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All Home Care Matters and our host, Lance A. Slatton were honored to welcome Dr. Raj Dasgupta as guest to the show. About Dr. Raj Dasgupta: Dr. Raj Dasgupta is a Quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. He is currently the Associate Program Director of Internal Medicine Residency at Huntington Health in Pasadena, California and an Associate Professor of Clinical Medicine for the University of California, Riverside School of Medicine (UCR). He previously practiced at the University of Southern California, where he is an associate professor of clinical medicine, assistant program director of the Internal Medicine Residency Program, and the associate program director of the Sleep Medicine Fellowship. During his time at USC, he was inducted into the prestigious Alpha Omega Alpha Honor Society. Dr. Dasgupta is an active clinical researcher and has been teaching around the world for more than 20 years. He is also a regular in media, appearing on various platforms and television shows such as Chasing the Cure, The Doctors, CNN, ABC News and Inside Edition. Be sure to check out his podcasts: “The Dr. Raj Podcast” and his medical book series titled: “Beyond the Pearls” published by Elsevier. About MedPrepToGo: MedPrepToGo, is dedicated to providing high-yield resources for medical students in the form our online Qbank and various podcasts.
This podcast is an oddball podcast. But it also happens to be one of my highest yield podcasts. I discuss how NBME Qs differ materially from Qbank Qs. Understanding this can really help with guiding your study and test taking processes. Certainly a helpful listen for any USMLE exam taker. Audio Download
Video for this podcast: https://mehlmanmedical.com/best-way-to-annotate-read-explanations-from-qbank Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical Patreon: https://www.patreon.com/mehlmanmedical
This week, our host Dr. Tanner worked with Copy.ai, an AI tool, to guide you through the process of integrating the AMBOSS Library and Qbank into your daily study habits, with explanations, real-world examples, and actionable steps along the way. We'll see how the AMBOSS platform can revolutionize your study routine and make you a better student and clinician. //Take the free AMBOSS Step 2 CK Self-Assessment / go.amboss.com/int_step2_2023 Supercharge your Anki flashcards with the AMBOSS Anki add-on / https://www.amboss.com/us/anki-amboss Sign up for a free 5-day trial at https://go.amboss.com/pod-5day-trial. Read more at the AMBOSS blog: https://go.amboss.com/blog-ambosspod. Find out more about the AMBOSS podcast: https://go.amboss.com/int_podcast-23.
See omnystudio.com/listener for privacy information.
Video for this podcast: https://mehlmanmedical.com/should-i-do-a-2nd-qbank-for-step-1-and-2ck-prep Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical Patreon: https://www.patreon.com/mehlmanmedical
Want to get MORE out of your USMLE Step 1 question bank review sessions?If you said "YES", then you need to know how to effectively & efficiently go through your blocks so you can squeeze the maximum amount of info from each one.Mastering the review of your questions is equally as important as mastering your content & test-taking skills!If you want to watch the full episode on YouTube, be sure to check it out here: https://youtu.be/MSQsEtFZ4e0Be sure to follow us on IG for even more free USMLE & medical school help instagram.com/realdrpaul
Are you working hard on your USMLE Qbank questions?Are you finding that even though you're moving through questions, you're not making the type of progress you want?It often comes down to not taking enough time to review your questions...If you're not coming out of a block with near-complete mastery of the topics, you're doing yourself a disservice.In today's clip, we're going to explain why you MUST slow down your qbank review sessions if you want to maximize your efforts.Watch the FULL episode here: https://youtu.be/XMiIEHum0xk
Video for this podcast: https://mehlmanmedical.com/how-do-i-answer-long-nbme-qbank-questions-in-a-timely-manner Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical Patreon: https://www.patreon.com/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/how-do-i-best-prepare-for-2ck-guideline-qs-for-cancer-screening-etc Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical Patreon: https://www.patreon.com/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/should-the-2ck-cms-forms-be-used-as-self-assessment-or-like-qbank Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical Patreon: https://www.patreon.com/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/how-do-i-maximize-time-management-on-nbme-qbank-blocks Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical Patreon: https://www.patreon.com/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/how-should-i-make-anki-cards-from-qbank-is-that-a-good-idea Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical Patreon: https://www.patreon.com/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/how-should-i-go-thru-qbank-with-mehlmanmedical-pdfs Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical Patreon: https://www.patreon.com/mehlmanmedical
In today's USMLE Coach's corner replay, we discuss some of the biggest mistakes we're seeing students make when doing USMLE World or Amboss questions... We'll outline these questions and give you some tactics to get more out of your efforts!Follow us on YouTube for daily USMLE & Medical School help! You can subscribe to the channel here: www.youtube.com/c/TheUSMLEPreparationCompanyIf you're ready to take your USMLE prep to the next level, learn how we can help you by visiting usmleguys.comFollow me on IG @realdrpaulFollow us on YouTube @TheUSMLEPreparationCompany
In today's USMLE Coach's corner replay, I'm going to explain why you should never do a USMLE question bank more than once... Then I'll outline what to do instead.If you're ready to take your USMLE prep to the next level, learn how we can help you by visiting usmleguys.comFollow me on IG @realdrpaulFollow us on YouTube @TheUSMLEPreparationCompany
Video for this podcast: https://mehlmanmedical.com/qbank-is-2-hours-too-fast-to-finish-a-block-explanations In this clip I talk about how long it should take to go through a block of questions in Qbank. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/what-is-ideal-of-nbme--qbank-cms-qs-to-review-per-day In this clip I talk about the ideal # Qs per day to do for the NBME + Clinical Mastery Series forms. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Chase DiMarco talks to Miguel Molina, the Chief Operating Officer at Medical Joyworks, a physician-led company offering digital products and solutions to the medical sector. Miguel shares insights into the field of medical education and how he plans to improve students' clinical skills with evidence-based case studies, adventure scenarios, reference articles, and moderated discussion boards. [02:40] Clinical Odyssey: Learn Medicine the Fun Way [05:10] How Prognosis Makes Medical Education Interactive and Enjoyable [0 8:55] Why Medical Joyworks Decided to Build a QBank [15:13] The Price Issue When Signing Up to Medical Programs [16:20] The Benefits of Mentorship and Immediate Feedback in Medical Education [23:02] Customizing Medical Education to Students' Learning Styles [25:36] The Future of Medical Education [27:00] Why Medical Joyworks is Yet to Go the Augmented Reality Way [30:56] The Stolen App Game Full show notes
Video for this podcast: https://mehlmanmedical.com/most-effective-tip-for-getting-thru-uworld-if-youre-getting-adhd In this clip I discuss an extremely effective tip for getting through UWorld, especially if you find yourself ADHDing out while trying to make inroads through the Qbank. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/how-many-questions-day-in-qbank-should-i-do-and-how-long-should-that-take In this clip I discuss how many Qs/day you should do per day in Qbank, as well as how long that should take. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/how-much-should-my-uworld-block-s-increase-as-i-move-through-qbank In this clip I discuss UWorld block %s increasing as you make inroads through Qbank. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/should-i-be-doing-a-2nd-qbank-before-uworld In this clip I discuss whether it's a good idea to do a second Qbank in addition to UWorld. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/i-feel-like-my-progress-in-uworld-is-very-slow-inefficient-what-do-i-do In this clip I discuss making progress through Qbank most efficiently. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/my-blocks-are-dropping-in-uworld-is-that-normal In this clip I discuss whether it's normal for your Qbank block %s to fall. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/how-should-i-use-the-mehlmanmedical-hy-pdfs-alongside-qbank In this clip I discuss how to use the HY Mehlmanmedical PDFs in relation to Qbank. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/why-qbank-tutor-mode-will-increase-your-usmle-score-more-than-timed-mode In this clip I discuss why tutor-mode will increase your eventual USMLE score more than timed-mode. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/whats-the-2nd-best-qbank-after-uworld In this clip I discuss what is the second best Qbank after UWorld. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/usmle-quick-tips-on-annotating-from-qbank In this clip I discuss some tips on annotating from Qbank. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/qbank-how-long-should-it-take-to-review-explanations In this clip I talk about how long it should take to review Qbank explanations. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/uworld-which-is-better-timed-or-tutor-mode-random-or-subject-specific In this clip I talk about doing Qbank in random or subject specific, timed or tutor mode. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/are-just-qbank-nbmes-enough-for-usmle In this clip I talk about whether using books / actual written resources is necessary for USMLE, or if Qbanks/NBMEs are sufficient. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/which-is-best-after-uw-usmle-rx-amboss-or-kaplan-qbank In this clip I discuss USMLE Rx vs Amboss vs Kaplan Qbank. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/why-usmle-rx-is-better-than-amboss-as-2nd-best-qbank In this clip I talk about why I think USMLE Rx is better than Amboss as the second-best Qbank after UWorld. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/whats-2nd-best-qbank-usmle-rx-or-amboss In this clip I discuss the 2nd-best Qbank to use apart from UWorld. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/uworld-how-many-percentage-points-should-my-blocks-be-increasing In this clip I discuss what you should expect out of your UWorld block %s as you make inroads through the Qbank. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/uworld-rx-how-many-qs-day-should-i-do-and-how-long-should-that-take In this clip I talk about how many Qs per day you should go through Qbank and how long that should take. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/decline-of-uworld-nbme-qbank In this clip I talk about why UWorld will no longer be the top Qbank in 5 years. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/how-much-should-my-uworld-s-increase-as-i-move-thru-the-qbank In this clip I discuss what's normal in terms of flux of UWorld percentages as you move through the Qbank. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/usmle-should-i-do-step-3-uworld-for-2ck-prep In this clip I talk about whether doing UWorld Step 3 Qbank in preparation for 2CK is a good idea. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/uworld-how-do-i-not-adhd-the-fck-out-while-going-thru-explanations In this clip I talk about how to get through Qbank explanations while minimizing procrastination. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/usmle-is-it-smart-to-do-a-2nd-qbank-before-uworld In this clip I talk about doing a second Qbank apart from UWorld. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/uworld-tip-for-how-to-get-thru-qs-faster-if-progress-slow-af In this clip I talk about how to get through Qbank faster if your progress is slow AF. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/uworld-why-tutor-mode-is-almost-always-better-than-timed-mode In this clip I talk about doing Qbank in tutor vs timed mode. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/usmle-2-important-tips-about-annotating-from-qbank In this clip I talk discuss two important tips about annotating from Qbank into the Mehlmanmedical HY PDFs / FA. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/dive-straight-into-qbank-or-do-readings-anki-first In this clip I talk about whether it's a good idea to just dive straight into Qbank, or if it's smarter to do Anki / other readings first as "prep" for Qbank. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/usmle-are-nbmes-cms-enough-for-rotations-2ck In this clip I talk about whether NBMEs/CMS forms are sufficient for rotations and 2CK, or if it is mandatory you do a Qbank such as UW. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/uworld-what-should-i-do-timed-or-tutor-mode-random-or-subject-specific In this clip I talk about going through Qbank timed vs tutor mode; random vs subject-specific. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
Video for this podcast: https://mehlmanmedical.com/usmle-how-do-i-get-my-qbank-s-up-now In this clip I respond to a student's question about how to increase Qbank %s fast. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram private group: https://mehlmanmedical.com/subscribe/ Telegram public channel: https://t.me/mehlmanmedical Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical
In this clip I respond to a student's question about doing Qbank in random vs subject-specific mode. I will be posting various random clips like this to informally address questions you guys have from the Telegram group. Main website: https://mehlmanmedical.com/ Instagram: https://www.instagram.com/mehlman_medical/ Telegram: https://mehlmanmedical.com/subscribe/ Facebook: https://www.facebook.com/mehlmanmedical Podcast: https://anchor.fm/mehlmanmedical Video for this podcast: https://mehlmanmedical.com/usmle-should-i-do-qbank-in-random-mode-or-subject-specific
Intro 4:25 Why you don't need to know multi-layered treatment modalities for patients on the USMLE 6:32 Screening diagnostic studies & choosing the best test 9:45 How triage tests you on risk-stratifying a patient 12:29 When does treating the patient supersede everything else on Step 2 CK? 19:38 Practice questions dissection with enhanced question difficulty 52:00 Live Q&A — Book guideline recommendations RE treating a patient with hypertension 53:00 Are there any books we should use for Step 2 CK? 53:58 How do you learn medicine if you're not a strong reader? 54:28 Do you recommend any other Qbank or resource for Step 3 beyond UWorld? 54:45 Are there any resources you'd recommend for practice with Drug Ads? 55:48 How many statistics questions are on Step 3? 56:20 Best source to solidify statistics knowledge? 57:07 What is the best approach to prepare for drug ad questions?
