a****9
发帖数: 773 | 1 A 42-year-old woman comes for a follow-up examination. Two weeks ago, her
blood pressure was 152/94 mm Hg during a routine visit. Her blood pressure
today is 150/94 mm Hg, pulse is 76/min, and respirations are 14/min.
Examination shows no other abnormalities. Serum studies show:
Na+ 142 mEq/L
Cl– 105 mEq/L
K+ 4 mEq/L
HCO3– 26 mEq/L
Urea nitrogen (BUN) 12 mg/dL
Glucose 101 mg/dL
Creatinine 0.8 mg/dL
An ECG shows no abnormalities. Which of the following is the most
appropriate next step in managem |
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c*******c
发帖数: 62 | 2 32-year-old with persistent purulent discharge on underwear
-> B. Fistula in Ano
To prevent serious diabetic foot infection the future
-> Either B or E.
5-year-old girl bitten by her cat
-> C. Cat bites tend to cause deep puncture wounds, setting up an
environment for anaerobic infection. If asked, you should give Augmentin
prophylactically to cover Pasteurella multocida and other anaerobic bacteria
. |
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a****9
发帖数: 773 | 4 thanks guys! U r so lovely!
I found a anwere key file online. which obviously is full of many mistakes.
Anyone here have nice answer key to share? |
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a****9
发帖数: 773 | 5 45. A 42-year-old woman comes to the physician because of increasing low
back pain for 2 days. She is a daily intravenous drug user. She has a
history of pyelonephritis, abscesses at injection sites, and pelvic
inflammatory disease. Her temperature is 39 C(102.2 F), blood
pressure is 130/70 mm Hg, pulse is 84/min, and respirations are 20/min.
Examination shows warm, dry skin, a supple neck, and no jugular venous
distention. There is tenderness over L4. Pelvic examination shows mild
erythema arou |
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m****n
发帖数: 322 | 8 C...if not remember wrong, the cat bite is much worse than dog's because of
the teeth difference?
bitten
covered |
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a****9
发帖数: 773 | 9 thank you guys so much again! and one more here:P
9. A previously healthy 72-year-old man comes to the physician because of a
2-year history of hand tremors and progressive difficulty walking. He lives
alone and has no close relatives. He is alert and oriented. Physical
examination shows a decreased rate of eye blinking. Neurologic examination
shows masked facies and a pill-rolling resting tremor of both hands. There
is cogwheel rigidity of the upper extremities and generalized bradykinesia.
His |
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a****9
发帖数: 773 | 11 Yes, I choosed D too. However, the answer key said it's B : decreased eye
blinking. |
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a****9
发帖数: 773 | 12 En, I agree with you for all.
the anwer key was E: control blood glucose level for foot infection in DM
pts.
However, I did not find this info from books or internet resources.
The anwere key for cat bit question is B: saliva . I understand that the
saliva of cat contains a lot of bateria, but the purpose of the question is
to ask anatomical factors, trauma type or pathogen type for severer
infection?
bacteria |
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a****9
发帖数: 773 | 13 Ummm. I thought it's essential hypertension and choose B too.
However, the answer key is E. catopril renal scan??? |
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a****9
发帖数: 773 | 14 A 5-month-old boy is brought to the physician because of a 24-hour history
of fever, cough, noisy breathing, and difficulty feeding. His symptoms began
3 days ago with nasal discharge, mild cough, and chest congestion. He
appears somewhat irritable and is crying. His temperature is 38.5 C (101.3 F
), pulse is 108/min, and respirations are 32/min and shallow with a
prolonged expiratory phase. On examination, the throat appears normal. A few
small anterior and posterior cervical nodes are palpable |
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a****9
发帖数: 773 | 15 A 30-year-old man has had increasingly severe low back pain since lifting a
heavy object at work 3 days ago. The pain does not radiate and is not
associated with bowel or bladder problems. He has a history of occasional
stiffness and mild pain in his lower
back. There is bilateral paravertebral muscle tenderness in the lumbar
region and limited flexion of the lumbosacral spine. Examination of the
lower extremities shows normal muscle strength and sensation; straight-leg
rising is negative bilate |
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a****9
发帖数: 773 | 16 A 42-year-old woman, gravida 2, para 2, has had increasing fatigue, dyspnea,
orthopnea, and paroxysmal nocturnal dyspnea over the past 2 days. She has
had several episodes of hemoptysis; she had one episode of pulmonary edema
during pregnancy 2 years ago. A loud S1, a snapping sound in diastole, and a
rumbling diastolic murmur are heard at the apex. Which of the following is
the most likely cause of her condition?
