wamba
Forum Guru
Topics: 149
Posts: 664
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Hello people
I got my results one month ago. got 98. Couldn't believe it because the first NBME I did, 2 weeks before my exam, was not good (320, if my memory is good). Anyway I just wanted to get above 86, so I'm very happy.
Now I'm studying hard for step 1, that I scheduled for the 10 of april.
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| sobia naeem
Forum Elite
Topics: 30
Posts: 303
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amazing!!congrats
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| an
Forum Guru
Topics: 19
Posts: 437
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congrats...great score
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| motivated2
Forum Senior
Topics: 5
Posts: 157
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Congratulations!!!
Would you mind sharing your exp esp what you did inthe last 2 weeks of review? 320 in the first nbme ...then 98 on the real exam? That's great!
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| wamba
Forum Guru
Topics: 149
Posts: 664
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Tx guys
I have already posted my exam experience (look 4 DID EXAM YESTERDAY). The last too weeks I was just in a crash study since my first NMBE had not been good.
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| p53
Forum Guru
Topics: 51
Posts: 804
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congratulatins! good luck on step 1!
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| phuluong2k
Forum Fanatic
Topics: 714
Posts: 2,008
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Congratulation wamba
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| kingsofke
Forum Guru
Topics: 24
Posts: 715
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Congratulations, its an amzing score.
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| anothergoljanfan
Forum Senior
Topics: 18
Posts: 83
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congratulations.
your post is excellent .
Bet you get the residency of your choice.
Good bless
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| 3535
Forum Guru
Topics: 19
Posts: 297
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congrats.enjoy!!!!
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| aimhigh
Forum Elite
Topics: 22
Posts: 148
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Hi Wamba, Big congrates!! Your note about the way of solving questions is quite inspiring. Could you please tell me how and what you studied in the last 4 weeks before the exam? Thank you very much in advance!
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| kald
Forum Junior
Topics: 4
Posts: 35
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Hi Wamba, congrats.. your previous post about exams was a great help
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| infliximab
Forum Guru
Topics: 22
Posts: 320
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CONGRATULATIONS!!!
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| cyra
Moderator
Topics: 29
Posts: 844
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Congratulations!!Best of luck for step 1!
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| wamba
Forum Guru
Topics: 149
Posts: 664
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tx people
to aimhigh: I spent the last 4 weeks studying and doing 100 Q's/day. My prep was 60% study and 40% test.
I first of all read kaplan; then I memorized and after (the last 4 weeks) I reread everything to connect all the topics (VERY IMPORTANT TO ME) which do not apparentlyseem to be related.
Foe exemple. in my previous post, I wrote this following question of my exam:
A 17 yrs old girl comes to your office for a 3 months history of polyuria and a weight loss of 15 kg. she has been drinking 4 to 5 liters of water every day and she's been feeling so tired that her daily activities have been impaired. she's on no medecine. her medical history and her physical examination are unremarkable.
labs are the following: hct: 45; hb: 11; rbc: 4,500 000; wbc: 6,000; ast: 20; alt; 18; Ldh: 55; glycemia: 420;
To which of the following is she most likely at risk in the next 20 years?
A. myocardial infarction;
B. pericarditis;
C. venous thrombosis;
D. cancer;
E. osteoporosis
When you study diabetes, you learn the risk of renal failure; when you study renal failure, you study the risk of pericarditis as an indication to dialysis. So in your last reading, you should relate in your mind diabetes directly to pericarditis. At the end, step 2 is only this. No disease is indipendent. they are all related and if you are able to make this relations, you will be able to study only in kaplan material without wasting time and energy in reading many books, with the risk of getting confused.
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| achilles
Forum Guru
Topics: 87
Posts: 1,208
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firstly let me congralulate you wamba on getting a dream score...well done and good luck to you for your match and residency...
and i was just thinking of myocardial infarction as an answer to the question you posted...diabetes is also a major risk factor for MI and especially long standing type 1 diabetes...could'nt myocardial infarction be the answer too...not that i disagree with pericarditis as the answer...i may be wrong and if i am pls do correct me...
good luck.
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| wamba
Forum Guru
Topics: 149
Posts: 664
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tx achilles. I was just wandering why nobody replies and disagrees with that answer. after all, I am not 100% sure it was right. but you know, the patient is a woman and I would say it is unlikely that a woman gets MI at 37 years of age, even if she has diabetes. I thought it is more likely that diabetes provokes a renal problem which worsens over years until going into renal failure and then pericarditis (and other complications) and dialysis. But you know, I might be wrong.
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| aimhigh
Forum Elite
Topics: 22
Posts: 148
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Hi Wamba, thank you so much for your informative reply!! Good luck with your match and God Bless you!!! 
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| amygdalaa
Forum Guru
Topics: 24
Posts: 399
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Congrats wamba,
You did a good job the last month of study. And you are right about correlations.
At first I too thought of MI, but after reading the systems, i think pericarditis might be closer in her future due to uremia.
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| Isther
Forum Guru
Topics: 39
Posts: 745
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Congrats Wamba, your tips are quite useful, I studied for step 1 with a very similar plan as yours, and went over 90's, so it works... Wish you the best for step 1.
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| mymeghji
Forum Senior
Topics: 4
Posts: 68
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Hey Wamba,
Well done with your stellar performance. Good luck with your step 1
I just wanted to comment about the question you posted about diabetes type 1 and its complications.
Diabetes at any age equalises the risk between men and women, with a 20 year history of diabetes mellitus this young women is at a greatly increased risk for accelerated atherosclerosis and a possible myocardial infarction.
Cononary artery disease is by far the most common complication seen in any type of long standing diabetes irrespective of gender.
Renal failure is also very common in long standing diabetics but then not every one who has chronic renal failure gets pericarditis only a small percentage do.
I therefore strongly feelthat the answer to this question is myocardial infarction and not pericarditis secondary to renal failure although I commend you only your thought process, the question usually asks what is the MOST LIKELY CAUSE.
Pericarditis secondary to renl failure is likely but myocardial infarction secondary to accelerated atherosclerosis is MORE LIKELY to be the answer and so I am in agreement with "Achilles"
Mohamed
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| 3535
Forum Guru
Topics: 19
Posts: 297
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i also agree w/CAD. But wamba, u have your 98!!!!
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"It takes one hour to cut a tree ,but a thousand hours to sharpen the axe."
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| wamba
Forum Guru
Topics: 149
Posts: 664
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well people! you might be right .
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| JH
Forum Senior
Topics: 19
Posts: 76
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Hi, Wamba, Congratulations for your wonderful score!
One Q, do you still remember the proportion of each topic? Like how many percentage for Internal Medicine, how many for OB/GYN ...
THanks a lot!!!
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| wamba
Forum Guru
Topics: 149
Posts: 664
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hello JH
I had 1 or 2 behav sci Qs per block. OBs/GYn was about 20%, surg 10%, few peads, and the rest was IM. many Qs were step 1 type Qs
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