P4a99
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If you havent read p53's exam experience thread, dont miss it, this guy is something else!!!!! 
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| paheli
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praying4a99 wrote:
i'll go with c?? [i followed it with ?? coz am not too certain]
thanks for the p53 tip, it merits a second look now.
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| P4a99
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Yup, you got it!
As hemorrhagic shock becomes progrssive, many signs of generalized cellular deterioration are seen throughout the body ........ the lysosomes in the cells begin to break open (because of inadequet amounts of nutrients to support its high rate of metabolism) releasing hydrolases that cause further intracellular deterioraton.
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| paheli
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thanks. ischemia plays its role.
i got some of my confidence back after getting that right. i had a horrible block in bss phys this morning!
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| P4a99
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I did another bunch but this time i got 60%.
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| paheli
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do not get disheartened, my friend. there will be ups and downs. as long as the ups out-number the downs, you're doing fine for the moment.
tell me this: how many ATPase[s] is/are involved in skeletal muscle contr? what is its/are their names?
btw, i don't even understand the latest qn you left in phys forum . [so much for feeling confident, huh!  ] will think about it some more, then answer.
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| P4a99
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If you like, this is a link to physio Qbank:
http://www.prep4usmle.com/forum/comments.php?id=5...
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| Mydream
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Hi Paheli..i have been reading ur posts till now..this is my first post at ur journal..i like ur sense of humor a lot.. ..and the way u spread laughter around here
so u r on ur second read..when r u planning to take the exam ?? i have only two (actually less than two) months to go..will be taking UW this week. have u started wth UW ??
GL and keep smiling..
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| paheli
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mydream: welcome to my journal. it's very nice to have you here. thanks for the encouragement. am still looking at an exam date. haven't blocked a date yet. but it has to be done pretty soon. yes, i've done uw qns before. unfortunately, i did not manage to complete them all before my sub expired. will be paying up again soon. it's good you're getting it soon! wishing you the best!!
i've spent the better part of today's morning doing qns. and am not doing that great i actually got 2 qns wrong coz i read the qn wrong. and they were 2 CONSECUTIVE qns!!! when will i ever learn??? which moron will misread 'vent repolarization' as 'vent depolarization' in a ecg qn??? ME!!! sheesh!!! am so mad at myself!! unless i correct this soon, it will trip me up big time.
i think i'll spend some quality time with fa today. will certainly read it RIGHT this time!!!
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| jaide
say wat!~
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hey paheli....im here to give u pep talks... so here goes...
this too shall pass... just think of how far u have come.. and ur 99 is just around the corner..so just buckle up...and if u get something wrong..dont get mad...get even... repeat watever stupid thing u got wrong and do it so well...that it should beg u for mercy!!pace ur self...these"mis-read" mistakes r very very common in the real thing...so brace ur self and slowly but surely purge urself outta this habit(i suffer from the same "hyperactive disorder" cough cough  syndrome)..
and this is all for u...
“Success means having the courage, the determination, and the will to become the person you believe you were meant to be”
all the best..study hard..
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| P4a99
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Good morning,
How are your studies going? What chapter are you on? How many pages/Qs are you doing on avarage each day? do you have any dead lines for physio?
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| Mydream
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Thank u
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"your results in life are always directly proportional to the amount of effort and hard-work that you put in"
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| paheli
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oh, am feeling so much better now. your message has really made be get over this morning's blunders [and, no, there's no other word for them] thanks very much, jaide!! "repeat watever stupid thing u got wrong and do it so well...that it should beg u for mercy!!" i'll make this my motto till i fix it!
well, p4a99, today is my first day reading phys full time. i am looking at maybe 2 days more to finish. may adjust as i go along, coz i have to do it right. it's also the largest. and i also do a lot of qns these days. i mainly need to improve my test scores pronto. am currently on cvs, and those kln on cvs are gargantuan!! so, am taking bite-sized peices! oh, btw, your qns are invaluable! do keep them coming. and thank you!!
mydream: you're welcome! let's encourage each other!
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| paheli
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i faced a qn this morning that threw me for a loop. it was about the mech of postural hypotension. and this is what i've learnt today, among others:
when rising to upright position from supine position, there is
1] inc in venous blood i.e. pooling
2] dec in CO
3] dec in BP [MAP, since MAP = CO * TPR]
compensatory mechanism [via Sympathetic stimulation] for this includes:
1] reflex venoconstriction [so TPR inc]
2] inc in HR
this is what is interfered with in postural hypotension, caused by some drugs and old age.
