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  #1  
Old 08-24-2013
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Question NBME Form 2 Missed Questions

Can anyone who has taken the NBME Form 2 online tell me their score and how many they missed?

I'm trying to approximate where I'm at.
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  #2  
Old 08-24-2013
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As far as I remember I got 21 wrong according to the key answers, my score on line : 550/248. But I was not satisfied with some of the answers(2 or 3 of them) given.
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Old 08-24-2013
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Quote:
Originally Posted by sonami View Post
As far as I remember I got 21 wrong according to the key answers, my score on line : 550/248. But I was not satisfied with some of the answers(2 or 3 of them) given.
Just finished. I think I missed around ~25-27 and I got 244. I went over all the answers and I think a few may be wrong on the offline answer key... but for the most part (97%+) I believe the answers are accurate.
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  #4  
Old 08-26-2013
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My online score for NBME 2 was 390/214

Looked at the offline answers and probably got about 37-38 wrong I think. Even though it's not a spectacular score i still found the nbme questions to be easier and straight forward for the most part. And not too long. I'm guessing it's not reflective of the real exam at all... Any inputs?

You guys got good scores good luck.
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Old 08-26-2013
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Quote:
Originally Posted by DrSK View Post
My online score for NBME 2 was 390/214

Looked at the offline answers and probably got about 37-38 wrong I think. Even though it's not a spectacular score i still found the nbme questions to be easier and straight forward for the most part. And not too long. I'm guessing it's not reflective of the real exam at all... Any inputs?

You guys got good scores good luck.

(breaks his vow of silence )

2 observations about that test -- 1. You definitely need to know those answers, because those are the basics...

2. I don't think ANY of the NBMEs are similar to the test (based on everyone's anecdote after leaving.) I do believe UWSA is slightly more accurate to the real deal.

On UWSA a 70% get's you in the 230s. On an NBME an 82% get's you in the 230s.
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  #6  
Old 08-26-2013
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i did nbme 2 off line and I think I got 25/ 26 incorrect answes according to t he offline answer key. I have problems with severel qs not sure what is the right answer. is anybody want to discuss?
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  #7  
Old 08-27-2013
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Quote:
Originally Posted by je355804 View Post
(breaks his vow of silence )

2 observations about that test -- 1. You definitely need to know those answers, because those are the basics...

2. I don't think ANY of the NBMEs are similar to the test (based on everyone's anecdote after leaving.) I do believe UWSA is slightly more accurate to the real deal.

On UWSA a 70% get's you in the 230s. On an NBME an 82% get's you in the 230s.

Yea they were def the basics
Totally agree on both of your points. Thanks for breaking your vow of silence. lol
Good luck for the exam
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Old 08-27-2013
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Quote:
Originally Posted by polok15 View Post
i did nbme 2 off line and I think I got 25/ 26 incorrect answes according to t he offline answer key. I have problems with severel qs not sure what is the right answer. is anybody want to discuss?
hey polok I am up. Did it today 26 mistakes.
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  #9  
Old 08-31-2013
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A neonate born with pneumonia . X ray shows bilateral interstitial infiltrates
Mother had no prenatal care

Whats the cause

Group B streptococous

Chalamydia Trachomatis
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  #10  
Old 08-31-2013
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Default pls answer the question

healthy 67-year-old woman is brought to
the emergency
department by paramedics 40 minutes after the sudden
onset of SOB
She is unable to provide
additional medical
history. . Her
temperature is normal
(98.6 F), blood pressure is 90/60 mm Hg, pulse is
120/min and regular,
and respirations are 24/min. Examination shows marked
jugular venous
distention. Diffuse crackles are heard throughout all
lung fields.
Cardiac examination shows an enlarged point of maximal
impulse and normal
S1 and S2; there is an S3. no other ablormalities
and no edema of the lower
extremities. Laboratory studies

hypoxaemia and respiratory alkalosis

Is Congestive hear failure

or Aortic valve rupture

Pulmonary embolosm
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  #11  
Old 08-31-2013
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Quote:
Originally Posted by polok15 View Post
A neonate born with pneumonia . X ray shows bilateral interstitial infiltrates
Mother had no prenatal care

