mildanemia
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Mezo wrote:mildanemia wrote:
[quote=Mezo]hey mildanemia, it is from Kaplan q-bank 2007, but y??? does it make any difference???
heey, the q stem is so much longer than this , i just posted the summary of the vingette coz i didn't wanna post a q, i wanted to discuss how to approach it, if u'd like, i can repost the whole vignette for u, but i don't think it would make any difference, as they rephrase it and make a big stem just to confuse u ... i just posted the infos i got out of the stem..... What do u do in real life is not always the case in the exam. USMLE requires u to know what r u supposed to do .... and don't forget, the q said after thanking the man u ask him, he didn't tell u the exact words to ask him, he left it up to u , he just tested ur knoweldge of the correct action not the statement ... focus...this is a tricky point
I just read the question again, there is nothing that says you thanked the husband, perhaps it was part of the original question ? That is exactly my point, the question seems to be incomplete. The way they phrase the question itself can throw you off point but however it can also contain some information between the lines. There's no need to post the rest of the question, I'll get to it eventually 
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| Mezo
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mildanemia wrote:Mezo wrote:mildanemia wrote:
[quote=Mezo]hey mildanemia, it is from Kaplan q-bank 2007, but y??? does it make any difference???
heey, the q stem is so much longer than this , i just posted the summary of the vingette coz i didn't wanna post a q, i wanted to discuss how to approach it, if u'd like, i can repost the whole vignette for u, but i don't think it would make any difference, as they rephrase it and make a big stem just to confuse u ... i just posted the infos i got out of the stem..... What do u do in real life is not always the case in the exam. USMLE requires u to know what r u supposed to do .... and don't forget, the q said after thanking the man u ask him, he didn't tell u the exact words to ask him, he left it up to u , he just tested ur knoweldge of the correct action not the statement ... focus...this is a tricky point I just read the question again, there is nothing that says you thanked the husband, perhaps it was part of the original question ? That is exactly my point, the question seems to be incomplete. The way they phrase the question itself can throw you off point but however it can also contain some information between the lines. There's no need to post the rest of the question, I'll get to it eventually
Please read post # 484 again, u'll find that i wrote after thanking the husband, what's next???
So, r u preparing for step1?? if yes, then in what stage r u???
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| Mezo
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godfather1212m wrote:
Hi Guys,
I am sorry to divert the flow of the speech to another direction. Did anybody know that they replaced the Dean's letter that you have to provide in the match with a new so called medical student performane evaluation. i see that it is very difficult to make one like this in our egyptian colleges. did anybody make this form recently? it is very important to me. please help!!!!!!!!!!!!!
Man relax, It's not a big deal, it is a form that u download and go to "she2oon el7'eregeen" in ur faculty, where they fill in, sign, date and stamp, it is actually much easier than the previous Dean's letter where u had to write it urself and wait for the dean to read, agree and hopefuly sign, most probably, they will let u fill it urself and then they review with their data base, sign, date and stamp ... a couple of my friends who r participating in this year match did that, so relax
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| nany
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Mezo, what is the number of this form you're talking about?..., and do I get it after I pay or from now ?
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| Mezo
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nany wrote:
Mezo, what is the number of this form you're talking about?..., and do I get it after I pay or from now ?
i don't know, and i don't think it has a no. and u don't have to do it now, u'll need it for ERAS application for residency, one of the documents that u gonna send them along with LORs and i don't know if there is anything else or not ... u don't have to do it now, coz u need the date on it to be recent and u don't know, they might change the requirements by the time u apply .... relax, rakkezy fel vacation.
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| mildanemia
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Mezo, when you said questionI I thought you were referring to post #470. I thought that post #484 was a list of answers since you divided the question into 2 halves. Regarding your question about my preparation, no I'm not preparing for step 1.
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| maoudoody
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u r lucky mild anemia cause step 1 stuff is so boring!!!!!!
or i am very lazy....i have just finished the college and will start internship after one month
byt the way am reading anatomy from kaplan but thinking of getting high yeild after finishing kaplan cause it contains more stuff than kaplan?
what do u think of that?
