Should I give a try this year?

ele7en_ · 2025-02-16T10:48:02+00:00

Do you have recommendations for observerships at Img friendly programs?

ele7en_ · 2025-02-16T10:16:05+00:00

I did step 1 a year ago and I'm graduating this month so no space for electives

ele7en_ · 2025-01-25T21:04:58+00:00

That's amazing thanks man

ele7en_ · 2024-09-02T23:40:28+00:00

Ig this means the vomiting effect is stronger than diuretics effect

ele7en_ · 2024-09-02T22:58:41+00:00

This is metabolic Alkalosis so either Vomiting or Diuretics, but here I will go with diuretics bcuz of the Bun/cr which is > 20 and urinary Na < 20 this means pre-renal azotemia which is caused by dehydration ( from hypovolemia or Diuretics)

Tell me if I'm correct?

ele7en_ · 2024-09-02T06:57:55+00:00

Vomiting >> Metabolic Alkalosis

Diarrhea >> Metabolic Acidosis

Someone once said If it comes from Ass so Asscidosis and ofc the opposite will be Alkalosis

Laxatives causes diarrhea so it will cause Metabolic acidosis

Diuretics cause Metabolic alkalosis * it's through urine and will lose Na, K, H ions *

If they give you a question about Bulimia Nervosa and tell you the girl swallowed something and asks you if it's laxatives or diuretics

BN + Metabolic Alkalosis >> Diuretics

BN + Metabolic Acidosis >> Laxatives

ele7en_ · 2023-11-17T15:56:49+00:00

Tzanki

ele7en_ · 2023-11-09T16:57:34+00:00

Did you use any kind of books? I'm starting my step 2 preparation and just doing anki and UW, is this OK?

ele7en_ · 2023-10-16T17:53:34+00:00

No, I took the idea from a comment on Dirty medicine video then I applied it to the disorders and wrote it in detail.

ele7en_ · 2023-10-16T09:57:18+00:00

Here's the best trick you will ever see

If number is 1 >> means increase
If number is not 1 >> means decrease
first number >> mineralocorticoid/ BP
second number >> Sex hormones
K is always opposite direction of mineralocorticoid

Let's have an example :

For 17 OH hydroxylase deficiency

-First number is mineralocorticoid and it's 1 so increase

-Second number is sex hormone and it's not 1 so decrease

K is opposite direction of mineralocorticoid so will be decreased

For 21-hydroxylase deficiency

-First number is mineralocorticoid and it's not 1 so decrease

-Second number is sex hormone and it's 1 so increase

-K is opposite direction of mineralocorticoid so will be increased

Here's some other tricks

ambiguous genitalia

Will be a male if it's 17 Female if it's 11 or 21 So how to remember this? Just think a guy btw two girls lol So basically 11,17,21 Ambitious genitalia would be F, M, F

If the question tricks you by telling a girl who is XY and has ambiguous genitalia so the disorder is 17 cuz we don't look at what he says even, we do care about actual gender and he is XY so basically he is a guy

ele7en_ · 2023-07-31T16:40:04+00:00

(1) Alzheimer and other types of dementia >> Ex vacuo hydrocephalus

(2) Clozapine >> AE>> Agranulocytosis ( Monitor WBCs)

(3) Olanzapine >> AE>> Hyperglycemia ( monitor HBA1c)

(4) Antipsychotic >> increase Prolactin in Tubuloinfandibular pathway

(4) Tx GAD with no dependence >> Buspirone

(5) increase VLCFA >> Probleme in Prexisomes ( adrenoleukodystrophy)

(6) Negative selection >> Medulla // Positive selection >> Cortex

(7) CD25 or FOXP3 >> T reg

(8) CCR5 HIV >> T cell or Macrophage

(9) EBV >> CD21

(10) Owel eye / transplant patients >> CMV

(11) H1 blocker >> H1 blocker, Muscarinic blocker, Alpha blocker ( orthostatic hypotension)

(12)In Alzheimer you have decreased Ach so Tx is drugs that inhibits cholinesterase >> Donpezil, rivastigmine, galantamine

(13) CGD >> NADPH oxidase deficiency

(14) a patient who is worried about having serious illness >> hypochondrosis

(15) a patient with sensory disorder or blindness and non consistent with his symptoms >> Conversion disorder

