genyagyn
Forum Newbie
Topics: 6
Posts: 23
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Please, anyone share your experience!
I did Kaplan’s Qbank and Usmleasy.com with average 77% then I discovered usmleworld.com .I did about 15 blocks on usmleworld q and results are disappointing. My cumulative score is 57%. :oops: My exam is in 40 days. Please give me advice how to improve my score and what does this 57% mean?
:roll:
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| doctorjha
Forum Senior
Topics: 13
Posts: 100
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Hi,
I know its quite frustrating for me too. The max I could reach in any block is 70% and cumulative after 20 blocks is 55%. But, they usually frame the questions in most confusing ways and few of them are really picked from "between the lines" of textbooks. Its a nice exercise for the step as we might get confusing qs but not harder than USMLEWORLD i believe.
I too have test on 23rd august and in this dilemma of extending the date after taking this USMLEWORLD but ppl usually mentioned in this forum that they used to get in 50s when they started with it but at the end, they even got 80s in this qbank. Just waiting for that great moment..... :roll:
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| genyagyn
Forum Newbie
Topics: 6
Posts: 23
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Thanks for support.
It’d be tempting to postpone the exam but we need to pass CS too in order to participate in match 2005.
What surgery book do you study? It seems to me that blueprints is not enough. Lots of trauma questions I have no clue of. Where do you think I can review this topic?
Where do you find answers on confusing questions of usmleworld? :shock: There quite a few of them.
Like q910 guy presenting with HSV meningitis and CHF glucose level of 35.
q2032 where they give homonymous hemianopsia and monocular blindness same definition.
Magnesium sulfate is a drug of choice for tocolisis according them, although it was not FDA approved.
PE what to do first V/Q scan or ABG and X-ray????
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| doctorjha
Forum Senior
Topics: 13
Posts: 100
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Hi Genyagyn,
Usually I dont refer book for answers of USMLEWORLD as we dont have much time left and it will take a lot of time just to finish it over. But, I am sure these qs wont appear on board because these r nor only confusing, they have conflicting answers. However, these qs are not wrong per se, so u can take them as correct answers. Homonymous hemianopia and monoocular blindness are same as we have loss of same field of vision in both cases. Magnesium sulphate is approved by FDA, however they have stopped manufacturing Ritrodine (CMDT).
I studied surgery from Kaplan lecture notes, which have limited number of trauma cases too but Extensive books like NMS will take a lot of time at this moment.
Would you mind discussing these things on our forum chat today at 9 pm CST if u r in US?
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| genyagyn
Forum Newbie
Topics: 6
Posts: 23
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Thanks again. Yes, I’d be thrilled. I’m in Cleveland.
But still. homonymous (same side) hemi (half)------anopia I guess means loss of half visual field whereas mono(one eye)--- cular blindness is a complete loss of vision not part of it. I’m I wrong?
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| doctorjha
Forum Senior
Topics: 13
Posts: 100
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Well, Homonymous hemianopia can be either bitemporal or binasal hemianopia where either both temporal fields or both nasal fields r gone. Its not like just one eye is gone. half from each side go, contributing to same visual field. Mono-ocular vision contributes to our visual field whereas binocular vision stands for our depth perception. They do not mean "one eye" and "both eyes". I will be there for the discussion at 9 pm. I am in Champaign, IL.
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| genyagyn
Forum Newbie
Topics: 6
Posts: 23
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How would explan Amaurosis fugax which is a short-lived episode of blindness in one eye (monocular)?
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| doctorjha
Forum Senior
Topics: 13
Posts: 100
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Its a great discussion we r having. Well, Amaurosis Fugax is surely a mono-ocular blindness but again its not the loss of vision in one eye but "a verical vision loss like a curtain in the visual field" . Thats d/t ipsilateral carotid artery disease sending the emboli to retinal artery. It will be loss of binasal fields of both eyes. So, mono-ocular blindness means loss of either bitemporal or binasal vision loss, not the loss of vision of one eye. Nice to discuss with you and I would love discussing further.
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| usmleasr
Forum Guru
Topics: 105
Posts: 970
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hi doctorjha,
why should occlusion of retinal artery cause binasal field loss...??
binasal field loss is rare, becos it has to affect both temporal retina..means a tumour compressing both sides of chiasma..
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| doctorjha
Forum Senior
Topics: 13
Posts: 100
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Sorry, I had a misconception. After, all one retinal artery occlusion can never cause damage to both eyes. And, here monocular blindness term would actually mean damage to one eye only. So, we r back to square.
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| genyagyn
Forum Newbie
Topics: 6
Posts: 23
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 You see.
I thought I was hallucinating when I read thaat.
Check this out
http://www-medlib.med.utah.edu/calendar/block4/pp...
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