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  #701  
Old 12-20-2013
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I agree to rockstar. They spare us atleast from such controversial stuff.

Finally last day to revise obs Gyn n psych. And take my first nbme on Sunday morning. Too much left to revise in medicine but cannot delay my nbme any more so taking one. Need To see where I stand.

Which nbme would you suggest ?
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  #702  
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Default Psych DSM 5-Need Help!

I have copied the following info from a very popular thread on this forum.
Any kind soul who is interested in Psych, please help us to modify this post according to DSM 5 changes. This info is according to DSM 4. will highly appreciate the help!! It will be good for all of us for revision in final week!!!

--------------------------------------------------------------------
Commonly seen in USMLE is questions that can only be answered when we know the DSM IV specified duration to define a psychiatric illness:

Here's some high-yield examples:
  • Post Traumatic Stress Disorder ---- > More than 1 Month duration But if less than 1 Month then think Acute Stress Disorder (symptoms should present for more than 2 days)
  • Adjustment Disorder -----------> Less than 6 Months duration within the three months of the causative stressful event
  • Somatization Disorder ------> For prolonged periods of time, if shorter then think of conversion disorders. Also there should be more than 8 physical symptoms and onset before age 30
  • Normal Grief ----------> Up to one year, if more then think of major depression
  • Dysthymic and Cyclothymic disorders ------------> More than 2 Years duration
  • Schizophreniform disorder -------------> More than 1 Month and less than 6 Months (just like schizophrenia but shorter duration)
  • Brief psychiatric disorder -------------> 1-30 days only
  • Delusional disorder -------------> at least One Month of non-bizarre delusion
  • Conduct disorder --------> before age 18 Years, if continued it's called Antisocial personality disorder
  • Conduct disorder ------> Duration more than one Year
  • Oppositional Defiant disorder ------> Duration more than 6 Months
  • Major depression ---------- > More than 2 Weeks duration
  • Bipolar disorder ----------- > More than 1 Week duration (One attack is enough to make the diagnosis)
  • Generalized anxiety disorder ----------- > More than 6 Months duration
  • Hypochondriasis ----> More than 6 Months duration
  • Panic Disorder ------------------ > At least three attacks withing 3 weeks and onset to peak of the attack is within 10 minutes
  • Tourette syndrome ------ > More than 1 Year duration and must be diagnosed before age 18 Years.
  • Narcolepsy ----> Duration of daytime sleepiness must be more than 3 Months
  • Mental retardation ----> Onset before age 18
  • ADHD ------> Duration at least 6 Months and Onset before age 7 Years
  • Autism -----> Onset before age 3 Years
  • Monosymptomatic Nocturnal Enuresis ----> Never diagnose before age 5 Years
  • Stranger anxiety ---> 8 Months to 2 Years old
  • Separation anxiety ----> Onset 1 to 3 Years old and may continue into adolescence
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  #703  
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Quote:
Originally Posted by tamta View Post
Not a very good job. But if i improve 5-10 points and not worsen 235 thats totally fine for me.
These incontinences drive me crazy....... Why am i so dumb..


Stress incontinence : multi parity, and sh!t, pelvic floor weakness, cystometry an volumes normal. Painless leakage with cough sneeze exercise.

Urge incontinence : sudden pain urgency frequency and stuff. Detrusor instability i.e OVERACTIVITY is here. Interstitial cystitis, bladder irritation from neoplasm.
most common cause of urge incontinence is involuntary and inappropriate detrusor muscle contractions. Idiopathic Detrusor Overactivity Local or surrounding infection, inflammation or irritation of the bladder. Neurogenic Detrusor Overactivity Defective CNS inhibitory response

Overflow incontinence [/COLOR:involuntary release of urine from an overly full urinary bladder, often in the absence of any urge to urinate. This condition occurs in people who have a blockage of the bladder outlet
Weak bladder muscles i.e detrusor weakness right?
Blockage of the urethra, such as by prostate enlargement
Medical conditions, such as tumors, that cause obstruction of urine flow
Nerve damage from diseases such as diabetes, alcoholism, Parkinson's disease, multiple sclerosis, or spina bifida

SENSORY UI-Involuntary detrusor contract.(coz of infect,stone,tumor,foreign body0 Treatmnet-ANTIBIOTICS, CYSTOSCOPY

STRESS UI-loss of bladder support( sneezing) UI cause of BP> uretral Pressure= urine out, Q-tube Positive. Treatment=KEGELS EX.

MOTOR URGE=HYPERTONIC UI-large amount urine lost without warning,day and night urgency,Detrusor contraction present,Treatment=ANTICHOLINERIC

OVERFLOW HYPOTONIC=NEUROGENIC UI-small amount urine lost,neuro exam is ABNORMAL,increase residual volume(800 ml),Detrusor contraction-ABSENT, Treatment-CHOLINERGIC

BIPASS FISTULA-radical pelvic surgery, CONTINUAL urne lost.Treatment-SURGICAL REPAIR
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  #704  
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Originally Posted by a_usmle View Post
I agree to rockstar. They spare us atleast from such controversial stuff.

Finally last day to revise obs Gyn n psych. And take my first nbme on Sunday morning. Too much left to revise in medicine but cannot delay my nbme any more so taking one. Need To see where I stand.

Which nbme would you suggest ?
take form 4 if it is your first NBME and if you have not used NBME1.
save 6 for last month.
and save UWSA for saving your life
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  #705  
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Quote:
Originally Posted by beattheboards View Post
I have copied the following info from a very popular thread on this forum.
Any kind soul who is interested in Psych, please help us to modify this post according to DSM 5 changes. This info is according to DSM 4. will highly appreciate the help!! It will be good for all of us for revision in final week!!!

--------------------------------------------------------------------
Commonly seen in USMLE is questions that can only be answered when we know the DSM IV specified duration to define a psychiatric illness:

Here's some high-yield examples:
  • Post Traumatic Stress Disorder ---- > More than 1 Month duration But if less than 1 Month then think Acute Stress Disorder (symptoms should present for more than 2 days)
  • Adjustment Disorder -----------> Less than 6 Months duration within the three months of the causative stressful event
  • Somatization Disorder ------> For prolonged periods of time, if shorter then think of conversion disorders. Also there should be more than 8 physical symptoms and onset before age 30
  • Normal Grief ----------> Up to one year, if more then think of major depression
  • Dysthymic and Cyclothymic disorders ------------> More than 2 Years duration
  • Schizophreniform disorder -------------> More than 1 Month and less than 6 Months (just like schizophrenia but shorter duration)
  • Brief psychiatric disorder -------------> 1-30 days only
  • Delusional disorder -------------> at least One Month of non-bizarre delusion
  • Conduct disorder --------> before age 18 Years, if continued it's called Antisocial personality disorder
  • Conduct disorder ------> Duration more than one Year
  • Oppositional Defiant disorder ------> Duration more than 6 Months
  • Major depression ---------- > More than 2 Weeks duration
  • Bipolar disorder ----------- > More than 1 Week duration (One attack is enough to make the diagnosis)
  • Generalized anxiety disorder ----------- > More than 6 Months duration
  • Hypochondriasis ----> More than 6 Months duration
  • Panic Disorder ------------------ > At least three attacks withing 3 weeks and onset to peak of the attack is within 10 minutes
  • Tourette syndrome ------ > More than 1 Year duration and must be diagnosed before age 18 Years.
  • Narcolepsy ----> Duration of daytime sleepiness must be more than 3 Months
  • Mental retardation ----> Onset before age 18
  • ADHD ------> Duration at least 6 Months and Onset before age 7 Years
  • Autism -----> Onset before age 3 Years
  • Monosymptomatic Nocturnal Enuresis ----> Never diagnose before age 5 Years
  • Stranger anxiety ---> 8 Months to 2 Years old
  • Separation anxiety ----> Onset 1 to 3 Years old and may continue into adolescence
I don't think these key points about time issue will change. I am even SURE ABOUT IT!!
u would have met in uworld some different fancier names for DSM 5dissorders like: complex bereavement disorder etc.. they are easy to recognize. i think our fundamental psychiatry is same. and no need to worry. I guessed by myself about Hoarding disorder which is kind of new entity in DSM 5. so i still think it is easy. and we better work on Pharmacology, and biostatistics more. anyway any input about DSM 5 will be interesting. but i don't think it will change much for our exam.
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  #706  
Old 12-21-2013
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time by time lets put some funny stuff as well
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  #707  
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Quote:
Originally Posted by MedicalExaminer View Post
time by time lets put some funny stuff as well
I wrongly attributed my evening nausea and headache to study.. My medical knowledge and gut feeling tells me it's CO intoxication from warmer on which I am seating whole day..
This is getting hard. Really my had is overblown.
Hardly managing question explanations. It is gettin impossible to do all these together. But they work so well on each other. Attack from every corner on every weak point. I guess that is what I should be doing in my last month of prep.
To be honest, I am very happy.. Hopefully will not need to postpone my exam
I am alone so working like crazy whole day.
Studying environment is number one in our daily routine. I have changed it due to winter cold situations. So just do it guyyyyyssss

If anyone still wondering what stimulates me here you goo: I took my kids picture yesterday early in the morning seating at my study table with books. (First aid for step1 is her favorite she grew up with it) my lil baby asking me every morning when will I pass exam?? She is interested because I should buy her pink house after exam. (Wonder how as I have spent all my money on this test so far
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  #708  
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guys its my birthday tomorrow so im taking tonight and tomorrow off! best of luck with studying! keep going! we can all do this!

ill post my notes on sexually transmitted diseases on monday
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  #709  
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I think its humanly not possible to study everyday...I mean the whole usmle is a 2 yr deal..How can someone study everyday for 2 yrs? May be its something only tamta can do..Or may be its something everyone can do except me..But all those people working hard this weekend, a really huge goodluck guys!!!
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  #710  
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Good luck people...Keep rocking...Study hard !!!!
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  #711  
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Originally Posted by yanichyts View Post
guys its my birthday tomorrow so im taking tonight and tomorrow off! best of luck with studying! keep going! we can all do this!

ill post my notes on sexually transmitted diseases on monday
happy birthday and enjoy your weekend


for me and the rest study HAAARD
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  #712  
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Oops! I got so carried away by my lil lecture that i forgot why i wrote it in the first place..
@yanichyts : Happy birthday!!!
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  #713  
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Quote:
Originally Posted by yanichyts View Post
guys its my birthday tomorrow so im taking tonight and tomorrow off! best of luck with studying! keep going! we can all do this!

ill post my notes on sexually transmitted diseases on monday
Happy Birthday man !!!
birthday cake is supposed to be UW with candles on top
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  #714  
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Yeah man..u r absolutely right! Every word of it..! dedicate now and it will only add positive things..nothing to loose! deviate from it..and all problems start showing up in one way or another..

Quote:
Originally Posted by tamta View Post
I wrongly attributed my evening nausea and headache to study.. My medical knowledge and gut feeling tells me it's CO intoxication from warmer on which I am seating whole day..
This is getting hard. Really my had is overblown.
Hardly managing question explanations. It is gettin impossible to do all these together. But they work so well on each other. Attack from every corner on every weak point. I guess that is what I should be doing in my last month of prep.
To be honest, I am very happy.. Hopefully will not need to postpone my exam
I am alone so working like crazy whole day.
Studying environment is number one in our daily routine. I have changed it due to winter cold situations. So just do it guyyyyyssss

If anyone still wondering what stimulates me here you goo: I took my kids picture yesterday early in the morning seating at my study table with books. (First aid for step1 is her favorite she grew up with it) my lil baby asking me every morning when will I pass exam?? She is interested because I should buy her pink house after exam. (Wonder how as I have spent all my money on this test so far
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  #715  
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any suggestions for EKG and E med, fast review?
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  #716  
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Default Management of Breast mass

Hello people,

Can anyone please share some flowchart for management of breast mass. Its way too confusing in MTb 3.

Special request to you tamta I m already in love with your summaries

Thanks
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  #717  
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Quote:
Originally Posted by a_usmle View Post
Hello people,

Can anyone please share some flowchart for management of breast mass. Its way too confusing in MTb 3.

Special request to you tamta I m already in love with your summaries

Thanks
I will make breast summary for you because it really is quite boring and i think the summary will be helpful just to know that summary and that's it. im not bothering myself with breast too much.
@yanichts Happy birthday !!! i have also planned my very nice armenian birthday day before exam on 14th january
@beaththeboards i am WOMAN

Keep up good job everybody let's rock
@rockstar i remember so well january 1 2013 when i started Goljan and First Aid so if hopefully i will be finished bu january 2014 it will be 1 year for me for both Steps. that is because i really never had weekends or anything this year. But i can't do slowly cause this kid is asking me every morning when will i be finished. and also i need to get back to work and earn some money. I have lot of responsibilities. and non of them is about myself. here she is my stimulator in early morning before departure. and when she comes back on january 17th i have to be finished with this exam
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  #718  
Old 12-22-2013
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So it is scary to put NG tube with caustic injury but need to do esophagoscopy ASAP. so i guess esophagoscope is softer then NG tube and it can not perforate
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  #719  
Old 12-22-2013
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Originally Posted by tamta View Post
So it is scary to put NG tube with caustic injury but need to do esophagoscopy ASAP. so i guess esophagoscope is softer then NG tube and it can not perforate
Even I find this so stupid to remember

