somi786
Forum Newbie
Topics: 6
Posts: 30
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I have been a silent reader of prep4usmle, but i have never actively participated. I was following it very much for step one, for step 2 i didnt need much motivation because i was motivated on my own, But somehow just 20 days before my exam i lost all motivation. I had to move my exam, becaues i had just stopped studying, I couldn't focus, i couldnt read adn i had an aversion to uworld. I just need to do one final review and focus on my weakness and review secrets, first aid and do as many questions from u world that i can till the day of the exam.
So instead of sitting adn wasting mroe time, i alread wasted a week not studying, i am going to start a journal. I will start today. I have already finished u world. I am going over it again, doing my incorrect subjectwise. Today i will review one already done block of cardio and do another and review it as well. I will also try to reaad the relevant topics from first aid and secrets, as being incorrect these are my weak areas. I will not wait and waste any time anymore. i have to motivate myself and get to work, this is a crucial time in my life. i want to be working by july adn the only way to do it is to work hard now...
So here i come cardio...
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| Liferocks
Forum Senior
Topics: 5
Posts: 234
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Hii somi,
welcome to Ck family......
Good luck for your final prep....
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The biggest obstacle is inside us......conquer ur innerself and u conquer everything.
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| gigi_md
Forum Newbie
Topics: 4
Posts: 19
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That is the actitud my dear friend ....lets do it
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Dominican Republic!!!!!!!
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| somi786
Forum Newbie
Topics: 6
Posts: 30
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thanks liferocks and gigi, it helps alot to have you guys as support. Finished one block of cardio and reviewed several topics, learned alot. Woke up with a pink eye today, but gotta try and finish teh second block of cardio and review some mroe of the topics..and see if ic an also review another mixed block. I feel like my prep has been random, but just gotta keep at it, hopefully there would be some method in madness...
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| somi786
Forum Newbie
Topics: 6
Posts: 30
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Yesterday wasn't very productive, had a pink eye and also woke up with a fever. O.D on nyquil adn slept well last night.
Today i started up again, finished my leftover cardio block and now i am back on track. I need to review teh leftover cardio topics from first aid and medstudy, i need to review certain cardio dynamics that i am weak at and consistently got wrong in u world q's.
Besides that the goal for today includes doing another block of mixed uworld questions and reviewing them.
Starting tommorrow i should be back on track with atleast two blocks of mixed uworld a day plus revision.
Exam is on september 30th. i have to keep my focus adn keep going at it. I tried teh energy drink monster today and it's working better than coffee.
Well, also have to make time for my personal statementa and try and finish my application by this weekend.
Any suggestions are welcome regardng my last two weeks of studying for ck.
I have finished all of u world once with an average of 55%. I have read Internal medicine for kaplan once and reviewed topics as i came across them in uworld. I havent' read all of kaplan books cover to cover, but more like read topics i felt v. weak at. I have seen most of internal medicine videos though.
My nbme 1 score two weeks ago was 430(199).
My studying slowed down for the past two weeks, but i am catching up.
The plan is to review all incorrect answers in u world and review all the topics i am weak at.
Read the notes i made during u world and read secrets and first aid.
After i am done reviewing all the incorrect questions , I would want to keep doing as many u wolrd q's as possible to keep reviewing hte topics.
I feel burnt out , but i need to keep going.
Another two weeks and i would be done with this exam.
cheers!
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| somi786
Forum Newbie
Topics: 6
Posts: 30
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Ok, I am writing in my journal after four days, but i am back. This journal is my way of motivating myself. Last week was hectic, I was busy completing my application and last minute stuff for eras. Now, that all of that is taken care of I am focused back on the exam. I had felt quite burnt out and was forcing myself to do something my mind and body did nto have the energy to do. Once i finished teh eras application and applied to some programs i was finally able to sleep and boy i slept for a good 12 horus after that. Now i feel, my stress level has drastically decreased and i can focus on my exam again 
Now, this is my plan for the next few days. I am going to keep reviewing as many blocks of u world in the day as possible. I am not setting any number, because at this point i need to do as much as i can. I need to review a much questions as i can before the real exam. So my goal is to hopefully go over the entire u world again. I am keeping in mind that my goal might be unrealistic but i have figured, strict goals and schedules doint work for me i work better when i am the most relaxed and i learn more when I study to study not to reach goals. Even though, I must atleast do two to three blocks of u world a day and review my self notes plus secrets adn first aid. But no excessive stressing out and worrying over what i can't do! If I can finish all of u world before my exxam great, if not! oh well..i will do as much as i can..
From my step one history, i only finished 35% of kaplan q bank, and had not made many notes and still managed to get a score in teh 80's. So hopefully, since this time i have finished u world reviewing everything i will be fine
My big mistake earlier on was to take an nbme, I knwo ti's something that works for msot people, but it didnt work for me. It send me in panic mode and i stopped studying. I am somi and i study best when i am most relaxed. I never panic over what i haven't done as long as i know solid wht i have done...so need to stay in that mode and keep panic far far away...
Traditional approaches work for most people, but for some of us ...there is method in madness...
Ok, so I pray to Allah taht he gives me teh strength to keep going and reach my goals, which is nwo to make sure i am learning lots each day..and dont slack off or waste weeks stresssing...Because if anythin stress makes us less apt at learnign and retaining what we can..when we are relaxed...
So Goal for today : stay happy, stay relaxed
Goal 2: study as much as you can
Goal 3: search more programs and apply to mroe programs
Goal 4: Pray for serenity
Alright jouranl hope to see u soon!
