medocuk
IM-RES
Topics: 26
Posts: 1,499
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I have recently got my step 2 scores and I was very numb and disturbed.I didn't do well.But a huge support system told me that I need to do well on my Step1.I think I have a problem with motivation, and concentration.I only dream but but when it comes down to the real thing, aka hard work I falter big time.
I have decided to write down for all to see what I do/achieve and don't achieve.Atleast then I will know where I stand and how I am doing.
So My exam is on 25th Jan. I will take it then.No change on that possible.
6th Dec: Complete reading physiology.( been reading it for last 4 days)
7th Pharmac: Basic concepts and Cardio and renal.
Will start here and take it forward.
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| virulent
Forum Newbie
Topics: 0
Posts: 4
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I´m also new at this forum. I´ll begin studying for my step 1 soon. I have not paid for it yet. Buddy, this USMLE is a matter of perseverance, we can do it.
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| gursuchi
Forum Newbie
Topics: 0
Posts: 17
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i am an old img passed out in 91'
if the gap isnt too disturbing for you could we pair up as study partners.
am planning to start with anatomy soon.
email is gursuchi@gmail.com
waiting 2 hear frm u ,
gkb
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| Seltzer
Forum Newbie
Topics: 0
Posts: 9
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 lets do it
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| medocuk
IM-RES
Topics: 26
Posts: 1,499
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Wow, I wasn't expecting anyone to come around.I already feel motivated.Of course guys lets do it.
Virulent: Thanks mate, when do you plan to take your step1.
Gursuchi:Of course not, nothing is disturbing!How do you want to do this?
Seltzer: Thanks, we all will. 
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| medocuk
IM-RES
Topics: 26
Posts: 1,499
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I only have Endo left in Physio.
I didnt start with pharmac, instead I have started with immunology, as I know that is very high yield and there is a lot to remember.I intend reading it by tomorrow.
By the way I want to add, I have done a cursory reading of all the Kaplan material once before and heard Kaplan tapes and I am done underlining and deciding what is important.
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| medocuk
IM-RES
Topics: 26
Posts: 1,499
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I only did 4 chapters in Immuno yesterday, instead of the 8 I had planned.I need to ruch through.I know I have studied this well before.It shouldn't take me so long.
I need concentration tips.May be I should stick my step 2 scores some place.Constantly reminding myslef that I did badly in step 2 isn't helping.
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| medocuk
IM-RES
Topics: 26
Posts: 1,499
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http://medschool.ucsf.edu/medstudents/pdfs/step1s...
I just chanced upon this site.See if you find it useful, I found it very motivating.
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| medocuk
IM-RES
Topics: 26
Posts: 1,499
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A few more hours of hard grit and I will be done with Immunology.Feels good to finally accomplish some thing.
Tomorrow I have long due social commitments to fulfil.Feeling a tad bit guilty, but I think I should get done with them.I will aim to complete the last 2 chapters on genetics tomorrow as that is left.
New week, first four days, I plan Physiology and pharmacolgy .Lets see.
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| medocuk
IM-RES
Topics: 26
Posts: 1,499
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Ive had a nice day today.Crab squid paneer and lots of beer.
No studying.I think I will take this day off and get to studying tomorrow.
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| medocuk
IM-RES
Topics: 26
Posts: 1,499
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OK I will complete Imuunology today and do basic concepts in Pathology.
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| medocuk
IM-RES
Topics: 26
Posts: 1,499
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Looks like mommies get a lot more support and encouragement here.I might just havt o get pregnant for one of you to write on encouraging word.   
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| aarya
Forum Senior
Topics: 4
Posts: 59
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hey medocuk
i read in another thread that u r reading ANS. Would you mind explaining to me what actions ganglion blockers block and what actions they dont........i'll be greatful.
thanks
aarya
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| medocuk
IM-RES
Topics: 26
Posts: 1,499
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Hi Aarya,
What I understand of Ganglion blockers is that they act on the Nm receptors ( receptors found on the skeletal muscle motor end plate) at cell bodies in the autonomic ganglia.
Their basic function is to reduce the predominant tone.
So PANS predominantly acts on the SA,AV node, pupils, GI GU muscles and sphincters.
SANS predominantly acts on vascular tone and thermoregulatory sweat glands.
(You have to know what the actions are on them.)
