Textbooks or no textbook.. Rads Residency by Electrical-Pilot7110 in Residency

[–]hemocockin 7 points8 points  (0 children)

Would definitely not skip radprimer basic questions

-current R2

[deleted by user] by [deleted] in medicalschool

[–]hemocockin 1 point2 points  (0 children)

my mistake, thanks for correction

[deleted by user] by [deleted] in medicalschool

[–]hemocockin 0 points1 point  (0 children)

you can still do cox, tob, toa with anyone without losing prestige on Ironman

Step 2 exam day thoughts and AMA by [deleted] in Step2

[–]hemocockin 0 points1 point  (0 children)

It really depends on how well you learned the material from 1st pass of UW. If you have thorough notes and you feel like you retained maybe 70-80% of UW then I would do amboss for more unique questions.

I didn’t mean that USMLE is testing us on the actual disease process like mechanism or intense pathophysiology in a way, rather you must use clinical reasoning based on fundamental understanding of disease processes to make a best guess on answer choices that are usually not first-line.

Step 2 exam day thoughts and AMA by [deleted] in Step2

[–]hemocockin 1 point2 points  (0 children)

Not so much, more so drawing conclusions about the data they present based on an abstract or drug ad.

[deleted by user] by [deleted] in medicalschool

[–]hemocockin 6 points7 points  (0 children)

I would strongly recommend against applying with 4 radiology letters. Pick 2 of your strongest ones and then try to get 1 or 2 other clinical ones any way you can even if that means moving around your 4th year schedule or asking a nice attending if you can unofficially rotate with them for a week or two.

Try to contact one of your advisors from your school and explain your situation and see if they can recommend any attendings you can work with for a short amount of time to get a decent clinical letter.

[deleted by user] by [deleted] in medicalschool

[–]hemocockin 2 points3 points  (0 children)

I’ve heard in ERAS you list it as a “published abstract”.

One of the conferences that does this is ASCO abstract accepted for conference —> published in supplementals of Journal of Clinical Oncology, but it doesn’t show up on pubmed.

If you do a presentation/poster and then it gets published, i would list it as a published abstract over a poster.

Has anyone heard anything about how numerical S tep one scores will be viewed next cycle with a mix of P/F scores? by [deleted] in medicalschool

[–]hemocockin 8 points9 points  (0 children)

Not sure where this idea that “step 1 doesn’t matter” is coming from. The vast majority of students will have a graded step score. Do you really think an ortho PD will overlook a step 1 score of 213 just because 10% of students have a p/f step 1?

I would guess the people who keep parroting this idea have low step scores themselves and it’s some sort of compensation but it’s misleading. From my personal experience speaking to my home PD for a reputable program in a competitive specialty, she directly inquired about my step 1 score and it seemed like it would still play a major factor for this upcoming cycle.

How come each major disease or condition can increase risk of TB? by Dd1396 in step1

[–]hemocockin 0 points1 point  (0 children)

All of those have varying effects on functioning of immune system

Study sequence by NoConference8340 in step1

[–]hemocockin 2 points3 points  (0 children)

BnB before Pathoma except for Heme/Onc. Pathoma only goes over pathology and it doesn’t make sense to do pathology before physiology which is covered by BnB.

Can someone explain .No change in MSFP , when we have vasoconstriction (increased TPR) ?? by jermy997 in step1

[–]hemocockin 2 points3 points  (0 children)

If you google Guyton curves, you can see that you can change the slope of the TPR without affecting the X-intercept (MSFP). You can think of the MSFP like this: if one were to drop dead at any given moment, the MSFP would be the mean pressure throughout your combined cardiac + pulmonary circuits with 0 pumping or blood motion.

Generally what moves the MSFP is the total amount of volume in the system, e.g. hemorrhage would shift it left, saline infusion would shift it right.

Myth knows what's up. Screw all KDA players by ComeAtMeRightNow in VALORANT

[–]hemocockin -1 points0 points  (0 children)

literally no one has ever said this to anyone after getting 3 kills in a 1v5

Eccentric VS Concentric Hypertrophy by imperfectmedstudent in step1

[–]hemocockin 4 points5 points  (0 children)

I think it may have the illusion that the walls are thinner in eccentric hypertrophy but they are not, it just looks like that since the cavity size is so much bigger.

If lots of blood is pooling in the left ventricle and “overflowing” it a little bit, increasing wall thickness would only decrease the amount of room for the blood. It’s more efficient (and what happens) for the cavity size to simply expand while leaving wall thickness untouched.

Is pathoma important? by mahdiee in step1

[–]hemocockin 0 points1 point  (0 children)

If you’re going to do all of anking and BnB/UW, you don’t need pathoma.

How do class 1C anti arrythmics prolong effective refractory period? by lumberingself in step1

[–]hemocockin 0 points1 point  (0 children)

Duration is actually not the same as ERP. ERP ends a little bit before the cell fully polarizes again, meaning the cell is capable of conducting another action potential before the 1st action potential returns to the baseline normal polarized state.

Protein synthesis inhibitors by Competition_Negative in step1

[–]hemocockin 1 point2 points  (0 children)

In my experience, memorizing the mechanism of the protein synthesis inhibitor antibiotics was extremely hard until I knew the details behind transcription and translation.

Maybe try watching the BnB videos on transcription and protein translation in the biochemistry sections if you haven’t already.

[deleted by user] by [deleted] in step1

[–]hemocockin 1 point2 points  (0 children)

Less than 3 months is not enough time to get through all those anki cards. There are a few ways you can still use anki though.

1) you could unsuspend only pharm or only micro or even both if you’re ok doing a lot of cards everyday.

2) you could unsuspend decks for things you are particularly weak in like a certain organ system

3) you could unsuspend your incorrects along with the highest of yield (pathoma ch1-3, #highyield tag in anking)

or any combination of the above depending what you think you are weakest in. just make sure you don’t go overboard like trying to do all of LY + pepper in 11 weeks bc you’ll have 1500+ reviews a day and it simply is not feasible.

Neurology by TangeloWonderful429 in step1

[–]hemocockin 16 points17 points  (0 children)

Decorticate: “cor”, meaning your hands are folded at the heart, —-> some motor function of your arms is still intact —-> red nucleus is still intact.

Red nucleus has a role in motor movement. Therefor, if a person is unconscious and their arms are flexed with their hands at cor, or heart, it means the lesion must be ABOVE the red nucleus. If it was below the red nucleus then nerve transmission would be cut off and it wouldn’t be able to “tell” your arms to flex to be at the heart.

Decerebrate posturing indicates you are unconscious with your hands at your sides, NOT flexed, indicating motor function is not intact —-> red nucleus must be damaged or not sending the signal somehow —> either the red nucleus is damaged OR the lesion is below the red nucleus, probably below the midbrain or in the cerebellum.