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USMLE Forum << < * Step 1 * > >>

Step 1 * Lets put all exam exam experiences

together
Step 2 CK #138432
usmlenew1 - 11/14/06 10:43
Step 2 CS

if you are intrested lets put all exam experiences(i mean

Matching & Residency
rememberd questions) together and share it
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* Re:Lets put all exam exam experiences

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#558694
grace98 - 11/14/06 18:16

mehak80 - 10/30/06

hi
cant believe i am over with my step1 exam. i had my exam today. i
reached the centre at 7.30am and i started at 7.45am. regarding
the people and the environment there, everything was very good.
my exam had a lot of pathology, neuroanatomy and physiology.
and if i say it topic wise i think 50% of the paper was diabetes, MI,
and motor vehicle injuries and cts and mri.
anatomy as i told was mainly neuroanat. lot of CT and MRI and
angiograms. some of them were easy, and some tough. i think
kaplan and high yield neuroanat are sufficient for these.
physio ... many graphs. renal and endocrine was tested most.
there were qs from ANS also
biochem...my weak area was thankfully easy. mostly rate limiting
enzymes , insulin- glucagon world, enzyme defeciencies.
molecular biology ws the toughest part for me. there were qs i had
no clue. i cant even remember the qs properly now. some were ok
too like anticipation, hardy weinberg calculation, and simple punnet
square calculations.
pathology....know diabetes and MI well.lot of pictures and slides.
hemat was easy. so was respi.
micro... was not tested much. most of it was bacteriology and
mycology.
pharma.... easy.mostly MOA and resistance. antiviral and
chemotherapy drugr tested heavily.
behaviour science... mostly doctor patient relationship. and mostly
weird. i wasnt sure of most of them. there were few qs on
personality disorders and defense machanisms also.
stats.... most of it was simple calculations but i didnot get few of
them. mostly sensitivity, specificity, PPV, NPV. confidence intervals,
type of study.
immunology...mostly interleukins. not tested much though.
overall i think 40%the exam is path, 20- 25% physio, 10% anat
and rest the others.
ok guys it is of some help. please feel free to ask anything. i will
glad if i can be of any help to anybody.
its a great forum. people are very helping. some of you are so
extremely good that i think you are reday to break all usmle
records. wishing everybody all the best for the exam and always.
may God bless everyone.
mehak
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* Re:Lets put all exam exam experiences

together
#558799
courage - 11/14/06 19:46

Hi Usmlenew1

Thank you so much for the wonderful idea it definetely helps all
those of us going
throuhg this very strenous jouney.

Could you please advice as to what kind of study schedule you

followed, like how we need to divide are time efficently.

I must say it is truly comforting to see such wonderful and

genorous friends helping each other, this gives us so uch hope and
corage especially when we are troubled ,depressed and worried, I
really apppriciate your genorous contribution to the forum and will
hope and pray that you get the mark that you so desire.

GL and god bless!!!!

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* Re:Lets put all exam exam experiences

together
#558810
courage - 11/14/06 19:54

Hi Yelito61,

Thank you so much for posting the link to all those questions.Are
they questions compiled from this years questions or previous
years?
It's so wonderful to have such genorous friends like you on the
forum.
Wish you all the very best in all your endevours.
GL and God Bless!!!!
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* Re:Lets put all exam exam experiences

together
#558829
yelito61 - 11/14/06 20:04

Hi Courage, thanks a lot for your nice words. Those Qs are

compiled from 2005-2006 exam experience. I hope this can help.
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* Re:Lets put all exam exam experiences

together
#558847
shigella - 11/14/06 20:13

I WAS ASKED LOTS OF BEHAVIOUR QS

1.THERE WAS A 75 YR OLD WOMAN WHO ARRANGED A SURPRISE

BRTHDAY PARTY FR HER
HUSBAND,AS THE SURPRISED OPENED THE HUSBAND DIED DUE
TO SUDDEN EVENTS,WIFE
BLAMING HERSELF WAT WULD U DO?WILL U SAY IT HAPPENS N U
SHULD BE AWARE OF
OR I KNOW HOW GRIEVED ONE CAN BE AT SUCH A LOSS,ITS NT
UR FAULT WAT U DID
WAS BEST FR UR HUSBAND?