Whats the cause

Group B streptococous

Chalamydia Trachomatis
I think its gbs pneumonia because C. trachomatis
cause a subacute, afebrile pneumonia with
onset at ages 1–3 months

Last edited by made4usmle; 08-31-2013 at 01:53 PM.
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  #12  
Old 08-31-2013
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Quote:
Originally Posted by polok15 View Post
healthy 67-year-old woman is brought to
the emergency
department by paramedics 40 minutes after the sudden
onset of SOB
She is unable to provide
additional medical
history. . Her
temperature is normal
(98.6 F), blood pressure is 90/60 mm Hg, pulse is
120/min and regular,
and respirations are 24/min. Examination shows marked
jugular venous
distention. Diffuse crackles are heard throughout all
lung fields.
Cardiac examination shows an enlarged point of maximal
impulse and normal
S1 and S2; there is an S3. no other ablormalities
and no edema of the lower
extremities. Laboratory studies

hypoxaemia and respiratory alkalosis

Is Congestive hear failure

or Aortic valve rupture

Pulmonary embolosm
Congestive heart failure?
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  #13  
Old 08-31-2013
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Quote:
Originally Posted by made4usmle View Post
I think its gbs pneumonia because C. trachomatis
cause a subacute, afebrile pneumonia with
onset at ages 1–3 months
WIll GBS pnumonia chest xray finding would be bilateral interstitial infiltrate.

isnt chalamydia more likely.

If chalamydia does a pnumonia in a newborn then what would be the presentation
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  #14  
Old 09-01-2013
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Quote:
Originally Posted by polok15 View Post
WIll GBS pnumonia chest xray finding would be bilateral interstitial infiltrate.

isnt chalamydia more likely.

If chalamydia does a pnumonia in a newborn then what would be the presentation
Lobar consolidation from infection is unusual
in a newborn
Group B Strep looks most like HMD
Term infant with findings of “HMD” should be
considered to have pneumonia until proven
otherwise
source : http://www.learningradiology.com/arc...nccorrect.html
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  #15  
Old 09-01-2013
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good answer. When is ur exam
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  #16  
Old 09-03-2013
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26. A 57-year-old multiple myeloma patient
to the physician present with symptoms of penumonia and bloody sputum His temperature is
38.3 C (101 F), blood pressure is 120/78 mm Hg, pulse
is 112/min, and
respirations are 28/min. Crackles are heard at the
right lunag base.
His hemoglobin level is 9.2 g/dL, leukocyte count is
2600/mm3, and
platelet count is 96,000/mm3. Empiric antibiotics
should be directed against
which of the following organisms?



) Pseudomonas aeruginosa
) Streptococcus bovis
) Streptococcus pneumoniae

pls answer the q
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  #17  
Old 09-04-2013
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Quote:
Originally Posted by polok15 View Post
26. A 57-year-old multiple myeloma patient
to the physician present with symptoms of penumonia and bloody sputum His temperature is
38.3 C (101 F), blood pressure is 120/78 mm Hg, pulse
is 112/min, and
respirations are 28/min. Crackles are heard at the
right lunag base.
His hemoglobin level is 9.2 g/dL, leukocyte count is
2600/mm3, and
platelet count is 96,000/mm3. Empiric antibiotics
should be directed against
which of the following organisms?



) Pseudomonas aeruginosa
) Streptococcus bovis
) Streptococcus pneumoniae

pls answer the q
Pseudomonas
Because its febrile leukopenic reaction and m/c org to aim is pseudomonas..
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  #18  
Old 09-04-2013
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Quote:
Originally Posted by polok15 View Post
good answer. When is ur exam
I will face the beast on 12th Sep lol...
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Old 09-04-2013
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Its good to know that u are going for the exam.f u did Nbme 2 online u must have known the correct answers. Pls help with the qs I am confused about.