Figuring out how to use your holiday break? Whether you're in med school or residency, this episode is dedicated to helping you navigate your holiday break, especially if you're trying to find a balance between relaxing and looming study deadlines. Topics and times covered below: Intro 1:55 — Tips for pre-clinical students, especially if you're starting to think about the USMLE Step 1 5:03 — Overview of potential Step 1 resources — UWorld, First Aid, Anki flashcards, etc. 5:57 — Tips for third years, including resources for USMLE Step 2 CK, such as UWorld, Step Up to Medicine, Master the Boards, IM Essentials 9:01 — Supplementary resources for third years, e.g. Pestana's Surgery Notes, First Aid for Step 2 CK, AMBOSS, Sketchy, Anki 10:15 — Tips for fourth years 12:09 — Tips for residents, whether you just need rest or if you're feeling ambitious 14:01 — Best general practice for everyone to avoid burnout 15:55 — How Med School Tutors can assist you in achieving your best results Live Q&A: 16:40 — I will take Step 1 in April, currently studying First Aid and Qbanks? What should I do to keep going and convince myself that it's going to be enough? 18:30 — Should I save my Qbank for dedicated? 19:45 — How do I figure out what topics to prioritize when studying?
In today’s podcast, show host Dr. Robin Akselrud, OTD, OTR/L is joined by Dr. Sherry Smith, Ph.D, Director of Academic Success at TrueLearn, Dr. Sue Iliff, PhD, OTR/L, Assistant Professor and Capstone Coordinator at Belmont University and Miriam Vanbemmelen, OTS , a senior graduate student at LIU-Brooklyn’s MOT program in Brooklyn, NY. TrueLearn is an online learning platform offering thousands of students access to the SmartBanks and SmartTools needed to prepare for their high-stakes exams including the OT Board Exam*. Not your average Qbank, Truelearn's OT SmartBank utilizes learning and cognition science, granting occupational therapy students access to over 700 board-style questions, detailed correct and incorrect answer explanations, references for further study on every question, and personalized analytics to help you study smarter! My OT Journey Podcast listeners SAVE 30% on your OT SmartBank subscription with promo code MyOTJourney. Buy and save now, wait until you are ready to start studying to activate (up to one year later)! TrueLearn: https://truelearn.com/occupational-therapy/otr-exam/ (https://app.salesforceiq.com/r?target=5e8c70cfc9e77c00744433bd&t=AFwhZf3oXYw1wCH5BMDtke930eg_HBHmZyz2BpF-OWbSgB8STPbQSXwbYZAAvFty8M4lyPK7HivYRYkLrWPxBy0D06JvyuYG-xbpG5CEQCWcNtD7Z04HFDf28y6T_aJsDrNkM3RYFpaR&url=https%3A%2F%2Ftruelearn.com%2Foccupational-therapy%2Fotr-exam%2F) with promo code: MyOtJourney at checkout or by simply clicking here https://content.truelearn.com/MyOTJourneyDiscount (https://app.salesforceiq.com/r?target=5e8c70cfc9e77c00744433be&t=AFwhZf3oXYw1wCH5BMDtke930eg_HBHmZyz2BpF-OWbSgB8STPbQSXwbYZAAvFty8M4lyPK7HivYRYkLrWPxBy0D06JvyuYG-xbpG5CEQCWcNtD7Z04HFDf28y6T_aJsDrNkM3RYFpaR&url=https%3A%2F%2Fcontent.truelearn.com%2FMyOTJourneyDiscount) . *NBCOT® and OTR® are registered trademarks owned by National Board for Certification in Occupational Therapy, Inc. TrueLearn is not affiliated with or endorsed by the National Board for Certification in Occupational Therapy, Inc
hello everyone !! In this episode i share few tips about How To Read A Resesrch Paper? Reading and understanding research/scientific papers or articles is a skill that every single scientist & doctor has had to learn during graduate school. This skill takes patience and practice. Reading a scientific/research paper is a completely different process from reading an article about science in a blog or newspaper. I have shared few tips which i have learned, hope it helps. If you have some more tips/tricks please share in the comment section. Also let me know if u want more of these!! I'm Shweta, currently doing Research at Radboud University/Radboud University Medical Centre, Netherlands. I have completed my Masters in Microbiology from Pune University, India. I make videos about my research, life as a research student, science, technology, productivity and lifestyle. I write a weekly/monthly Blog https://www.sciencewithshweta.com (launching soon) I also have a Youtube Channel (Shweta Mahajan) https://www.youtube.com/channel/UClIREscOiEwDqnu2mTh4_IA ---------- Sponsored By- https://drawittoknowit.com USE CODE- SWS25 to avail 25% Discount On Any Subscriptions "Draw it to Know it, Medical & Biological Sciences harnesses the power of drawing in step-wise, narrated tutorials that make learning more efficient and more engaging. Every tutorial is supplemented with quizzes, flashcards, and clinical correlations. Sign up for a Free Trial and see why students across the globe rely on Draw it to Know it!" ---------- AMBOSS USE CODE- SHWETA2019 to get FREE access for 14 Days "AMBOSS main objective is to provide global access to a holistic platform for medical students to study and prepare for medical exams. This includes those with limited access to medical education due to socio-economic factors. To meet the needs of medical students worldwide, their platform is continually growing, with regularly added Learning Cards and new subject-optimized Qbank material released weekly. Check Website- https://www.amboss.com App Available on Android & Apple iOS ---------- Instagram - https://instagram.com/sciencewithshweta Twitter- https://twitter.com/sciencewshweta
Session 31 A 55-y/o heavy smoker is shown to have a peripheral, well-circumscribed mass with popcorn-like calcifications in the RUL. What is the lesion likely composed of? Dr. Karen Shackelford from BoardVitals joins us once again as we delve into another case to prepare you for your Step 1 or Level 1 exam. Save 15% off their QBank by using the coupon code BOARDROUNDS. BoardVitals has a powerful QBank with comprehensive explanation and rationales behind all of their questions. Get up-to-date board review questions. You can avail of their 3 or 6-month plan and ask a clinician. Ask one of the physicians behind all of the questions. Listen to this podcast episode with the player above, or keep reading for the highlights and takeaway points. [01:48] Question of the Week: A 55-year-old male with a 40-year history of smoking who undergoes a low-dose chest CT for lung cancer screening. Imaging results show a peripherally located, well-circumscribed 2-cm mass in his right upper lobe. It has a popcorn-like calcification. Which of the following describes the characteristics of this mass? (A) is composed predominantly of fattened cartilage (B) is composed of poorly differentiated neuroendocrine cells (C) is composed of significant glandular components (D) is caused by keratin production and intracellular desmosomes (E) is formed by caseating granuloma around the causative organism [03:00] Thought Process Behind the Correct Answer The correct answer here is Answer choice E refers to TB and this doesn't sound like TB as there are popcorn lesions with TB. Answer choice A would sound more or less of a benign tumor. B sounds like a malignant small cell lung cancer. C would make you think of adenocarcinoma. [03:00] Thought Process Answer choice A would sound more or less of a benign tumor. B sounds like a malignant small cell lung cancer. C would make you think of adenocarcinoma. Answer choice E refers to TB and this doesn't sound like TB as there are popcorn lesions with TB. The correct answer here is A. A well-circumscribed lung tumor with predominantly fattened cartilage is a hamartoma. A trick that helped me remember this back in medical school is that “popcorn isn’t bad.” It's the most common benign tumor of the lung. It usually contains connective tissue, fat, and cartilage. It's classically associated with popcorn-like calcifications on imaging. They are relatively large, well-demarcated and they rarely impinge on surrounding structures. For the management of pulmonary hamartoma, it would be more beneficial not to undergo surgery. The approach to those tumors is individualized unless it's diagnosed as a stable nodule. Karen stresses the importance of not overdiagnosing people. Once you figure out it's not causing any problems, you just leave it there. [06:08] Understanding the Other Answer Choices The poorly differentiated neuroendocrine cells is a small cell lung cancer. It's a really aggressive malignancy that is most common in smokers. They usually have irregular margins and has a really poor prognosis largely because it tends to metastasize. Significant glandular components are characteristic of adenocarcinoma. It's the most subtype of lung cancer. It has both solid and ground blast components on imaging. It's a pretty heterogenous-looking tumor. It's usually peripherally located. Keratin production and intracellular desmosomes are characteristic of squamous cell carcinoma. It's a common form of non-small cell lung cancer. It originates from epithelial cells along the airways. They're usually centrally located, often associated with the larger bronchi. Caseating granuloma is characteristic of pulmonary tuberculosis around the causative organism. It usually looks like a focal cavitary lesion often in upper lobes. The patients usually have a risk factor like travel to an area where TB is endemic. Or there's exposure to infected individuals or incarceration. Links: BoardVitals (coupon code BOARDROUNDS)
Session 26 A 20-year-old menstruating adult is tachycardic, somnolent, and hypotensive with GI symptoms and macular rash. What sort of organism do you suspect? As always, we're joined by Dr. Karen Shackelford from BoardVitals. Listen to this podcast episode with the player above, or keep reading for the highlights and takeaway points. [01:35] Question of the Week A 20-year-old female patient presents 5th day of her menstrual period complaining about abdominal pain, vomiting, watery diarrhea, and myalgia for 12 hours. On exam, her temperature is 103.13 F. Her blood pressure is 80/60 mm/Hg. And her heart rate is 135 beats per minute. She is ill-appearing, somewhat somnolent, has hyperemic 02:04 and a generalized erythematous macular rash that involves her palms and soles. Which of the following best describes the cause of her illness? (A) Gram-negative diplococci (B) Gram-negative obligate intracellular bacteria (C) Gram-positive facultative anaerobic cocci (D) Single positive stranded RNA virus [Related episode: Biology Grab Bag of Questions for the MCAT] [02:50] Thought Process Behind the Correct Answer The correct answer here is C. The patient has toxic shock syndrome. It didn't mention in the question but she had an indwelling tampon. Highly absorbent tampons are the biggest risk factor. But interestingly, half of the women who develop toxic shock syndrome during the menstrual period are not using tampons actually. Related to the menstrual period, however, a toxic shock is usually the result of infection by Staphylococcus aureus. It releases endotoxins. But also, 05:33 axis is superantigen. And that's what triggers the syndrome. It triggers the activation of T-lymphocyte and they release massive amounts of cytokine. The post-immune response is limited in patients with toxic shock. Studies show that people who end with toxic shock, they failed to develop an antibody against the bacteria that usually developed in up to 95% of the population in childhood. The criteria for diagnosis include fever, chills, hypotension, and dermatologic findings. Evident multi-system organ involvement is at least 3 body systems and that counts the skin. In this patient's case, she had her circulatory system. She had hyperemia of her mucus membranes. The maculopapular rash would eventually desquamate after 1-2 weeks. She had nausea, vomiting, diarrhea in the GI system. Her mental status was somnolent. Some people have seizures from somnolence or encephalopathy that the other organ involvement may include intrinsic renal failure or prerenal failure. Myalgias are also sometimes resolved in elevated serum creatinine phosphokinase. hepatic dysfunction is also not uncommon. [07:50] The Treatment If there's foreign body removal, the treatment of any surgical wounds is the rapid administration of appropriate antibiotics. This includes Vancomycin and Clindamycin with the Penicillin that has B-lactamase inhibitor. [08:10] Understanding the Wrong Answer Choices You would probably suspect meningococcal meningitis but then you would have thought they would have given you a clue about the stiff neck. Rocky Mountain spotted fever for answer choice B would also be a good thought. The USMLE Step 1 is going to give you clues to the most typical case. For instance, with Rocky Mountain spotted fever, they would probably mention that the patient was in an endemic area. But they wouldn't necessarily say he was bitten by a mosquito. Finally, Dengue fever is the diagnosis for answer choice D. Remember that they're not going to hand-feed you every single detail. It's not always going to be that easy. [11:00] BoardVitals Check out BoardVitals' USMLE Step 1 QBank or their COMLEX Level 1 QBank. They have 1-month, 3-month, and 6-month packages. Every time you purchase, a vaccine is donated. If you get the 3-month or 6-month package, they offer the Ask a Clinician feature where you can respond to a question. Then one of the physicians from BoardVitals will respond to you as well. Use the promo code BOARDROUNDS to save 15% off. Links: BoardVitals (promo code: BOARDROUNDS to save 15% off)
