myocardial contusion,ARDS)....
btw how was neuro Q's ....and pediatrics milestone Q's..?

thanks
Thanks man
as for multimedia , got 3 heart sounds as I said , no videos

x rays : copd , volvulus and lung abcess CT , pancreatitis CT

neuro : stroke ttt in 1 hour with free CT >> TPA - migrane , benign positional vertigo , brain metastasis , NF- 1>> optic glioma , ASA infarction, cauda equina , huntington , amyotrophic lateral sclerosis , steppage gait >> peroneal N injury

pictures : with all derma Qs pitriasis rosae , psoriasis with hep c why ?? , atopic and sebrrhea ttt + osteogensis imperfecta blue sclera

no ped milstones Qs - but a Q about 3 y old waking crying at night for some time with normal examination
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  #260  
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only 4 days to go.......

target---370 bits in 2 days for last revision-----

goodluck and thank you all..
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  #261  
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Default good luck man

good luck mate...so what was ur last assessment? how was ur score?

Quote:
Originally Posted by venky2600 View Post
only 4 days to go.......

target---370 bits in 2 days for last revision-----

goodluck and thank you all..
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  #262  
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Originally Posted by venky2600 View Post
only 4 days to go.......

target---370 bits in 2 days for last revision-----

goodluck and thank you all..
good luck and all d best for exam ...
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  #263  
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All the best to you venky,
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all the best venky..u'll do well..just remain confident..there's a line from a hindi movie that I saw yesterday..'keh ke le lena step 2 ck ki..'
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Quote:
Originally Posted by hypermedic View Post
good luck mate...so what was ur last assessment? how was ur score?
thanks @rupesh ,hypermedic, aaru20, salman
@hypermedic----i got 228 in uwsa 4 days back(what gone wrong is--i had 22 wrongs in 1 block itself i.e-2nd block--ofcourse with some silly mistakes which i shouldnt repeat)----have a little confidence that i can improve from my uwsa score......

goodluck all..

Last edited by venky2600; 05-17-2013 at 06:20 PM.
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  #266  
Old 05-18-2013
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For now step 2ck HAMARI LE RAHA HAI :P But all the best guys. on my 2nd uworld read. after this I go for NBME 2 myself! Dont feel confident at all. since this is just a quick read. I doubt that helps much.

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all the best venky..u'll do well..just remain confident..there's a line from a hindi movie that I saw yesterday..'keh ke le lena step 2 ck ki..'
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  #267  
Old 05-18-2013
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guys....pls dont mind asking like this...

in exam..in total how many questions will be there altogether...?

as many describes they have 32/block and 44/block---i got this doubt..

kindly clarify me...

thanks
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Quote:
Originally Posted by venky2600 View Post
guys....pls dont mind asking like this...

in exam..in total how many questions will be there altogether...?

as many describes they have 32/block and 44/block---i got this doubt..

kindly clarify me...

thanks

Step 2 has approximately 340 to 355 multiplechoice test questions, divided into eight 60-
minute blocks, administered in one nine-hour
testing session. The number of questions per
block on a given examination form will vary but
will not exceed 45


This from 2013 Bulletein http://www.usmle.org/pdfs/bulletin/2013bulletin.pdf

Refer to page 14
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Old 05-19-2013
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finally going to finish my UW and today is my last day of UW subscription.....
Beast is going to knock the door get ready for RIFLE guys
This song is beautiful..feels good
http://www.youtube.com/watch?feature...&v=n7TLTjqUyog
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  #270  
Old 05-19-2013
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guys...feeling like mtb's are slowly vanishing out of my brain..(is this normal..? or am i anxious..?)

OMG only 2 days to go.......suppression defense is going against me now...

goodluck guys.........

@hypermedic-----it's good you've started new post for june takers too...
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The concepts are in your head so don't panic. You get 4 choices and you'll figure out the best one based on the time you spent building your instincts. can you tell me how your self assessments went. You will do great Im sure. All the best
Quote:
Originally Posted by venky2600 View Post
guys...feeling like mtb's are slowly vanishing out of my brain..(is this normal..? or am i anxious..?)

OMG only 2 days to go.......suppression defense is going against me now...

goodluck guys.........

@hypermedic-----it's good you've started new post for june takers too...
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Quote:
Originally Posted by venky2600 View Post
guys...feeling like mtb's are slowly vanishing out of my brain..(is this normal..? or am i anxious..?)

OMG only 2 days to go.......suppression defense is going against me now...

goodluck guys.........