Thanks again for the all summaries. And your daughter is so cute and adorable. You give me strength Tamta. Thanks again for it
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  #720  
Old 12-22-2013
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Originally Posted by yanichyts View Post
guys its my birthday tomorrow so im taking tonight and tomorrow off! best of luck with studying! keep going! we can all do this!

ill post my notes on sexually transmitted diseases on monday

Happy birthday!! Have fun and get back to studies soon after the celebration

We all will be waiting for you here so come back soon!
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  #721  
Old 12-22-2013
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Default LDL Goals

I considered in my mind that LDL should be kept <100 everywhere but i guess we will not be able to sneak out without knowing these for sure:

LDL130-159 without risk factors--> exercise, diet modification.
0-1 risk: LDL goal <160
2 or more risks: < 130 ex. 64 year old man smoker LDL 135 should start statins
CAD or its equivalents: PVD, AAA, DM, Carotid Disease: GOAL <100

again risk factors:

Smoking
Hypertension >140/90
HDL <40 (if HDL >60 it cancels one risk, we know HDL is a good guy and Niacin works on raising it, although has terrible flashing hot effect which can be reduced by ASA NSAIDs before taking it)
AGE very important i am always forgetting this
AGE male >45 Female >55
Premature Family hx of CAD: premature means in male <55, female <65
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  #722  
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There are a plenty of useful tips in here. Thanks people for your efforts!
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  #723  
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Quote:
Originally Posted by tamta View Post
I will make breast summary for you because it really is quite boring and i think the summary will be helpful just to know that summary and that's it. im not bothering myself with breast too much.
@yanichts Happy birthday !!! i have also planned my very nice armenian birthday day before exam on 14th january
@beaththeboards i am WOMAN

Keep up good job everybody let's rock
@rockstar i remember so well january 1 2013 when i started Goljan and First Aid so if hopefully i will be finished bu january 2014 it will be 1 year for me for both Steps. that is because i really never had weekends or anything this year. But i can't do slowly cause this kid is asking me every morning when will i be finished. and also i need to get back to work and earn some money. I have lot of responsibilities. and non of them is about myself. here she is my stimulator in early morning before departure. and when she comes back on january 17th i have to be finished with this exam

Aaawww!! Your lil girl is soooo cute...ready to become a big doc jus like her momma...My birthday is on jan 18th..So many birthdays coming up...I started preparing for step 1 in Jan this year too..But i mean, the time it takes to finish all the exams (steps 1, 2, cs and 3) is usually 2 yrs, is a long process..My brain in programmed to not study during the weekends..Made eggnog today and going to enjoy the beautiful snowy day sipping on eggnog (with extra rum)...Everyone else that's studying today, goodluck guys!!
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  #724  
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Can someone please explain progesterone and estrogen challenge test?

I hate gynecology to the core
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  #725  
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Treat OCD with SSRIs how could I miss it stupid head
Came online to google "vindictive" and googled eggnog instead enjoy rocksteady sounds nice snowy weather..
I wish I had time to do Kaplan for other subjects again. Sick of these two mobs and still feel so incomplete.

A_ usmle to keep my word abut breast:

Benign diseases: fibroadenoma: discrete non tender highly mobile.
Fibrocystic: 20-50 years, cyclical bilateral painful varying with menses collapses on FNA, when this happens follow up in 6 weeks.

Fat necrosis: fat globules foamy histiocytes, calcification on mammo.
Cluster of calcifications should still be biopsied 15-20% may be malignancy.
Bilateral nipple discharge prolactinoma
Unilateral non bloody--> intraductal papilloma also may be malignancy
Bloody---> malignancy

Palpable breast mass <30 do ultrasound (US is choice for young dense breasts, esp if cyclic painful lumps)
if simple cyst--> needle aspiration if pt wants
If complex cystic mass---> imaging guided core bx.
>30--> mammo+ ultrasound if suspicious for malignancy core bx.

Preinvasive disease:
DCIS---> resection with clear margins I.e. Lumpectomy+ Radiation+ tamoxifen 5 years
LCIS--> tamoxifen alone usually seen in premenopausal
Tamoxifen is for prevention. Or risk reduction of breast cancer development in these preinvasives.

Invasive ex:
Invasive ductal carcinoma--> most common. Unilateral
Invasive lobular--->Bilateral, multifocal within same breast
Inflammatory---> peau d'orange
Paget's ---> pruritic erythematous, scaly inverted nipple, snider underlying carcinoma. (Vs. vulvar Paget's)

When size <5cm---> lumpectomy + RT + adjuvant+ chemo
Systemic therapy when >5cm, inflam, mets.

Invasive breast cancer in HR negative pre or post---> give chemo+ radiation therapy alone
HR positive premenopausal--> chemo+RT+ tamoxifen
HR positive postmenopausal---> chemo+ RT+ aromatase inhibitor.

Transtuzumab is her2/neu thing

That's all my knowledge for breast cancer
Sorry for spelling really am blown.
Good night everyone
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  #726  
Old 12-22-2013
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Quote:
Originally Posted by a_usmle View Post
Can someone please explain progesterone and estrogen challenge test?

I hate gynecology to the core
First understand anovulation: ovary produces estrogen but no corpus luteum is formed without it we have no progesterone. What progesterone does?? It does withdrawal bleeding so if no progesterone our endometrium is continuously stimulated be estrogen it grows and grows until outgrows its blood supply and we get irregular dysfunctional bleeding.
So with progesterone challenge we check if the reason is lack of progesterone. If you get bleeding after progesterone it means endometrium was just waiting for progesterone.

Same is for estrogen just you are simulation whole cycle there with 3 weeks estrogen 1 week progesterone.
Hope is helps

Sorry my iPad autocorrects
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  #727  
Old 12-22-2013
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Originally Posted by a_usmle View Post
Can someone please explain progesterone and estrogen challenge test?

