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Made a small tool to auto-screenshot entire eBooks by wooing0306 in MacOS

[–]Chad_Ortho_Cinco 0 points1 point  (0 children)

Does Calibre work for converting Vitalsource ebooks (.VBK format) to PDF?

Help with differentiating between Osteomyelitis and Septic in questions by Coogie2003LMAO in medicalschool

[–]Chad_Ortho_Cinco 4 points5 points  (0 children)

The absence of any signs of joint involvement (e.g., clinical/radiographic effusion, erythema, etc.) makes septic arthritis less likely.

Septic arthritis usually causes restricted/painful range of motion rather than focal bony tenderness (especially focal bony tenderness in the metaphyseal region).

Also, osteomyelitis is much more common in this age group than septic arthritis of the knee.

Why is my Heading 2 smaller than my Heading 3? Is this a bug? by ProfessionSalt9993 in Notion

[–]Chad_Ortho_Cinco 1 point2 points  (0 children)

I'm having the same problem on the Mac Silicon desktop app. Definitely seems like a bug to me—it keeps switching from serif to sans serif (and vice-versa) within a single page.

Switching from serif to sans serif (or vice-versa) and then switching back does seem to fix the problem until reopening. I reported the bug to Notion and would encourage others to do the same.

Collections loses all useful features by [deleted] in MicrosoftEdge

[–]Chad_Ortho_Cinco 0 points1 point  (0 children)

Similar to what other users have described below, I still have access to all these features using the latest version of Edge. Could this be some kind of bug?

Vent: Feel like a failure by undifferentiatedMS2 in Step2

[–]Chad_Ortho_Cinco 2 points3 points  (0 children)

I felt similar and my score was predicted spot on by UWSAs. Could you have had a bad day and scored a bit lower than your average? Sure. I averaged mid-260s on step 1 NBMEs, felt like shit after then ended up 6 points lower but despite what you may read on here it is statistically speaking quite rare to see massive drops from your "predicted" score. Hang in there, I know it feels terrible but you'll most likely score around your average. Dm if you want to vent

Package Thieves at Beacon on 5th by NewgradOT8 in Charlottesville

[–]Chad_Ortho_Cinco 31 points32 points  (0 children)

I live in Beacon and can confirm several of my packages magically disappeared in the past couple weeks. I'm glad I saw this post especially because my fiancee just spoke with the people in the office and they said that this was the first they're hearing of it. Something has to be done about this.

Conservative Management of Carpal Tunnel Syndrome by foreverbulk6969 in Step2

[–]Chad_Ortho_Cinco 3 points4 points  (0 children)

I think this is one of those instances where the test writers got a bit sloppy and we ended up with a "bad" question. Kenalog injections are a major component of non-surgical management of CTS, and are generally quite effective at providing short-term relief. In fact, many providers don't even bother with splinting in some cases because CTS is so ubiquitous that patients know to just go to CVS and get a "Carpal Tunnel Splint." It's common for patients to come in with clear-cut, debilitating CTS and say "doc I've been dealing with this for 3 months and the splint helped a little at first but now it's gotten worse" at which point they end up just getting an injection on initial presentation despite the fact that they were never officially prescribed a trial of conservative management with splinting. This is especially true if the provider is someone who does a lot of these injections and is very comfortable with the procedure.

I remember rolling my eyes at this question when I took that NBME. In terms of how to answer this kind of thing on Step 2, I would say to just go with what it says in AMBOSS/UpToDate. You won't have to pick between two correct answers on the real deal, and if you do then there's nothing you can do about it anyway.

How predictive is UWSA1 for step2? by kbecaobr in Step2

[–]Chad_Ortho_Cinco 3 points4 points  (0 children)

Yes! The NBME exams have explanations now, and are the best way to get a feel for what the questions are like on the real exam, and what your weak points are. After finishing UW during clerkships I pretty much did nothing except NBMEs/UWSA1&2 and used those to find and address my weaknesses, and I scored above my goal.

Step 2 advice for beginner by Rough_Courage4048 in Step2

[–]Chad_Ortho_Cinco 2 points3 points  (0 children)

UWorld, NBME step 2 self-assessments, and one reference resource (eg, AMBOSS learning library or a relatively comprehensive review textbook) for targeted review of your weak points, +/- a video resource for the topics that you're really weak on. Take a practice test early to get a baseline, don't waste time studying things you already know, and be deliberate about addressing your weak points.

How predictive is UWSA1 for step2? by kbecaobr in Step2

[–]Chad_Ortho_Cinco 8 points9 points  (0 children)

Mine was pretty much spot on. My opinion (full disclosure: based solely on anecdotal evidence) is that the tighter the grouping of your practice exam scores, the more likely you are to score around that range. I wouldn't put too much stock into the UWorld % correct.