A) Atrial myxoma
B) Bicuspid aortic valve
C) Postpartum cardiomyopathy
D) Rheumati |
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a****9
发帖数: 773 | 17 14. A 27-year-old primigravid woman at 12 weeks' gestation comes to the
emergency department 2 hours after the sudden onset of bright red vaginal
bleeding. She has not had abdominal cramping. Pelvic examination shows a
small amount of brownish blood in the posterior fornix of the vagina. The
cervix is closed. The uterus is palpable 3 cm above the pelvic brim. Fetal
heart tones are easily audible at 167/min by Doppler. Which of the following
is the most likely diagnosis?
A) Abruptio placentae
B) |
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a****9
发帖数: 773 | 18 A 5-month-old boy is brought to the physician because of a 24-hour history
of fever, cough, noisy breathing, and difficulty feeding. His symptoms began
3 days ago with nasal discharge, mild cough, and chest congestion. He
appears somewhat irritable and is crying. His temperature is 38.5 C (101.3 F
), pulse is 108/min, and respirations are 32/min and shallow with a
prolonged expiratory phase. On examination, the throat appears normal. A few
small anterior and posterior cervical nodes are palpable |
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d****2
发帖数: 118 | 19 mcc for infants' bronchiolitis and pneumonia is RSV.
began
F
few
are |
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d****2
发帖数: 118 | 20 mcc for bleeding in early pregnancy is threatened abortion regarding her
closed cervix. Usually the previa precenta is not diagnosed at this early
stage.
following |
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d****2
发帖数: 118 | 21 I also did D for this Q. Some online keys are not right.
dyspnea,
a
is |
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a****9
发帖数: 773 | 23 This women did not complain about ab pain. Pelvic examination shows a
small amount of brownish blood --brown color suggest old instead of new
bleeding? plus that fetal heart tones are good.
Are these all normal in threatened abortion? thanks |
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a****9
发帖数: 773 | 24 A few small anterior and posterior cervical nodes are palpable.
I thought this is a hint for adenovirus ? Correct me if i am wrong.Thanks! |
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d****2
发帖数: 118 | 25 Yes. I was OBGY in China. |
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d****2
发帖数: 118 | 26 It is common in virus infection, not specific for adenovirus. |
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a****9
发帖数: 773 | 27 en...nice nice...
Thanks a mile! |
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d*9
发帖数: 18 | 28 我的考经如下：
Step1
准备时间：1年， full time postdoc, 平均每晚上可以看4-5小时，加上周末10小时。
减去期间回国两趟加上baby 出生前后占用了2-3月。 共9-10月.
成绩99/242
UW: 55% (100% done, three month before exam)
UW simulation: 60%, two month before exam
Kaplan Qbank ~48% ( 5month before exam)
NBME1: 3 m before test 87
NBME2: 1 m before test 97
NBME5: 1 w before test 97
CD: 43/39/43
所用材料：Kaplan notes(两遍)4个月 后来基本都记不起来。
Kaplan Qbank 2 个月（2遍）,
UW Qbank 3 个月（2遍）.
FA （5-6 遍）
我把Qbank知识点都记FA 上.
最后一个月 QBANK, NBME 错题和FA.
最后1周过了2遍FA.
考试当天：每个block都放松一下，每2个blo |
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x******n
发帖数: 208 | 29 据说不要show up就好了，不会留什么记录，不需要去交这100多刀了。（如果我错了请
纠正）。
我也重新报名过，你可以一过期就申请，但是他们要等到两周以后才会处理你的申请，