I hate gynecology to the core
Hi, I will try to explain it in few words. The main concept is that withdrawal bleeding can ocuur only with estrogen presence.
So you give progesteron for 10 days: Bleeding occur after withdrawal - that means anovulatory cycle(estrogens are present). Treatment - cyclic progesterons.
No bleeding(means no estrogen) should do further evaluation:give estrog progesteron challenge test. Giving estrogen - means you sibstitute absent estrogen and give progesteron for withdrawal bleeding. If bleeding occurs - estrogen was low, do FSH. FSH is high(no negative feedback on gonadotrophs) - means ovarian failure(in young woman - most common premature ovarian failure, evaluate for Y mosaicism). FSH is low, problem from pituitary - do ct.
If no bleeding on EPCT, think only - outflow obstruction. For example you can perform ovarioectomy, but woman will see regular menses, being on exogenous estrogen-progesterone substitution. So absence of bleeding on EPCTis Asherman syndrome(total adhesions, in other words glueing posterior and anterior uterine walls - endometrium can't make cyclic changes). Do hysteroscopy, cut adhesions and insert IUD or baloon to prevent future readhesion.

hope it helps.
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  #728  
Old 12-22-2013
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Default Low performance in Respiratory

Guys, please tell me ur sources for Pulmonary Section.
I have consistently low performance in that. Thanks!
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  #729  
Old 12-23-2013
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Default Last 20 days

Hello everyone,
Last 20 days, most important time of struggle.. Doing cardiology arrhythmias and stuff
My nanny left peach compote for me today, keeping my BP in high nineties

Those worrying about DSM V changes check:
New Changes In The DSM-V

For respiratory I have added to my enormous knowledge that in ARdDS you keep PEEP up sometimes until 15 cm h2o, tidal volume low <6ml/kg
And my basic foundation FiO2 low don't remember how low around 40

All right guys let's get going. I am loving DIT it's worth that money.
Although it is extremely hard to do 8-10 lectures, although they are not hard and you will love them, but additional one block marked questions, additional must reread subsequent chapter pages of mtb..additional CO2 from warmer, that's terrible.. Getting confused during day time also. Hard time waking up early. So whatever trying and doing my best.

Calmly take 3 months of uworld do it twice calmly, and nicely, then have around 500 marked questions for third time in last month.
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  #730  
Old 12-23-2013
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Originally Posted by tamta View Post
Hello everyone,
Last 20 days, most important time of struggle.. Doing cardiology arrhythmias and stuff
My nanny left peach compote for me today, keeping my BP in high nineties

Those worrying about DSM V changes check:
New Changes In The DSM-V

For respiratory I have added to my enormous knowledge that in ARdDS you keep PEEP up sometimes until 15 cm h2o, tidal volume low <6ml/kg
And my basic foundation FiO2 low don't remember how low around 40

All right guys let's get going. I am loving DIT it's worth that money.
Although it is extremely hard to do 8-10 lectures, although they are not hard and you will love them, but additional one block marked questions, additional must reread subsequent chapter pages of mtb..additional CO2 from warmer, that's terrible.. Getting confused during day time also. Hard time waking up early. So whatever trying and doing my best.

Calmly take 3 months of uworld do it twice calmly, and nicely, then have around 500 marked questions for third time in last month.
Hey Tamta, how are you doing DIT? With what book? Thanks!
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  #731  
Old 12-23-2013
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Originally Posted by mcc-usmle View Post
Hey Tamta, how are you doing DIT? With what book? Thanks!
Study Guide.
and i am reading subsequent material in MTB after finishing lectures.
My friend has STEP UP to CK i gave a look to that book which they use, i liked medication summary tables they look pretty good but everything is mostly covered in lectures. so you would prefer listening to them. and they are so funny. really make me giggle, as for Step1, now even more. So you can get along with study guide. Without step up book it is good anyway!!
I also consider this study guide to be my very good source of review in last days. there are lot of high yield questions in quizzes. and also this is really active learning. I like them very much. Can definitely recommend only after my score. i hope it will improve at least 10 points and help me retain info that i got and bring it to the exam.

Last edited by tamta; 12-23-2013 at 03:44 AM.
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  #732  
Old 12-23-2013
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Hello

Can anyone tell me how do we solve uworld for the second time ? I mean recently we discussed here that the questions get repeated as you are using from unused questions only. So is it advisable to do offline uworld in second round or buy a new subscription. Please help.

Thanks
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  #733  
Old 12-23-2013
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Originally Posted by a_usmle View Post
Hello

Can anyone tell me how do we solve uworld for the second time ? I mean recently we discussed here that the questions get repeated as you are using from unused questions only. So is it advisable to do offline uworld in second round or buy a new subscription. Please help.

Thanks
Nothing offline on this forum. Please take advice of the forum stuff.
Whats the problem with uw second round, nothing repeats you are choosing subject u want marked, incorrect or however you want. You dont have unused questions any more so there is no problem really. I would advise shvject wise although it is quite hard. And random is still best especially uf y are doint not only marked but whole q bank again.

Good night everyone
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  #734  
Old 12-23-2013
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Originally Posted by a_usmle View Post
Hello

Can anyone tell me how do we solve uworld for the second time ? I mean recently we discussed here that the questions get repeated as you are using from unused questions only. So is it advisable to do offline uworld in second round or buy a new subscription. Please help.

Thanks
I don't know if it would work for you, but I am thinking to mark all q once, and when doing 2nd time, only use marked q's and unmark them while my 2nd round. This way I will only be left marked question that I did once, and unmarked questions that I did twice ...
its just my plan and might be time consuming to mark them all, but i think its worth doing it, otherwise it might become messy
I have 45% UW left and planning this on my 2nd round
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  #735  
Old 12-23-2013
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if i die somewhere around this exam, it will be because of Congestive Heart Failure, Pulmonary Embolism or SVT I don't want to die without differentiating arrhythmias though
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  #736  
Old 12-23-2013
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Hey Tamta, how many DIT lectures are you able to do in a day and how many hours is it taking?
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  #737  
Old 12-24-2013
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Default Arrhythmias

Good news guys organized arrythmias in this simple way

Good source for arrythmias please?

so i finally understood SVT PSVT ETC: just orginizing all these all are SVTS: PSVT, AFIB, Aflutter, Sinus tachycardia, MULTIFOCAL ATRIAL tachy

Ventricular arrhythmias: WIDE QRS: V tach , Vf ib, Torsades.

AV Blocks we know that.

and WPW is by itself. pre-excitation syndrome

Simple as that.
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  #738  
Old 12-24-2013
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Default Medical humour

Worth giving a minute!!!Lolzzz
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  #739  
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Quote:
Originally Posted by Krazy View Post
Worth giving a minute!!!Lolzzz
H aha that was great lets change direction of our thread toward funny lictures I can't hold anymore of being serious.

Uw is so tricky I'm telling you guys, still getting wrong some questions on 3-rd even 4-th time and believe me I am not dumb

Found old photo feel like this little dog exactly
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  #740  
Old 12-24-2013
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MTB is like a woman with a very nice body but ugly face
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  #741  
Old 12-24-2013
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Quote:
Originally Posted by tamta View Post
MTB is like a woman with a very nice body but ugly face
that's still Ugly
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  #742  
Old 12-24-2013
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Default Sexually Transmitted Infections Summary

So this is a small summary of the primary (genital) lesions for STI's, just to keep in mind some buzzwords about the presentation, as well as treatments and diagnostic tests!