A 15 YR OLD BOY NOT TAKING INHALER IN HIS SCHOOL TIMNGS

FR ASTHAMA WAT WULD

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U DO?
ASK MOTHER FR COUNSELING,SHIFT HIM TO ORAL.WILL ASK HIM
TO GO TO SCHOOL
NURSE AT THE TIME OF DOSAGE N SHE WIL GVE HER THE
INHALER ,SHIFT TO ORAL OR
MAKE HIM JOIN A TEENAGE SUPPORT GRP FR ASTHMA

A WOMAN KICKS HER HUSBNAD WHILE SLEEPING,HUSBAND

WORRIED WAT IS IT
INTERNAL CONFLICTS OF WIFE AGAINST HUSBAND OR RESTLESS
LEG SYNDROME

A PPHYSIAN AT A PARTY TAKES 18 BEERS IN 30 MINUTES ,HE

GETS A PAGER MESSAGE
FR CALL IN HOSPITAL,U ASK HIM TO REPLACE HIS CALL,HE
REFUSES N SAYS THAT I M
USED TO DRINK 6 -8 BEERS ,IT WNT MAKE ANY DIFFERENCE TO
ME. WAT WILL U DO AS
HIS COLLEAGUE---RUN AFTER HIM,CALL THE HOSPITAL
AUTHORITY OR REPORT HOSPITAL
ETHICS COMMITTEE

U ARE A SURGEON AND WAITNG FR ANESTHEZIA TO TAKE ITS

EFFECT,U R GOING TO
PERFORM A CHOLECSTECTOMY OF AN OBESE PERSON,U HEAR THE
ANESTHESIOLOGIST
LAUGHNG AROUND NO DOUBT HE GT CHOLELITHIASIS HES SUCH
A FAT GUY
WAT WILL U DO
ASK THE ANESTHESIOLOGIST TO LEAVE,OR WILL LEAVE THE OT N
ASK SME1 ELSE TO
PROCEED,WILL SCOLD ANESTHESIOLOGIST OR WILL CARRY ON
WTH THE OPERATION N
THEN REPORT THE MATTER TO ETHICS COMMITTEE

A 70 YR OLD MAN COMES TO U 3 MNTHS AFTER THE DEATH OF

HIS WIFE,HE E S NOW
DRINKING 6 DIFFERENT TYPES OF ALCHOLOIC DRINKS,WAT WILL
U DO
EITHER SAY ITS NORMAL,OR U LL THNK THAT THE PERSON IS
GOING TO ALCHOLIC
ABUSE SO WILL ASK HIM TO JOIN ALCHOLIN ANONYMOUS GRP.OR
WILL ASK FR LFTS,

A MAN WHO THINKS LIKE A WOMAN,N FEELS AS IF HES TRAPPED

IN MANS BODY
HAS SEXUAL PREFERENCES FR WOMAN,WAT IS IT
TRANSVERTISM OR GENDER IDENTITY DISORDER

GT CT FOR EPIDURAL HEMRRHAGE WTH TYPICAL TALK N DIE

PRESENTATION

GT BRAIN SECTION HAD TO IDENTIFY SUBSATNTIA NIGRA

GT MIDBRAIN SPECIMEN WTH PARKINSONS RESTING TREMOR

GVEN HAD TO IDENTIFY
SUBSTANTIA NIGRA AGAIN

GT A BRAIN SPECIMEB ,HAD TO IDENTIFY PREMOTOR AREA

HAD TO IDENTIFY MEDIAL LONGITUDINAL FASICULUS WTH

SYMPTOMS GVEN OF ITS
LESION

WAS A MRI OF THIGH HAD TO IDENTIFY AN ANTEROLATERAL

MUSCLE WTH LIPOMA,WAT

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WAS THAT
RECTIS FEMORIS,SARTORIUS,VASTES LATERALIS

MRI OF HIP JOINT WTH OSTEOATHRITIS I GUESS BUT WAS VERY

POORLY PRESENTED

PATIENT WTH MASS IN LUNGS WAT HORMONE CAN BE ELEVATED

PATIENT WTH NEPHROTIC SYNDROME WAT WILL BE

ANGITENSIN,RENIN N ALDOSTERONE
LEVELS?