A woman presents with seizure like episodes. All the labs and eKG are normal.She doesn't want to move to Arizona with her husband leaving her mom alone who is a cancer patient.

hypochondriasis

Malingering
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  #20  
Old 09-04-2013
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Quote:
Originally Posted by polok15 View Post
Its good to know that u are going for the exam.f u did Nbme 2 online u must have known the correct answers. Pls help with the qs I am confused about.

A woman presents with seizure like episodes. All the labs and eKG are normal.She doesn't want to move to Arizona with her husband leaving her mom alone who is a cancer patient.

hypochondriasis

Malingering
Thanks, Though I have not done form 2 online, it does not have.expanded feedback so no one knows correct answers.
In this question according to me answer should be conversion disorder , as eeg is normal and patient herself is not concerned about the episodes of seizures (la Bella indefferance). and is normal in between episodes.
In malingering patients herself tries to overemphaze her illness for secondary gain.
In hypochondriasis disease should be more than 6 months and there should be history of doctor shopping.
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  #21  
Old 09-04-2013
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Quote:
Originally Posted by polok15 View Post
26. A 57-year-old multiple myeloma patient
to the physician present with symptoms of penumonia and bloody sputum His temperature is
38.3 C (101 F), blood pressure is 120/78 mm Hg, pulse
is 112/min, and
respirations are 28/min. Crackles are heard at the
right lunag base.
His hemoglobin level is 9.2 g/dL, leukocyte count is
2600/mm3, and
platelet count is 96,000/mm3. Empiric antibiotics
should be directed against
which of the following organisms?



) Pseudomonas aeruginosa
) Streptococcus bovis
) Streptococcus pneumoniae

pls answer the q
As for this question my take is s. pneumoniae as wbc is not in neutropenic range. Making s. pneumoniae, an encapsulated organism more likely.
Remember Humoral immunity is impaired in multiple myeloma.
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  #22  
Old 09-05-2013
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Quote:
Originally Posted by made4usmle View Post
Thanks, Though I have not done form 2 online, it does not have.expanded feedback so no one knows correct answers.
In this question according to me answer should be conversion disorder , as eeg is normal and patient herself is not concerned about the episodes of seizures (la Bella indefferance). and is normal in between episodes.
In malingering patients herself tries to overemphaze her illness for secondary gain.
In hypochondriasis disease should be more than 6 months and there should be history of doctor shopping.

the point that goes against conversion is that her symtoms, , in conversion patient present with paralysis ,mutism , blindness . The question also says that the patient is sad and anxious.Pls , if you have the question ,Can u recheck it again, otherwise I will post it in your inbox
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Old 09-05-2013
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Quote:
Originally Posted by made4usmle View Post
As for this question my take is s. pneumoniae as wbc is not in neutropenic range. Making s. pneumoniae, an encapsulated organism more likely.
Remember Humoral immunity is impaired in multiple myeloma.

I don't know how to figure out that the patient is not in neutropenic range.

I guess you did it offline, how many qs u got wrong according to offline answer key
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  #24  
Old 09-05-2013
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Quote:
Originally Posted by polok15 View Post
the point that goes against conversion is that her symtoms, , in conversion patient present with paralysis ,mutism , blindness . The question also says that the patient is sad and anxious.Pls , if you have the question ,Can u recheck it again, otherwise I will post it in your inbox
Kaplan psych says that conversion disorder can present with new onset pseudoseizures.
I don't have the question now..
Mayb learning about mother having breast cancer and having to move to different city serve as triggers to induce conversion disorder.
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  #25  
Old 09-05-2013
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Quote:
Originally Posted by polok15 View Post
I don't know how to figure out that the patient is not in neutropenic range.