PainFUL = Chancroid, HSV
PainLESS = Syphilis, Granuloma Inguinale, Lymphogranuloma Venereum, HPV

PAINFUL

Chancroid = few painful ulcers with ragged edges, tender inguinal lymph nodes. Dx: stain and culture/clinical
Rx: azithromycin or ceftriaxone

HSV = multiple regular red shallow ulcers; myalgias, malaise, vulvar burning and pruritus
Dx: tzanck prep (best initial), viral culture (most accurate)
Rx: acyclovir, valacyclovir, famciclovir

PAINLESS

Syphilis = primary lesion is a regular red round raised ulcer with indurated edges; regional lymphadenopathy
Dx: Dark filed microscopy, VDRL/RPR (can be false positive, especially in primary syphilis the sensitivity is ~ 70%), FTA-ABS/MHA-TP (most specific/confirmatory)
Rx: Penicillin (for primary syphilis)

Lymphogranuloma Venereum (C. trachomatis) = nonindurated lesion that ulcerates and heals quickly followed by supparative inguinal lymphadenopathy with multiple draining sinuses
Dx: clinical, rising titer of complement fixing antibodies, isolation of chlamidya from lymph node aspirates (best test)
Rx: doxycycline, erythromycin

Granuloma Inguinale (Calymmatobacterium granulomatis/Donovania granulomatis) = beefy-red ulcer with a rolled edge of granulation tissue
Dx: clinical, Donovan bodies on Giemsa-Wright stain, punch biopsy
Rx: doxycycline, azithromycin

HPV = irregular, pink/white raised lesions, cauliflower-like
Dx: clinical, biopsy for confirmation
Rx: 1) can be given only by phycisian not patient - cryotherapy, podophyllotoxin, trichloroacetic acid, laser excision
2) can be taken by patient at home (therefore doesnt need to come in so often for treatment) = imiquimod

n.b.! regarding the last treatment of HPV, i've encountered this question in Kaplan Qbank and I thought it would be interesting to make a note of it, since its something you cannot find in books and may be asked on the real thing

Please add if you think there is something missing
Good luck!
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  #743  
Old 12-24-2013
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Originally Posted by beka-CTS View Post
that's still Ugly
yeah ugly and very problematic for my review of other subjects
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  #744  
Old 12-24-2013
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Hahaha...good one!

Quote:
Originally Posted by beka-CTS View Post
that's still Ugly
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  #745  
Old 12-24-2013
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is anybody solving just incorrect questions from UW?
I read all incorrect Q-concepts once or twice last month, but still I am scoring early seventies/late sixties(for only incorrect Q blocks)... Is it what others are experiencing.. or am I going grossly wrong somewhere?
Thanks!
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  #746  
Old 12-24-2013
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Star Updated BRCA Guideline

The USPSTF recommends that primary care providers screen women who have family members with breast, ovarian, tubal, or peritoneal cancer with one of several screening tools designed to identify a family history that may be associated with an increased risk for potentially harmful mutations in breast cancer susceptibility genes (BRCA1 or BRCA2). Women with positive screening results should receive genetic counseling and, if indicated after counseling, BRCA testing.
Dec 13
Cat B
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  #747  
Old 12-24-2013
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Alot of useful info on this thread thanks guys!
What topics should i revise from first aid step 1 pls?
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  #748  
Old 12-24-2013
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Quote:
Originally Posted by beattheboards View Post
is anybody solving just incorrect questions from UW?
I read all incorrect Q-concepts once or twice last month, but still I am scoring early seventies/late sixties(for only incorrect Q blocks)... Is it what others are experiencing.. or am I going grossly wrong somewhere?
Thanks!
That is what I was talking about some quotes upper. I am getting questions wrong on 3-rd, 4-th time doing them. I am doing marked which were around half of uworld. Now slowly filtering them. And am left around 600, but still leaving marked from neuro, cardio, endocrine, those important explanations that I would love to review before exam last days.

From first aid step 1 I really don't know.. We don't need to bog down on that I think. Just pharmacology with all the side effects. Maybe neurology, and I am planning some glomerular diseases.
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  #749  
Old 12-25-2013
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Default Compliance

So compliance decreases when wall becomes rough and stiff like in pulmonary fibrosis, so in LV hypertrophy.
Compliance increase when wall dilates a lot like in emphysema and LV dilatation.
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  #750  
Old 12-25-2013
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tamta,

finally have you made any summary for arrythmias ?

i mean about presentation and ekg both
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  #751  
Old 12-25-2013
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Quote:
Originally Posted by a_usmle View Post
tamta,

finally have you made any summary for arrythmias ?

i mean about presentation and ekg both
i have organized my mind so far for arrhythmias.
can anyone imagine i just realized that normal ECG does not have Q wave, and now i understand which is PR interval becasue if no q wave normaly that's it PR from beginning of P to beginning of R. than why the hell on study ECGs we have Q wave shown.
you see i am maknig progress you know on reviewing uworld questions and explanations on third fourth time already in Cardio mostly marked ECG questions it makes sense. definetely.
at least i have organized which arrhytmias goes where, and starting to read ecgs

not to sound stupid: Q wave is significant when it is nice and deep one small box length and depth

Last edited by tamta; 12-25-2013 at 08:08 AM.
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  #752  
Old 12-25-2013
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man why is this so hard: ACE INHIBITORS in DIABETIC HYPERTENSIVES! PERIOD
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  #753  
Old 12-25-2013
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I have been keeping silent. Last 1 week, was totally distracted. No more dis tractions . Want to take nbme by Jan 15. Should try hard to take the exam if not JAN then must by first week FEB.

Tamta have u done with ur marked qs.
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  #754  
Old 12-25-2013
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Quote:
Originally Posted by polok15 View Post
I have been keeping silent. Last 1 week, was totally distracted. No more dis tractions . Want to take nbme by Jan 15. Should try hard to take the exam if not JAN then must by first week FEB.

Tamta have u done with ur marked qs.
I still have 670 of them hardly doing a block per day and according to subject i review and still marking couple of them i will speed up woth oing qs randomly and around 60/ per day. Yeap mp dostractions otherwie this can last forever
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  #755  
Old 12-26-2013
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moment when you have done easy subject review three time quicker then one-third of tough subject..
moment when you anticipate the freedom of being able to walk outside and not be incarcerated like this anymore
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  #756  
Old 12-26-2013
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Default Abdominal trauma

Blunt Abdominal Trauma- unstable---> FAST---> inconclusive---> DPL
BAT- stable (or became stable after IV fluid!!) ----> CT

penetrating, stab wounds hypotensive or FAST, DPL showing fluid and stuff in blunt trauma---> emergent laparotomy
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  #757  
Old 12-26-2013
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so how are you revising uworld. solving it again in timed mode and then reading explanations or doing it in tutor mode ?
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  #758  
Old 12-26-2013
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timed tutor mode, time actually really does not matter cause i am doing a block even in less then 30 minutes.
random mode is best i started to do marked qs subjectwise but evidence based RANDOM mode is best.

i am somehow starting to feel so good.
anticipation of impeding doom

with tutor mode you don't lose that extra hour or whatever time you will need to do the block. really not even minutes to lose
thats a real rush in the end
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  #759  
Old 12-26-2013
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Hey tamta,,,,i wanted to ask about the DIT lectures are they really useful?
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  #760  
Old 12-26-2013
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When I get my score on February 4 then I can say what was useful and what not.
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  #761  
Old 12-26-2013
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tamta whats ur average I u world now on subject wise review.I totally agree with word incarcerated.