PATIENT WTH ONE KIDNEY ATROPHIED DUE TO STENOSIS OF

ATRERY WAT WILL BE
ALDOSTERONE ,RENIN N ANGIOTENSIN LEVELS IN THE RENAL
VEIN OF OPPOSITE
KIDNEY?

PATIENT WTH ACUTE PANCREATITIS ,DEVELOPED RESPIRATORY

ABNORMALITY(ARDS I
GUESS)WAT WILL BE FEV1 N FVC CHNAGES?

PATIENT WTH LEFT PUEMONECTOMY WAT WULD BE FEV1,FVC

CHANGES

PATIENT WTH DIC WAT WILL BE

INCREASE THROMBOSIS?
INCRESE FIBRINOGEN?
INCREASE PLASMIN?

SHOWED 5 DOFFERENT CXR,HAD TO IDENTIFY 1 OF A PATIENT

WTH ALPHA 1
ANTITRYPSIN DEF,ONE WAS CLEARLY SHWN WTH TUBULAR HEART
N INCREASE
INTERCOSTAL SPACES SO I PIKED THAT

SHOWED 5 HISTOLOGICAL SPECIMENS OF TESTIS HAD TO

IDENTIFY LUTEIN CELLS?

SHOWED A DRAWING OF OROPHARNX,UVULA WAS DEVIATED

WCH NERVE LESION?

HAD TO CALCULATE NEGATIVE PREDICTIVE VALUE

HAD TO CALCULATE A GVEN THNG FROM GAUSSIAN

DISTRIBUTION CURVE WAS EASY

GENETICS GT ONE HARD WEINBERG QS NTHNG ELSE

IF I REMMBER CORRECTLY GT ONE SPINA BIFIDA QS,WCH WAS

MORE ASSOCITED WTH
IT,CRANIOSYNOSTOSIS,ARNOLD CHIRI1 OR 2,DANDY WALKER?

A DRUD THAT CONSTRICTS FFERENT ARTERIOLES ONLY WAT WILL

BE GFR FF N RPF

PATIENT GLUCOSE LEVEL IS 140.TRANSPORT MAX IS 300 WAT

AMOUNT WULD BE
EXCRETED ---ZERO

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WOMEN TAKING 3000 CALORIES,WANNA TAKE 30 PER AS

PROTEINS ,HOW MANY CALORIES
FRM PROTEINS?

A WOMAN COMES TO U N ASK FR CVS CHK UP,U R A

CARDIOLOGIST U ASK HER U CANT
CHK,SHE HAS TO GO TO A LOCAL PHYSCIAN
SHE ASKS Y U SAY
TO SAVE INSURANCE PARTYS MONEY
TO PROVIDE BETTR HEALTH CARE
ITS AGAINST PATIENTS BENEFITS

GT A QS REGARDING GLYCOGEN PHOSPHORYLASE DEF BUT THERE

WAS NO GLYCOGEN
PHOSPHORYLASE?INSTEAD THEY NAMED IT MYOPHOSPHORYLASE

GT A VIT A QS,REGARDING NIGHT BLINDNESS

GT A QS REGARDING MECHANISM OF ACTION OF

TETRACYCLINES,AMINOGLYCOSIDES

GT A QS REGARDING EPHEDRA

GT A2 QS REGARDING FIELD OF VISION

1 WAS BINASAL HEMIANOPIA
1 WAS LEFT HOMONYMOUS HEMOANOPIA

GT A QS REGARDING MITRAL REGURG

FRACTURE OF HUMERUS WCH NERVE AFFECTED?