Session 24 We're joined by Dr. Karen Shackelford from BoardVitals as we talk about hepatitis and how antigens and antibodies appear and disappear during the course of infection. Please also check out Specialty Stories, a podcast dedicated to helping you figure out what specialty you want to practice. Listen to different physicians as I interview them about why they chose their specialty, what they like and don't like about it, and much more. Maximize your Step 1/Level 1 prep by checking out BoardVitals. Check out their 3 or 6-month plan where you get access to there over 1700-question QBank. Get detailed explanations and rationales for every question targeted to the Boards. Use the promo code BOARDROUNDS to save 15% off. Listen to this podcast episode with the player above, or keep reading for the highlights and takeaway points. [02:20] Question of the Week A 45-year-old male presents a sudden onset of flu-like symptoms and yellowing eyes which he thought looks scary to him when he saw his reflection on the mirror. His past medical history reveals positive Hepatitis B infection and his lab's elevated ALT and AST levels. The consult suspects that he may not be superinfected with Hepatitis D. Hepatitis D virus can only propagate in the presence of Hepatitis B. The presence of which of the following components of Hepatitis B viral protein is necessary to allow Hepatitis D infection? (A) HpX (pX antigen) (B) Hepatitis B core antigen (HBcAg) (C) Hepatitis B surface antigen (D) Hepatitis B e-antigen (E) Hepatitis B virus DNA polymerase [Related episode: What Does Academic Infectious Disease Look Like?] [03:35] Thought Process Behind the Correct Answer The correct answer here is C. Remember the actual viral structures. Hepatitis D envelops single-stranded RNA virus. It can't make its own surface antigens. So it requires Hepatitis B surface antigen. Hepatitis D can only be acquired either by co-infection or superinfection of an HPV carrier of co-infection. But this only resolves in 2% of the cases. HPV is a virulent pathogen. Superinfection results in chronic hepatitis in over 90% of cases. Often, hepatitis with rapid progression of cirrhosis in about 80% of cases. But the influx of this type of viral infection has significantly declined since the development and widespread use of the Hepatitis B vaccine. However, this is still a problem in developing countries. In a lot of underdeveloped countries, it's passed on through migrants from more developed countries. It's therefore important for people to be aware of their Hepatitis B immunity and their potential for this really virulent superinfection. [Related episode: USMLE and COMLEX Prep: Tropical Medicine—Dengue Fever] [07:35] Understanding the Wrong Answer Choices Hepatitis pX is pX protein of Hepatitis B virus. It's implicated in viral transcription, replication, and increased risk of hepatocellular carcinoma through the expression of this X protein gene. The core antigen is the indicator of active viral replication. It's also a determinant of whether an individual is able to transmit the infection. But this is not the necessary component for the protein. Hepatitis B e-antigen can act as a marker of our replication infectivity but this isn't the necessary component either. Hepatitis B virus DNA polymerase is not necessary for HPV to replicate. HPV is the host hepatocyte, while the polymerase works to produce that complementary RNA. Links: BoardVitals (Use the promo code BOARDROUNDS to save 15% off.) Specialty Stories
Session 23 We're joined by Dr. Karen Shackelford from BoardVitals as we tackle a neuro question this week. Maximize your Step 1/Level 1 prep by checking out BoardVitals. They have an amazing QBank that contains targeted questions. If you have a question about a question or explanation, for instance, simply click a button. This will allow you to ask a doctor and get a response within 24-48 hours. Use the promo code BOARDROUNDS to save 15% off. Listen to this podcast episode with the player above, or keep reading for the highlights and takeaway points. [01:13] Question of the Week A patient has a decreased level of consciousness and they're testing the gag reflex. The elevation of the soft palate is symmetric when he touched the left side. But when he touched the right side, there's no response. Which of the following is true relating to this patient's condition? (A) The glossopharyngeal nerve carries efferent fibers that mediate the gag reflex. (B) The ideology of that absent reflex is a lesion of the right glossopharyngeal nerve. (C) The cause of the patient's absent reflex is a lesion of the left vagus nerve. (D) The reflex is mediated through the dorsal motor nucleus of the vagus. (E) Both the glossopharyngeal nerve and the vagus nerve are damaged on the right side. [Related episode: USMLE and COMLEX Prep: Glossopharyngeal Nerve Anatomy] [02:11] Thought Process Behind the Correct Answer The correct answer here is B. The motor limb is mediated by the vagus nerve. Sensory, however, is mediated by the glossopharyngeal nerve. The vagus nerve also carries some sensory fibers through the recurrent laryngeal. If the gag reflex is intact, the soft palate will rise symmetrically regardless of which side is touched. If both the glossopharyngeal and the vagus are damaged on one side, there is no response when touching the contralateral side. The soft palate will rise unilaterally on the side that's intact. Also, there won't be any response whenever you're testing the affected side of the lesion if both nerves are damaged. The vagus nerve is the only nerve damaged and there's a lesion on the single side of it. And the soft palate rises and pull to the intact side. Regardless of the pathway, this is something worth remembering. If the glossopharyngeal is only damaged on a single side, there's not going to be a response on either side when you test the reflex on the affected side. This is because you're not receiving the sensory impulse. Whenever you test the intact side, the palate will rise on both sides because the motor fibers of the vagus nerve are still intact. [06:40] Understanding the Other Answer Choices The afferent fibers of the glossopharyngeal nerve mediate the sensory component of the gag reflex. Hence, answer choice A is wrong. For C, if the left vagus nerve or the motor nerve was damaged on the left side resulting in an elevation of the soft palate on the right no matter which side was tested. In other words, this is the lateral lesion of vagus nerve. There's also the elevation of the soft palate to the contralateral side regardless of which side you're testing. For option D, this is also wrong because the reflex is mediated through the nucleus ambiguus. For E, if that were the case, then there would be no response at all when testing the right side or the side of the lesion. There would also be no response when testing the left side because the motor portion is damaged on the side of the lesion. Hence, there'd be an asymmetric elevation of the soft palate on the contralateral side. [08:45] BoardVitals Maximize your Step 1/Level 1 prep by checking out BoardVitals. They have an amazing QBank that contains targeted questions. If you have a question about a question or explanation, for instance, simply click a button. This will allow you to ask a doctor and get a response within 24-48 hours. Use the promo code BOARDROUNDS to save 15% off. Links: BoardVitals (Use the promo code BOARDROUNDS to save 15% off.)
Session 21 Today, we’ve got some interesting case of a 14-year-old male with some malaise and abdominal pain. Once again, we're joined by Dr. Karen Shackelford of BoardVitals. Check out the resources they have to offer. Use the promo code BOARDROUNDS to save 15% off upon purchasing a QBank. Also, they have an Ask a Clinician feature where clicking a button gives you access to a physician who will help you through specific questions or content. This feature comes with their 3-month and 6-month plan. This podcast is part of the Meded Media network where we help premeds and medical students as they journey towards becoming great physicians. [02:15] Question of the Week A 14-year-old male is evaluated for malaise and abdominal pain. He reports passing dark urine this morning. His past medical history is significant for Streptococcal pharyngitis ten days ago, for which he received Amoxicillin. Today, his vital signs are within normal limits, except for an elevated blood pressure of 145/95 mmHg. Examination reveals spatial edema with pronounced periorbital swelling. He has 1+ pedal edema bilaterally. Abdominal exam reveals mild, diffuse tenderness without rebound or guarding. Laboratory studies are unremarkable except for a serum creatinine of 2 mg/dL. What is the common finding associated with the patient's condition? (A) Hypovolemia (B) Polyuria (C) Red blood cell cast (D) Hypokalemia [03:30] Thought Process Behind the Answers The correct answer here is C. Basically, the patient has glomerulonephritis. This is characterized by red blood cell casts that are almost pathognomonic for glomerulonephritis. Poststreptococcal glomerulonephritis is not common but also not unusual. The history of streptococcal pharyngitis should lead to that conclusion. Other symptoms of glomerulonephritis include white blood cell casts, hematuria, and proteinuria. But for this question, you have to hone in on the glomerulonephritis. Other findings in the urine sediment include granular casts. Dysmorphic red blood cells are strongly associated with glomerulonephritis and proteinuria. This is clinically manifested by a slow and progressive rise in serum creatinine and fluid hypertension, peripheral or periorbital edema, and sometimes, hypercoagulability. Rhabdomyolysis may come to mind but it wasn't really an option among the choices. This could happen on the boards. There might be systemic manifestations of some underlying disease process associated with glomerulonephritis. There's a group of immunologically triggered disorders that result primarily or characterized by glomerular inflammation. It can also manifest the proliferation of glomerular tissues that damage that basement membrane, mesangium, or the capillary endothelium. [07:15] Understanding the Other Answer Choices Glomerulonephritis is associated with hypervolemia. In this case, you have the proteinuria. But with the edema, you should immediately be able to figure out that it wasn't associated with hypovolemia. The patient had pedal edema and periorbital edema. It is also important to mention that there are three primary mechanisms of glomerular inflammation. And what distinguishes a nephrotic syndrome from glomerulonephritis is the inflammation as a mechanism of damaging the glomerular apparatus. This might come in the boards that the mechanisms are either immune complex deposition as in this case. Anti-glomerular basement disease is associated with Wegener's granulomatosis, eosinophilic granulomatosis with polyangiitis, or microscopic polyangiitis. The other mechanism is the antineutrophil cytoplasmic autoantibody (ANCA) or small vessel vasculitis. It causes damage to the glomerular filtration barrier. This results in the leakage of plasma proteins and inflammatory cells into the renal tubule. Patients may even have pulmonary edema in some cases. The hypertension results from retaining salt and water. The patient has a rising creatinine and so hyperkalemia is more likely to happen. So this is an easy one to rule out. Polyuria is associated with diabetes and causes diabetic ketoacidosis. This isn't that uncommon. Further laboratory testing is needed to determine the ideology. Typically on post-streptococcal glomerulonephritis, it is self-limited. A fair amount doesn't progress to renal failure. But testing is needed to determine the ideology on other cases whether it's long-lasting or the significant decline in glomerular filtration rate. There is usually a raise in serum complement levels, anti-neutrophilic cytoplasmic autoantibodies, antiglomerular basement membrane autoantibodies, antinuclear antibodies, anti-double stranded DNA. The treatment is just supported in these cases or treatment of the underlying disorder if there is one that you can determine from these other tests. Links: Meded Media BoardVitals
Session 20 Today, we tackle another maternal-fetal or pregnancy question. We're joined once again by Dr. Karen Shackelford from BoardVitals. They offer a comprehensive QBank for Step 1 and Level 1. And even as you continue on your medical school journey, they have QBanks for Shelf exams as well. Use the promo code BOARDROUNDS to save 15% on your purchase. Or text BOARDROUNDS to 44222 and we'll send you the link and promo code. [01:58] Question of the Week A 39-year-old G1P0 presents at 37 weeks of gestation. She has not noticed any fetal movement for the past six hours. The fetal heart rate is 110 and a nonstress test was performed and it's nonreactive. Which of the following statements is correct? (A) A fetal heart rate of 110 is abnormal. (B) Fetal heart rate acceleration results from dopaminergic stimulation. (C) Fetal hypoxemia usually leads to light decelerations. (D) Fetal head compression results in reflex flowing of the fetal heart rate. (E) Usually, a nonstress test leads to a reduction in neurologic injury and fetal death. [03:10] Thought Process The correct answer here is correct C. The non-stress test should be reactive and a fetal heart rate of varies a bit. And around 110-160 is normal. But the non-stress test is the most commonly used method. There's no evidence, however, that improves fetal outcomes in pregnancy. This is still initiated in women at about 26-28 weeks of gestation. For fetal hypoxemia and high-risk pregnancies, the older patient is a high-risk pregnancy. It actually starts at the age of 34-35. A reassuring test doesn't mean all is well. It only reassures fetal wellbeing in terms of oxygenation. The fetus moving is characterized by two or more fetal heart rate accelerations. And they peak at least 15 beats per minute above the fetal baseline. This would last at least 15 seconds before returning to baseline. That's the over 20-minute interval. A nonreactive nonstress test can reflect fetal hypoxemia or acidosis. It can also be caused by maternal smoking, fetal sleep, fetal immaturity, cardiac anomalies, and sepsis. If the mother is taking on the cardio-acting medication, it will result in changes in the fetal heart rate. But they don't necessarily indicate fetal problems. Links: BoardVitals (Use the promo code BOARDROUNDS to save 15% on your purchase. Or text BOARDROUNDS to 44222 and we'll send you the link and promo code.