I feel like I am forgetting a lot.I feel like crying when I see that I no longer remember something which I read so well.
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  #762  
Old 12-26-2013
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Quote:
Originally Posted by polok15 View Post
tamta whats ur average I u world now on subject wise review.I totally agree with word incarcerated.

I feel like I am forgetting a lot.I feel like crying when I see that I no longer remember something which I read so well.

74% done around 400 questions.
when i do random usually 80-90%. subject wise like cardio pulmo got around high seventies.
harder we work sooner incarceration will be over. otherwise we will be partially incarcerated for a longer period
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  #763  
Old 12-27-2013
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Just googled conjunctiva. Sorry. I am stupid, but good thing about it is that I know it

This uworld I am telling you guys, the more you do it the more you appreciate it. I would definitely do it 2.5 times if I had time and if someone has told me before that it was so good. But how many times anyone did not tell you it is when you get that it is really golden for our test. So let's use it. And mtb is great. These have made my last days before exam happy. Although hard as rock.
and I really am not sure which defense mechanism I am using, cause I am getting happier and happier each day, and no feelings of stress or fear. I met " habituation" today and that's all we need, our fears and anxiety will naturally decrease when we are exposed to exam, and have no way to run out
Also I found a good simple experience on July August exam takers thread:
Dr. Nick riviera said: "exam felt like a practice nbme, nothing new or out of the blue, less ob and surg and neuro than i expected, more psych than i expected. 3 drugs ads, 1 abstract. Time management is a skill, i have it and if u dont u need to develop it, so that shoul not be of any concern to you once youve developed that skill. Long stems, but again, u should have that skill. Otherwise it was just tiring bcuz its 9 hrs but the exam itself was fair."
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  #764  
Old 12-27-2013
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doing two blocks of uw 2nd time or reading 40 page kaplan ,my exam in one month what do you choose
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Default

seems like u solved the new question! I also solved it today! conjuctivitis and keratitis!

Quote:
Originally Posted by tamta View Post
Just googled conjunctiva. Sorry. I am stupid, but good thing about it is that I know it

This uworld I am telling you guys, the more you do it the more you appreciate it. I would definitely do it 2.5 times if I had time and if someone has told me before that it was so good. But how many times anyone did not tell you it is when you get that it is really golden for our test. So let's use it. And mtb is great. These have made my last days before exam happy. Although hard as rock.
and I really am not sure which defense mechanism I am using, cause I am getting happier and happier each day, and no feelings of stress or fear. I met " habituation" today and that's all we need, our fears and anxiety will naturally decrease when we are exposed to exam, and have no way to run out
Also I found a good simple experience on July August exam takers thread:
Dr. Nick riviera said: "exam felt like a practice nbme, nothing new or out of the blue, less ob and surg and neuro than i expected, more psych than i expected. 3 drugs ads, 1 abstract. Time management is a skill, i have it and if u dont u need to develop it, so that shoul not be of any concern to you once youve developed that skill. Long stems, but again, u should have that skill. Otherwise it was just tiring bcuz its 9 hrs but the exam itself was fair."
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Old 12-27-2013
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doing two blocks of uw 2nd time or reading 40 page kaplan ,my exam in one month what do you choose
Even I have my exam in one month. I m doing uw second time then taking nbme and then revising books and nbme n final revision with marked questions of uw for third time.
So I would suggest to solve questions now rather than reading Kaplan.
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Old 12-27-2013
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doing two blocks of uw 2nd time or reading 40 page kaplan ,my exam in one month what do you choose
Uworld for the 2nd time and revision of MTBs after that..I dont think one should do kaplan for revision, except for weak areas..but whatever you are comfortable with
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  #768  
Old 12-28-2013
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Any easy way to remember dvt and oulmonary emoblism flow charts of uworld ?? Always making mistakes in it

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Old 12-29-2013
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Any easy way to remember dvt and oulmonary emoblism flow charts of uworld ?? Always making mistakes in it

Don't remind me of those. Have marked all of them for last days you know what's problem for me I know the charts already what to do with which case. Problem is that wells criteria I guess. I have problems with defining PE likely or PE unlikely.
Spent last night at ER until around 3-4 am. Have slept very little
And sleepy tired whole day but I am persistent whole day and now at 18:00 in the evening I am so brave not sleepy and doing uworld block.
So same will be on exam in the middle we will have hard times but if we are persistent.. Organism has lot of possibilities so has our minds.. So just don't be lazy.
For all those who are just somehow tired reluctant to study losing time.. Guys if you don't have anything that disturbs your study go create some problems and when y will have some problems interfering with your study you will do better
Work hard everyone January is almost here..
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Don't remind me of those. Have marked all of them for last days you know what's problem for me I know the charts already what to do with which case. Problem is that wells criteria I guess. I have problems with defining PE likely or PE unlikely.
Spent last night at ER until around 3-4 am. Have slept very little
And sleepy tired whole day but I am persistent whole day and now at 18:00 in the evening I am so brave not sleepy and doing uworld block.
So same will be on exam in the middle we will have hard times but if we are persistent.. Organism has lot of possibilities so has our minds.. So just don't be lazy.
For all those who are just somehow tired reluctant to study losing time.. Guys if you don't have anything that disturbs your study go create some problems and when y will have some problems interfering with your study you will do better
Work hard everyone January is almost here..
i am so lazy i sleep about 12 hour a day cant be awake in this cold weather,but in exam it is all about the adrenaline rush
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i am so lazy i sleep about 12 hour a day cant be awake in this cold weather,but in exam it is all about the adrenaline rush
Yeah adrenaline rush.... How the hell to get it on this cold winter and warm prometic room.. That's the point
I am trying my best to wake up at least around 9-10 I mean to wake up stand up and seat at the plats darm of our study battle
From tomorrow 8:00 last days earlier to sleep well before exam. And to wake up at least at 7 cause first block will kill me need to be awake breakfasted and food already up taken by cells.