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| somi786
Forum Newbie
Topics: 6
Posts: 30
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Ok...been studying since morning today ...feel good...Praying nad keeping myself calm had a lot to do with it...
i did not set any written or strict goals for today..
but allhum ended up reviewing two blocks of prev done questions and did one block adn on the way to reviewing the thrid block...
Two blocks were 46 q's each one was around 30
I have to go home in an hour, will rest a bit..try to finishe the block i am on and review some of my own notes if i ahve time..
For later tonight the plan is to talk to one of my friends regarding residency process, search a few more programs to apply to and cook some food!!
Okie..so stay focused somi, you are doign good, Thank God you are back on track..Just keep going keep going and before you knwo it will be over....
God give me serenity, give me strenght and let me get over with this obstacle ...Cheersssssssssss
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| somi786
Forum Newbie
Topics: 6
Posts: 30
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Ok, went home last night, didi some more reseach on programs and talked to a couple of people about residency and coooked some food.
I was unalbe to study more at home though  I ended up reading study_ing's step 2 journal which itself was motivating...i really wonder what happened to him..and what he is doing now..sure he is in some great residency....
This mornign i went to pick up one of the letters that i was missing for Int medicine and mailed it out.
So now that, all of that is out of the way . The plan is to review a block of uworld and go for friday prayers at 1.00 pm
After prayers, and much need rejuvenation, get back to work and do as many blocks as i can for today and read some of my own notes..
okie somi pick up the pace, pick it up...keep at it..gotta leran to juggle, this si the real world...
Gotta juggle exam and application together...can't spend too much time on applying or not spending anytime on it at all..JUST THINK ONCE TEH EXAM IS OVER U CAN PUT UR ENTIRE FOCUS ON THE RESIDENCY APPLICATION
Ok, God i ask you agian to give me strength, give me courage, give me serenity and make this easier for me.
I am here to make this happen and crush this exam..
So u world here i come!!
Cheeeeeeeeeeeeeersssss
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| Ammara81
Forum Newbie
Topics: 2
Posts: 24
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Gud Luck.....keep at it...u will rock this exam
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| somi786
Forum Newbie
Topics: 6
Posts: 30
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Thanks ammara, your encouraging words are v. helpful.
Another journal update, I finished the half a block left over from yesterday and managed to finish another block. I started pretty late during the day, but it's ok i have good focus today so i shud try to keep going
Some things i relearned today
patient on ventilator
pao2 : influenced by Fio2 and peep (inc in po2 shud be treated with dec in fio2 or peep)
paco2: by tidal volume and respiratory rate(inc in pco2 shud be treated with dec in tv or rr)
Fio2 can be started with 80%, but due to fear of toxicity shud be reduced to around 50-60% or to a level where po2 is maintained at 60%.
Mayer Rokitanksy Kuster Hauser : mullerian agenesis
no uterus no vagina + ovaries
Social phobia - first line agent ssri's second line phenlzine (mao i inhibitor)
Chest tube placement for parapneumonic effusion
1. Ph < 7.2
2 gluc < 60
Treatment of catatonic sschizophrenia : benzos
Inflammatory joint disease causes anemia of chronic disease not dejenerative joint diseaes
Valsalva adn standing ; decrease preload
Squatting/Leg raise/Recumbency : increase preload
Sustained handgrip : increase in afterload
Bilirubin in urine - conjugated hyperbilrubinemia
Jervell Lange Nielson - Congenital qt prolongation, defect in molec ion channels/ Aut recc/ get Torsades/ also assoc deafness Tx with beta blockers ,if + syncope need pacemaker
Premature ventr complexes, dont treat unless sympt
Septic shock indices : Increase cardiac output , decr systemic vascular resistance, nl mixedvenous o2, dec rt atrial press and pcwp
Hypovolemic shock : dec ccardiac output, dec pcwp, inc svr
Cardiogenic shock: dec cardiac output, inc pcwp, inc svr, dec bp, inc heart rate
Mixed cryoglobulinemia ; palpable pupura + proteinuria + hematuria + assoc with hep c
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| somi786
Forum Newbie
Topics: 6
Posts: 30
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hey journal,
studied in the library till 5 pm, then got distracted with cooking..need to stop cooking...
need to go to the gym instead to get some energy...
feel v. tired today...
really want to do anotehr block...but just dont feel like it...i must i must..though...
it is the only way i can suceed in this ...the more questions i am able to review the more material ican go thru the better armed i am to acheive my goals..ok somi
just hang in there.....
keep going..just a few more days...
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| somi786
Forum Newbie
Topics: 6
Posts: 30
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Been reviewing my notes since mornng,
back to questions now.........
little by little we work towards oru destiny, one day at a time, one hour at a time, one minute at a time. The key is persistence and perseverance. There is no time to give up can only go forward no need to look behind for what could have been, tis about what i can do now...so keep going , keep going...
okie. here i come...
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| somi786
Forum Newbie
Topics: 6
Posts: 30
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I just want to be outside, it's such a nice sunny day. I wish i was dne with ck and i cud just enjoy the sun and have fun otuside, But i can't do that until i get this exam over with. I woke up this morning and i just felt like crying. I just dont watn to do thsi anymore, why does this exam take so long.......ughhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh
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| gigi_md
Forum Newbie
Topics: 4
Posts: 19
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Think that is almost over, at least this part......cheer up!!!!!!!!!! work hard and study smart!!!!!
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Dominican Republic!!!!!!!
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| somi786
Forum Newbie
Topics: 6
Posts: 30
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all done!! )))))))))))))
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