Session 19 Today, we have Dr. Karen Shackelford from Bard Vitals, joining us as we break down another question. Meanwhile, have a look at Meded Media for more resources available to premeds and medical student. Another podcast medical students could listen to is Specialty Stories, where I talk to different physicians about their career and their specialty. They talk about why they chose it and what they like about it. Also, learn about what you as a medical student could be doing to make yourself more competitive for this specialty. [01:40] Question of the Week: A young woman is 26 weeks pregnant. She's 25 years old. Gravida 1 Para 0. 26 weeks gestation. She came into the emergency department complaining of leaking vaginal fluid for about three days, not huge, just some leaking. She's had some intermittent contractions but they're fairly infrequent. A sterile speculum exam is performed. It revealed some pale, yellow, watery fluid in the vaginal valve. Her cervix is dilated 4 cm. The vaginal fluid is tested, has a pH of 7.1. This is at an academic center where they still do the Fern test with arborization when the fluid is examined under a slide. An ultrasound is performed and it reveals oligohydramnios. Which of the following measures is appropriate in the management of this patient? Her lab results and her pee is negative for Group B Strep. (A) Ovarian section (B) Flush immediate delivery (C) Antibacterial prophylaxis for Group B Strep (D) Tocolysis (E) Supplemental progesterone [03:30] Thought Process There is a premature rupture of membranes (PROM). If it were a placental abruption, we can take it to a C-section. But for PPROM (preterm PROM) before 37 weeks, you want to delay the delivery as long as you can. So the correct answer here is the antenatal steroid therapy to mature the lungs. Most women who have PPROM deliver within a week. If it is within 7 days, you should initiate the steroid therapy. The management of PPROM would depend on factors like the gestational age, the presence or absence of infection, presence or absence of labor, any sign of abruption. Fetal stability and heart monitoring should also be managed. The American College of Obstetricians and Gynecologists (ACOG) recommends that women who have PPROM who are more than 34 weeks of gestation should deliver. But it doesn't need to be a C-section. Normal spontaneous or induced vaginal delivery is fine. In women less than 34 weeks, the pregnancy should be managed expectantly just until fetal maturity development. As long as the fetus is stable, the fetus will benefit by prolonging time in the uterus. Having the antenatal steroids will improve lung maturation. But you have to balance that with the benefits like expectant management against the risks associated with like a prolonged PPROM. Placental abruption is an increased risk as well as cord prolapse or cord compression. [06:40] Looking at the Other Answer Choices In the lab results, the patient had a negative Group B Strep test. Antibacterial prophylaxis for Group B Strep is indicated if somebody delivers within 48 hours in an unknown status or a positive test. But you give these patients antibiotics as it prolongs the latency of the pregnancy. It's generally associated with better fetal results. It reduces respiratory distress syndrome and neonatal death. It reduces the risk of intraventricular hemorrhage, necrotizing enterocolitis, and all preemie problems. It also reduces the duration of neonatal respiratory support needed. There's no increase in maternal or neonatal infection to balance that. ACOG recommends the corticosteroids that present between 24 and 34 weeks of gestation. And if you had an earlier pregnancy, you would give antibiotics in those cases. So Group B Strep prophylaxis is indicated. ACOG would recommend erythromycin. Some doctors will prescribe Zithromax because it's easier to take. They also recommend IV ampicillin and oral amoxicillin. There are no data to support so it going to cover a large variety of vaginal pathogens. So the antibiotics would not be for Group B Strep but to prolong the pregnancy latency. Tocolysis is inappropriate in this case because the patient is in active labor with cervix dilated to 4cm. With any woman who has more than 4cm of dilation or signs of chorioamnionitis or nonreassuring fetal stress test, these signs of abruption are the same thing. The only setting for tocolysis to be indicated in this setting is to delay delivery again for 48 hours to allow the glucocorticosteroids to take effect. But this should never be given for more than 48 hours. So you're not going to delay delivery that long given that most women deliver within a week. [10:00] BoardVitals Check out BoardVitals and use the promo code BOARDROUNDS to save 15% off your QBank purchase. Whether you're studying for the COMPLEX or USMLE, BoardVitals has the QBank you need to help prepare you the best possible way. Text BOARDROUNDS to 44222. Receive a URL and the coupon code you can use to save 15% off of BoardVitals QBanks. They have some of the most comprehensive QBanks out there. Get 24/7 access to over 1,700 questions in their USMLE Step 1 QBank and get detailed explanations and rationales for all the answers (both wrong and right). A vaccine will be donated with every new purchase. Links: Meded Media BoardVitals (use the promo code BOARDROUNDS to save 15%)
Session 18 As always, I'm joined by Dr. Karen Shackelford from Board Vitals. If you haven't yet, check out Board Vitals and use the promo code BOARDROUNDS to save 15%. They have a huge database and question bank to help you get the practice you need to get the score that you need. [01:35] Question of the Week An older patient comes in with a painful rash. We have a 64-year-old female who presents complaining of a severe painful rash that is localized to the left side of her upper back and neck. She knows that the area of the rash feels hot and burning and extremely painful. She is otherwise healthy with no significant past medical history. On exam, her vital signs were within normal limits. And her exam is significant, primarily, because she has a large, red vesicular rash running along her left shoulder in confluent patches. She remarks that the lesions were smaller a few days ago and they quickly start to bubble over into larger 02:39. The physician performed a Tzanck smear to confirm her suspicions. She found the test to be positive for multinucleated giant cells. The patient will have which of the following characteristics? (A) Gram-positive, catalase-positive, beta-hemolytic and arranged in clusters (B) Branching pseudohyphae with budding yeast cells (C) Enveloped-virus with double-stranded DNA (D) Enveloped-virus with positive-strand RNA virus [04:30] Thought Process The correct answer is C. Varicella zoster virus would probably come to mind as well as shingles as the Tzanck smear showed multinucleated giant cells – herpes simplex virus 1 and 2 (HSV 1 and 2) as well as pemphigus vulgaris. Other findings you would probably see on the Tzanck smear would include acantholytic cell and keratinocyte ballooning. This test is not typically performed usually as a clinical diagnosis. But it can be performed in the office. The patient can be immunocompromised with atypical looking lesion or atypical presentation. So we'd think of herpes and varicella zoster. For the other answer choices, Choice A is Staphylococcus aureus, which isn't a choice for a skin infection. Choice B is a fungus. A fungal disease like Candida can cause a really nasty rash. But it won't be the vesicular nor the dermatomal, which this question suggests. Varicella zoster virus is latent in the sensory ganglion so it tends to erupt on one or two contiguous dermatomes, although it can erupt outside of the dermatome. But it's not going to be a big eruption and just one or two vesicles scattered somewhere else from reactivation of the viral particles. Option D is Rubella. It causes a rash and it's usually tested for IgM antibodies. If a test is needed, it's not the Tzanck smear. [07:45] Possible Question Points About the Herpes Virus About 30% of Americans will have it at some point in their lives coming from reactivation of the virus. It causes two clinically distinct diseases including chicken pox. Chicken pox would be characterized by vesicular lesions but they're on different stages of development. They're concentrated on the face and the trunk. It's an airborne virus that invades the lymphoid tissue in the nose or nasopharynx. The virus overcomes local host defenses. The epidermal cells usually react by making alpha-interferons. That's the incubation period. When the virus can overcome the local host defenses, then you've got a viremia. Then the virus downregulates your immune response through a variety of mechanisms, such as the inhibition of the expression of interferon response genes. When the virus remains latent for years in most cases, you're more at risk of reactivation as you get older because you have a diminished T-cell response. This is the same reason that people with immuno-compromise are more likely to erupt with shingles. It's a unilateral vesicular eruption, usually in the dermatome. The reactivated varicella can travel either way. It can travel peripherally through the sensory ganglion and go down the sensory nerve. This results in a skin infection or the characteristic rash. It can also reactivate and move centrally from the ganglion. This is seen in those who are severely immuno-compromised. But this results in some of the complications associated with herpes zoster like meningitis-encephalitis. Some of the syndromes include the Ramsay Hunt syndrome but it's a random thing. It occurs whenever the virus replicates in the geniculate ganglion. It travels down the 8th nerve and you have vesicles on the auricle or in the ear canal – ipsilateral facial paralysis. Herpes 11:12 is a pretty significant complication. You have to recognize it really early on because it can cause blindness. You can get herpes keratitis and acute retinal nephrosis. The treatment is going to be an antiviral ganciclovir or acyclovir. Postherpetic neuralgia is another big complication with severe significant pain (3 out of 10 and higher for about 90 days or more). Some people can have sensory changes. It can be intensely pruritic. If you get vesicular lesions on the nose then the nerve distribution is pretty worrisome so you have to be aware of that. [12:50] Board Vitals Check out Board Vitals and use the promo code BOARDROUNDS to save 15% off your QBank purchase. Whether you're studying for the COMPLEX or USMLE, Board Vitals has the QBank you need to help prepare you the best possible way. Links: Board Vitals (use the promo code BOARDROUNDS to save 15%)
Session 17 Dr. Karen Shackelford from BoardVitals is joining me once again for another round of discussion. This week, we tackle a certain kind of pediatric illness. [01:11] Question of the Week: A 10-year-old male patient is evaluated for abdominal pain he has had for two days. He has a rash on his buttocks and thighs. It appeared about three days ago. He's also complaining of some pain in his ankles and knees. His past medical history is unremarkable. But he was seen in the clinic two weeks ago with symptoms of an upper respiratory infection. On physical exam, his abdomen has standard palpation. 01:42 He has multiple palpable purpuras on his buttocks and upper thighs. 01:50 His ankle is swollen and tender on the right. There's no warrant for eczema. His knee is tender. But otherwise, his exam was unremarkable. His laboratory study is showing a normal CBC. On urine 02:09, he has microhematuria. What is the most likely diagnosis? (A) IgA vasculitis (formerly Purpura) (B) Hemolytic uremic syndrome (C) Kawasaki disease (D) Acute post-streptococcal glomerulonephritis [03:40] Thought Process The correct answer here is IgA vasculitis. The palpable purpura on the buttocks and lower extremities is one of the criteria you have to have for purpura, without thrombocytopenia. The other symptoms this patient has, where you could have one or all of these other symptoms, including polyarthralgia, usually in the hip, ankle, and/or knee joints. GI symptoms include abdominal pain, nausea, vomiting, 05:26 or intussusception. Thi has renal involvement, without thrombocytopenia or coagulopathy. These are the two big things. As mentioned, the CBC was normal and he did have the proliferative glomerulonephritis, which occurs with the IgA deposition in the glomeruli. Leukocytoclastic vasculitis is characterized by leukocytes. Neutrophils or monocytes are around the small vessels – the arterioles and venules. There's IgA deposition. There can be IgG or IgM. There is complement C through a deposition. This is what you would see in a biopsy. The lesions are generally in the GI tract or in the skin (which are typically the ones that are biopsied). But if the patient does develop the glomerulonephritis, renal biopsy will show that. That doesn't develop in every case. The disorder is self-limited so treatment-supportive. It's an immune complex seen usually after an upper respiratory infection. In one case series, it has been associated with the MMR vaccine, although this might not have been held up in the later studies. This is also common between the ages of 3 and 11. One of the diagnostic criteria is that the patient has to be under 20. [07:35] Going Through Other Answer Choices In hemolytic uremic syndrome, you can have 07:41 purpura, although they're non-palpable and they're palpable in an 07:49 purpura. That occurs in hemolytic uremic syndrome due to thrombocytopenia. And this patient has a normal CBC. Hemolytic uremic syndrome is usually associated with E.coli infection in the previous case of diarrhea. But there's no history of that in the patient. There is abdominal pain but the rash is not limited to the lower extremities and buttocks. That is characteristic of HSP IgA vasculitis. Kawasaki disease usually occurs in children under the age of 4. The case will usually present a child of Asian descent. It's more prevalent in Japanese children who are at a high risk of IVIG resistance. They will generally have conjunctivitis and fever for more than 5 days. They have that strawberry tongue. The skin manifestations are non-palpable purpura, but there are periungual desquamation and hand-and-foot erythema. Acute post-streptococcal glomerulonephritis can present with hematuria. It can occur after a skin infection or a pharyngeal infection. That was meant to be with a rash. Maybe someone will consider this because there's a rash involved. As group-A beta-hemolytic strep, this patient had a previous upper respiratory infection which could potentially have been caused by strep. But arthralgia isn't common. Abdominal pain isn't common. And the purpura also not associated with acute post-streptococcal glomerulonephritis. [11:10] BoardVitals If you're looking for a QBank in preparing for your board, check out BoardVitals. They have over 1700 questions for Step 1 and over 1500 questions for Level 1 with detailed explanations behind every question and every answer. Use the promo code BOARDROUNDS to save 15% off. Links: BoardVitals (promo code BOARDROUNDS to save 15% off)