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| paheli
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very imp concept! changes in BP during insp and exp.
during inspiration:
inc thoracic volume ----> negative intra thoracic vol ----> pooling of blood in pulm vasculature ----> dec blood returning to L heart ----> dec CO ----> transient drop in BP, to the extent of around 10MmHg.
during expiration:
dec thoracic volume ----> inc intra thoraciz pressure ----> blood gets pumped out of L heart ----> inc CO ----> transient rise in BP.
these changes are paradoxical, as during insp, dec BP occurs with inc VR, and during exp, inc BP occurs with dec VR [which is not usually the case]
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| new_n_lost
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OK then explain the difference between (if any) Kussmal sign and pulsus paradoxus ??
Hey keep it up i will be chking up on u.
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| Mydream
Forum Elite
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Hmm..good to read these concepts here again..
Thanks for ur post in my journal.. have u finished doing Q book ??
tell me one thing..i am seeing many members here ,who are studying on their own..though some do take kaplan live courses. but people whom i know keep on telling me..its absolutely necessary to take the courses!! whats ur opinion ??
by the way.....nice signature !!
Happy studying physiology
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| milee99
Forum Guru
Topics: 49
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hi dear
how's it going?
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| simi
Forum Elite
Topics: 53
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hi paheli...thank u sooo much for the special delivery at my journal...i really really need it right now..
hey u know what ...u were in my dream yesterday...in my dream u finished ur exam just one day before my exam...n i was reading ur post...which said that 60% of the qs were in CVS...n it was such easy exam that u couldn,t believe it...i got so anxious it seems...n started chatting with u ...asking u how was the exam etc etc...loool..so today i got up from bed n was thinking...so all this was in my dream????? lol
howz phys going on...i like reading phys....thanks for posting the concepts here ...nice quick revision..good luck
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| Mydream
Forum Elite
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Hi ..saw ur post just now in simi's journal..i think i know which sig u r talking abt..i like it too..and had saved it long back..
"Do not pray for easy lives, but pray to be a stronger person. Do not pray for tasks equal to your powers but pray for power equal to your task. Then the accomplishing of your work shall be no miracle - you shall be the miracle. Everyday you shall wonder at yourself and the richness of life which has come to you by the grace of god. "
is this the one ??
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"your results in life are always directly proportional to the amount of effort and hard-work that you put in"
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| paheli
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yep, that's the one! the first 2 sentences are my favorite.
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| GoodGirl
_________
Topics: 107
Posts: 1,474
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Hello,
This is the tread I should stick around. So motivational, so positive! Keep it up pretty girl! I like how are you nailing Physio Q bank with P499, Unique! Very good.
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Prioritize & simplify.
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| paheli
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another day dawns, another chance to do my best. and that's just what i'll do.
y'day was a decent day in terms of material covered, of course i wish i had done more. today is a full day as well. gotta wrap up phys soon. finished the slowest part, cvs, y'day. now looking to deal with resp, renal and endo. and git. gotta finish soon!!
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| paheli
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REMEMBER THIS, PAHELI!!!
when upright, highest absolute pressure present i lowest listed artery. and greatest change in pressure in lowest listed vessel!!
electrical axis of heart lies b/w -30 and + 110 [degrees]
therefore, -30 to -90 defines L axis deviation
and +110 to +180 defines R axis deviation.
L axis dev seen in: 1. R MI
2. L conduction defect
3. aortic stenosis
4. long-standing HTN
5. V vent hypertrophy/dilatation
R axis dev seen in
1. L MI
2. R conduction defect
3. pulm stenosis
4. R vent hypertrophy/dilatation
5. pulm HTN
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| paheli
It'sAllAboutGoodKarma
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doing some qns from phys qbank. and i'm so surprized, coz it has so many mistakes. we've already spotted 2 at the discussion in phys forum. and i just found one more. not good. i'm esp surprized coz it's kaplan!! who'd have thought!
ok, the slip-up i spotted was about O2 consumption by the heart. it can only be done by inc perfusion, coz heart extracts max O2 even under normal circumstances. [we in fact solved a qn on that] and the answer i saw said A-V difference increases! not possible!! anyway, i won't blindly annotate my book with their answers anymore!
ok, let me get back to some more qns for now.
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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