Also, do I need to do the Neurology and ophthalmology sections for the IM shelf?
How are you guys doing on UWorld? I'm using it primarily as a learning tool but I still feel like I'm getting raped on it. 55-60% here. Hopefully thats good enough for me to do well on the shelf.
I got rocked on Uworld IM; averaged like a 68%. Shelf was considerably less tricky and I ended up with a 90 something.
I love you, SDN. Never change.
But seriously, change.
Really don't feel like searching through the full thread that dates back to 2005 or something. Do most people buy 12 months of UW? Or is it better to just buy it for 2-3 months to last through the medicine clerkship and then reactivate it when studying for Step 2?
This topic has actually been covered many many times. I'll summarize the consensus for people who don't want to do a simple search: Don't bother spending all that money. Just buy it for 2 months..... Actually, I have found Pre-Test to be an *excellent* resource that you can get for free from the library - so you don't even really need UWorld
Thank you. Is there a huge benefit to buying the newest edition of Step Up? Or is it like most books where an older edition is exactly the same?
If you look, you'll find no one has reported an errata or errors in Step Up. In fact there is *no* thread that specifically goes over errors in the second edition. So go with older version like with most things.
Like I said, UWorld is way over-rated. Just use Pre-Test. The questions in there are very shelf-like and you'll ace it.
How do you feel about pretest for neuro?
*palm in face* ... Pre-Test is the best for everything? The only thing I think is better than Pre-Test is BluePrints since it's well known to cover topics in-depth.
IM consistently seems to be the toughest shelf exam because there's so much material to test on. I scored honors using my lecture notes, Qbank and FA.
Does doing UW IM get quicker as the rotation goes along and you've finished a good chunk of the bank/learned on rotation? My day literally consists right now of being in the hospital, coming home, doing a block, and reviewing it, then I have about 1 hour to do something else whether it be hit the gym or study. Just wondering if I can look forward to possibly not being an idiot and getting half the questions wrong in a few weeks.
Man that sounds nice.. I'm at the hospital for 12-16 hours everyday. I haven't been able to sit down and do a full block, but I think it's going faster recently.
Yea that sucks. I'm averaging a fairly consistent 10 hours right now and it's worse b/c of a short commute. But... I guess I should be thankful for what I have lol
That being said, I said blocks, but I only do them in sets of 26 since it'll allow me to get through them with a week to spare before the shelf if I keep at it. I couldn't imagine doing 44 questions... or multiple blocks per day as some one here have said.
My school clerkship coordinator sent them probably 3 weeks after. If you were doing alright on uworld questions, you probably did fine I think I did about the same as you, 1000 questions, and got like an 87 or somethingJust took the medicine shelf today. It was 110 question was kind of short on time for the last 7 questions. Did 1000 IM questions on uworld. Watched most of the kaplan high yeild videos. Read master the Boards for Infectious disease and nephrology and a little bit for neurology. Hopefully I get a good grade. How long do the grades take to come back and do they email them to?
Does anyone have experience with the new IM essentials text and online suite? https://www.acponline.org/medical_students/products/im_essentials.htm
Question from 2nd practice test if anyone remembers:
32 year old lady, low grade fever, joint pain, 10 pound weight loss, rash with sunlight, cervical and axillary lymphadenopathy. Labs: anemia, leukopenia, high ESR, positive ANA, positive Smith. She's a vegetarian. Next best step?
HAART, multivitamin, prednisone, bone marrow biopsy, lymph node biopsy, chemotherapy
It said low grade, then provided a T of 100.0 later.Did the question say "low grade fever" or did it give a number?
Question from 2nd practice test if anyone remembers:
32 year old lady, low grade fever, joint pain, 10 pound weight loss, rash with sunlight, cervical and axillary lymphadenopathy. Labs: anemia, leukopenia, high ESR, positive ANA, positive Smith. She's a vegetarian. Next best step?
HAART, multivitamin, prednisone, bone marrow biopsy, lymph node biopsy, chemotherapy
I wouldn't have classified her lupus as being severe. She has all the classic symptoms, she definitely has lupus, and it seems undiagnosed. The best answer IMO would have been to start her on Hydroxychloroquine to decrease flares and NSAID for joint pain, but neither of those were answer choices. There wasn't really anything in the stem to indicate that the severity of her presentation warranted steroids. I was wondering if I missed something in the stem and someone remembers this question who could explain. Maybe she does just need Prednisone, but if that's the case, I'm wondering what the actual indication is.Why wouldn't the answer be prednisone? She has every symptom of lupus, it's causing serious problems, and her labs correlate perfectly. Primary treatment for lupus is 'roids. And, there is no better test for lupus than clinical symptoms + Smith.
HAART: wat... a zebra presentation of HIV?
vitamins: I know of no vitamin deficiency that causes that syndrome
marrow biopsy: hilariously invasive and unnecessary - leukemia is possible but very unlikely, at least do a blood smear first if you think it may be leukemia
LN biopsy: see above, all you're going to see is leukemoid reaction (inflammed nodes)
chemotherapy: generally a poor idea to treat a cancer if you don't know exactly what that cancer is - "maybe leukemia" is not good enough
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Hey guys!
Sorry last question
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I know the answer is ingested spores but I don't understand why the answer couldn't have been toxic megacolon and hence consequent perforation of colon since she is hypotensive, appears lethargic, has a high grade fever, and has a high WBC count. Also, since she was hospitalized 2 weeks ago and treated with antibiotics couldn't she have just gotten C diff from the antibiotic effects instead of spore ingestion?
Thank you so much in advance!
Yes it is very good. It has a qbank included which is decent but some rando questions included. Good text overall though.Does anyone have experience with the new IM essentials text and online suite? https://www.acponline.org/medical_students/products/im_essentials.htm
Ultimately she had to first become colonized with c diff. Hence why spores is the correct answer.Hey guys!
Sorry last question
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I know the answer is ingested spores but I don't understand why the answer couldn't have been toxic megacolon and hence consequent perforation of colon since she is hypotensive, appears lethargic, has a high grade fever, and has a high WBC count. Also, since she was hospitalized 2 weeks ago and treated with antibiotics couldn't she have just gotten C diff from the antibiotic effects instead of spore ingestion?
Thank you so much in advance!
When you guys talk about MKSAP, are you talking about the text or the questions? Both?
need some advice, if someone has a decent commute to their IM rotation, what would you guys recommend listening in the car? Like is there a pestana equivalent for medicine?
need some advice, if someone has a decent commute to their IM rotation, what would you guys recommend listening in the car? Like is there a pestana equivalent for medicine?
There's a MKSAP audio floating out there where pirates dock.