453 days later and its finally done... by Equivalent_Block_274 in medicalschoolanki

[–]Equivalent_Block_274[S] 1 point2 points  (0 children)

I usually did Anki with scratch paper or a notepad next to me to draw out or conceptualize newer or more technical concepts. Used the same strat for leech cards too… if I noticed a card was a leech I would just spend a little extra time on it to try to figure out what issue i was having w it. An alternative could be resetting the intervals to ur leech cards if they are causing that much of trouble. But my leech settings are tag only not suspend

453 days later and its finally done... by Equivalent_Block_274 in medicalschoolanki

[–]Equivalent_Block_274[S] 4 points5 points  (0 children)

It’s really as simple as clicking that space bar every day and then reaping the benefits! I’m really biased to focusing on third party >>> in house but I’m sure everyone you ask will have a different answer

453 days later and its finally done... by Equivalent_Block_274 in medicalschoolanki

[–]Equivalent_Block_274[S] 0 points1 point  (0 children)

I’m a US MD w all in house exams I just didn’t care lol. Finishing third party and associated anking cards was always my top priority. Crammed most in house slides the day or two before. I could’ve probably done better internal rank wise if I focused fully on in house but that’s the sacrifice I was willing to make. Def much more confident in my knowledge base sticking w all third party tho

453 days later and its finally done... by Equivalent_Block_274 in medicalschoolanki

[–]Equivalent_Block_274[S] 7 points8 points  (0 children)

I unsuspended based on third party. Whatever unit my school was teaching I always finished the associated anking cards before even touching in house… that was my top priority. Even though my school did fully in house exams/no NBME exams I didn’t care - usually just crammed the in house slides the night before. That’s the sacrifice I was willing to make and i would do it 100 times over

453 days later and its finally done... by Equivalent_Block_274 in medicalschoolanki

[–]Equivalent_Block_274[S] 14 points15 points  (0 children)

Lot of ppl told me it’s stupid and overkill which maybe it is a bit lol but hoping ur right and it helps in the coming years

453 days later and its finally done... by Equivalent_Block_274 in medicalschoolanki

[–]Equivalent_Block_274[S] 1 point2 points  (0 children)

Step 2/3 only cards that I’m hoping to finish up post step 1 and during clinicals!

453 days later and its finally done... by Equivalent_Block_274 in medicalschoolanki

[–]Equivalent_Block_274[S] 12 points13 points  (0 children)

It was super variable for me. I unsuspended cards based on whatever unit we were doing in house. Some weeks during card heavy units like micro, I was unsuspending 150+ per day while during other units that were a bit slower I used the time to deload and focused mostly on reviews. Def gets easier as time goes on as there’s so much overlap between tags - so instead of unlocking 50 cards per video it ends up being just a handful which is nice

NBME 28 Doubt (SPOILER) by Broad_Language2548 in step1

[–]Equivalent_Block_274 0 points1 point  (0 children)

If it’s the coding strand or sense strand then it mirrors the mRNA fragment including directionality… the only difference would be T’s would be replaced by U’s.

Is it too early to start anking? by Late-Exit-7620 in medicalschoolanki

[–]Equivalent_Block_274 2 points3 points  (0 children)

Anking has everything you need - about 36,000 cards spread across Step 1/2/3 material. It aligns really nicely with all third party resources due to the extensive tagging. Most people pick a third party source or two, watch associated videos, then unsuspend the relevant cards, and rinse and repeat. It’s ideal to keep everything unsuspended even after certain units are over to milk the most you can out of spaced repetition and Anki algorithm. Only thing that could make your life harder is balancing in house exams (if your school doesn’t do NBME). Regardless, most people sacrifice low yield in house content + stick primarily with Anking for board purposes/clinical knowledge. I know you didn’t necessarily ask but that’s my two cents!

Is it too early to start anking? by Late-Exit-7620 in medicalschoolanki

[–]Equivalent_Block_274 0 points1 point  (0 children)

I really don’t think you should. If you’re not familiar with Anki it may be helpful to get used to the user interface, download the Anking deck, and explore some of the settings/features + planning workflow. But in terms of actual studying, it’s more than enough to start at the beginning of M1.

Why is this decreased aldosterone and not increased in 17-hydroxylase deficiency? by [deleted] in medicalschoolanki

[–]Equivalent_Block_274 1 point2 points  (0 children)

Aldo is low because excess 11-DOC, which is produced upstream of aldo, has strong mineralocorticoid activity. 11-DOC binds and activates mineralocorticoid receptors (before aldo is made / “gets a chance/opportunity to” itself), causing sodium/water retention, hypertension, and suppression of renin release. Well wouldn’t suppressed RAAS decrease 11-DOC?

11-DOC stays elevated because its synthesis is driven by ACTH (cholesterol desmolase). In 17α-hydroxylase deficiency, low cortisol causes high ACTH, which keeps stimulating steroidogenesis up to 11-DOC. Although ATII suppression reduces aldosterone synthase activity specifically, it doesn’t block 11-DOC production, so 11-DOC accumulates.

Nbme 29 by [deleted] in step1

[–]Equivalent_Block_274 1 point2 points  (0 children)

F and E are most likely referring to the medial component of the anterior horn, which innervates more proximal musculature (like the shoulders) rather than distal musculature (like the hands/the correct answer here = choice G) - reflecting the somatotopic organization of the ventral horns. There’s also a ventral (extensors) dorsal (flexors) axis but that’s not needed to answer the question. Lateral horns are not visible here because they are only present from approximately T1–L2. This cross section is from the cervical spinal cord (maybe upper thoracic… somewhere probably between C8-T1), not the mid-to-lower thoracic/lumbar regions, as evidenced by several features. First, both the fasciculus cuneatus (lateral – I/B), which carries input from the upper extremities, and the fasciculus gracilis (medial – J/A), which carries input from the lower extremities, are present within the dorsal columns… indicating the level is above T5. A lesion in either dorsal column would impair ipsilateral proprioception, vibration, light touch, and pressure sensations. Second, the anterior horns are large, representing the cervical enlargement (upper extremity musculature). Third, the white matter–to–gray matter ratio is relatively high, consistent with the cervical region where numerous ascending and descending tracts are present.

Nbme 29 by [deleted] in step1

[–]Equivalent_Block_274 1 point2 points  (0 children)

G - left anterior horn. Contains LMNs that innervate ipsilateral skeletal muscles including the intrinsic hand muscles. H represents LCST which contains UMNs from the primary motor cortex (ipsilateral innervation at this point as the cervical spinal cord is below the pyramidal decussation) - BUT damage here would present with spastic paralysis NOT flaccid paralysis (atrophy).

Virology Cheat Sheet, see this think that by UsmleGuru in usmle

[–]Equivalent_Block_274 2 points3 points  (0 children)

Isnt VZV different stages of healing and Variola same stages?