InsideTheBoards Study Smarter Podcast: Question Reviews for the USMLE, COMLEX, and Medical School
We've got a smorgasbord of high yield USMLE/COMLEX style practice dissections in part 3 of our Cardiology review for the 2019 ITB Study Smarter Series featuring our own Patrick C. Beeman and Amreet Sidhu, aka THE Brosencephalon! This episode also features examples from our new audio Qbank as well as content from ITB's Greg Rodden and Stewart Bryant. ITB Audio Qbank and iOS Beta App The Audio Qbank by InsideTheBoards mobile app has both free and premium features and is available on both Android and iOS. To get started, first, create a Boardsinsider Account on our website insidetheboards.com Free Features All of our podcasts in one place organized into playlists for easy studying (also with less ads and exclusive content) Mindfulness meditations designed specifically for medical students A monthly offering of high yield content (questions dissections, audio qbank samples) available only on our mobile app. Premium Features Subscribe to an ITB premium account and get additional features Access to 500+ audio optimized board style practice questions in our Audio Qbank. The Step 1 version is powered by Exam Circle and the Step 2 Version is powered by OnlineMedEd. New questions added each month. High Yield Pharmacology (powered by Lecturio) with 100 of the top pharm questions you need to know for both Step 1 and Step 2 Audio Flashcards (coming soon) Our audio qbank is THE PERFECT companion for studying for the boards on the go. And we're adding content and improving it all the time. Learn more about the Audio Qbank by InsideTheBoards mobile app here Legal Stuff and Credits InsideTheBoards is not affiliated with the NBME, USMLE, COMLEX, NBOME or any professional licensing body. InsideTheBoards fully adheres to the policies on irregular conduct outlined by the aforementioned credentialing bodies. Music: "King Jeff and His Apprentice Bart". DJ Beezo, aka Augustine Beeman (used with permission). Follow the artist at https://soundcloud.com/dj-beezo Special thanks to Ike Potter, producer of ITB's Study Smarter Podcast for making this show possible.
Session 12 Today, we have a question regarding a 65 y/o patient with a GI bleed. Our job is to find where in the GI tract she is most susceptible to ischemia We're joined once again by Dr. Andrea Paul from Board Vitals. If you're looking for a QBank to help you with your Step 1 or Level 1, check them out. Use the promo code BOARDROUNDS to save 15%. You may also sign up for a free trial to get a feel of what their platform is all about. They have over 1,750 questions for Step 1 and over 1,500 questions for Level 1 – enough to help make sure you have the knowledge necessary to get the best score possible. [02:55] Question of the Week A 65-year-old female develops abdominal pain, bloody diarrhea 24 hours after undergoing hemicolectomy for recurrent diverticulitis. Her surgery was complicated by hypotension, blood pressure down to 70/50, treated, and her medical history is remarkable for diverticulitis, hypertension, dyslipidemia, coronary artery disease, no other episodes of any GI bleeding in the past. Her last colonoscopy was normal four years ago. The patient's current condition most likely involves pathology affecting which of the following portions of the intestine? (A) Cecum (B) Splenic flexure (C) Ascending colon (D) Transverse colon (E) Hepatic flexure [04:25] Understanding the Question The key here is that the patient underwent hemicolectomy for diverticulitis which led to hypotension. So there was some interop issue. And reading her problem list, she's got a coronary vascular disease. She's prone to having some sort of ischemia somewhere. But first, we need to understand what is being asked for. So here, they're asking where along the chain of the GI tract is someone most vulnerable to ischemia. "Read the question first so you have that in mind when you're reading the whole case." [06:35] Thought Process in Answering the Question The arterial supply to the intestine is pretty complicated and not really something that makes sense intuitively. What you need to remember here is that for most of the blood supply is from the superior mesenteric artery as well as the inferior mesenteric artery. Then there's a lot of collateral blood supply too and this great. But there are some couple of areas that are particularly prone to ischemia, even a brief hypotensive episode and someone who's vulnerable like this patient. Those are sometimes called watershed areas. They're in between those major vessels and there are not a lot of collateral supply. The two most common places this happens are the splenic flexure and the rectus sigmoid junction. This is because the large vessels are compromised. There is no adequate collateral blood flow specifically in those two places. Hence, the correct answer here is B. [08:30] Understanding the Other Choices The cecum is supplied by the branches right off the superior mesenteric. It's not particularly prone. The same with ascending colon. Transverse colon receives its blood supply from the middle colic artery, which is a branch of the superior mesenteric. Hepatic flexure is also supplied by that large vessel. [09:30] Some Studying Tips Again, the key to this was the hypotension interop. Andrea says that if you've done a few hundred GI questions, you will see something about hypotension and ischemic colitis somewhere in your readings. If you haven't, the key is looking at the word "current." So it's trying to indicate not what they came in for but it's their current problem. So this could help you rethink and realize that they're not asking for diverticulitis but what happened. Ultimately, you have to make sure you understand what you're reading. A lot of the questions may not be a post-operative situation. It could just be a question about a patient coming in with bloody diarrhea, the most common sign, along with severe abdominal pain. So when you see bloody diarrhea and severe pain, then you can right away think that it's ischemic. Also see the history of coronary heart disease, diabetes, and all those things that go along to decrease blood flow. Links: Board Vitals (Use the promo code BOARDROUNDS to save 15%.)
Session 11 Today, we discuss a more straightforward, neuro-anatomy question about the glossopharyngeal nerve. As always, we’re joined by Dr. Andrea Paul of Board Vitals. If you’re in the market for QBanks and practice tests for the USMLE/COMLEX, check out Board Vitals. Use the promo code BOARDROUNDS to save 15% on your purchase. [02:00] Question Which of the glands of the options below are innervated by the efferent autonomic fibers of the glossopharyngeal nerve? [02:14] Answer Choices You have to know what the glossopharyngeal nerve and what type of fibers are innervating the glands. Answer choices: (A) Nasal (B) Submandibular (C) Sublingual (D) Parotid (E) Lacrimal [02:45] Thought Process in Answering the Question Glosso refers to the tongue and pharyngeal refers to the pharynx area. So this is somewhere around the mouth. The interesting with glossopharyngeal is that it has a range of effects. Some of the places it touches would surprise you. But first, you can eliminate nasal. But the rest of the choices could be fair game. This specific nerve has a lot of sensory – parasympathetic and motor functions. It's tough to answer so this can be challenging to people. This nerve starts at the medulla and coming out of the jugular foramen. It's traveling through both anteriorly and posteriorly. So it has a branch that goes to the inner ear. Lacrimal refers to the tear ducts so you can get rid of this one too. Now, we're down with three choices. [06:55] Choosing Among the Three First, remember the motor functions. So it's innervating the muscle in the pharynx and then you think through the sensory functions. Glossopharyngeal is sensory to the posterior third of the tongue or the back half of the tongue. If you can remember that section of the tongue, it leads you closer to the location of the gland that may be in that area. It's also going up into the middle ear, the Eustachian tube for sensory function. Anatomically, you start to think more up anterior than sublingual. Think of it as more of in the ear area. So the correct answer here is the Parotid gland, which is the only gland that doesn't receive any autonomic innervations from the facial nerve. So it receives that from the glossopharyngeal nerve. This is the main differentiator. Hence, the exam likes to ask about it. The posterior third of the tongue and the middle ear are things they love to ask about glossopharyngeal. Also, know which muscles are innervated, which is the stylopharyngeus in the pharynx. Also, try to remember the path and the branches. It sends a branch up to the middle ear. There are five other branches. One goes to the stylopharyngeus muscle, one is the pharyngeal branch, one is tonsilar, one is sublingual, and then one goes to the parotid body and sinus. You can draw this to help give you a visualization. Afferent refers to the sensory nerves coming back towards the central nervous system and efferent refers to "going away" for motor function. In terms of understanding parasympathetic vs sympathetic, just remember that most glandular effects are parasympathetic just like most of your organs. [12:24] Board Vitals Check out the QBank and practice tests over at Board Vitals to help you be prepared for your exam. They have over 1,750 questions for USMLE and over 1,500 questions for COMLEX. Get a 1-month, 3-month, or 6-month plan. They all come with a free trial. No credit card required. Use the promo code BOARDROUNDS to save 15% on your purchase. Links: Board Vitals (promo code BOARDROUNDS)
Session 09 In our renal question today we are asked to identify the pattern we would see on electron microscopy. See if you can find where the question leads you! Once again, we're joined by Dr. Andrea Paul from Board Vitals. If you're getting ready to start preparing for your Step 1 or Level 1exam, check out Board Vitals and their QBank. Use the promo code BOARDROUNDS to save 15% off your QBank purchase. For more resources, be sure to check out all our other podcasts on the MedEd Media Network. [02:50] A Challenging Area Renal tends to come up in the top 3 of questions where people are going back because they answered them incorrectly or that they're saving and redoing questions in this category. This indicates a level of less confidence or knowledge gap that needs to be filled for most students. Andrea thinks renal is a challenging area being a complicated system with a lot of memorization involved in the different syndromes. It's a combination of genetics and pathophysiology and pathology. You'd have to be able to do everything from figuring out the disorder and knowing what it would look like on biopsy, looking at diagnostic studies and the physiology involved in the different renal disorders. [04:22] Question A 16-year-old boy presents. He recently immigrated from Russiam, has no major medical problems. He does mention he had an episode of light red urine three weeks ago. At the same time, he had a mild cold. He has no known allergies, no recent drug use or medications. His family has traced positive for kidney disease in his maternal uncle, but both of his parents are healthy. He also mentions that he has had lately noticed that he has mild hearing problem but he's never thought much of that. It's asking a kidney biopsy. This patient would most likely show which of the following: (A) Linear pattern of IGG with fluorescent microscopy (B) Splitting of the glomerular basement membrane (C) Mesangial cell proliferation (D) Epithelial humps or a thickened basement membrane that looks like a train track [05:50] Finding the Diagnosis The first thing to note here is the hearing loss, which is something that would lead you down a specific road. So we're given a little hint here that can be very helpful. Based on history, the hearing loss would be due to Alport syndrome, which is a collage type 4 mutation resulting in abnormal basement membrane, that includes renal involvement, ocular involvement, and sensory neural hearing loss. In this question, the answer you'd look at is the splitting of the glomerular basement membrane. The other way to describe this is the basket weave appearance, also known as the glomerular basement membrane lamellation, characterized by the layering and splitting of the membrane. The key here is the Alport syndrome and remember what the findings would be and that specific disorder. [08:30] Potential Questions One possible question could be what other symptoms the patient may be experiencing. How is this commonly inherited because Alport syndrome can be inherited in a X-linked dominant way. You can also look through everything from genetics all the way through the pathology and electron microscopy for each disorder. Or maybe they won't mention hearing loss but vision symptoms or inheritance pattern they've seen in the family, which they did when they mentioned the maternal uncle. So they've hinted this as well. [09:50] What If There Was No Hint If the question would have left the hearing loss out, they would probably mention a more extensive family history so you could see the inheritance pattern. They're also mentioning hemoturia so you're led to a nephrotic syndrome. That would also help. But they'd probably give you additional information to lead you down a more specific road for one of these different nephrotic causes. [10:32] More Things to Know About Renal Stuff You need to know the different patterns for each of the different nephrotic syndrome causes. This is part of the reason people redo these questions over and over. There's a lot of memorization involved such as APGN and RPGN and what those look like, as well as microscopy. For this question, you would think through things like Goodpasture syndrome where you'd see a different pattern then you'd see that linear pattern which is that first option. And if it's in older males then you'd have respiratory symptoms because there's lung involvement. So you have to think through all the different associated organ systems with the different disorders and memorizing what the pattern looks like on each of them. As far as symptoms, inheritance, and treatment, there are different diagnostic studies and treatments and those are the ones you can reason through based on the different disorders and what the physiologic effects of each is. Lastly, keep in mind to know the demographics are. Some of them are more common in patients with specific histories, or ages or backgrounds – anything that can help you get to the answer more quickly will be helpful. The immigration component must have been put in there too since there's not a whole lot of medical history available. So they could actually put in things that could be helpful or completely just inserted for background information to make the case more robust, but not necessarily valuable. It's important to think through each piece of information in the question to make sure they tie together and you'd be able to eliminate something that clearly doesn't help you. So you don't focus too much on every specific part of the history. [14:32] Board Vitals Going over questions is the most beneficial thing you can do as a medical student preparing for your Step 1 or Level 1 exam. Check out Board Vitals for some help. They QBanks and over 1700 questions for Step 1 and almost as many for Level1. Have a free trial and check out their system to see if it works for you. Use the promo code BOARDROUNDS to save 15% off. Links: MedEd Media Network Board Vitals (promo code BOARDROUNDS) Specialty Stories Podcast