Oh god I am so afraid when I imagine that early morning... In Armenia.. It's like going in labor for second time when y already know what you have to go through...
Scared like rabbit

Okay planning trip to Egypt after I get my step2 score gives some adrenaline..
Will think about it during breaks

Last edited by tamta; 12-29-2013 at 08:50 AM.
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i am so lazy i sleep about 12 hour a day cant be awake in this cold weather,but in exam it is all about the adrenaline rush
Just gave a look on february thread. Dude if i had done kaplan twice by now i would also sleep 12 hours my advice do mtb there are no discrepancies between kaplan they go together. Its really nice. Today did little reading of Gi after revision from uworld and other stuff and it felt like bread and butter. Its best thing before exam u need it short and doable in last 5 days.
I am glong through it 3-4 th time now and plan at least 2 morre times before exam. Like one good rush through in last two days as for step1 first aid.
Between two nbmes i could not read GI and hematology and got low performance on GI. Although GI is my profession.
You know review is review and it is must before exam total grandiose review of everything possible
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  #773  
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Just gave a look on february thread. Dude if i had done kaplan twice by now i would also sleep 12 hours my advice do mtb there are no discrepancies between kaplan they go together. Its really nice. Today did little reading of Gi after revision from uworld and other stuff and it felt like bread and butter. Its best thing before exam u need it short and doable in last 5 days.
I am glong through it 3-4 th time now and plan at least 2 morre times before exam. Like one good rush through in last two days as for step1 first aid.
Between two nbmes i could not read GI and hematology and got low performance on GI. Although GI is my profession.
You know review is review and it is must before exam total grandiose review of everything possible
you caught me there,the problem is that i added all my uw notes on kaplan made it like step1 FA afraid of losing these valuable informations,but also i cant get all thing together , until now i can't do uw and reading together, i will buy mtb but do you recommend both mtb 2 and 3 ?
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you caught me there,the problem is that i added all my uw notes on kaplan made it like step1 FA afraid of losing these valuable informations,but also i cant get all thing together , until now i can't do uw and reading together, i will buy mtb but do you recommend both mtb 2 and 3 ?
You know what i think i am very angry on annotations it takes hell lot of time and anyway we have to do uw again cause the scribbled educationa objective length sentences are not that what is total epxlanation of uw. If gou have to buy them now, i dont know maybe you stick with your kaplans
But i would definitely read mtb2 for medicine. Leave mtb3 cause other subjects are perfect in kaplan and scattered in both mtbs so you will just kill time. Although i greatly depend on my obgyn mtb cause i have took everything together from both books. I would recomend y my Mtb2. God these books are getting so important things of our everyday lives. I am afraid to lose mtb2 book same way like to lose passport before exam. You still got month and two weeks. Go do mtb2 at least twice and last days before exam.
You will like it i am sure. Medicine is just perfect.. Perfect.... Telling y reading for fofth time still important still like new and fresh thing to read.
We love y fishy fishy for that book.
Gpod noght guys. Wanted to make it 75 qs but just giving up on 50. Uworld is enormous and never ending.
Exactly dong uw and mtb together would be perfect. Reading of mtb is possible with uworld. Kaplans not possible. Although believe me mtb will not be easy and very quick to read.
When i read it for first time god i rushed through it as rolle rcoaster now.. After 2-3 months and 3-4 reads i can hardly make 50 pages in half day
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Yeah adrenaline rush.... How the hell to get it on this cold winter and warm prometic room.. That's the point
I am trying my best to wake up at least around 9-10 I mean to wake up stand up and seat at the plats darm of our study battle
From tomorrow 8:00 last days earlier to sleep well before exam. And to wake up at least at 7 cause first block will kill me need to be awake breakfasted and food already up taken by cells.

Oh god I am so afraid when I imagine that early morning... In Armenia.. It's like going in labor for second time when y already know what you have to go through...
Scared like rabbit

Okay planning trip to Egypt after I get my step2 score gives some adrenaline..
Will think about it during breaks
you are welcome any time in Egypt, you are right , i have to correct that circadian rhythm
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you are welcome any time in Egypt, you are right , i have to correct that circadian rhythm
If iwere in egypt... I would sleep forever hahaha you got so many reasons to sleep. Listen is that u were complaining about cold weather from egypt???
You lost your conscience

I am dreaming of Hurgada in february april.. That green colored, magic blue colored water on paradise island omg that was heaven..
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If iwere in egypt... I would sleep forever hahaha you got so many reasons to sleep. Listen is that u were complaining about cold weather from egypt???
You lost your conscience

I am dreaming of Hurgada in february april.. That green colored, magic blue colored water on paradise island omg that was heaven..
Could not refrain myself from searching about this place

It loooks amazing. I wanna see it too.

Do u stay here tsmta ?? Its indeed a heaven

I must say this thread is so active. Feeels so good to tslk to eevryone herr.
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Could not refrain myself from searching about this place

It loooks amazing. I wanna see it too.

Do u stay here tsmta ?? Its indeed a heaven

I must say this thread is so active. Feeels so good to tslk to eevryone herr.
When i counted how many years ago it was im shocked it was ten years ago omg. It was called tour on marble island. Then i found out on internet and i guess it was paradise island.
The color of that water is still in my head and eyes.
I was fat and di not take photos teenage stuff you know
So now i am dreaming to go there when i am slim
And take lot of blue green water photos oh god so beautiful. I dont know if there are hotels exactly on that island. I guess not. Thats why sea was so great clean and fresh and sand was yellow. Just like Maldives photos. Even better. And so heap to take a week from Georgia its even cheaper than going to turkey.

Okay enough of tourism.

Guys remember that tactile fremitus is increased only in consolidation i just hesitated that maybe it is also increased in pleural effusion.. Cause fluid is also dense than air. But remember fluid and air in pneumothorax stuff are outside lung and their presence interrupts sound transmission. So fremitus is decreased.
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you guys are so much hopeful of clearing the exam as soon as possible. I am getting dejected day by day.Its not that my overall in any of the q banks were ever bad , infact most of the blocks in u world I mostly do 2 to 3 mistakes, though I am doing it after 5 months I guess. I just can not get satisfied that what I know may be enough .I had this inconfidence issues during step 1 , I struggled a lot finally got over .It was to totally horrible that I am feeling the same this time. No matter what after I finish my subject wise review I am going to take an assesment test.

Tamta, reading everything by few summarized lines are the only way to remember things we need to know.

Summarize , summarize only summarize.

a few extra topics feels like burden.

pls pray for me
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  #780  
Old 12-31-2013
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Default Happy new year!!

hello dudes and dudettes,
here it is January coming to our thread.

Let this year be happy CK, and Matching year for all of you.

attached are: my favourite book new year tree, which ive been loving for two years but never was able to make.
and a place to dream in egypt or any other beautiful sea side.
to get in touch with reality, why are we struggling so much, to have nice weeks of holidays and vacations on sea side at least once twice a year when we are cool doctors

Good luck everyone.
from tomorrow my final 15 days.
I need to burn out myself!!!! brain work out brain burn out
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January 2014 Step 2 CK Takers-book-christmas-tree-e1323691837109.jpg   January 2014 Step 2 CK Takers-1158111239.jpg  
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Originally Posted by tamta View Post
hello dudes and dudettes,
here it is January coming to our thread.