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| mildanemia
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Many people on this forum have used HY Anatomy instead of kaplan. Since HY has more information than Kaplan then why waste valuable time reading Kaplan in the first place ?
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| Mezo
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I don't know maoudoody, i know that many people r using HY, but i beleive that kaplan r very professional people and u should gain any extra knowledge from the qs, and Anatomy by itself is not as important as Pathology & physiology - from a HY fro exam. point of view - the most important thing in anatomy is the NeuroAnatomy and i think it is well covered in Kaplan .... Look my principle in this is TO STUDY FROM THE SHORTEST HY SOURCE FOR THE TEST ... but it is all up to u ... GL
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| maoudoody
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mildanemia wrote:
Many people on this forum have used HY Anatomy instead of kaplan. Since HY has more information than Kaplan then why waste valuable time reading Kaplan in the first place ?
i thought that kaplan is the best and didnot know that HY contains more information
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| maoudoody
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Mezo wrote:
I don't know maoudoody, i know that many people r using HY, but i beleive that kaplan r very professional people and u should gain any extra knowledge from the qs, and Anatomy by itself is not as important as Pathology & physiology - from a HY fro exam. point of view - the most important thing in anatomy is the NeuroAnatomy and i think it is well covered in Kaplan .... Look my principle in this is TO STUDY FROM THE SHORTEST HY SOURCE FOR THE TEST ... but it is all up to u ... GL
good point of view mezo
any way one of my friends will take the test after 2 months and he studied from kaplan
هشوف هيحصل فيه إيه و بعد كده نشوف!!!!!!
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| mgame
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hi maoudoody , momken so2al baseet bas momken tafaseel about how did you get your Intership thanks
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| maoudoody
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what u mean by how i got my internship?
i meant internship in egypt not in usa if u thought so
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| maoudoody
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guys check out this chest ct at level of t5
label 4 says trachea although tracheal bifurcation occurs at t4
am i right or just they meant the two main bronchi but it appears as one space
any inputs?
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| maoudoody
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http://anatomy.med.umich.edu/radiology/xray/chest...
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| Mezo
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maoudoody wrote:
guys check out this chest ct at level of t5
label 4 says trachea although tracheal bifurcation occurs at t4
am i right or just they meant the two main bronchi but it appears as one space
any inputs?
i don't know, but i think the bifurcation might not so apparent yet, so, trachea still seen, but am not sure, i didn't get to that part yet
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| nany
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mgame, ( Internship = sanat alemteyaz)
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| Mezo
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This was posted on another forum , i don't remeber it, i just saved it as word doucment, today, i was studying Embryology, i found that kaplan is just 5 pages and the rest in the gross anatomy in system based presentation, i didn't like that, so i looked in FA and liked it, looked at this file and found 3 corrections in the embryology section that i agreed on, so i thought that it is better to share with you ... Enjoy ... Salam..
Updates and Corrections to 2007 First Aid for the USMLE Step 1 Revised 4/1/07
Verified Updates, Corrections, and Clarifications
Page HY Fact Comment
p. 70 Written advance directive In addition to directing physicians to withhold or withdraw life-sustaining treatment, a living will can direct physicians as to what life-sustaining treatments a patient wants and does not want.
p. 96 Regulation by F2,6BP The arrows between fructose-6-phosphate and fructose-2,6-bisphosphate should be reversed in direction to be correctly paired with the adjacent enzyme and its function.
p. 98 Electron transport chain and oxidative phosphorylation Uncoupling agents cause a ↓ in the proton gradient, thus causing maximal (&uarr
consumption of O2 in an unsuccessful attempt to produce ATP. The membrane becomes more permeable to protons.
p. 101 Transport of ammonium by alanine and
glutamine In the transamination reaction depicted in the second diagram, glutamine should be replaced with α-ketoglutarate.
p. 102 Phenylketonuria Phenylalanine hydroxylase catalyzes the reaction of L-phenylalanine to Ltyrosine,
in the process converting THB to DHP. The arrow should be drawn only in this direction.