Session 07 We often associate biochemistry with undergrad, but biochemistry is present in many specialties! Let’s dive into the types of biochem questions you may see! We're joined once again by Dr. Andrea Paul from Board Vitals as we help you prepare for your first board exam so you have what it takes to score high and match into your specialty of choice. Use the promo code BOARDROUNDS to save 15% on your QBank purchase. [03:30] Why Biochemistry? Biochemistry is more applicable to some specialties than others. But just basic genetics and metabolic diseases, for instance, are seen in many specialties. Biochemistry comes into play especially when you talk about metabolic diseases. Hence, it's a commonly tested subject on the exam, more than the other basic science components. [04:41] Question for this Week: A healthy married couple has a child who develops clinical symptoms of what you suspect to be a rare disease. Genetic testing revealed the patient's mother carries the mutated gene, but the father is not a carrier. However, the father's brother had the same disease, which has also occurred in one of his sisters' sons. This pattern is characteristic of which of the following diseases? Note from Andrea: The question is drawing you a pedigree. You can jot down a little diagram of pedigree for yourself as you're going through it. You have to figure out the pattern from the pedigree but know which diseases of the options fit that pattern of inheritance. Answer choices: (A) G6PD (B) Cystic fibrosis (C) Phenylketonuria (PKU) (D) Alpha-1 antitrypsin deficiency (E) Tay-Sachs Disease [05:50] The Thought Process Behind the Answer Once you've drawn that pedigree and determined what the inheritance pattern is, you can go through each option and cross out what doesn't fit or jot down what pattern each one has. In this case, the couple is healthy and not showing any disease. But the one child does and the father is not a carrier. This gives you another hint. So if he's not a carrier, how is that possible if the child is showing the disease? Then you're seeing that it's present in the father's brother and one of the sisters' sons. Here, you can see a distinctive pattern where this is not an autosomal recessive type pattern. This leads you to a dominant X-linked route. As you draw this out, you will start to see the pattern where the children follow up to them. The mother is a carrier, the father is not. And the child has the disease. It's likely that the child is a male because they're receiving only an X from the mom. So this would be an X-linked pattern. Now, you would only see one that follows that X-linked disease – G6PD Looking at patterns and pedigrees can really help you. Another algorithm Andrea found helpful is to ask: does the child with the disease have a parent with a disease. If no, then you're skipping a lot of things. You're left here with X-linked recessive which is 50% more common than a male child. Therefore, it's an X-linked recessive disease. [11:02] Tips and Tricks to Help You Memorize and Understand Better Most students are using mnemonics to remember all of the X-linked recessive diseases. This is most common for autosomal recessive or autosomal dominant. There's no way to think through them in a way that doesn't require memorization. The names of the disease don't really help in this case. All this being said, Andrea recommends using mnemonics. You can also use visual mnemonics you can look at or silly drawings to help you remember stuff. [12:37] Other Possible Questions Probably, if the question talked about a food that this person that this person may develop symptoms with, then you could probably remove some answer choices out. For example, G6PD is one of those diseases. If it's cystic fibrosis, they could ask what microbe commonly infects patients with this disorder. Or they could ask a treatment for that disorder. [14:00] Other Patterns Students Should Know About One pattern would be X-linked dominant. In this case, you would not see skipping of generations unlike what's in the above question. You would also see male and female as affected equally since the disease of the X chromosomes is dominant. So you think of diseases like X-linked dominant Alport syndrome or hypophosphatemic rickets. Another interesting inheritance pattern is mitochondrial where males and females are affected equally. It would skip generations but it is only transmitted from an affected female because mitochondrial diseases come from the maternal side always. And you would see a different pattern and all of the offspring would be affected – something you wouldn't see in the other types. Autosomal dominant, you would also see male and female as affected and not skipping generations. For instance, if two parents without the disease have a child with the disease, you'd think that the only way this could be autosomal dominant is there's a new mutation or there's some type of reduced penetrants or maybe the parent has the gene but just phenotypically normal. Otherwise, you would see this in every offspring because it's a dominant disease. Autosomal recessive is the opposite where you see skipping of generations. For example, if you have a couple both carrying the gene without any signs of disease, there would be 25% the child is born with two normal genes from the parents, 50% chance that they have one normal and one abnormal gene, and 25% that they would receive both. Since it's recessive that's the only case where you would see disease such as cystic fibrosis, thalassemia, sickle cell anemia, or PKU (of which some are shown in the answer choices above). Spinal muscular atrophy would be a more popular disease here, which my daughter has but me and my wife don't have, which makes us both carriers. This is going to be more popular to start talking about it on medical school and the boards because it's one of the first diseases out there that will be cured with gene therapy. [17:45] Board Vitals If you're interested in the QBank and how Board Vitals can help you prepare the best way you can for your Step 1 or Level 1, check out their site and use the promo code BOARDROUNDS to save 15% off of your QBank purchase. Links: Board Vitals (promo code: BOARDROUNDS)
Session 06 Today, we start our board content. We thought that there is no better way to start than with the heart. As always, I'm joined by Dr. Andrea Paul from Board Vitals, a company that helps you with your board prep. They feature an amazing QBank and software platform to help you maximize your score. Save 15% off any of their QBank packages by using the promo code BOARDROUNDS at checkout. [03:11] Scenario of a Heart Murmur in a 60-Year-Old Male Case: A 60-year-old male is undergoing evaluation for a heart murmur. He's asymptomatic and his physician discovers a holosystolic murmur at the cardiac apex. The frequency of that murmur is increased when he expires and an echo confirms that there's a diagnosis to be found. Question: Compared to a normal patient, which of the following hemodynamic changes would be most likely present? Note: This involves multi-steps where you have to figure out from the murmur and it's confirming there is something so you could look at the murmur and decide what you think the diagnosis is. From there, you go one step further and say what physiologic effect that would have. [04:10] Knowing the Types of Murmur First, you have to know the types of murmurs out there. Holosystolic means that the murmur is present during the entire systole phase. There are some that fade off before the end or would just be a click sound at the beginning of systole. Holocystolic refers to the sound that is present the entire time. It can be one consistent sound for all systole or maybe it's something that starts at an increased volume or decreases. So you're left with different options. In this case, it says it's in the cardiac apex. You have to look at other components like the student's age to determine what exactly is causing the murmur. But here we're lucky since they're telling us here that it's right in the apex. [06:35] Mitral Valve Regurgitation When you're hearing this whole systolic murmur at the cardiac apex, you immediately start to think of mitral valve. When you look at the diagram, you will find different areas where you can picture where the apex of the heart is and what would be causing a sound in that direction. If you're visual, you can picture the mitral valve in the direction of the flow. If it weren't functioning properly, it would be right to the apex of the heart. So this would lead you to suspect mitral valve regurgitation. Another thing you can think of is mitral stenosis, however, that's diastolic so it would be heard in a similar area at a different time. Other things to think of when you have mitral valve regurgitation is that it kind of fits with the patient. If the question had said something about an irregular pulse or displaced apex, that would be the first thing that would fit with mitral valve regurgitation as well. Although the patient here is asymptomatic, common symptoms would be rhematic fever, palpitation, fatigue, shortness of breath, and it can go as far as having signs of heart failure. So any of those components in any combination could be present in the question that would lead to the same answer in the end. [09:25] Answer Choices A Increased after load B Decreased pre-load C Increased ejection fraction D Decreased ejection fraction E Decreased contractility Now, you have to understand what all of those components mean. In most cases, mitral valve regurgitation would be easily heard during expiration. This specific murmur isn't one that is always so strongly correlated. But this is something to keep in mind that expiration is more positive pressure down on the heart, more pressure on the ventricle and potentially easier to have a bit more of regurgitation. [11:11] Understanding the Terms: Afterload Afterload is the pressure against which the heart is working to eject the blood during systole. It's a systolic murmur so this is the one we're hearing here. And it's the component where the answer option is asking whether there would be increased afterload. In this case, that would not be correct since we're having regurgitation. Afterload does have an effect on the stress volume because the maximum pressure of the heart that can develop becomes smaller when there's volume inside the ventricle. During the systolic phase of the heart, this afterload is the pressure that's coming on the blood way out of the heart. As you're contracting, that mitral valve cannot hold itself shut. And you're having that regurgitation coming back in the opposite direction. [13:04] Understanding the Terms: Afterload and Ejection Fraction The preload is the filling pressure of the heart at the end of diastole. Once it's filled, the left atrial pressure at the end of diastole. We imagine Starling's Law which states that the heart is going to eject to a greater volume if it's filled to a greater volume at the end of diastole. That relationship can be modified by contractility in the afterload that would affect what ends up resulting. Ejection fraction is just the percentage of the blood left in the ventricle after a contraction. So if you have systole, the ventricles contract. 50% remains and that's the ejection fraction. [14:30] Causing Ejection Fraction After you've determined that it's mitral valve regurgitation, you can look at the electrocardiogram. We have shown that since the patient has no symptoms, probably compensating for this is a chronic disease that's why he's not coming in with any specific symptoms other than the murmur heard. Most likely, he has dilated his left atrium or left ventricle to compensate. Most patients with chronic mitral valve regurgitation have that. Then you have this retrograde flow happening over that mitral valve. So you would probably see a slight decrease in his afterload because of the resistance across that valve. The most likely though is you would see increased ejection fraction. [16:20] Starling's Law Think of the volume of the heart at the end of the diastole phase. That's going to give you a filling pressure, which is the preload. You would see that if you have that increased volume and pressure of blood in there to start with, that's going to lead to increased volume in systole and it affects contractility and afterload. But it's just sort of a volume and pressure play and less to do with the actual muscle fibers. If you look overall the spectrum of clinical cases, you can see mostly that it all comes down to volume and pressure. [17:45] More Options to Think Through This question is great because it brings up not just all the different types of murmurs that you have to run through but it also gives you all those different scenarios to think through for all the different murmurs. So you would have to go through all these options and assess each. If you just think through where is blood flowing during what phase of the cardiac cycle, you can almost figure out which answer you can immediately eliminate. This is the nice thing about cardiac physiology is that once you can think through oeach of the different causes of the murmur and think about afterload and preload and each one, it's something you probably won't forget because you've made sense of it, and not just memorized it. [19:55] Some Tips to Help You Study Effectively There are mnemonics you can use for the different types of murmurs so it's easier for you, like to know which sound and during which phase can lead to whether mitral stenosis or mitral valve regurgitation or aortic regurgitation. So if you're someone who can easily figure out how to memorize this then this is something you can jot down for sure. Moreover, rheumatic fever can also be something to consider that can cause aortic stenosis as well. If you know the basics and you know how to recognize mitral regurgitation and understand the physiology behind it, then you'll be able to lead yourself to any of those types of questions. Again, understand the causes of any of these murmurs. Know the signs. For instance, in aortic stenosis, that slow rising pulse is going to be in the question almost definitely, since that's one of those really unique cardinal signs of aortic stenosis, or the opposite is the collapsing pulse in aortic regurgitation. Knowing some of those clinical signs is super helpful in these types of questions. Links: Board Vitals (Save 15% off any of their QBank packages by using the promo code BOARDROUNDS at checkout.)