I guess you did it offline, how many qs u got wrong according to offline answer key
I got 12 wrong.
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Old 09-05-2013
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a 40-year-old woman has had increasing episodes of loss of urine and difficulty emptying her bladder. She has a 30-year history of type 1 diabetes mellitus. Pelvic examination shows a moderate cystocele. Postvoiding catheterization yields 700 mL of clear urine. Which of the following is the most likely cause of the patient's genitourinary symptoms?
B) Detrusor instability
C) Neurogenic bladder

E) Uterine prolapse


pls answer the q
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  #27  
Old 09-05-2013
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Originally Posted by polok15 View Post
a 40-year-old woman has had increasing episodes of loss of urine and difficulty emptying her bladder. She has a 30-year history of type 1 diabetes mellitus. Pelvic examination shows a moderate cystocele. Postvoiding catheterization yields 700 mL of clear urine. Which of the following is the most likely cause of the patient's genitourinary symptoms?
B) Detrusor instability
C) Neurogenic bladder

E) Uterine prolapse


pls answer the q
Neurogenic bladder. It is overflow incontinence due to long h/o DM and post void urine of 700 ml.
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Old 09-05-2013
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Quote:
Originally Posted by made4usmle View Post
Neurogenic bladder. It is overflow incontinence due to long h/o DM and post void urine of 700 ml.
why is not due to cystocele resulting from uterine proplapse
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  #29  
Old 09-06-2013
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why is not due to cystocele resulting from uterine proplapse
Cystocele by itself does not imply stress incontinence. There should be h/o urine leak with coughing/running etc. Post void urine 700 ml means overflow incontinence.
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  #30  
Old 09-06-2013
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btw are u done with step 1? n when is your ck?
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Old 09-06-2013
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Quote:
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btw are u done with step 1? n when is your ck?
I did not take the date yet. Done with step 1 with 248
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  #32  
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Quote:
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Cystocele by itself does not imply stress incontinence. There should be h/o urine leak with coughing/running etc. Post void urine 700 ml means overflow incontinence.
pls help me with this one




2. A 15-year-old girl is brought to the physician 3
months after she
had a blood pressure of 150/95 mm Hg at a routine
examination prior to
participation in school sports. She is asymptomatic
and has no history
of serious illness.
She takes no medications. Subsequent blood
pressure
measurements on three separate occasions since the
last visit have been: 155/94
mm Hg, 145/90 mm Hg, and 150/92 mm Hg. She is at the
50th percentile
for height and 95th percentile for weight. Her blood
pressure today is
150/90 mm Hg confirmed by a second measurement. respiration pulse, haematicrit , urineanalysis and renal usg all are normal
A
) Exercise and weight reduction program

B
) Measurement of urine catecholamine lev

D
) Captopril therapy

E
) Hydrochlorothiazide therapy
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Old 09-06-2013
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Quote:
Originally Posted by polok15 View Post
pls help me with this one




2. A 15-year-old girl is brought to the physician 3
months after she
had a blood pressure of 150/95 mm Hg at a routine
examination prior to
participation in school sports. She is asymptomatic
and has no history
of serious illness.
She takes no medications. Subsequent blood
pressure
measurements on three separate occasions since the
last visit have been: 155/94
mm Hg, 145/90 mm Hg, and 150/92 mm Hg. She is at the
50th percentile
for height and 95th percentile for weight. Her blood
pressure today is
150/90 mm Hg confirmed by a second measurement. respiration pulse, haematicrit , urineanalysis and renal usg all are normal
A
) Exercise and weight reduction program

B
) Measurement of urine catecholamine lev

D
) Captopril therapy

E
) Hydrochlorothiazide therapy

Stage 1 HTN in obese adolescent----- A should be correct option.
Source : Kaplan pediatrics LN page 147/ 2008 edn.
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Old 09-06-2013
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I am very happy with ur answers. What are the resources u used for prep. I am doing usmle rx . Did usmle world. First aid. MTB 2 ck , recently started MTB 3.

Looks like I should have studied Kaplan lecture notes in detail.

Did u UWAS TEST. What s ur first time percentage in U world.

I am sure u will do great in actual test
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  #35  
Old 09-06-2013
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Quote:
Originally Posted by polok15 View Post
I am very happy with ur answers. What are the resources u used for prep. I am doing usmle rx . Did usmle world. First aid. MTB 2 ck , recently started MTB 3.

Looks like I should have studied Kaplan lecture notes in detail.

Did u UWAS TEST. What s ur first time percentage in U world.

