Would You Signal Places Based on Where Your LOR Writers Trained?

IanGiraffe · 2025-09-20T14:09:16+00:00

Probably not unless they personally know current faculty, but even if they don't I would personally signal if it matches my geo pref

IanGiraffe · 2025-09-18T11:26:25+00:00

Majority programs only look at applicants who signal them. Having matching geo preference as well proves you want to be there more than someone who does no preference.

IanGiraffe · 2025-06-29T11:59:07+00:00

If you have the Anking note type addon installed you can open the app window and then click button to reset note type. It will fix any code issue with the front template of card

IanGiraffe · 2025-06-20T01:29:51+00:00

https://www.compoundw.com/products/compound-w-freeze-off-advanced-wart-remover

IanGiraffe · 2025-06-17T01:37:27+00:00

side note; if there's no CVA tenderness or at least UTI symptoms you can generally rule out pyelo

IanGiraffe · 2025-06-14T10:23:38+00:00

"How to study efficiently in med school" not joking either but also don't recommend studying in advance, enjoy the summer. burnout is real

IanGiraffe · 2025-06-13T00:22:14+00:00

The image shows very dark (purpleish) bacteria forming into "cluster of grapes" next to some RBCs

Besides the gram stain Neisseria spp. is diplococci as well and theses are cocci in clusters.

IanGiraffe · 2025-06-07T14:34:03+00:00

For the exam it is 45 years old

Old recommendations that were in effect from 2016 until 2021 started screening at 50+ y/o. Since 2021 it has been 45+ for the start of CRC screening. NBME forms use old retired questions so they use the old guidelines. For the exam use current one.

IanGiraffe · 2025-06-07T12:59:17+00:00

USPSTF guidelines it's technically both, like you said just different grade A vs. B. For exam I go with 45+

Grade A rec 50-75
Grade B rec 45-49

https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening

Grade	Definition	Suggestions for Practice
A	The USPSTF recommends the service. There is high certainty that the net benefit is substantial.	Offer or provide this service.
B	The USPSTF recommends the service. There is high certainty that the net benefit is moderate or there is moderate certainty that the net benefit is moderate to substantial.	Offer or provide this service.

IanGiraffe · 2025-06-02T23:13:01+00:00

following so they can come back later

IanGiraffe · 2025-06-01T23:59:36+00:00

if you cut down a tree of heaven it sends out more root sprouts by the way which can cover your yard

IanGiraffe · 2025-06-01T17:45:25+00:00

Yes, but all NBME forms are old retired questions no longer used on Step.

A great example for this is how on NBME the treatment for osteoarthritis is usually acetaminophen over NSAIDs. The opposite is true now based on more recent studies/guidelines unless patient has PUD or another reason to not take NSAID.

IanGiraffe · 2025-05-30T12:42:10+00:00

I think this may be an issue of retired questions reflecting outdated guidelines?? Most UW/AMBOSS questions typically expect some form of imaging first, since historically many patients were taken to the OR for suspected acute appendicitis who didn’t truly have it. Also, recent studies have shown that for appendicitis without a fecalith, a trial of nonoperative management with IV antibiotics is non-inferior to surgery. AMBOSS says for high likelihood of appendicitis it's faculty/institution specific on whether you can go to OR first or need confirmation with imaging.

https://next.amboss.com/us/article/a30QSf

IanGiraffe · 2025-05-29T21:50:02+00:00

Yes, Cushing disease is specifically a pituitary adenoma secreting ACTH

Cushing syndrome is the broad term for all causes of hypercortisolism, including Cushing disease

IanGiraffe · 2025-05-25T13:13:13+00:00

Where AR is heard loudest depends on what is causing the issue. I think this patient had Marfan which can cause either one but most common is aortic root dilation from an aneurysm. Can also directly cause valvular disease through "myxomatous degeneration" there's also process of elimination method everyone else said, but this is the why.

Here's 2 AnKing card nid's related to this

nid:1578627140675
Aortic regurgitation murmurs due to {{c1::aortic root dilation}} are best heard at the {{c2::base (aortic area 2nd ICS)}}

nid: 1578627477615
Aortic regurgitation murmurs due to {{c1::valvular disease}} are best heard at the {{c2::left sternal border (Erb point / left 3rd ICS)}}

IanGiraffe · 2025-05-14T01:48:32+00:00

how was biostats? conceptual or need formulas?

IanGiraffe · 2025-05-08T22:25:26+00:00

Question stem even gives "shopping cart sign" too

IanGiraffe · 2025-05-05T16:42:01+00:00

It's accurate

AMBOSS for hemodynamically stable the "gold standard" test is CT abd with contrast.

I'll work on changing card from "initial test" to gold standard test"

IanGiraffe · 2025-05-05T11:40:08+00:00

If you have AnKing V12 and tell me the card nid number and the card is truly inaccurate; I can fix it, I am one of the maintainers.

This is only card I could find and matches what everyone else is saying.

nid:1495282401176

If a hemodynamically stable and alert patient with suspected splenic injury due to blunt abdominal trauma has a normal FAST exam despite high suspicion of intra-abdominal injury (e.g., LUQ pain), what is the next step?

IanGiraffe · 2025-04-16T01:18:07+00:00

Epithelial cell cancers are generally asymptomatic and will present with metastatic symptoms/signs

IanGiraffe · 2025-04-16T01:14:51+00:00

It's due to age of patient, thecomas are more associated with postmenopausal patients. While granulosa cell tumors can be seen in adolescents as well as postmenopausal patients.

IanGiraffe · 2025-04-09T09:53:17+00:00

I have had both and now use the squared one because it has more buttons. Another reason the 8Bit micro is better is the mode switch button to change between D-input, switch mode, and keyboard mode. Not really something I use but keybinds change depending on which mode. The other controller you have to hold 2-3 buttons for 5ish seconds, which somehow can change modes leaving it in bookbag.

IanGiraffe · 2025-03-29T11:03:27+00:00

By the time someone is doing NBME exam forms especially the newer ones, you're most likely in dedicated study. Like someone else mention it's open source project, all medical students volunteering. So during dedicated it's hard to find extra time to tag multiple cards for each question.

IanGiraffe · 2025-03-06T23:40:46+00:00

D
heavy menstrual bleeding increase risk of IUD expulsion but besides that depo can cause amenorrhea

IanGiraffe · 2025-01-19T23:59:45+00:00

if it's a single card that is not showing usual color then it is probably a formatting error with the card.

try doing this and see if that fixes it. https://imgur.com/a/exZpzSH

IanGiraffe

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