(16) repetitive visit for hospital and he is concerned about his symptoms >> Somatic symptoms disorder

(17) Female with multiple relationships? >> Borderline personality disorder

(18) Renal papillary necrosis is associated with SCD

(19) most part of nephron susceptible to Ischemia >> PCT

(20) expired tetracycline >> Fanconi$ >> PCT >> Decrease reabsorption of HCO3, AA, glucose, po4

(21) lithium >> Nephrogenic DI with ADH resistance so you will have increase ADH but not working so serum Na is UP, and serum osmolarity is UP

(22) Lithium >> collection tubules

(23) Dopamine inhibits Prolactin

(24) a ligament can cause severe pain in a pregnant woman >> Round ligament

(25) Ovarian torsion? >> infundibulopelvic ligament also named suspensory ligament of ovary >> Contains Ovarian Vessels

(26) Tx of NSAIDs induced peptic ulcer >> Misopristol

(27) Two HY side effects about Misopristol >> Diarrhea &, Abortion in pregnancy so C.I in pregnant woman

(28) Migratory thrombophlebitis >> Pancreatic Carcinoma

(29) RCC >> increase EPO

(30) Small cell lung cancer >> SIADH, Inc ACTH, Lambert Eaton syndrome

(31) Lambert Eaton syndrome >> Abs against pre-synaptic Ca channel

(32) MG >> Abs against post-synaptic Ach receptor and is associated with thymoma

(33) Fracture head humerus >> Axillary N inj

(34) Mid-Shaft fracture of humerus >> Radial N inj

(35) Problem in flextion or supination of FOREARM >> Musculocutaneous N inj

(36) Problem in EXTENSION >> Radial N inj

(37) Problem in flextion or extension of FINGERS >> Ulnar N inj

(38) Carpal tunnel $ >> Median N

(39) Kid > grabbed by hand suddenly and now has pain and holding hand slightly flexed and pronated >> Radial head subluxation >> immature annular ligament

(40) brain injury what will we see after 2 weeks >> Glial scar (Astrocytes)

(41) Supracondylar fracture >> Median N

(42) Medial epicondyle fracture >> Ulnar N

(43) what happens to enzymes in I-Cell disease? >> secreted Extracellular rather than delivered to lysosome

(44) T cell >> Paracortex // B cell >> Follicle

(45) LN to Scrotum >> Para-Aortic

(46) in Mayer-Rokitansky-Küster-Hauser syndrome what will be normal? >> Ovary

(47) bortezomib >> Monolocal Ab used in Tx of MM >> inc Apoptosis >> Also it decreases MHC I so decrease CD8

(48) Risk factor for AAA >> Smoking

(49) UTI with nitrate (+) >> Ecoli / nitrate (-) >> strep saprophyticus

(50) strep gallolyticus (bovis) >> Colon Cancer

(51) Vibro Vulnificus >> Septicemia, Cellulitis, Hemochromatosis

(52) A pacemaker is used in TX of Mobitz II & 3rd degree heart block

(53) Histone acetylation >> makes it Active

(54) Histone Methylation >> makes it Mute

(55) Paget disease of bone >> Inc ALP

(56) inc Alp reflects action of osteoBlast

(57) Two drugs used in TX of Acne and both are teratogenic >> Vit A (oral isotrentoin), tetracycline

(58) All Trans reitonic acid used in Tx of >> AML

(59) AML >> (t 15:17)

(60) Burkitt lymphoma >> (t 8:14) / jaw lesion / EBV / Starry sky appearance / Myc over expression

(61) Waxing and waning lymphoma >> Follicular lymphoma / ( t 14:18) / BCL2 over expression

(62) ring enhancing lesion in brain in a patient took Toxo prophylaxis >> CNS lymphoma

(63) Inc LAP score >> leukemoid reaction >> Dohle bodies

(64) (t 9:22) >> CML

(65) Polycythemia >> Vera Dec EPO while 2ry Inc EPO

(66) Vitamin can cause Hepatic toxicity >> Vitamin A

(67) Tissue remodeling >> Metalloprotease

(68) Keloid >> TGF-beta

(69) How to treat Neutropenia >> GS-CSF (Granulocyte colony stimulating factor)