HAD TO IDENTIFY AXILLARY NERVE ON A BRACHIAL PLEXUS

DRAWING

GT A BRANCHIAL FISTULA QS

GT A QS REGARDING HYDATIFORM MOLE

GT A QS REGARDING SEBBORHEIC KERATOSIS,PIC WAS SHOWN

GT A QS REGRADING PSORIASIS AGAIN PIC WAS SHOWN
CLEARLY WTH SILVERY SCALES

GT A QS WTH 2 PICS,ONE GROSS OF A LIPOMA OF COLON N THEN

A SLID PIC OF THAT

GT A QS WTH ETHLENE GLYCOL POISONING

GT A QS WTH KM , VMAX CHANGES WTH RESPECT TO CHANGE IN

SUBSTRATE CONC

GT A QS WTH PATIENT HAVNG CONNS SYNDROME,THEY ASKED

WCH AREA WTH TUMOR

GT A QS WTH ECTOPIC ADH SECRETION

GT A QS WTH PCP POISONING

GT A QS WTH CATATONIC SHIZOPHRENIA

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GT A QS WTH INTUSUSSEPTION

GT A QS WTH DUODENAL ATRESIA

GT A QS WTH INFECTIOUS MONO NULEOSIS

GT A PIC OF HYPERSEGMENTED NEUTROPHILS,WAT SHULDNT BE

GVEN,FOLIC ACID?

GT A QS WTH CML

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* Re:Lets put all exam exam experiences

together
#558849
shigella - 11/14/06 20:14

The above post is from a friend....

Here's another one from a friend:

got around 10 questions with ECGs

almost every gross anatomy n neurosceince question with MRI/ CT
scan
many question from patho with gross or histo slides
physiology questions with graphs or answers with lot of options to
choose
only few questions from statistics n biochemistry ..
pharma n microbiology questions were bit easy
My advice, dont waste too much time on single question if u dont
know ab it or unable to pick it, just check it and move on and
never ever leave a question to do at the end of block ..
most important factor in exam is time management, u speeed
should be like 1 question per min .. and try to avoid looking at the
time remaining, it makes so much nervous, anxious and distract
from questions .. my first block was horrible due to this
mismanagement ..

Gross Anatomy:

1: Membranes of heart which contain pericarial fluid .. visceral n

parietal layer of pericardium
2: Portal hypertension, stent passed to releieve from which
structures .. portal vein to right hepatic vein
3: Injection in gluteal region which nerve damaged .. Schiatic N
4: Fracture of upper part of shaft of femur with Xray, which artery
damaged .. Profunda femori??
4: Baby with cessation of breathing on right side also brachial
plexus injury, cause of cessation .. Phrenic N damage
5: Young man having pain in temoromandibular joint, touching
which muscle illicit pain .. Masseter??
6: Sucide attempt by cutting wrist, Radial N damage, which
function affected .. oppostion of thumb

Neuroscience/anatomy:
1: CT scan showing arrow head to lateral rectus muscle, which
funtion affected and on which side ..
2: Angiogram of cerebral artries, arrow head on some artery, n
asked which fucntion affected after its blockage .. Middle cerebral
artery ??causing spastic paresis of upper limbs
3: CT scan showing tumor obsructing 4th ventricle, cause ..

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obstructive hydrocephalus
4: Pt in vegetative state, not responding to painful stimuli, site of
damage .. brainstem or internal capsule ?? right answer is
brainstem, i checked internal capsule
5: Convergence of eyes intact with accomodation, but when light is
shown eyes do not respond, also pt has severe myopia .. Optic N
damage ( hina knows better :P )
6: also few questions with syptom described in stem and then
shown 4-5 sections of spinal cord with labels to localise whr is the
damage .. simple but time consuming
7: Section of lower part of medulla with damaged anterior part,
lesion .. Hypoglosal N, tongue deviation
8: Suprachiasmatic N damage, abnormality .. melatonin secretion

Physiology:
1: Few quesitions with clinical scenario for metablic dissoders ..
vomiting, diarrhea, hypoventilation with opiate poisoning
2: Women reside 1 month on 4000 M height ab sealevel, how she
adopted .. Erythopoitin
3: 4 simple question ab ADH abnormality with long scenarios, all
were easy
4: Few pituatary gland tumor questions showing different sign
symoptoms of hormonal imbalane, key was to localise affected
system
5: Pt with postural hyptension, lesion .. Adrenal Medulla
6: 21 - beta hydoxylase deficiency
7: Mitral valve regurgitation, murmer where it happens on cardiac
cycle .. many questions like this, few with ecgs with no diagnosis, u
have to made it from stem n ECG
8: Pic showing 1 small alveoli n 1 large with step cork in between
also no surfactant lining , what happens it stop cork removed ..
small alveoli will collapse
9: Few questions with graphs showing lung fucntions, venous
return CO graph, PH n bicarbonate level graph
10: CO poisoning affecting oxygen saturation