p. 104 Purine salvage deficiencies
In the figure, the arrows going from IMP to AMP are reversed. IMP to AMP is shown as one step; however, this is actually a two-step process.
p. 105 Glycogen Glycogen synthase is the enzyme that catalyzes the formation of α (1→ 4) glycosidic bonds in glycogen. The number 1 should therefore be adjacent to the arrow just below where it is currently. The enzyme that catalyzes glucose-1- phosphate into UDP glucose is UDP-glucose pyrophosphorylase.
p.111 Porphyrias The enzyme lacking in acute intermittent porphyria is now referred to as porphobilinogen deaminase or hydroxymethylbilane synthase, rather than uroporphyrinogen synthase.
p. 111 Heme synthesis In the figure: δ-aminolevulinic acid does not negatively inhibit ALA synthetase. Instead, heme, the end product of this pathway, represses ALA synthetase activity. ALA synthetase is also known as ALA synthase.
p. 122 Embryologic derivatives
Not all of the cranial nerves are derived from the neural crest; thus “cranial nerves” should be removed from this list.
p. 125 Fetal circulation The single umbilical vein should be shaded to represent “highly oxygenated
blood” and the two umbilical arteries should be unshaded to represent “less oxygenated blood.”
p. 145 Bugs causing diarrhea
1) O157:H7 should be paired with enterohemorrhagic E. coli.
2) Shigella organisms have recently been found to be motile.
p. 163 HIV immunity CXCR1 should be replaced with CXCR4. Mutations in CXCR4 do not clearly affect progression to AIDS.
p. 191 Complement It would be more accurate to state “Deficiency of C1 esterase inhibitor leads to
hereditary angioedema (overactive bradykinin).” It has recently been shown that complement C1 esterase inhibitor inhibits kinin pathways as well as complement, and increased kinin activity is what causes angioedema.
p.204 Paraneoplastic effects of tumors
“Bone metastasis (lysed bone)” should be removed from the list of paraneoplastic causes of hypercalcemia because direct bone lysis is not a ‘paraneoplastic’ phenomenon.
1
p. 223 P-450 interactions Quinidine is a (CYP2D6) P-450 inhibitor and an inducer of a different P-450
form (CYP3A4). Isoniazid is generally considered a P-450 inhibitor but has also been shown to activate the isozyme CYP2E1.
p. 224 Herbal agents St. John’s wort is an inducer of the P-450 system, not an inhibitor.
p. 231 Auscultation of the heart
Pulmonic stenosis results in a systolic murmur, not a diastolic murmur as labeled under the pulmonic area on the diagram.
p.241 Congenital heart disease
Children may squat to increase PVR, not venous return.
p.244 Infarcts: red vs. pale
The liver should be listed as an example of red infarcts to be consistent with the figure. The brain should be removed from the list of pale infarcts, as both pale and red infarcts can occur in the brain depending on the location.
p.247 Heart murmurs The aortic regurgitation murmur can also be described as an early diastolic decrescendo murmur.
p. 249 Pericarditis
Findings include ECG changes with diffuse ST-segment elevation, usually with the exception of aVR and V1. There is also notable PR-segment depression.
p.281 Femoral region The femoral artery label should be femoral nerve; the adjacent dark strip should be labeled femoral artery; and the right-most strip should be labeled femoral vein.
p.286 Regulation of gastric acid secretion
On the right side of the figure, all of the drugs listed are depicted as inhibitors of the particular receptor. However, misoprostol is a PG receptor agonist rather than an antagonist.
p. 287 Liver anatomy Zone III is most sensitive to toxic injury, not zone I.
p. 293 Colorectal cancer Peutz-Jeghers syndrome has been associated with an ↑ risk for colorectal cancer
in addition to other malignancies.
p. 293 Colorectal cancer “Apple core” lesions for colorectal cancer are seen on barium enema, not barium
swallow.
p. 296 Reye’s syndrome The third phrase should read: “Associated with viral infection treated with
salicylates.” Reye’s syndrome is not independently associated with salicylate use.
p. 326 Smooth muscle contraction
The right-most part of the diagram should be changed to: “Cross-bridge formation with contraction.” After the action of MLCP, “contraction” should be changed to “relaxation”. The dephosphorylation of the myosin light chain causes muscle relaxation.