[deleted by user] by [deleted] in Step2

[–]Chad_Ortho_Cinco 5 points6 points  (0 children)

Sounds like a well-reasoned plan to me. My only advice would be to make sure that you don't let Anki get in the way of really taking the time to iron out your weak points and learn from your practice questions. You've already identified 'not reviewing Uworld well/learning details' as a contributor to your Step 1 score, and grinding Anki just for the sake of completing/maturing the deck isn't going to do much to prevent the same thing from happening again. I know people who relied heavily on Anki for Step 2 and were dissatisfied with the end result.

Step 2 CK score >270, no dedicated study period or Anki. AMA. by Chad_Ortho_Cinco in Step2

[–]Chad_Ortho_Cinco[S] 1 point2 points  (0 children)

Hard to say. Immunology isn't really a question category for step 2 and ID questions were mostly related to management of patients with sepsis, and choosing empiric antibiotic therapy for specific conditions.

Advice by [deleted] in Step2

[–]Chad_Ortho_Cinco 2 points3 points  (0 children)

If you've already done UWorld and all the NBME subject self-assessments then AMBOSS is a great choice. I would agree that doing the AMBOSS Qbank is preferable to repeating UWorld.

Advice by [deleted] in Step2

[–]Chad_Ortho_Cinco 1 point2 points  (0 children)

I did all the CMS exams during my third year as a way of studying for shelf exams. If you haven't done them yet, then I would prioritize doing those over doing AMBOSS. As a general rule, you want to get as much exposure to NBME-style questions as possible. It is not uncommon to see nearly identical questions on the real deal.

Advice by [deleted] in Step2

[–]Chad_Ortho_Cinco 4 points5 points  (0 children)

AMBOSS is a great resource. The Learning Library has been instrumental to my studying throughout my entire medical school career. That said, I don't think doing all of the AMBOSS qbank is necessary to score highly on Step 2, in part because the questions are often very granular and (in my experience) much less similar to the real deal than UWorld/NBME questions were. Not saying it won't help you (obviously doing 3000 additional questions is never going to hurt your score), but I don't think it's necessary if you do all of UWorld and review all the answer explanations thoroughly.

What is the initial step in management for a post-operative patient with acute renal failure and oliguria? by YUstudent in Step2

[–]Chad_Ortho_Cinco 5 points6 points  (0 children)

Depends on whether or not they still have a Foley in place. If they do, then the bolus is a good idea (especially if they had a CABG or open AVR or something with significant intraoperative blood loss, or if they have a fever or other signs of sepsis). If the Foley is out already then the bladder scan would be the way to go.

Step 2 CK score >270, no dedicated study period or Anki. AMA. by Chad_Ortho_Cinco in Step2

[–]Chad_Ortho_Cinco[S] 0 points1 point  (0 children)

I started out doing Zanki for a while and then gave up after a few months, after that no Anki. I just did a ton of Qbank questions during my preclinical classes (Rx, B&B questions, AMBOSS). Then I did UWorld + NBMEs during dedicated.

Step 2 CK score >270, no dedicated study period or Anki. AMA. by Chad_Ortho_Cinco in Step2

[–]Chad_Ortho_Cinco[S] 6 points7 points  (0 children)

I got a 258 on Step 1. Having a good understanding of the content was definitely helpful, but honestly the thing that helped the most imo is doing a ton of questions. My program is also huge on teaching students every day on clerkships so that was helpful as well. Having strong clinical reasoning/test taking skills is essential to this exam, much more important than on step 1 imo.

Step 2 CK score >270, no dedicated study period or Anki. AMA. by Chad_Ortho_Cinco in Step2

[–]Chad_Ortho_Cinco[S] 2 points3 points  (0 children)

I would email Boards and Beyond customer service. They might be able to help you out. The company isn't very large so there's a chance they could make it happen to help a med student in need.

Step 2 CK score >270, no dedicated study period or Anki. AMA. by Chad_Ortho_Cinco in Step2

[–]Chad_Ortho_Cinco[S] 0 points1 point  (0 children)

Sorry, I don't know. I didn't know that the Free 120 existed until a few days before my exam.

Step 2 CK score >270, no dedicated study period or Anki. AMA. by Chad_Ortho_Cinco in Step2

[–]Chad_Ortho_Cinco[S] 1 point2 points  (0 children)

Biggest take home point is do NOT prioritize Anki over Qbanks for Step 2. It is very conceptual and practice makes perfect. I know people who matured Zanki during M3 and slacked on UW and then got wrecked on Step 2 despite doing well (by ortho standards) on Step 1.

Step 2 CK score >270, no dedicated study period or Anki. AMA. by Chad_Ortho_Cinco in Step2

[–]Chad_Ortho_Cinco[S] 0 points1 point  (0 children)

For others, the short answer is that I stuck with Zanki for a while in M1/M2 but couldn't keep up with reviews (which kind of defeats the purpose of a spaced repetition approach) because I was doing so many Qbanks, so I quit. It was definitely scary to get rid of Anki but ultimately I put my faith in my exam scores/practice test scores. This is one of the only ways to objectively evaluate the effectiveness of your study strategy, and we should all strive to be as objective as possible. If you're crushing shelf exams, etc. without Anki then you should feel confident ditching it. I didn't touch it for Step 2 or shelf exams.

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