Biochemistry/genetics:
1: HGPRT deficiency with typical case scenario
2: HGPRT defieicency, which substance accumulated .. GMP
3: Glucose to gluose 6 phophate, reaction requiring .. ATP to ADP
4: Diabetic mother, child born with Hypoglycemia, which pathway
affected .. confusing answers, i checked Hepatic gluconeogenesis ?
5: Child born with biliary atresia n severe jaundice, which vitamin
deficeint after 1 month .. all were water soluble vit in answers, no
fat soluble mentioned .. folic acid, vit B6, Vit B12, vit C .. i checked
folic acid ??
6: Vit C deficiency
7: Ch lead poisoning with histo slide, asked which diagnostic test
confirmatory .. raised delta aminolevulenic acid
8: Glucose 6 phosphatase deficiency with confusing scenario
mixing with Galactose metablism disorder ?
9: Vit D deficiency linked to chronic renal failure
10: Few questions ab chances of homozygous/ heterozygous with
diease identificaiton in stem
11: Rickets presentation

Pharmacology:
1: Volume of distribution can be increased by .. HTN ?? or obesity
2: Drug respose graph of adding drug noncompetetive antagonist
3: 3 Questions with long stem having 2 or more drugs additon and
affecting different aspects of CVS, all were time consuming, n i did
all wrong
4: Antiphychtic drug poisoning
5: Dextroamphetamine poisoning
6: NO source .. arginine
7: Sildenafil mech of action .. phosdiesteaarse inhibitor raising
cGMP
8: Benzodiazipine acting on which receptor with diagram
9: Amphotericin B main side affect .. its nephrotixic .. damn main
ne theek kr ke wapis ja ke change kr dya :P itna gusa aya baad
main
10: Pt allergic to penicillin .. which drug to give for UTI .. 5 options,

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2 penicillin, 1 cepaholosprin, clindamycin, gentamicin .. i checked

gentamicin
11: Cyclophosphamide, hemorragic cystitis .. mesna
12: Pic showing cell in different phases of cell divison n spindle
formation, which dug affective .. Vincristine
13: AIDS pt taking Indinavir, which other drug can replace it ..
ritinavir
14: Affect of asparte inhibitor on cellular function in virus ..
inhibiton of proteins for virus core
15: Women wants to have prophylaxis for malaria, which drug ..
Mefloquiine
16: Pt with diarrhea, stool has entameba and giardia, drug of
choice .. Metronidazole
17: Drug covering ulcer surface .. sucralfate

Microbiology:
1: Pertussis .. cAMP inhibitor
2: Cryptococcal antgen compostion .. ploysaccharide
3: Few simple questions from Staph/step species
4: Slide showing gonococci ??
5: Mycoplasa pneumonia treatment failure .. no cell wall
6: Helicobactor pylori mech of production of ammonia .. urease
activity
7: Gram - sepsis, which part causing hypotension .. LPS
8: 2 Questions ab candida in immunocompromised pt
9: Histoplasmosis in lungs, histo slide ??
10: Children in school develop diarrhea, causative agent .. norwalk,
cacivirus .. i made blunder by picking it too easy and clicking on
coronovirus :P
11: Pt in indonesia having inluenza like symptom speard from
chiken, whats the mechnism of pandemic .. SARS?? Genetic
reassortment ??
12: Pt with jaundice, have antibodies postive to HBsAg, also IgM
postive to HBA, describe .. Immune to hepatitis B, acute infection
with Hep A
13: Single dermatome on chest have vesicles whats the other
agent which can reactivate this .. its AIDS .. i made blunder by
clicking CMV
14: Sacrring of follapion tublules, organism .. Chliamydia
15: Infection at lower part of femus, causative org .. staph aureus

Immunology:
1: Anitgen .. is a peptide
2: Where on antbody is bond between short n long chain .. see the
pic carefully
3: Blood goup determination, all the agglutnation reaction were
given, long stem
4: Myeloperoxidase deficiency .. HOCl production decreased
5: Chemikines, opsonin, integrin.. few questions
6: Lymhocytes exclusively release which cytkine .. TNF ?? IL-2
7: Which substace from neutrophil damage chondrocytes in
arthritic .. ??