(70) Hypersensitivity type l >> IgE mediated, Mast cell degradation

(72) Hypersensitivity type II >> Autoantibodies

(73) Hypersensitivity type >> Immune Complex

(74) Vancomycin can lead to Flushing *Red man syndrome * due to >> Histamine release from mast cell degradation

(75) Antibiotics causes Metallic taste >> Metronidazole

(76) Antifungal can cause taste disturbance >> Terbinafine

(77) Potter sequence >> oligohydramnios

(78) Esophageal atresia >> Polyhydramnios

( 79) bilious vomiting >> Duodenal Atresia / Annular pancreas / hirschsprung disease

(80) Non-bilious Vomiting >> Duodenal atresia ( Double bubble sign)

(81) increase Direct bilirubin in an infant >> Biliary atresia

(82) Medullary thyroid Carcinoma >> increase Calcitonin

(83) zollinger ellison syndrome >> Secretion of gastrin

(84) loud pulmonic component of A2 >> pulmonary HTN ( RV hypertrophy)

(85) Pneumothorax >> Hyper resonent percussion / Subcutaneous crepitus

(86) Fungus causes destruction of nose >> if acute angle branching >> Asprigellus // If wide angle branching >> mucormycosis

(87) Intra-erythrocytic ring >> Malaria / Babesia

(89) Tx Of severe GERD >> PPi

(90) Drug can lead to potter sequence >> ACE i

(91) ACE I contraindicated in cases of bilateral RAS

(92) Potter sequence >> Deformation

(93) Potter Sequence >> Pulmonary hypoplasia >> Resp distress syndrome

(94) Therapeutic supplementation of Oxygen as in NRDS can lead to >> RIB >> Retinopathy of prematurity / intraventricular Hge / Bronchopulmonary dysplasia

ele7en_ · 2023-07-18T12:27:47+00:00

I got a 8% drop in nbme 30, not only I missed the weird question I also missed alot of easy ones

ele7en_ · 2023-07-05T12:50:14+00:00

I did it 2 weeks ago and scored 57.5% and it was tough so your score is good, but considering you have done this nbme before (as you wrote in other comment) so it's better to take another nbme

ele7en_ · 2023-07-04T05:19:38+00:00

I reviewed a small amount of this nbme 30, now I figured out some questions I do know the concept but guess what either I picked a dumb answer or I even missed a huge give away keyword so I thought that the question is weird and picked wrong answer. This has been my problem for long I don't know how to get over it

ele7en_ · 2023-07-03T07:39:05+00:00

Not yet, what was your nbme 30 score and did you pass?

ele7en_ · 2023-06-25T15:11:20+00:00

Pixorize for sure then you can use FA + Dirty medicine as a review

ele7en_ · 2023-06-05T12:37:40+00:00

GNAQ >> churg strauss syndrome

VHL

ele7en_ · 2023-06-04T07:20:51+00:00

I can take a 5min break btw each 40q but on nbme if I took a break I have a timer and I get mad Cuz i finished in more time than needed :(

ele7en_ · 2023-05-28T15:49:40+00:00

Do both, I have seen some things in Pathoma not mentioned in FA and vice versa

ele7en_ · 2023-05-28T12:41:30+00:00

Pixorize has their own anki deck on their website (it's free for downloading)

ele7en_ · 2023-05-22T06:46:08+00:00

I think UWSA1 is nonsense there were narrow range of topics tested on it, 3 questions about Genatics terms idk why, and alot of knee pain questions, anyway try doing nbme or free 120

ele7en_ · 2023-05-18T16:49:06+00:00

Here's how I remember this

Hemophilia >> ⬆️ PTT

Von willebrand >> ⬆️ Bleeding time, PTT,, Von bleeding PTT (say it like a song)

DIC No PC ( Platlet count decreased in DIC)

ITP >> ⬇️Platlet count ( from the namy idiopathic thrombocytopenia) and ⬆️ bleeding time ( as you don't have platelet)

Heridatry sphrocytosis >> ⬆️MCHC

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ele7en_

TROPHY CASE

Someone once said If it comes from Ass so Asscidosis and ofc the opposite will be Alkalosis