I am sure u will do great in actual test
Thanks a lot.... I did KLN , MTB 2/3 , Step up to Medicine.
Uworld first time 85% timed subject wise.
UWSA 260+
Nbme form 6 267
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  #36  
Old 09-06-2013
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ur score are awesome, pls help with few other qs, its bugging me a lot

. A 18-month-old girl with
2-week history of progressive difficulty breathing and
poor feeding. She
has had rapid and labored breathing and sweating
during feedings. There
is no history of fever or viral illness. Her
temperature is 37 C (98.6
F), blood pressure is 80/60 mm Hg, pulse is 132/min,
and respirations
are 40/min. Bilateral crackles at both lung
bases present. A grade 4/6 holosystolic murmur is heard along the left
sternal border; hyperdynamic precordium. The liver edge is
palpated 4 cm below the
right costal margin. An x-ray film of the chest shows
cardiomegaly and
pulmonary congestion. Whats the mechanism

is it VSD- Incresed left to right shunt or

Increased pulmonary resistanse due to TOf

Last edited by polok15; 09-06-2013 at 03:12 PM.
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  #37  
Old 09-06-2013
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Quote:
Originally Posted by polok15 View Post
ur score are awesome, pls help with few other qs, its bugging me a lot

. A 18-month-old girl with
2-week history of progressive difficulty breathing and
poor feeding. She
has had rapid and labored breathing and sweating
during feedings. There
is no history of fever or viral illness. Her
temperature is 37 C (98.6
F), blood pressure is 80/60 mm Hg, pulse is 132/min,
and respirations
are 40/min. Bilateral crackles at both lung
bases present. A grade 4/6 holosystolic murmur is heard along the left
sternal border; hyperdynamic precordium. The liver edge is
palpated 4 cm below the
right costal margin. An x-ray film of the chest shows
cardiomegaly and
pulmonary congestion. Whats the mechanism

is it VSD- Incresed left to right shunt or

Increased pulmonary resistanse due to TOf
It is most prob VSD
Why not TOF? because 1)No cyanosis,
2)pulmonary congestion is +, in TOF there is decreased pulmonary blood flow.
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  #38  
Old 09-07-2013
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you are right
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Old 09-08-2013
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A woman brings her daughter who gets easily sunburned. She has blond hair and blue eyes. They uses SPF 25 before swimming despite that she get easily sunburned.what is the best recommendation for her.

avoid swimming in cloud less days.
Change to higher SPF

Put sunscreen in body 45 minutes earlier

can u give any source where I can clear these concepts. In USMLE WORLD there was q like this where it says the best thing to avoid sunburn and prevent malignant melanoma is to avoid sun
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  #40  
Old 09-11-2013
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please someone answer the q
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  #41  
Old 09-20-2013
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Quote:
Originally Posted by polok15 View Post
A woman brings her daughter who gets easily sunburned. She has blond hair and blue eyes. They uses SPF 25 before swimming despite that she get easily sunburned.what is the best recommendation for her.

avoid swimming in cloud less days.
Change to higher SPF

Put sunscreen in body 45 minutes earlier

can u give any source where I can clear these concepts. In USMLE WORLD there was q like this where it says the best thing to avoid sunburn and prevent malignant melanoma is to avoid sun
I answered avoid swimming on cloudless days, i believe thats right.

Btw, did NBME 2 today online and scored 250. Thought i did better than that. NBME 6 a few days back was 265 and UWSA a few days back was 260.
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  #42  
Old 09-20-2013
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Quote:
Originally Posted by made4usmle View Post
Thanks, Though I have not done form 2 online, it does not have.expanded feedback so no one knows correct answers.
In this question according to me answer should be conversion disorder , as eeg is normal and patient herself is not concerned about the episodes of seizures (la Bella indefferance). and is normal in between episodes.
In malingering patients herself tries to overemphaze her illness for secondary gain.
In hypochondriasis disease should be more than 6 months and there should be history of doctor shopping.
If i recall correctly, the description of seizures was "jerking of hands and legs for an hour and is normal between episodes" and also "anxious and worried", that coupled with a secondary gain (wanting to stay back in town) clinches it as malingering for me.
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Old 09-20-2013
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I also think avoid swimming in cloudless days goes with my concept,

u couldn't see the correct answer I guess because it does not have the extended feedback.