Behavios Sc:
most question ab 20 from physician pt relationship, few on ethics,
others almost nil

Pathology:
1: Cause of encephalopathy in Cirrhotic pt with bloody diarrhea ..
Ammonia production from degradation of blood in intestine
2: Emhysema CT scan, whats the cause .. decrease antielastase in
blood
3: Squamous metaplasia on histo slide with pt smoker presented
with chronic cough
4: Hashimotos thyroiditis case
5: Many questions on adrenal gland n thydoid gland with
investagations showing levels of hormones
6: Trabeculations in bladder n cystcele on cystoscopy, main cause
.. BPH
7: Papillary necrosis in Sickle cell anemia
8: Injury to abdomen causing hematuria, pt again presented 5
days later with pain, Ultrasound shows dilated ureter, cause .. clot

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obstructing ureter ?
9: Women, young age, diarrahe from 1 yr, biopsy of intestine
negative, all hormones normal, unable to make diagnosis, cause ..
VIPoma
10: Carcinoid sysndrome
11: Hormonal imbalace in atrophic gastritis .. increase gastrin (2
questions with different scenario)
12: Recurrent non healing ulcer .. zollinger ellison
13: Main cause of ulcer pt is smoker, alcoholic, H plori +, also
taking NSAID for arthritis .. NSAID
14: Prussian stain stains .. ?? there was no option with iron, all
proteins
15: Pt with MI, stent passed, ECG changes correct, cause ..
reversible injury
16: Stimulus for apoptosis .. Cyt c from mitochondia
17: Fat accumulation in abdomen .. hyperplasia of fat cells in
subcutanous tissue
18: Illustrated diagrams showing lipoxygenase pathway
19: Platelet inhibitor .. Prostacyclin
20: Achondroplasia, cause .. decrease cartilage synthesis at
epiphyseal growth plate
21: EDS, asked with severe clinical presentation which type .. ??
22: Platelet adhesion deficiency with typical scenario n
investigation
23: Von will brand disease
24: Pulomnary embolism with specimen
25: Down syndrome, 2 question
26: Cystic fibrosis main abnormality .. increase Na reabsortion
casing think sputum
27: MI at 20 yr age, whats the cause .. LDL receptor abnormality
28: Huntington disease with gross specimen of brain showing
enlarged ventricles
29: SLE pt, skin lesions, what accumulated in skin .. ??
30: Reddish spots in AIDS pt with pic, cause .. kaposi sarcoma ?
31: Amyloidosis of lungs, abnormality .. unble to pick the answers
32: Benzene causes .. leukemia
33: Pt with breat CA, mastentomy done 5 yr back, irradiation also
chemotherapy given, again has lump in axilla .. readiation sarcoma
34: HTLV oncogenic virus
35: Hodgkins staging .. i missed it by clicking 3B, answer was 3A
36: Hemagioblastoma of cerebellum, pt at risk .. renal cell CA
37: Many question ab heart with heart sounds n murmers, picked
few, but most were too difficult to localise the abnormailty
38: Hypertrophic cardiomyopathy
39: Kartgeners syndrome with scenario
40: ARDS in newborn .. hyaline membrane on atopsy
41: Eaton lambert syndrome in small cell lung CA .. calcium
channel abnormalty in presysnaptic
42: Paraneoplastic syndrome in small cell lung CA .. cant remeber
which hormone asked
43: Child with adema n lipiduria, responsive to steriods.. minimal
change disease
44: No metablic abnormality, young women, presented with ureter
stone, composition .. Mg ammoniun phosphate??
45: Hisrsprung disease
46: Meckels Diverticulum
47: Pt with mouth n anal lesions n chronic diarrhea, most common
location of lesion ... terminal ileum
48: Normal female with polyps on colonoscopy at risk .. colonic CA
49: Gross specimen of mid tranverse colon with CA
50: Pt with pain radiating to back, also have cirrhosis due to alchol,
also above umbilical swelling .. Ch pancreatitis ??
51: Mech of vascular pathology in diabetes .. atherosclerosis
52: Acute cholicystitis typical presentation
53: Spherocytes in blood, test to confirm diease .. osmotic fragility
54: Pt with squamous cell CA of jaw, virus involved .. EBV ??
55: Phledelphia chrmosome has .. tyrosine kinase activity
56: 45 yr female, breat lump, movable .. fibroadenoma or
fibrocystic change ??
57: Pt has swelling in left testis, on lying disappears ..
Spermatocele
58: Aseptic meningitis