@hypermedic-----it's good you've started new post for june takers too...
Stay confident , you have worked hard, it ll pay off. It s only natural to feel what you are feeling
Good luck!
Dont let the nerves get ya!
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  #273  
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Quote:
Originally Posted by Brainiac View Post
For now step 2ck HAMARI LE RAHA HAI :P But all the best guys. on my 2nd uworld read. after this I go for NBME 2 myself! Dont feel confident at all. since this is just a quick read. I doubt that helps much.
Dude can you tell me why you are choosing nbme 2? any particular reason?
also online or off line version? Thanks!!!
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Old 05-19-2013
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Quote:
Originally Posted by rupesh View Post
my plan for today is to do biostat and ethics 100 cases that i could not finished in last revision....
gonna start my weakest subject CARDIO tomorrow
rupesh , when do you take your step 2? have you taken a date?
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Old 05-20-2013
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guys got a doubt...

a 32wk gestation age pt. come with decreased fetal movments since 2 days....fetal heart tones are heard by stethoscope bell....what is the next Dx..?

why NST is preferred over USG here..?

USG may detect any compressions exist in gestational sac right....? why NST is superior in this......?

thank you
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Good q venky,but what I know is that it's a standard protocol that if mom says dec fetal movement always go for NST and if absent movement go for USG,
NST involves the assessment of frequency of fetal movements and uses an external fetal heart rate monitoring device ,so it's more advisable to do for a minor complain like dec fetal movements which is not very rare in 3rd trimester,but if its not reactive still u don't need to worry go for vibroacoustic stimulation,may be child is sleeping or premature,or under the effect of some drug,you r right that usg seems more reasonable ,because it is also non invasive and will clear the whole synario,but I think it's all due to some preset protocols
So for step 2 we have to follow
Good lk
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  #277  
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Because NBME 4 is the most predictive and I want to save em for the last couple of days. and NBME 2 is the second most predictive. I will do these and UWSA online.
People say NBME 2 is the toughest and thats why Im getting second thoughts because I dont need more freaking out :P I might go for UWSA instead first and do NBME 2 when I feel a bit more confident.

Quote:
Originally Posted by Ace843 View Post
Dude can you tell me why you are choosing nbme 2? any particular reason?
also online or off line version? Thanks!!!
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What about you Ace? have you taken a date yet?
Quote:
Originally Posted by Ace843 View Post
rupesh , when do you take your step 2? have you taken a date?
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Quote:
Originally Posted by Brainiac View Post
What about you Ace? have you taken a date yet?
No, not yet. but I m seriously thinking of doing that ....it has to be June IA
I just did a block 1 of nbme 2, just to get an idea... but the offline test answers often have so many mistakes .... i did a lot of online nbmes in step 1 and believe me , there were a lot of wrong answers circulating...
rupesh, venky , and all ither people giving the exam in may, GOODLUCK!
Also, kindly guys let us know if there were any forum discussions regarding the nbmes please! We will need them in the soon!

Last edited by Ace843; 05-20-2013 at 05:13 PM.
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Quote:
Originally Posted by Ace843 View Post
rupesh , when do you take your step 2? have you taken a date?
hey ace due to my devastrating score in NBME 4 I scheduled in 30 th may from initial 24 ...there will be about 20 days left for CS....MAX STRESS..
by the way when is your exam..
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Default Facts

Sympathetic ophthalmitis
due to uncovering of hidden antigens

Lone Atrial Fibrillation
CHAD2 Score
C=CCF
H=HTN
A=AGE>75
D=DM2
>=2 Treatment via Heparin and Warfarin
<2 via Aspirin

Maniac patient under lithium if there is recurrence of maniac symptoms then next step is to measure blood cocaine and amphetamine level...then measure s
erum lithium level
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Quote:
Originally Posted by rupesh View Post
Sympathetic ophthalmitis
due to uncovering of hidden antigens

Lone Atrial Fibrillation
CHAD2 Score
C=CCF
H=HTN
A=AGE>75
D=DM2
>=2 Treatment via Heparin and Warfarin
<2 via Aspirin

Maniac patient under lithium if there is recurrence of maniac symptoms then next step is to measure blood cocaine and amphetamine level...then measure s
erum lithium level


Lone a-fib
CHAD contains an S too making it CHADS2 score ,
S stands for stroke and has a score of 2 if present .
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Quote:
Originally Posted by rupesh View Post
hey ace due to my devastrating score in NBME 4 I scheduled in 30 th may from initial 24 ...there will be about 20 days left for CS....MAX STRESS..
by the way when is your exam..
assess from uwsa too dude(not nbme alone)....goodluck

you can do CS in 20 days(dont think abt it now......focus for CK alone)..--suppression mechanism
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Old 05-21-2013
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Quote:
Originally Posted by rupesh View Post
hey ace due to my devastrating score in NBME 4 I scheduled in 30 th may from initial 24 ...there will be about 20 days left for CS....MAX STRESS..
by the way when is your exam..
Yup, dont worry about the CS now.
Good luck.
I am aiming for June
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Im also in favor of doing the online ones. the offlines ones may be good for question practice only but I don't have time to post questions and search for answers if I get confused.

