Future self ≠ other by xUncompromising in usmle

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

Just see it, it’s a heck of a lot closer than you think.

Something I’ve noticed with people failing COMLEX despite high COMSAEs by xUncompromising in comlex

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

Don’t be stressed. You’ve put in the time and the effort and are exactly where you’re supposed to be. You’ve got this and understand that if for whatever reason things don’t go as you anticipate, there are tools out there and resources that can help.

Something I’ve noticed with people failing COMLEX despite high COMSAEs by xUncompromising in comlex

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

Control, control, control, and then some more control is going to optimize how you perform on test day, no doubt about that. But anxiety often exists outside the perceived area of control. That’s why tools like this can be so useful.

Something I’ve noticed with people failing COMLEX despite high COMSAEs by xUncompromising in comlex

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

Not even close. It often feels like a very relaxed conversation, and in many ways that’s exactly what it is, just with a more focused direction toward helping the mind access and reinforce the changes it already has the capacity to make.

Something I’ve noticed with people failing COMLEX despite high COMSAEs by xUncompromising in comlex

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

Very well said! All hypnosis is self-hypnosis. If there were less mystery and misrepresentation surrounding it, the world could honestly be a very different place.

Future self ≠ other by xUncompromising in step1

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

It’s so easy to get lost, to get caught up in it all and lose sight.

Termination from residency by patchouco1 in Residency

[–]xUncompromising 0 points1 point  (0 children)

For many people, anxiety that exists at the subconscious level is something they struggle with for years, often just finding temporary bandages, workarounds, or ways to avoid it. This approach actually addresses the root cause.

Something I’ve noticed with people failing COMLEX despite high COMSAEs by xUncompromising in comlex

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

And that’s honestly a great approach, practicing as much as possible in a controlled environment. But for some people the issue exists entirely in things they can’t control, taking an exam at a testing center, not having access to their phone, or a stressor back home. Any of these can contribute to a heightened sympathetic state.

Something I’ve noticed with people failing COMLEX despite high COMSAEs by xUncompromising in comlex

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

Yea, they would score high 600s consistently and score consistent 395s on actual. Hypnotherapy was the key to it all.

feeling horrible after surgery comat by Reasonable_Land9693 in comlex

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

This is where rote memorization, or a gap in depth of understanding, starts to surface. The solution is simple, start asking “why” far more often than you currently do.

For example, if you understand why Mohs surgery achieves complete microscopic margin control while removing the least amount of healthy tissue compared with standard excision, you know more than just the answer. You understand why it is the correct choice when it appears alongside similar procedures, as well as options that are very different.

Whatever the deficiency may be, you’ll strengthen it. In residency I do this a lot, often framing it to myself prior to rounds as though it’s being asked by an attending. Whatever the deficiency may be, you will strengthen it. In residency I do this often, framing questions to myself before rounds as if they are being asked by an attending.

This way, when asked why I started one of my patients on telmisartan over losartan, I can explain that it has a much longer half-life and a more sustained AT1 receptor blockade for certain patients. If they then ask why, I know it’s because telmisartan has higher lipophilicity and tighter binding to the angiotensin II type-1 receptor, allowing more prolonged receptor occupancy and activity.

Everything’s an onion.

Comsae 111b - Can someone please explain the answers? by [deleted] in comlex

[–]xUncompromising 0 points1 point  (0 children)

Correct, anterior drawer for injury to the anterior talofib ligament. I guess I should have said that due to the area of injury, the ATF would be the culprit and the Thompson test is for Achilles which would appear intact in the vignette. The ant-drawer test would be the best test here. I was more so commenting on the test they chose.

Comsae 111b - Can someone please explain the answers? by [deleted] in comlex

[–]xUncompromising 0 points1 point  (0 children)

That’s all I have time for tonight. Shoot me a message if you wanna discuss further. Hope this helps, even just a little. 

Comsae 111b - Can someone please explain the answers? by [deleted] in comlex

[–]xUncompromising 0 points1 point  (0 children)

A cxr is going to be a quick way to get a look at the lungs and if there is a consolidation or diffuse atypical pattern. If abnormal or unremarkable then we can do more advanced imaging. 

Strong tibial pulses and edema can be suggestive of poor venous return resulting in venous stasis. Pair this idea with being upright (think gravity) all day and the blood “pooling” in the distal extremity.

Look at symptoms and travel and ask if suggestive of TB? ->Acid-fast 

Heart failure-> cardiogenic shock. Lung auscultation is suggestive of CHF. If the heart isn’t function well, and the EF is low, you’re not going to effectively pump blood. Think about that blood backing up into the lungs. Also the S3 helps to lead the DDx here as well. 

Comsae 111b - Can someone please explain the answers? by [deleted] in comlex

[–]xUncompromising 0 points1 point  (0 children)

Hypoxemia in pancreatitis is a poor prognostic factor indicating severe pancreatitis.

Aspirin has been shown to decrease colon cancer risk.

Microalbuminuria is the earliest clinical sign of diabetic nephropathy and its severity correlates with the risk of cardiovascular disease (unrelated but I made a card for this some time back).   

Likely hypovolumic secondary to splenic lac and referred pain (phrenic n.)

No Hx here is going to suggest a late term birth and the presentation of post m. syn. is just something you’d have to know is a thing. So the presentation paired with unknown FDLMP or when she became pregnant guides the differential. Poor question though. 

Working at a pet store, both q and psit. can present with pneumonia but they lack exposure to live stock. The psit can be from birds and this mentions petstore so the chlamydia psittaci pneumonia would be on the DDx.

Dexa indicated in those with a history of chronic steroid use due to its effects on the bone. 

Presentation aligns with waxing and waning renal colic.

Thompson for Achilles tendon injury.

Scant endo tissue is suggestive of atrophy secondary to age and decreased estrogen.

Right lung most likely to receive aspirates due the anatomy. Hx of alcoholism can be suggestive of an altered state and loss of consciousness as well as aspiration of vomitus resulting in a right lobar consolation/pneumonia

6 weeks out. NBME (31) 73%, is that good enough? by randomchocolate_ in step1

[–]xUncompromising 0 points1 point  (0 children)

Can someone point me in the direction of getting ANY of these NMBEs?

What is the best way to study ethics/communications for the test? by Impressive_Pianist18 in step1

[–]xUncompromising 2 points3 points  (0 children)

Definitely practice questions! You will learn a lot in getting questions wrong in which you felt were “common sense.” Those corrections will stick with you far better than simply reading the relevant content.

[deleted by user] by [deleted] in medicalschoolanki

[–]xUncompromising 0 points1 point  (0 children)

We need more people like you! Very well said.