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* Re:Lets put all exam exam experiences

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#558977
goldfish - 11/14/06 21:53

Thanks for all your help Yelito, usmlenew1 & Grace... Here is my
share.

raoy - 11/02/06

Hi

i am silent visitor to this excellent forum. I used to get lot of input

for my exam prep from this forum and I thought i would share my
experience too. I studied for almost 6 months after my research
working hours. Most of my reading is over weekends and other
holidays. I used to read with my spouse and that was really
helpful. we used to do combined study and did kaplan q bank
together. I got overall around 85-87% and i was bit poor in cell
biology and molecular biology in Kaplan q bank which i got around
65-70%. I did nbme form 2 2 weeks before exam I got 690.
I got lot of qs on anatomy and neuroanatomy and which i felt good
because that was my strong area. As you know most of us donot
concentrate on anatomy, so I feel every subject is important. I took
exam on 4 oct and received mail on this monday.
I feel most of the subject is covered by kaplan notes but once has
to apply those concepts to get qs correct. Just plain remembering
of facts will not help.
I wrote my step 2 in May this year.
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* Re:Lets put all exam exam experiences

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#558979
goldfish - 11/14/06 21:55

draagny - 11/02/06

First off all, sorry to reply to you guys so late but I got sick after
the test I guess it was post traumatic stress disorder!!!

First here are my sources and time that I went trough it.
1.- Kaplan Course in the center wathc all the videos twice went
trough the notes at least 3 times and assist to the live lectures in
Chicago and in Pasadena. That took me 7 months. Did the
Kaplanqbank and I found it very helpful
2.- Goljan notes and audios almost everyday. When I was at the
gym or walking or even driving.
3.- Neuroanatomy from the Book "Make anatomy really simple.
4.-For my last month I purchase the USMLEWorld and let me tell
you that it really help. First is the same format as the test and
there are some q the same as the test so it is a very good tool.
5.- For my last week of preparation was only FA. I had a very low
impression about FA before but the last week really help me review
all the important concepts in little time.
Let me tell you by 11 months of studying every day 6 day a week
from 8-6pm. I tought it was enough. But you never think you are
ready.

Anyways here it is my experience.

So I have a good nice sleep wich I really recomend to everybody

because it is important during the test, to concentrate easy after
each block. Then it start 8:30 sharp. So went fast trough the
introduction part and let me tell you something be prepared to get
use to blinking computer I mean that the screen was blinking all
the time and if you have a bad sight that can screw you up. But I
was so nervous the first minutes that I didn't even think about it.

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So LOTS of Anatomy I got probably like 15 q in each block of

anatomy and neuroanatomy, upper trunk, and lower trunk TOO.
LOTS of Pharmacology maybe 15 q in each block they ask a lot of
interactions with another drugs like they will tell you in the stem of
the q that you are dealing with a patient that needs epinefrin (you
have to get to that answer) and then they will ask you what other
drug do the same mechanism but with out this adverse effect.
They were so hard maybe 2 or 3 step q. I really screw some of
them :(
Also a lot of Physiology they would get so much in to details. I was
ready to deal with up and down arrows and they would go more
then just that. Endocrino was big. Make sure to know negative
feedbacks.
Biochem maybe 5 q in each block, learn all you pathways they
make every little detail that you might not think is important for
them it is important.
BS very few only 1 or 2 per block.
Immunology and Micro very few maybe 5 per block

The time flies so if you are not used to answer q with time I totally
recomend it is basic. I finish all my blocks on time and I even had
time to go back to the mark q. So if you know how to manage your
time you would have at least 5 min to go back to those q. By the
way I mark half of my test. So I was sure only like in 25% of the q
the other ones even that you know the answer, the answer is not in
the answers so you have to read all the answers and acording what
they say pick one and move on.

