arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,235
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Try another NBME. Something does not sound quite right, you are doing good.
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| solitarius
Forum Junior
Topics: 7
Posts: 71
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Hello Arlete,
I don't know you..but I feel that you are very much blessed....very nice avatar
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| numb
Forum Newbie
Topics: 5
Posts: 14
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Arlete.. thanks... so nice of u
but im sooooooooo afraid of taking another nbme now... i just cant spend another day crying over my score n geting depresed..
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| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,235
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Thanks, solitarius. I am, indeed, very blessed. You can tell it by my smile!
Dear numb: I've been there, done that. I studied like crazy for step 1 and my first NBME was 390 (not even a "pass" number). My husband even brought me flowers to try and cheer me up, I drank lots of water because my tears were dehydrating me!  But you have to be able to stand up tall now, take a deep breath and trust yourself. Make a list of all your life acomplishments so far, remember how difficult some of them were and still you've made it!
Make the most of the left time you have before the test. Memorize things, reread the most challenging concepts, take notes, spend as many hours you need, but most of all remember YOU ARE A DOCTOR so you have the capacity of passing this test, like you've passed so many already.
Good luck!
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| solitarius
Forum Junior
Topics: 7
Posts: 71
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Thanks Arlete,
I too got 340(fail) in NBME first time for step-1 about 1.5 months before exam..and then Inspired myself a lot and got 204/84....which is still not good which I think is good for ME and am satisfied....Now planning to take step-2ck in July....My question is...I have kaplan 2005 lecture notes and videos...are they still as good????and other question is..if I get around 85 then...Do I have chances to get into IM 2009 match?I am 2005 Graduated and No visa issues,5 months of US Hands on experience(working with a Doctor) last year.Please reply and guide me through if don't mind.Plus I would definately try to OBTAIN the smile like yours...Thanks and God Bless....
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| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,235
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solitarius:
Yes, you'll get into IM residency if you apply wisely, with double 84. But I too got 207/84 in step 1 and then 257/99 in step 2. And I graduated in 1992, so a lot of things were not as fresh in my mind as they are in yours, I mean, for a lot of subjects, I really had to make an effort and review really hard.
The fact that you don't have visa issues and was graduated less than 5 years ago will open more doors for you, at least for interviews.
I used LN from 2005, and whatever I needed updated I got from usmleworld (a must!). This forum helped me a lot, too, every now and then there are some very interesting questions and news, and I am grateful for that.
Good luck, God bless you too!
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| solitarius
Forum Junior
Topics: 7
Posts: 71
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Arlete:
Thank you so much for such a quick reply.
what do you suggest for Dermatology,preventive and emergency medicine?because I think just Kaplan is not enough for those ones....maybe UW Q-bank later on...I know Internal Medicine is very comprehensive in Kaplan...how do you think about first aid?any other suggestions are most welcome...and congratulations for such a PERFECT score for step-2ck..and one more question...do you have NBME parts saved or downloaded questions or if you know the link or anything like that then it would be great.thanks for support and I wish you good luck for the match..may your dreams come true this year!thank you.
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| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,235
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I used Kaplan Lecture Notes and some DVDs, UW, First Aid for last review and I was OK. I don't have the NBME questions, but they are scattered here in the forum, just look for them.
Good luck to you, too!
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When men make the rules, God decides the exceptions.
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| numb
Forum Newbie
Topics: 5
Posts: 14
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thankk uuu... u r so nice... i hv delayed my exam.. i went outing today.. n was sooo happyy... ill prepare for it again from tomorow.. do UW once more and read text too.. u scored sooo awsome.. did u tak nbme too? did it corelate? how did u assess urself? i didnt assess myself in step1.. this is jsut the first time i did and am so down... just wasnt expecting it.. plz guide me on how to getng a grt score in step2.. my visa depends on step2 score.. so im v worried this time... i havnt done FA or crush.. shd i do them
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| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,235
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I scored 530 (form 1) three months before and 560 (form 3) two weeks before the test, so I think I did better than NBME predicted. I wouldn't repeat form 3, I think it was more difficult than the real test.
I used First Aid 2001 edition for the last read, I can't tell you about the new edition, but it helped me.
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| numb
Forum Newbie
Topics: 5
Posts: 14
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thanks God bless u
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| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,235
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| solitarius
Forum Junior
Topics: 7
Posts: 71
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Thanks and Good luck....Keep in touch...
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| solitarius
Forum Junior
Topics: 7
Posts: 71
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Arlete:
One more question....where do I find the normal lab values that are exact same on the actual USMLE exams...because I want to memorize them before I go to exam to save a little time....thanks in advance.....
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| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,235
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I don't know, solitarius. But they tend not to give borderline results, so, when something is abnormal, generally it's clearly abnormal. If you memorize the most common values (sodium, potassium, creatinine, BUN, etc) in First Aid, you'll be able to save time during the test, for sure. Only open the normal lab values if that adds information to answer the question. Sometimes they give a bunch of them and ask something that has nothing to do with, so don't waste your time. Sometimes they even give you the diagnosis and ask something about the disease.
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| numb
Forum Newbie
Topics: 5
Posts: 14
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hi Arlete... im confused abt this Q.. cud u help me plz?
A mentally competent 76-year-old man is in the
terminal stage of
multiple myeloma. He is unable to move and requires
24-hour nursing
care. Increasing doses of narcotics are needed to
control severe pain.
As a result, when he is pain-free, respiratory
function is impaired and
consciousness is clouded. The patient says he cannot
live with this
degree of pain and asks to be given a lethal injection
of pain
medication. Which of the following is the most
appropriate step regarding the
pain medication?
A
) Reduce the dosage so as not to impair respiration
B
) Administer the dosage necessary to control pain
despite
respiratory impairment
C
) Administer the dosage necessary to control pain
and add a
centrally acting stimulant
D
) Appeal to the family to convince the patient to
tolerate a bit
more pain
confused abt B or C.. shd we add centraly acting stimualnt or not?
thanks
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| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,235
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It's B. I've seen this question already.
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| numb
Forum Newbie
Topics: 5
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yes its nbme 2.. thanks
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| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,235
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The intent is not to kill him, but he has the right to be the most comfortable possible, even if inadvertedly his respiratory drive is jeopardized. The issue is one of intent, so it's not euthanasia in this case.
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| numb
Forum Newbie
Topics: 5
Posts: 14
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but we know that hsi resp function is impaired and if a centraly acting stimulant is present y not give him.. pain med will releive his pain and stimulant will improvehis resp... i mean he will be pain free with pain med anyway.. so y not tak care of his resp too?
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| sandra
Forum Guru
Topics: 200
Posts: 468
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@ numb
as arlete said, the answer is B. morphine can be given in doses just enough to control pain even if it does decrease the respiratory drive. C is wrong. source: kaplan ethics
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| solitarius
Forum Junior
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IT IS B.
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| numb
Forum Newbie
Topics: 5
Posts: 14
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thankss
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