The patient may very well need a tube at the pleural base if the x-ray film shows a hemothorax, but the physician might prefer to put it at the top if all there is in the pleural space is air. What is your opinion on the answer of this particular question? That leaves you with a stable patient that you need to work up! In that situation a CXR gives you a gross analysis of his injuries pneumothorax, hemothorax which will guide the immediate management. Colposcopy is typically used to work-up abnormal paper smear results for cervical cancer or to further evaluate cervical abnormalities seen on a speculum.
Not as a first-line test for bleeding. The question stem is unclear if a speculum exam was included in the physicial exam. If it was, then it was normal and no colposcopy would be indicated in the abscence of abnormal pap results. Additionally, the story here is more indicative of possible endometrial cancer vs dysfunctional uterine bleeding: So the bleeding is more commonly contact bleeding related to friable tissue after sexual activity, exams, etc.
Lastly, her body habitus puts her at increased risk of endometrial cancer. I would like to apply for pediatrics and I got a bad score on step 1, Thank you once more. The improvement is solid. Your Step 1 would be fine for a US grad but on the low side coming from elsewhere.
When I go over the incorrect questions It disheartens me because most of the time I know the answer. Most times you will actually know the fact being tested even when you get it wrong. Part of doing questions is continuing to pair up facts with answers, and it takes time. One of the difficulties some of my former students had with studying through questions is that getting questions wrong can be demoralizing.
Ultimately, this process of demoralization and self-doubt feeds into your anxiety. This is a hard cycle to break. One thing I believe is that the more you care, the worse you do. I know, horrible- I actually was surprised I passed. I took way too long to study and my scores started to drop and I took it when I was in the range on NBMEs but the morning of the test I just had so much anxiety and blanked for a lot of it: Improving your Step 2 will be very important. Thanks for all the advice you post its really helpful.
I took my step one and i failed. Im quite discouraged esp since i am an us img. But i know my problem was lack if confidence and not doing enough questions. I have a 9 to 10 week study period now. I will take your advice and focus on questions. I think anxiety and not doing enough questions probably account for essentially all regret when it comes to Step 1. An alternative would be to buy a bunch of the NBME pratice exams, but that can be quite pricey.
Ultimately, when it comes to retaking anything: If the previous failure motivates you, then use it as fuel to get through the inevitable tough times that dedicated study brings to your physical and emotional well being. Give yourself some slack and a clean slate. I have been reading all the comments on this site. I took Step 2 ck last month and failed it by 20points. I would answer the last questions from every block in matter of 4 minutes.
I was depressed even going through the last blocks. My question from you is, do you recommend doing anything else aside from what I mentioned? I have this fear in me now that it will be my second time taking the exam but I want to take it towards the end of august. I would appreciate any honest word you might have for me. Thank you in advance. My thoughts on Step 2 CK are summarized here. Dedicated Step 1 review overall is probably not the highest yield use of time.
Step 2 CK is a clinically focused exam. When you look at your UW stats, do they demonstrate any trends, areas where you are stronger or weaker? If you have weak areas e. Since time management has been a problem, then questions are probably where you need to focus the bulk of your time. Timed mode is good, just make sure you really take your time with the explanations after. Hi Ben, majority of my studying prep will be doing practice questions from different sources.
Also, did it help to master 2 step process thinking and 3 step process thinking while doing Q bank? I think the decision to annotate anything is deeply personal whether within a question bank, in First Aid, or in some Word document, massive PowerPoint slideshow, or complex spreadsheet. I think the patterns generally emerge organically over the course of the study process. It is absolutely worth mastering the process of second and third order questions though to be clear, first order questions are actually quite common and third order much less so [except in UW, where they are seemingly omnipresent].
If you can answer the third order, you can nearly always answer the easier versions.
Typically, common topics e. Esoterica, say, a question about brucellosis, is more likely to be a straight first order problem. Thank you for your very comprehensive posts. I already know that.
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Most appropriate next step in Mx? Most appropriate next step in diagnosis? Thank you again for This blog and being thoughtful enough to extend your advice: Dear Ben , I have tried my very best to prepare for step 1. At the beginning of my preparation I was motivated and hopeful for myself and lived in the fairy tale world that hard work can beat any obstacle.
My goal is I want my score to help me save myself from a lot of explanations that I might have to give later on to prove my worth on the time gap anyways. My exam period ends in 4 weeks. All I have to do has to be done NOW. I am left with one NBME to check myself , the last and latest one. I am so mad and sad at not being able to figure out where my deficiency is. Perhaps there are many. In my traditional school system I was not trained to be a critical thinker so through questions and UW I somewhat tried to improve that. I am a slow thinker too.
I was not taught short cuts to questions that sometimes are great time savers but I tried to pick up the trends from UW as much as I could based on geography , ethnicity , gender. Pralidoxime within 6 hrs helps inhibit enzyme aging. The answer was atropine!! I cannot overcome that deficiency on my own.
Sustainable development goals: all you need to know
Numbers and calculations make me nervous when attempting a block in timed mode. Genetic questions look like riddles to me. In the real exam I might wrongly think they are experimental questions Cannot recognize murmurs. Electrolyte panels consume my time. I was thinking of doing UW in 7 block pattern just like the real exam a couple of times OR buying Kaplan Q bank for a month but I do not want to be bogged down by low yield stuff which many people say Kaplan Q bank is now that I am so near to my deadline. At the same time I want to improve my speed and recognition of question patterns , pick up clues , improve genetics , biostatistics and acid base questions.