In this episode of StepWise, we break from the normal question breakdown to go over what I think is the best way to study for Step One. It essentially breaks down to, Use a QBank like Pastest etc, to help study during classes. Use Anki throughout to memorize the details. Use Pathoma and Sketchy for … Continue reading Episode 15: Step One Study Strategy →
Psychology is one of the newer subjects on the MCAT. Bryan from Next Step Test Prep and Ryan cover the topic to help you learn how to answer the questions. Links:
Bryan from Next Step Test Prep and Ryan cover biochemistry, a huge pain point for many premed students. Take a listen and learn some biochem with us. Links:
In this episode, Ryan Orwig from STATMed learning tells us more about the STATMed platform, how his boards workship helps students improve their scores by focusing on and improving the strategy they employ in studying and in approaching multiple choice questions in question banks like USMLE World, Kaplan, USMLE-Rx (or any Qbank). Plus, we give an example of some specific tactics to apply to practice questions with a gynecology example question from the Open Osmosis platform STATMed Lessons on the ITB Study Smarter Channel Check out more from Ryan and STATMed learning on the ITB Study Smarter Series for the USMLE Step 1 and COMLEX Level 1 where we discuss common difficulties facing a medical student (and how to fix them) like what do you do when you narrow down a questions to two answer choices but always pick the wrong one, how to deal wit the problem of doing volumes of questions but not seeing your score improve, Go to thestatprogram.com/ITB for a special offer on the STATMed Boards Workship only for ITB listeners. ITB Audio Qbank and iOS Beta App The Audio Qbank by InsideTheBoards mobile app has both free and premium features and is available on both Android and iOS. To get started, first, create a Boardsinsider Account on our website insidetheboards.com Free Features All of our podcasts in one place organized into playlists for easy studying (also with less ads and exclusive content) Mindfulness meditations designed specifically for medical students A monthly offering of high yield content (questions dissections, audio qbank samples) available only on our mobile app. Premium Features Subscribe to an ITB premium account and get additional features Access to 500+ audio optimized board style practice questions in our Audio Qbank. The Step 1 version is powered by Exam Circle and the Step 2 Version is powered by OnlineMedEd. New questions added each month. High Yield Pharmacology (powered by Lecturio) with 100 of the top pharm questions you need to know for both Step 1 and Step 2 Audio Flashcards (coming soon) Our audio qbank is THE PERFECT companion for studying for the boards on the go. And we're adding content and improving it all the time. Learn more about the Audio Qbank by InsideTheBoards mobile app here Legal Stuff Podcast question content courtesy of Osmosis. Questions have been optimized and edited for audio consumption. Copyright Osmosis. Original version may be found at the appropriate topic heading at https://open.osmosis.org/topics Music: Anaesthetist from The Mindsweep by Enter Shikari. Used with permission. InsideTheBoards is not affiliated with the NBME, USMLE, COMLEX, NBOME or any professional licensing body. InsideTheBoards fully adheres to the policies on irregular conduct outlined by the aforementioned credentialing bodies.
We're back from our hiatus. We've been working hard on our All-Audio Qbank. In this episode, Patrick breaks down each version of the audio Qbank, Elizabeth offers a sample from ITB's All Audio Preclinical Qbank for First and Second Year Medical Students (Powered by Osmosis), plus what's an ITB Premium subscription on Podbean all about? For a limited time podcast listeners can get an even even sweeter deal on launch-pricing of the audio qbank by using the discount code "Podcast" at checkout. Just go to insidetheboards.com/qbank to learn more. Plus, leave a review of the ITB Podcast for your chance to win a a free access to the All-Audio Qbank. ITB Audio Qbank and iOS Beta App The Audio Qbank by InsideTheBoards mobile app has both free and premium features and is available on both Android and iOS. To get started, first, create a Boardsinsider Account on our website insidetheboards.com Free Features All of our podcasts in one place organized into playlists for easy studying (also with less ads and exclusive content) Mindfulness meditations designed specifically for medical students A monthly offering of high yield content (questions dissections, audio qbank samples) available only on our mobile app. Premium Features Subscribe to an ITB premium account and get additional features Access to 500+ audio optimized board style practice questions in our Audio Qbank. The Step 1 version is powered by Exam Circle and the Step 2 Version is powered by OnlineMedEd. New questions added each month. High Yield Pharmacology (powered by Lecturio) with 100 of the top pharm questions you need to know for both Step 1 and Step 2 Audio Flashcards (coming soon) Our audio qbank is THE PERFECT companion for studying for the boards on the go. And we're adding content and improving it all the time. Learn more about the Audio Qbank by InsideTheBoards mobile app here
In this episode, we discuss a USMLE Step 1 and COMLEX Level 1 Pathology question on TNM staging provided by Lecturio with Robert Patterson a Pathology resident in New York and question writer for Lecturio. Hurry and sign up for ITB's All-Audio Question Bank at patreon.com/insidetheboards Get beta access for the QBank by becoming a patron by midnight TONIGHT! We're putting together a beta group of 25 first/second year med students and 25 third years to help us make the best all audio resource for med school. Visit patreon.com/insidetheboards for more details. ITB Audio Qbank and iOS Beta App The Audio Qbank by InsideTheBoards mobile app has both free and premium features and is available on both Android and iOS. To get started, first, create a Boardsinsider Account on our website insidetheboards.com Free Features All of our podcasts in one place organized into playlists for easy studying (also with less ads and exclusive content) Mindfulness meditations designed specifically for medical students A monthly offering of high yield content (questions dissections, audio qbank samples) available only on our mobile app. Premium Features Subscribe to an ITB premium account and get additional features Access to 500+ audio optimized board style practice questions in our Audio Qbank. The Step 1 version is powered by Exam Circle and the Step 2 Version is powered by OnlineMedEd. New questions added each month. High Yield Pharmacology (powered by Lecturio) with 100 of the top pharm questions you need to know for both Step 1 and Step 2 Audio Flashcards (coming soon) Our audio qbank is THE PERFECT companion for studying for the boards on the go. And we're adding content and improving it all the time. Learn more about the Audio Qbank by InsideTheBoards mobile app here
In this episode, we finish discussing a USMLE Step 1 and COMLEX Level 1 Pathology question provided by Lecturio with Robert Patterson a Pathology resident in New York and question writer for Lecturio. Followed by our interview with Stefan Wisbauer - the managing director of Lecturio. Stefan describes how Lecturio can provide a one stop resource for all walks of medical school life. Lecturio optimizes online learning with a combination of videos, questions, diagrams, and reading material for MCAT, Step 1, and Step 2 material. Use the code "ITB20" for a 20% discount when signing up for Lecturio. Hurry and sign up for ITB's All-Audio Question Bank at patreon.com/insidetheboards Get beta access for the QBank by becoming a patron by JULY 1st! TOMORROW! We're putting together a beta group of 25 first/second year med students and 25 third years to help us make the best all audio resource for med school. Visit patreon.com/insidetheboards for more details. ITB Audio Qbank and iOS Beta App The Audio Qbank by InsideTheBoards mobile app has both free and premium features and is available on both Android and iOS. To get started, first, create a Boardsinsider Account on our website insidetheboards.com Free Features All of our podcasts in one place organized into playlists for easy studying (also with less ads and exclusive content) Mindfulness meditations designed specifically for medical students A monthly offering of high yield content (questions dissections, audio qbank samples) available only on our mobile app. Premium Features Subscribe to an ITB premium account and get additional features Access to 500+ audio optimized board style practice questions in our Audio Qbank. The Step 1 version is powered by Exam Circle and the Step 2 Version is powered by OnlineMedEd. New questions added each month. High Yield Pharmacology (powered by Lecturio) with 100 of the top pharm questions you need to know for both Step 1 and Step 2 Audio Flashcards (coming soon) Our audio qbank is THE PERFECT companion for studying for the boards on the go. And we're adding content and improving it all the time. Learn more about the Audio Qbank by InsideTheBoards mobile app here
In this episode, we finish discussing some practice USMLE Step 1 and COMLEX Level 1 Pathology questions provided by Lecturio with Robert Patterson a Pathology resident in New York and question writer for Lecturio. Hurry and sign up for ITB's All-Audio Question Bank at patreon.com/insidetheboards Get beta access for the QBank by becoming a patron by JULY 1st! We're putting together a beta group of 25 first/second year med students and 25 third years to help us make the best all audio resource for med school. Visit patreon.com/insidetheboards for more details. Share the podcast and tag us on social media to be entered to win an amazon gift card at the end of our study smarter series. ITB Audio Qbank and iOS Beta App The Audio Qbank by InsideTheBoards mobile app has both free and premium features and is available on both Android and iOS. To get started, first, create a Boardsinsider Account on our website insidetheboards.com Free Features All of our podcasts in one place organized into playlists for easy studying (also with less ads and exclusive content) Mindfulness meditations designed specifically for medical students A monthly offering of high yield content (questions dissections, audio qbank samples) available only on our mobile app. Premium Features Subscribe to an ITB premium account and get additional features Access to 500+ audio optimized board style practice questions in our Audio Qbank. The Step 1 version is powered by Exam Circle and the Step 2 Version is powered by OnlineMedEd. New questions added each month. High Yield Pharmacology (powered by Lecturio) with 100 of the top pharm questions you need to know for both Step 1 and Step 2 Audio Flashcards (coming soon) Our audio qbank is THE PERFECT companion for studying for the boards on the go. And we're adding content and improving it all the time. Learn more about the Audio Qbank by InsideTheBoards mobile app here