They basically block the actual functions.So while they can cause hypotenion they aren't really used to treat hypertension.You know htn can be caused for a variety of reasons.But ganglion blockers only block ans ganglionic actions and hence are not used therapeutically.
The Kaplan books sites an example,Hexamethonium blocks the hypotension cause by phenylephrine blocking the alpha adrenoceptors, but cannot block a bradycardia caused by the direct activation of Ach by M receptors in the heart.
Their other use is to differentiate a drung action, was it direct acting or due to an autonomic response.Again the ganglion blockers wont be able to block direct action drugs, but will block those which act via ans.
I hope this helps.good luck with your prep.
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| medocuk
IM-RES
Topics: 26
Posts: 1,499
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Ive put my head into too many things and i haven't completed anything.I am getting a little irritated now.
I need some channelisation.I will be back tonight hopefully with some better new.
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| medocuk
IM-RES
Topics: 26
Posts: 1,499
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I have completed Pathology Basic concepts.
Completed Pharmacokinetics and pharmacodynamics and ANS.
Today's plan: Complete Immunology and do CVS and renal drugs.
A is visiting.This is going to put such a wrench in my studying.But I have to keep going.
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| Sin-M
Forum Newbie
Topics: 6
Posts: 32
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Thank you medocuk for visiting my journal. when is your exam. I finished ans-cvs and cns renal this week. now doing general pharm.gl
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| medocuk
IM-RES
Topics: 26
Posts: 1,499
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Oh well done, Sin-M..I am taking my exam on 25th Jan.
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| medocuk
IM-RES
Topics: 26
Posts: 1,499
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Im feelinf very defeated.Lacking concentration.Lacking the confidence.Time slipping before me.Not many optioons.I am scared disappointed all at the same time.I want to achieve a lot by this weekend.
I want to complete Imuuno..I know this has been draaging tooooo long.
Complete reading Physio the bits and pieces left.
COmplete Genetics and Molecular Biology (Biochem)
Will be back tonight and let you know what I have been able to accomplish.
I wish other readers/people preparing would come forward with their doubts, words of motivation and strentgh.
Anyway I realise it is a battle I fight for myself.Didn't realise I would be this alone again.
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| prep4step1
Forum Senior
Topics: 7
Posts: 95
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Medocuk
I am in the same boat as you right now if that helps. I wanted to finsih biochem in the next three days and haven't even started it yet. It takes me so long tos tart something. I haven't been able to concentrate for the last three days. It has been soo bad. I went and watched two movies in a row yesterday cause I wanted to forget about my failure to complete my goals.
Also people around you can have a negative affect I think. I know it can be very very hard to concentrate and focus. SUCKS. I know it sucks buddy. But just think, if you don't do it, it won't happen. I am just writting in my journal right now to take all the doubt out. And then hopefully I will feel motivated. I have been soooooo lazy lately.
No motivational quotes at the moment. Not a good day for me.
___________________
Success = work + work + work + work. Keep working.
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| medocuk
IM-RES
Topics: 26
Posts: 1,499
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Hey there, thanks for stopping by.I visited your page and wrote my two bits down there.
Hmm,will do genetics today and molecular biology.And try and complete the tid bits of Immuno.
I should start early today.The day night cycle sucks.I need to regularise my time.
Have to also do a few questions.I have lost my comfort zpone time.I need to buck up now.
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| medocuk
IM-RES
Topics: 26
Posts: 1,499
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Finished Imuuno.
Started with Biochem.Big plan is to do 100 q's in Biochem and complete read it today.
Will get back tonight and let you know how much I have achieved.
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| medocuk
IM-RES
Topics: 26
Posts: 1,499
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Did 30 questions in Biochem and completed the first 7 chapters.
PLan do Medical Genetics, some bits of the reactions. and the remaining 70 questions.
And biostats today.
I need to buck. 
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| prep4step1
Forum Senior
Topics: 7
Posts: 95
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Way to go medocuk. Hope you finish your goal. I am trying to do biochem this week also!
When r you writting the exam again?
___________________
Success = work + work + work + work. Keep working.
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| medocuk
IM-RES
Topics: 26
Posts: 1,499
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Well I didn't.I feel I can finish , but there is so much to do..and I always get distracted into some thing else.I never seem to complete the one thing I started.
I am taking my exam on 25th Jan.No changes possible there.
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