I think they are all better than me if they can score close to me with that thought pattern. What good is my knowledge if it doesnt translate to a rich score. So my question is: You need to start by not beating yourself up. Your specific goal of is awesome and I hope you get it, but you need to know that goals are only helpful as a means of motivation.
Not something to tie your entire self-worth into. I would just focus exclusively on questions. When you get questions wrong, flag them and do them again. There are lots of reasons to get questions wrong and you need to approach the explanations as a chance to learn, not a chance to be disappointed. I want to repeat that. The reason UW and qbanks are good tools is twofold. The best way to see how to apply it to a question is with a question. A lot of people shortchange themselves on 2. You should almost want to get questions wrong, because then it means you have an opportunity to improve, a potential blindspot to weed out.
The other thing they do is use that negative emotional valence to overread the explanation. They take an exception and turn into a new rule. Try to generalize too much. All of this comes from stress and self-doubt. Remember, this is about learning. You can switch to timed blocks to simulate the exam the last week. Get into a groove.
Find the confidence to go with your gut, not agonize, not get stressed by a long question stem, etc. You can get by sometimes based on the history. The way to not burn out is to switch your attitude from fear to excitement. That is astoundingly excited. I got a My UWSA scores 1 week out were and You should be in great shape to get Unlike the MDGs, which were drawn up by a group of men in the basement of UN headquarters or so the legend goes , the UN has conducted the largest consultation programme in its history to gauge opinion on what the SDGs should include.
The open working group, with representatives from 70 countries, had its first meeting in March and published its final draft, with its 17 suggestions, in July The draft was presented to the UN general assembly in September last year. Member state negotiations followed, and the final wording of the goals and targets, and the preamble and declaration that comes with them, were agreed in August These included 11 thematic and 83 national consultations, and door-to-door surveys.
Some countries feel that an agenda consisting of 17 goals is too unwieldy to implement or sell to the public, and would prefer a narrower brief. Or so they say. Some believe the underlying reason is to get rid of some of the more uncomfortable goals, such as those relating to the environment. The indicators are still being thrashed out by an expert group.
Each indicator is being assessed for its feasibility, suitability and relevance, and roughly two for each target are expected. The indicators are due to be finalised in March In its report last year, the committee said public finance and aid would be central to support the implementation of the SDGs. But it insisted that money generated from the private sector, through tax reforms, and through a crackdown on illicit financial flows and corruption, was also vital.
A major conference on financing for the SDGs , held in the Ethiopian capital Addis Ababa in July, failed to ease concerns that there will not be enough cash to meet the aspirational nature of the goals. Last year he averaged As much as any front office in sports -- owing at least partly to its proximity to Silicon Valley -- Golden State's front office actively quantifies injury risk.
Yes, Myers and Lacob agree, any random threat might matter. The Warriors hired their new head of physical performance and sports medicine, Australian sports science expert Lachland Penfold, with this data-driven mission in mind. A guy like Lachland will be able to go up to Bob and Steve [Kerr] and say, 'Guys, he's at a 77, and our threshold is 75 for Safe to Play. Obviously, when it came to re-signing Curry before Nov.
Asked now about the thinking behind his approach, Myers chuckles like a trader who bought Google mid-recession. We bet on his ability. We bet on the fact that he was the type of player who'd do everything within his power to come back and be smart and be diligent. But to be perfectly clear: It was unthinkable that the Warriors might one day offer the theory currently being advanced inside this back room: A Steph Curry who has never injured his ankles would be less preferable than the Steph Curry we actually have today.
This is not to suggest that the people in Curry's inner circle have stopped worrying about him. Five separate interviewees knock on wood in the middle of talking about his ankles.
TrueHoop Presents: How the Golden State Warriors' Stephen Curry got the best worst ankles in sports
One of them, Warriors assistant coach Bruce Fraser, who oversees Curry's famed pregame shooting routine, frets about defenders challenging Curry's jumpers by getting underneath him, turning their feet into land mines. And Payne still can't shake the feeling of watching Curry limp after hitting his banged-up left shin against Lakers center Roy Hibbert in January. It's a lot of sitting on edge. Dell sometimes declines to sit altogether.
- Believe, Hope, Live;
- Climate Change and Future Justice: Precaution, Compensation and Triage (Routledge Issues in Contemporary Political Theory).
This Christmas, in the middle of the second quarter of the Cavs game at Oracle, Steph had to go back to the locker room to attend to a right calf strain. It was exactly the type of scene that leads to naysayers crowing about injury luck regressing to the mean Just to see what's going on.
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- Bertie du Plessis.
Back in the Warriors' locker room after trouncing the Heat by 15 -- Steph dropped a ho-hum 31 -- Curry ponders his front office's theory of his evolution. After all that agony and uncertainty, does he honestly believe that the absurdity of his ankle history has saved him from a worse career? Post-surgery, it's kept me driven about taking advantage of every day. There was a time when I was just worried about playing basketball, much less playing at a high level. Now I try to have as much fun out there as possible.
You don't enjoy the surgery and the rehab process. But I enjoy how I came out of it, for sure.
How to approach NBME/USMLE questions
But when you remember all that must be waved aside to embrace this unfinished timeline of events, so much positivity sounds less like optimism and more like the real secret to Steph Curry's flying, higher than ever. To help make this website better, to improve and personalize your experience and for advertising purposes, are you happy to accept cookies and other technologies? Latest news, grades and rumblings 1d.
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