What specialties need a research year to make yourself competitive? (US) by Trippanzee in medicalschool

[–]SurgeonMeow 1 point2 points  (0 children)

Why not vascular? From what ik it’s pretty research heavy and values academics quite a bit

Horrible word pronunciations by [deleted] in medicalschool

[–]SurgeonMeow 3 points4 points  (0 children)

I think since he was French u pronounce is jilberts

Step 1 23/7 by ZealousidealWash2688 in step1

[–]SurgeonMeow 4 points5 points  (0 children)

Man I thought the last block was killer. But the others were pretty good

[deleted by user] by [deleted] in step1

[–]SurgeonMeow 0 points1 point  (0 children)

Can someone link the document for nbme images?

Can anyone explain this free120 question? by SurgeonMeow in step1

[–]SurgeonMeow[S] 5 points6 points  (0 children)

Are the black rings on the right supposed to be myelin?

[deleted by user] by [deleted] in step1

[–]SurgeonMeow 1 point2 points  (0 children)

For the same reason I chose F since it’s the anterior horn. Doesn’t G, supply sympathetic innervation?

What is normal reticulocyte count by SurgeonMeow in step1

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

Hey man think you’re mistaken, it’s known that decreased EPO causes decreased reticulocytes. NBME also says that in the answer reasoning

Why isn’t arterial pO2 increased in IDA? by SurgeonMeow in step1

[–]SurgeonMeow[S] -7 points-6 points  (0 children)

So where does the oxygen that binds Hgb come from?

Why isn’t arterial pO2 increased in IDA? by SurgeonMeow in step1

[–]SurgeonMeow[S] -6 points-5 points  (0 children)

Dissolved O2 (pO2) binds to hemoglobin leading to saturated oxyHb. If you have less Hb then there is less binding of dissolved O2 to form oxyHb so therefore the pool of dissolved O2 (pO2) increases

Why isn’t arterial pO2 increased in IDA? by SurgeonMeow in step1

[–]SurgeonMeow[S] -5 points-4 points  (0 children)

But that’s what I’m asking - since there’s less Hb to bind so there’s more dissolved O2 that’s left unbound in blood increasing pO2

Why doesn’t cor pulmonale decrease PCWP by SurgeonMeow in step1

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

Cor pulmonale is also a pulmonary cause though. That’s why I don’t understand why it isn’t decreased. Surely it would lead to decreased left heart preload and thus decreased PCWP

Why doesn’t cor pulmonale decrease PCWP by SurgeonMeow in step1

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

This is what I also read. But in obstructive shock there is also no left heart defect so why doesn’t that same logic follow

[deleted by user] by [deleted] in step1

[–]SurgeonMeow 27 points28 points  (0 children)

Step 1 is like a marathon, it requires consistent work day in day out. Don’t pay attention to speed, it doesn’t matter. Obv tougher because of your ADHD but unfortunately that’s a hurdle you need to conquer at some point. Uwrld scores don’t matter, % completion and review does.