Let this year be happy CK, and Matching year for all of you.

attached are: my favourite book new year tree, which ive been loving for two years but never was able to make.
and a place to dream in egypt or any other beautiful sea side.
to get in touch with reality, why are we struggling so much, to have nice weeks of holidays and vacations on sea side at least once twice a year when we are cool doctors

Good luck everyone.
from tomorrow my final 15 days.
I need to burn out myself!!!! brain work out brain burn out
Wow, the blue water is so beautiful( I checked out) Harghada too-very tempting. I am going to plan to go somewhere like that after I pass my step 2ck .Tamta, work hard, be positive and fearless these last 2 weeks, you will nail the exam, Good luck.
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Good luck Tamta

Final month for me too

Always making mistake with this question. Can someone please metion contraindications for using Oral contraceptive pills. Any easy mnemonic ? I remember it but not able to reproduce it while answering question.

Thanks.
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Happy new year guys!!! Do ur best!!!
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Default OCP contraindications

Smoker over 35
Pregnancy
Hypertension (uncontrolled),
history of thromboembolism (DVT, PE)
thrombophilia
Migraine with AURA

Hepatic Dx ( OCps associated with hepatic adenoma, cholestasis, budd chiari and lot of ****)

history of estrogen dependent tumor pretty obvious why contraindicated

Remember: P450 inducers decrease efficacy of OCPs like:
Phenytoin, Rifampin, St john's, barbiturates, Griseofulvin, Carbamazepine

side effects:
estrogen: bloating, breast tenderness, headaches.
progesterone: depression, acne, hypertension.
increased risk of DVT
elevated Tryglicerides
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Thumbs Up

HAPPY NEW YEAR 2014 everyone. May we all focus well and work hard to pass with our desired score. May God bless all.
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Are you all reading entire explanations for uworld in 2nd round. Its consuming a lot of my time so can we skip reading the full explamation n read only the educational objective ??


How long doe is generally take to solve uworld second time ??


Any help would be appreciated ??
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happy new year to everybody. just got a bad news . today. very difficult to swallow.
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Are you all reading entire explanations for uworld in 2nd round. Its consuming a lot of my time so can we skip reading the full explamation n read only the educational objective ??


How long doe is generally take to solve uworld second time ??


Any help would be appreciated ??
it is as time consuming as on the first time. sorry to say that.
i could hardly do 500 questions in two weeks. together with my other review. so anytime doing uworld block per day. thats it.
and you know we cannot skip explanation. thats the reason of doing uworld second time to do explanations. we already know educational objectives well, either we have annotated it or we just remember it well. tats what i was saying.
whole explanation is precious how you are going to that correct or incorrect answer. not just educational objective.
i would do totally uw for second time. just managing to do 1000 marked questions for second time.
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Old 01-02-2014
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so no vaginal exam in 3rd trimester bleeding but TRANSVAGINAL ULTRASOUND for placenta previa diagnosis???
god help me over live this ambivalent exam.
does anyone know how big that transvaginal ultrasound thing is???
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Old 01-02-2014
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Okay now this uw says it is safe to anticoagulate 48-72 hrs after surgery wdf
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Old 01-02-2014
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tamta did u take your exam already?
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Hey guys!! I took NBME 4 today and got 237!! Yay!!...Now i have to finish the q bank and do it for the second time...This NBME kinda gave me a headache..My q bank is going to expire in 6 days..I think i will let it expire, buy new subscription for a month and do all the questions subject wise..Good luck guys!!
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thats great rockstar. What are the resources you used so far. What is ur average in USMLEWORLD on first review.

looks like everyone is moving on except me.
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Hey guys!! I took NBME 4 today and got 237!! Yay!!...Now i have to finish the q bank and do it for the second time...This NBME kinda gave me a headache..My q bank is going to expire in 6 days..I think i will let it expire, buy new subscription for a month and do all the questions subject wise..Good luck guys!!
Congrats, You all are doing so good, keep going, you are motivating us.
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thats great rockstar. What are the resources you used so far. What is ur average in USMLEWORLD on first review.

looks like everyone is moving on except me.
My resources have been Kaplan videos for IM and OB-GYN..I watched peds videos too, but i know nothing penetrated my blood brain barrier..Usmleworld q bank and MTBs..very generic resources, nothing out of the box...My percentage is 69 so far, but i have few more blocks to do...I think its time for you to take an NBME too..cuz even i was not sure of myself till i actually took one..Good luck guys!!
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[QUOTE=rockstar88;233610]My resources have been Kaplan videos for IM and OB-GYN..I watched peds videos too, but i know nothing penetrated my blood brain barrier..Usmleworld q bank and MTBs..very generic resources, nothing out of the box...My percentage is 69 so far, but i have few more blocks to do...I think its time for you to take an NBME too..cuz even i was not sure of myself till i actually took one..Good luck guys!![/QUO


My problem is I included kaplan lecture notes 1 .5 months ago in my study schedule.Before that used First aid and Usmle rx. I actually started my study with random qs from usmle world even without reading MTBS well. I think I read bit and pieces from everywhere and my content is not well organized. Its getting me serious hard time.

Kaplan paediatrics huge and lots of information.I am just using it as reference and focusing on the topics that are in mTBS and UWORLD.

Am I doing the right thing
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Old 01-02-2014
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Mtb and uworld everything else is waste of time. Even these too are hardly doable how many times t did not do it. Congrats rockstar
Look at these guys
Late applicants...the "we don't care" group
I gurss i should still apply withput cs next year
Good luck everyone work hard guys.
I am doing two day review of mtb and uwsa on 5-th. I am putting all my hopes on that assessment as it should be underpining of my exam. Am vry scared and tired. The thought that i may get under 240 on assesent gives me diastolic heart murmures 4/6 with thrills
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Old 01-02-2014
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I know i should not be like this in this time of "happiness" but my biggest success was to manage to stand up and seat for study at 8:49. That was unbelievable success. Its 12:49 now and i managed 20 obgyn qs and pulmonarys section from MTB.
I dont know what will i be able with this speed.
Whatever i am going to take exam even if i get 235 uwsa sick and tired of this already
I was such a healthy, beautiful girl before starting this torture one year ago in january..
Okay my mood improved suddenly
God help us bipolars during this study and please god let today be my depressive episode and my manic phase be on exam day
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Krazy (01-03-2014)
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Old 01-03-2014
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I have a Q...
" Patients with acute diverticulitis should not be fed ". Any help ???
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  #800  
Old 01-03-2014
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Quote:
Originally Posted by Krazy View Post
I have a Q...
" Patients with acute diverticulitis should not be fed ". Any help ???
Yes, NPO, antibiotics, fluids acute period needs to subside.
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