And thats it. So feel free to ask me any q and please please pray
for me so I can pass!!!

Thanks to all those that where there to help me and keep up with
me in the q and just for suport.
Report Abuse

* Re:Lets put all exam exam experiences

together
#558980
goldfish - 11/14/06 21:56

bb_boy - 10/27/06

Hello forum,

I am an old grad 1995 from Eastern Europe. I found this forum

very helpful and now after Oasis said I passed, I am trying to help
the others by giving a sort version of my Step 1 preparation.

I have been studying for almost one year and a half. In the first
couple of months
4 hrs/day and increasing it to 10-12 hrs/day. From Jan 06 I have
been out of job, studying fulltime.

Materials used:
Kaplan books and DVD. (I also attended Kaplan live lectures)
Goljan pathology and audio
Some First aid

And tons of questions:

Kaplan qBank 71%
Kaplan IV qBank 82%
Rapid Review (all the different ones: Pharm. Goljan, Micro and Mix
one)
USMLE WORLD (only 700 qs) 58%

My exam:
It was on Oct. 06. 06. Well I would say it was really tough. Because
I was used doing a lot of questions I didn’t have problem with
the time. I even went back and checked the marked qs about 5-6
for each block. Not too many long qs about 4 or 5 in all exam. Over

11 of 13 12/31/2018, 10:49 AM
Lets put all exam exam experiences together - USMLE Forum http://www.usmleforum.com/files/forum/2006/1/138432-2.php

all I had only a couple CT scans and a lot of histology. The rest of
the exam it was almost 90% the one posted on this forum from
duce:
www.usmleforum.com/forum/message.php?id=125588

When I saw this message after my exam my entire body started to

shake and I relived the exam. Those where the exact qs that I had
and yes I did the same mistakes on many occasions.

The qs where very similar to Usmle World. I even had a couple of

exact qs. I start ed doing UW by the end of my preparation and in
the beginning it killed my confidence. I found those qs very difficult
but I wished I had finished all of them.

Well in the end I would like to say to old graduates: guys you can
do it. Since my graduation I have been out of practice working in
field completely unrelated to medical.
I have seen a lot of medical graduates from Russia, Romania,
Albania, etc, doing other jobs or studying to become PA or
computer technicians not believing that they can pass the exams.
Well guy you can d it and believe I know because I once didn’t
believe I can’t do it myself.
I know, I know …………..many of you are saying I don’t
speak very well English and all I had learned in school I forgot. But
believe me and find Kaplan books and DVD and start. It takes
about four reviews to feel confident so don’t stop early take a
page at the time.

Well I am closing it here hoping that I have helped someone,

bb_boy
Report Abuse

* Re:Lets put all exam exam experiences

together
#558983
goldfish - 11/14/06 21:57

doctorsaheb - 11/01/06

finally i am done with the exam . i really dont know how i did it .
my scores will reflect it . one thinng is sure this exam is a real
stressor . man 8 hours . my neck was hurting when i was in my 6
block . u have to be mentallly and physicially strong to ace in this
test . i got around 20 questions on DM . 5 questions from biochem
15 questions from pharma and may be 20 questions from anat (
very rare ) . not much ct's . not even a single problem . lot of
immunology which i was weak in . rest all patho . lot of physio
interpretation stuff . i had to guess for atleast 2 last questions in
each block no time . it was my weakness . RED BULL helped me a
lot . i think posting the question would not help because they ask
the same concepts but in different form rather i would call it a
lenghty and difficult way . FA WAS HELPFUL TO ME . goljan is great
. u can answer 50% of the paper if u listen to his lecture .
not much to say . really worried about my score .
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