Quote:
Originally Posted by Ace843 View Post
No, not yet. but I m seriously thinking of doing that ....it has to be June IA
I just did a block 1 of nbme 2, just to get an idea... but the offline test answers often have so many mistakes .... i did a lot of online nbmes in step 1 and believe me , there were a lot of wrong answers circulating...
rupesh, venky , and all ither people giving the exam in may, GOODLUCK!
Also, kindly guys let us know if there were any forum discussions regarding the nbmes please! We will need them in the soon!
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Old 05-21-2013
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PEds : Vit D dependent rickets Ca Po4 25 OH Vit D 1, 25 OH Vit D all are normal
Vit D def rickets Ca normal or increased
P04 is decreased
25 OH Vit D decreased
1, 25 OH Vit D normal
x linked hypophosphotemic rickets
Ca normal
Po4 decreased
25 OH Vit D normal
1, 25 OH Vit D decreased

Can anyone explain why? Thanks in advance!
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Old 05-22-2013
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hey venky how was your exam please share your experience.......hope you have done well...

as for me my plan for today is to study MTB2 100 pages day 1..
GL everybody and keep updating the confused or easily forgettable facts...
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Old 05-22-2013
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Default syncope

hi can any one just refresh how to differentiate different types of syncope i'm getting so congfused with them
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Old 05-24-2013
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Default Done with Step CK...

Well guys... here is my feedback:

"I think this exam is doable" ha ha ha (Whatever that frase stands for).

Now, for real:

Preparation:
I felt pretty cool during the exam. Most of the things I was being tested came from KNL notes all the way (Didn't feel like MTB 2 and definitely not like MTB 3). The way of answering, thinking and analysing the Qs were 100% from UW. I didn't see that much Qs from Kaplan or UW Qbank, it was more about the context and concepts (No "copy & paste" sensation like in Step 1).


Exam:
The way of asking was like in UW, the WTF Qs felt like the ones in kaplan Qbank, some "tricky" Qs and concepts were from FA Q&A (More than from KLN Qbook). I think that only a small amount of Qs came from NBME, in fact, some Qs that I felt that came from NBMEs, weren't form step 2 CK NBME but from step 1 I was like during the exam when I saw them... They looked so familiar but I was sure I didn't read them during this preparation... It was an awkward sensation... I hope I got them it right :sorry::sorry::sorry:

I think one of the most important things for this exam is to be able to control the time (If such thing can be done ) Important to know when to break, how many blocks, to know if one is able to do 2 or 3 blocks with no break, not to freak out with the long stem Qs... etc. I think that that helped me a lot during this exam. Also, I stood 100% positive at all time..


Difficulty and WTF
I felt that blocks 1,2,4,5,6,7 were about the same difficulty level. They were in the range of 43, 44, 45 Qs. I manage to finish in 55 min. I reviewed some Qs but almost din't change any.

Blocks 3, 8 ... these block... They were "WTF Qs" by definition. Block 3 felt so strange asking Qs in ways I had never seen during my preparation, and during block 8 (I don't know if it was because I was already too tired or what) I freaked out at the beginning of the block because I was not sure what they were asking (my mind was in blank) and when getting into the answer options... None of the things I was thinking as an answer were offered as an option. That really freaked me out. I had to re-read some Qs, but after a few Qs like that... I started thinking outside the box (Does that makes sense???) to be able to answer those Qs... There were really WTF

Well guys... "That's all I have to say about that" ... if you would like to ask me something... feel free to do so.

Have a nice exam....


P.S.
Kaplan Qbank = 65% average, first try, untimed, just new Qs, all Qs
UW Qbank = 75% average, first try, untimed, just newQs, all Qs
NBME 1 = 420/211 ( 2 months from exam)
NBME 2 = 480/225 ( 1 month from exam)
NBME 3 = 430/223 (I freaked out so bad, 3 weeks from exam)
NBME 4 = 500/237 ( 2 weeks from exam)
UWSA = 620/244 ( 1 week from exam)
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