how many u got wrong to get 250,

one more thing have u read Kaplan lecture notes , which edition.

by the way when is ur exam
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  #44  
Old 09-20-2013
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Quote:
Originally Posted by polok15 View Post
I also think avoid swimming in cloudless days goes with my concept,

u couldn't see the correct answer I guess because it does not have the extended feedback.

how many u got wrong to get 250,

one more thing have u read Kaplan lecture notes , which edition.

by the way when is ur exam
I'm not sure about how many I got wrong yet. One key I found online I disagree with quite a few of the answers. I intend of spending my day today looking up answers for the questions and seeing how many I got wrong to my best estimate. I shall let you know when I find out!

Yeah I did the Kaplan notes too, annotating any extra points i found onto MTB. I used the 2011-2012 notes for all subjects except psych which I used 2008-2009.

My exam is on 24th. *Gulp*
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  #45  
Old 09-20-2013
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There's a question about a 67 year old man having insomnia. I cannot copy and paste the question here because of copyright issues, so i'll list out the salient features.

He goes to bed at 11 PM but falls asleep only my midnight, he wakes up twice at night to use the bathroom, he drinks wine with dinner every day, he walks a mile daily after dinner, takes a bath and then hits the sack.

Now my answer was poor sleep hygiene, citing the exercising, the bath and the wine at dinner.

The key mentions aging, i can see why, because he gets up twice to take a piss. But i'm not convinced. What do the people here think?
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  #46  
Old 09-20-2013
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Another question of a 67 year old post menopausal woman having vaginal bleed for 10 days with normal cervix and small amount of blood in cervical os. I chose endometrial biopsy thinking post menopausal bleed rule out endometrial carcinoma. But now i read on a forum that since the uterus on P/E was irregular and at 10 week gestation its a leiomyoma, and hence a transvaginal USG is a better answer.

Thoughts?
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  #47  
Old 09-20-2013
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The one with a 5 year old girl with 2 days of fever and flank pain. History of vesico urethral reflux and recurrent UTIs. Question was after urine cultures whats the next best step, i jumped to the conclusion of doing renal USG followed by VCUG so choose renal USG. In other places online, the major consensus has been antibiotics, and now thats been making more sense to me (and i'm thinking what an idiot i am), what do you guys think?

PS- i shouldnt have done form 2. Its not worth the cash when you do not even know which questions you got wrong, like form 6.
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  #48  
Old 09-22-2013
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Quote:
Originally Posted by rohit39 View Post
Another question of a 67 year old post menopausal woman having vaginal bleed for 10 days with normal cervix and small amount of blood in cervical os. I chose endometrial biopsy thinking post menopausal bleed rule out endometrial carcinoma. But now i read on a forum that since the uterus on P/E was irregular and at 10 week gestation its a leiomyoma, and hence a transvaginal USG is a better answer.

Thoughts?
it is endometrial biopsy, leimomata is not a problem that presents in 67 year old, and how on earth it presents with vaginal bleeding in a postmenopausal woman.From where the bledding will come, Leimoyoma cause excess bleeding during menstruation but not abnormal bleeding
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  #49  
Old 09-22-2013
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Quote:
Originally Posted by rohit39 View Post
I'm not sure about how many I got wrong yet. One key I found online I disagree with quite a few of the answers. I intend of spending my day today looking up answers for the questions and seeing how many I got wrong to my best estimate. I shall let you know when I find out!

Yeah I did the Kaplan notes too, annotating any extra points i found onto MTB. I used the 2011-2012 notes for all subjects except psych which I used 2008-2009.

My exam is on 24th. *Gulp*
where have u found the 2011 -2012 edition, do uhave any pdf link
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  #50  
Old 09-22-2013
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Quote:
Originally Posted by polok15 View Post
where have u found the 2011 -2012 edition, do uhave any pdf link
I got them from a friend actually. So I'm not sure where you can find them online!
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