Is board prep giving you a headache? Clear your head by listening to Part 2 of the ITB Study Smarter Series Neurology Review with Youtube sensation Docossareh. Follow him at Youtube.com/docossareh and @DocOssareh on Twitter We hope to have beta access to ITB's all-audio Qbank rolling out in May 2017. Go to insidetheboards.com for details. ITB Audio Qbank and iOS Beta App The Audio Qbank by InsideTheBoards mobile app has both free and premium features and is available on both Android and iOS. To get started, first, create a Boardsinsider Account on our website insidetheboards.com Free Features All of our podcasts in one place organized into playlists for easy studying (also with less ads and exclusive content) Mindfulness meditations designed specifically for medical students A monthly offering of high yield content (questions dissections, audio qbank samples) available only on our mobile app. Premium Features Subscribe to an ITB premium account and get additional features Access to 500+ audio optimized board style practice questions in our Audio Qbank. The Step 1 version is powered by Exam Circle and the Step 2 Version is powered by OnlineMedEd. New questions added each month. High Yield Pharmacology (powered by Lecturio) with 100 of the top pharm questions you need to know for both Step 1 and Step 2 Audio Flashcards (coming soon) Our audio qbank is THE PERFECT companion for studying for the boards on the go. And we're adding content and improving it all the time. Learn more about the Audio Qbank by InsideTheBoards mobile app here
Is board prep giving you a headache? Clear your head by listening to this episode of the ITB Study Smarter Series for the USMLE/COMLEX where we dissect neurology questions with Youtube sensation Docossareh. Follow him at Youtube.com/docossareh and @DocOssareh on Twitter We hope to have beta access to ITB's all-audio Qbank rolling out in May 2017. Go to insidetheboards.com for details. Rate and review the podcast on iTunes or wherever you get your podcast and share with your medical friends to help us spread the word! Plus, you'll be entered to win a $50 Amazon gift card when you share us on social media. ITB Audio Qbank and iOS Beta App The Audio Qbank by InsideTheBoards mobile app has both free and premium features and is available on both Android and iOS. To get started, first, create a Boardsinsider Account on our website insidetheboards.com Free Features All of our podcasts in one place organized into playlists for easy studying (also with less ads and exclusive content) Mindfulness meditations designed specifically for medical students A monthly offering of high yield content (questions dissections, audio qbank samples) available only on our mobile app. Premium Features Subscribe to an ITB premium account and get additional features Access to 500+ audio optimized board style practice questions in our Audio Qbank. The Step 1 version is powered by Exam Circle and the Step 2 Version is powered by OnlineMedEd. New questions added each month. High Yield Pharmacology (powered by Lecturio) with 100 of the top pharm questions you need to know for both Step 1 and Step 2 Audio Flashcards (coming soon) Our audio qbank is THE PERFECT companion for studying for the boards on the go. And we're adding content and improving it all the time. Learn more about the Audio Qbank by InsideTheBoards mobile app here Music courtesy of Two O'Clock Courage "The Valentine Blast Furnace" (used with permission)
More hormones in part 2. Continuing our discussion of USMLE/COMLEX practice questions on endocrine with Dustyn Williams from OnlineMedEd.Org. Follow @OnlineMedEd on Twitter and make sure to watch their videos during third year. Trust us... We hope to have beta access to ITB's all-audio Qbank rolling out in May 2017. Go to insidetheboards.com for details. ITB Audio Qbank and iOS Beta App The Audio Qbank by InsideTheBoards mobile app has both free and premium features and is available on both Android and iOS. To get started, first, create a Boardsinsider Account on our website insidetheboards.com Free Features All of our podcasts in one place organized into playlists for easy studying (also with less ads and exclusive content) Mindfulness meditations designed specifically for medical students A monthly offering of high yield content (questions dissections, audio qbank samples) available only on our mobile app. Premium Features Subscribe to an ITB premium account and get additional features Access to 500+ audio optimized board style practice questions in our Audio Qbank. The Step 1 version is powered by Exam Circle and the Step 2 Version is powered by OnlineMedEd. New questions added each month. High Yield Pharmacology (powered by Lecturio) with 100 of the top pharm questions you need to know for both Step 1 and Step 2 Audio Flashcards (coming soon) Our audio qbank is THE PERFECT companion for studying for the boards on the go. And we're adding content and improving it all the time. Learn more about the Audio Qbank by InsideTheBoards mobile app here Music courtesy of Two O'Clock Courage "The Valentine Blast Furnace" (used with permission)
Does studying for the USMLE make you hormonal? Listen to this episode of the ITB Study Smarter Series for the USMLE/COMLEX where we dissect endocrinology questions with ITB podcast alumnus, Dustyn Williams, from OnlineMedEd.Org. Follow @OnlineMedEd on Twitter We hope to have beta access to ITB's all-audio Qbank rolling out in May 2017. Go to insidetheboards.com for details. ITB Audio Qbank and iOS Beta App The Audio Qbank by InsideTheBoards mobile app has both free and premium features and is available on both Android and iOS. To get started, first, create a Boardsinsider Account on our website insidetheboards.com Free Features All of our podcasts in one place organized into playlists for easy studying (also with less ads and exclusive content) Mindfulness meditations designed specifically for medical students A monthly offering of high yield content (questions dissections, audio qbank samples) available only on our mobile app. Premium Features Subscribe to an ITB premium account and get additional features Access to 500+ audio optimized board style practice questions in our Audio Qbank. The Step 1 version is powered by Exam Circle and the Step 2 Version is powered by OnlineMedEd. New questions added each month. High Yield Pharmacology (powered by Lecturio) with 100 of the top pharm questions you need to know for both Step 1 and Step 2 Audio Flashcards (coming soon) Our audio qbank is THE PERFECT companion for studying for the boards on the go. And we're adding content and improving it all the time. Learn more about the Audio Qbank by InsideTheBoards mobile app here Music courtesy of Two O'Clock Courage "The Valentine Blast Furnace" (used with permission)
Study Smarter, Not Harder by listening to this episode of the ITB Study Smarter Series for the USMLE/COMLEX where we dissect more Dermatology questions with Shola Vaughn. Like us on Facebook and follow us on Twitter @Boardsinsider. Find Shola at SholaMD.com and her podcast MedStudentEdge. We hope to have beta access to ITB's all-audio Qbank rolling out in May 2017. Go to insidetheboards.com for details. ITB Audio Qbank and iOS Beta App The Audio Qbank by InsideTheBoards mobile app has both free and premium features and is available on both Android and iOS. To get started, first, create a Boardsinsider Account on our website insidetheboards.com Free Features All of our podcasts in one place organized into playlists for easy studying (also with less ads and exclusive content) Mindfulness meditations designed specifically for medical students A monthly offering of high yield content (questions dissections, audio qbank samples) available only on our mobile app. Premium Features Subscribe to an ITB premium account and get additional features Access to 500+ audio optimized board style practice questions in our Audio Qbank. The Step 1 version is powered by Exam Circle and the Step 2 Version is powered by OnlineMedEd. New questions added each month. High Yield Pharmacology (powered by Lecturio) with 100 of the top pharm questions you need to know for both Step 1 and Step 2 Audio Flashcards (coming soon) Our audio qbank is THE PERFECT companion for studying for the boards on the go. And we're adding content and improving it all the time. Learn more about the Audio Qbank by InsideTheBoards mobile app here Music courtesy of Divisible's "Love is the Cost" (used with permission)
Study Smarter, Not Harder by listening to this episode of the ITB Study Smarter Series for the USMLE/COMLEX where we dissect more Dermatology questions with Shola Vaughn. Like us on Facebook and follow us on Twitter @Boardsinsider. Find Shola at SholaMD.com and her podcast MedStudentEdge. With the ITB Study Smarter Bundle, you can get 2-months of Osmosis and Physeo along with a seat in MedQuest's Live-Online Cramathon for Step 1/Level 1 on May 7th with Conrad Fischer plus (Bonus!) 2-weeks access to MedQuest's pharmacology Qbank and beta access to ITB's all-audio Qbank (rolling out in May 2017). Go to insidetheboards.com for details. Save even more with discount code "podcast" for an additional $20 dollars off. Sale ends April 16, 2017. ITB Audio Qbank and iOS Beta App The Audio Qbank by InsideTheBoards mobile app has both free and premium features and is available on both Android and iOS. To get started, first, create a Boardsinsider Account on our website insidetheboards.com Free Features All of our podcasts in one place organized into playlists for easy studying (also with less ads and exclusive content) Mindfulness meditations designed specifically for medical students A monthly offering of high yield content (questions dissections, audio qbank samples) available only on our mobile app. Premium Features Subscribe to an ITB premium account and get additional features Access to 500+ audio optimized board style practice questions in our Audio Qbank. The Step 1 version is powered by Exam Circle and the Step 2 Version is powered by OnlineMedEd. New questions added each month. High Yield Pharmacology (powered by Lecturio) with 100 of the top pharm questions you need to know for both Step 1 and Step 2 Audio Flashcards (coming soon) Our audio qbank is THE PERFECT companion for studying for the boards on the go. And we're adding content and improving it all the time. Learn more about the Audio Qbank by InsideTheBoards mobile app here Music courtesy of Divisible's "Love is the Cost" (used with permission)
Study Smarter, Not Harder by listening to this episode of InsideTheBoards where we go through Dr. Rosenthal's "The Twenty Minute Immune Response" (see screencast at InsideTheBoards.com) and dissect some immunology questions from Osmosis's database of high yield USMLE Step 1/COMLEX Level 1 practice questions. Music courtesy of Two O'Clock Courage "The Valentine Blast Furnace" (used with permission). With the ITB Study Smarter Bundle, you can get 2-months of Osmosis and Physeo along with a seat in MedQuest's Live-Online Cramathon for Step 1/Level 1 on May 7th with Conrad Fischer plus (Bonus!) 2-weeks access to MedQuest's pharmacology Qbank and beta access to ITB's all-audio Qbank (rolling out in May 2017). Go to insidetheboards.com for details. Save even more with discount code "podcast" for an additional $20 dollars off. Sale ends April 16, 2017. ITB Audio Qbank and iOS Beta App The Audio Qbank by InsideTheBoards mobile app has both free and premium features and is available on both Android and iOS. To get started, first, create a Boardsinsider Account on our website insidetheboards.com Free Features All of our podcasts in one place organized into playlists for easy studying (also with less ads and exclusive content) Mindfulness meditations designed specifically for medical students A monthly offering of high yield content (questions dissections, audio qbank samples) available only on our mobile app. Premium Features Subscribe to an ITB premium account and get additional features Access to 500+ audio optimized board style practice questions in our Audio Qbank. The Step 1 version is powered by Exam Circle and the Step 2 Version is powered by OnlineMedEd. New questions added each month. High Yield Pharmacology (powered by Lecturio) with 100 of the top pharm questions you need to know for both Step 1 and Step 2 Audio Flashcards (coming soon) Our audio qbank is THE PERFECT companion for studying for the boards on the go. And we're adding content and improving it all the time. Learn more about the Audio Qbank by InsideTheBoards mobile app here
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