kingsofke
Forum Guru
Topics: 24
Posts: 715
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I have no easy answer to this Silatk. What i think is that read your review books again, esp the topics which you are feeling you are always getting wrong.
You will have to see for yourself that why you are answering wrong , I can list a few reasons i can think of :
1. most stupid but very common reason is people neglect a very specific given bit of info Like in a patient of MI you neglect that he had hemorraghic stroke written somewher in the stem, or e.g. you select a wrong drug for the patient because you neglected his other associated disease like selecting anti HTN forgetting he has peripheral vascular disease symptoms also.
2. most common being selecting the 2nd best option, usually it is because that answer would actually had been the right answer BUT there is something in the stem which priorities something else first like a patient with typical history of cirrhosis and old ascites will offcourse needs ultrasound or endoscopy BUT the stem says he has developed fever with or with out abdominal pain, he now needs a diagnostic paracentesis first and foremost.
3. you actually thought the answer you selected was right for the given situation; the reason being you are not answering from your review books but from some information that got stuck in your mind during your medical education or practice. You will have to forget everything which you think is right and have to memorise what kaplan (or other review book) says is right . Like i used to think most common complication of mumps would be orchitis or pancreatitis and i was shocked when UW answered it meningitis. When i was reading paeds kaplan afterwards and i read mumps the first line written under heading of complication was that the most common is meningomyeloenchaplitis. which i had never ever heard of before (all i remembered was it is important not to forget orchitis in mumps).
4. Most important of all people actually dont remember a given piece of information for the simple reason that kaplan books (i can only say about kaplan) gave that information in a single line and may be even as a part of another line. When it comes in form of a whole scenario you just dont rememeber it. Like Ankylosing spondylitis has extra articular manifestation of heart block (if i remember correctly) and AR. when you read it in book your mind just dont incorporate it as a part of a patient of AS. When you get a question with a typical AS scenarion and another weird symptom your mind just dont make a connection.
(the easy solution to it is doing as much question as you can from whatever sources . I am highly supportive of this strategy and had practised it myself;
another way out , which i practised myself was when i was doing my 3rd and 4th readings of kaplan ,whenever i read any significant single line info i would immediately start thinking that they will make a question of this disease telling this and this and then they will slip into it some symptoms or signs like this and whenever they are there i will have to answer this. Let me give an example ,lets say i was readin RA and when i read in the end that there is association with C1/C2 subluxation I start thinking OK they can either trick me by saying a patient has something for which he needs surgery and will be given anesthesia and will slip in that he is taking MTX for RA and then they will ask about it. or they can trick me by presentin a case with neurological findings developing in days or weeks and will slip in this history of RA. This is just an example but i used to do that a lot.
Will this is all i can think of for now, I have to go back to study. Maybe i will write more on this topic if i can think of anything else. you can offcourse ask me any further specific question relating to it.
All the best for your prep.
Godspeed
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In Life there are neither rewards nor punishments, just consequences.
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| 3535
Forum Guru
Topics: 19
Posts: 297
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Thanx kingsofke.I think that for remedy of :
1 & 2 - you need concn , but in combination of good speed. for that u need to practice qns. If one is an average scorer (like me), you need to not stop doing qns even in last 1 month. keep 1 block, or even 1/2 even in last days for speed.
4-- u need to go back & forth b/n kap & qns.
summary---qns qns qns , w/ text revision ofcourse .
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"It takes one hour to cut a tree ,but a thousand hours to sharpen the axe."
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| SilatK
Forum Guru
Topics: 42
Posts: 592
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Thank you kingsofke,
I will review what you suggested when I do questions today. Thank you for offering your help. You can bet I will contact you. Good day!
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To know is to not know..
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| acemle
Forum Junior
Topics: 3
Posts: 68
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thanks kingsofke
though this was for silatk , i can say its very useful advice to all of us.
i really admire u not only for ur good scores, but more for ur helping spirit-that is what makes a good doctor
thanks for the tips
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