p. 363 Primary brain tumors In the supratentorial diagram, the pilocytic astrocytoma labeled “F” is incorrectly placed in the anterior fossa. It is most often found in the posterior fossa, near the region labeled for “B.”
p.337 Immunosuppressive agents: sites of action
In addition to step 4, tacrolimus also acts at steps 2 and 3, in a mechanism similar to that of cyclosporine.
p. 394 Nephron physiology
In diagram E, the intercalated pump is shown as having a Na+/H+ exchanger at the luminal surface. This should be a K+/H+ exchanger.
p. 397 Acidosis/alkalosis At the first branch point, along with pH < 7.4 and pH > 7.4, the terms acidosis
and alkalosis should be replaced with acidemia and alkalemia.
p. 400 Glomerular pathology
SLE may be characterized by subendothelial deposits (as in the figure) and/or subepithelial deposits (as in the text) depending on the pathologic classification.
p. 401 Transitional cell carcinoma
Schistosomiasis should be removed from the fourth line of the entry, and the final S in the mnemonic Pee SACS should be removed to read Pee SAC.
Schistosomiasis is associated with an ↑ incidence of squamous cell carcinoma.
p.431 Obstructive lung disease (COPD)
Up arrow FVC is incorrect. FVC is reduced because the airways close prematurely at high lung volumes, yielding increased RV and therefore lower FVC.
Typographical or Formatting Errors
Page HY Fact Comment
p. 69 Core ethical principles “Benificence” should be changed to “beneficence.”
p. 88 Protein synthesis Beside “Initiation” it should read “40S ribosomal subunit.”
p.96 Glycolytic enzyme deficiency
Glucose phosphate (4%) should read glucose phosphate isomerase (4%).
p. 99 Pentose phosphate pathway (HMP shunt)
The lines “All reactions of this pathway…used or produced.” and “Sites: lactating …steroid synthesis.” are printed in duplicate.
p. 101 Transport of ammonium by alanine
and glutamine In the second diagram, “Apartate” should be replaced with “Aspartate.”
p. 106 Glycogen storage diseases
The enzyme deficient in von Gierke’s disease is glucose-6-phosphatase.
p. 191 Complement The second paragraph should read “Membrane attack complex”
p. 254 Cardiac glycosides Next to Mechanism, “ionotropy” should be replaced with “inotropy.”
p. 263 Adrenal steroids The enzyme that converts pregnenolone to progesterone is 3β- hydroxysteroid dehydrogenase, not 33-hydroxysteroid dehydrogenase.
p. 282 Inguinal canal The line connecting the label “Deep inguinal ring” to the deeper portion of
the canal is missing.
p. 357 Visual field defects In the diagram on the right, there should be a line going across the fibers
adjacent to the number 6.
p.431 Restrictive lung disease VC should be replaced with FVC.
p.432 Obstructive vs. restrictive lung disease
Above the graphs, the FEV1/FVC ratio for restrictive should read > 80%.
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| nany
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..I always hated Emberyology  ...,
am I the only one studying step-2 here guys ?!
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| Mezo
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i'm not, but i hate immunology so much , i'm too afraid to start reading it, keeping it to the end
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| icehell
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i study step2ck now...IM
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| nany
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finally some one with me in ck ....,
I'm revising surgery these days
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| mildanemia
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Mezo wrote:i'm not, but i hate immunology so much , i'm too afraid to start reading it, keeping it to the end
You do know that by leaving it till the end you're just running away... Make sure you do not keep on postponing it and that you perfect it like the other topics otherwise you will most likely pick the wrong answers wrong on the exam. Study it till it becomes second nature.
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| godfather1212m
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thank you so much mezo. you were a real help. by the way i think your point of view regarding anatomy is quite correct. kaplan is enough beside UW questions.
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| Mezo
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mildanemia, thanx for ur concern, it is not like what u think, i'm not in Denial, i just keep it last in Schedule to be the 1st in mind, thanx again ...
godfather1212m ... u r more than welcome
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