学位认证/186表已经搞定的话，20号左右permit就ready了(我的是21号），就可以
schedule考试了。
再说一句，我考试前模拟和你做的差不多，强化了5天的FA,硬着头皮去考了，因为实在
不想延了，可惜我还不知道结果，不然还可以给点建议。听说大家都把NBME2和3留到最
后给自己增加信心，不是没有道理的。我们都是把最难的留到最后，考前特别煎熬，幸
亏我的UW sim做的还行，不然真的没有信心上考场的。
Good luck! |
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m********e
发帖数: 212 | 30 好在我留了一手啊。
NBME1：
BLOCK1:CBBDC FDCJH CAGCF CBFED BDBED DAABB ECCAB DEBED CACEAD
BLOCK2:BDADD EAEGC EDBEC DGAHN BBEEB CDEAA ADBFE EDDDE DDBBBB
BLOCK3:FCBBE CACAE CCAED ABGCD CAACC CAEAB BBEBA DABAA DCEDB-
BLOCK4:HEDDD GFPBA HAIBB DCECB ACEDA EABEA DDBDC GFEEB BCBEFC
NBME2：
BLOCK1：EABEB BCCDA JHDAD B-DAC ABABB AECDG DBEAC AFAGA EBECBF
BLOCK2：DBADC DBDAC BDCCB CBABE FDDE- IBEBD EBBAA DEDDB CEDECD
BLOCK3：DCCBA ABDDB EBDAC ECGCB EBCBH ECDGA DDCCB CBFED EFDBCD
BLOCK4：AABEE FCGEB ACEEF CEDJE EDEAB FDDDA |
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t******9
发帖数: 270 | 31 想找大家讨论NBME2。比如这个周末？非常感谢。 |
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j**n
发帖数: 187 | 32 UW当然最好，其次是FA，再其次是kaplan。我认为对很大一部分人来说只做UW是不够的
。而且有很多人看完书上来就买UW做新题，然后反复做。我感觉这样效果不好。我都是
看完书后，做些旧题。看书是要扩展知识面，做旧题是加深知识点，其实也是在看书学
习。点面缺一不可。再下来才是买题库，time mode测试做题。新题库主要是用来测试
和练速度，再有就是进一步学习巩固知识点。除了UW外，还推荐买FA和Kaplan的题库。
FA的考点不错，题的长度和真正的考试题也很接近，值得做。Kaplan题长，有些怪，但
对提高速度很有帮助，也有一些不错的知识点。
我感觉有些人还有一个学习的误区，就是抠得太细。有些东西你花很长时间还搞不懂的
就干脆放弃。谁都不可能全会。
我自己就是做完UW后感觉速度不够，考前3周做NBME2是590。立刻有买了Kaplan，两周
把Kaplan完成，速度明显提高，每个block能提前8到15分钟做完。考前一周再测试
NMBE4是660。然后又做壹千多道FA，FA没全做完，就去考试了。
短时间内提高速度和成绩的诀窍就是短期内time mode大量做题。我week day基本... 阅读全帖 |
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k**********e
发帖数: 643 | 34 你们是以什么形式讨论？
在什么地区阿？
FA. |
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S******9
发帖数: 2837 | 36 45 woman feet feel hot, the skin of her feet is pink, dry and hot.
which of the following fibers are most likely to be disrupted?
1.autonomic afferent
2.postganglionic sympathetic
3.preganglionic parasympathetic
4.somatic cutaneous afferent
感谢 |
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l*********0
发帖数: 85 | 37 Postganglionic sympathetic Remember the sweat glands are controled by the
sympathetic. |
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S******9
发帖数: 2837 | 38 哦，dry是关键词？
但是还是对题目不是很理解，开始做只排除了4和3 |
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l********y
发帖数: 2295 | 39 Tentatively Sep.9 (the coming Sat)，请站内留言，多谢！！ |
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l********y
发帖数: 2295 | 40 我们现在有3个人了，暂定在周六早上10am EST开始，有兴趣的欢迎加入。多谢！ |
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l********y
发帖数: 2295 | 41 看着最近很多比较短时间就拿下CK的牛人们，开始怀疑自己是不是在浪费时间。
目前复习的状况是这样的：kaplan note看了两遍，MTB看了1.5遍。下载的UW做了大概
80%多，正确率60－65%。上周做了个online的NBME2，500多点，不到550。
感觉UW很重要，很犹豫的就是现在是先做online的q bank然后再做online uw，还是再
做一遍online的uw。觉得offline的uw刚做了一遍，再做online的话其实是记住了题，
而不是真正的消化了。但是又觉得做q bank貌似是在浪费时间，好像很多人都没有做q
bank那。
过来人点评一下，多谢啦！！ |
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M**1
发帖数: 327 | 42 帮你顶一下. 我也想问一下Ck 的复习战屡略。
我现在觉得过一遍notes 都很累。 本来打算看看vedio， 但是现在看都没时间了。
我的计划是：
一个月（实际是40多天吧）过一遍notes；
一个月做下载的UW同时看secrets/MTB加笔记；
一个月做online UW+ MTB+NBME 1/3+ make decision for exam
一个月做online UW(wrong+mark)+ MTB+ NBME2+UWSim
不知可行否？
过来人多给建议吧。 |
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m********4
发帖数: 607 | 43 发信人: jfyn (老当益壮), 信区: MedicalCareer
标 题: Re: NBME 3 CK,沮丧中。求助！
发信站: BBS 未名空间站 (Mon Oct 18 22:52:38 2010, 美东)
UW当然最好，其次是FA，再其次是kaplan。我认为对很大一部分人来说只做U是不够的
。而且有很多人看完书上来就买UW做新题，然后反复做。我感觉这样效果不好。我都是
看完书后，做些旧题。看书是要扩展知识面，做旧题是加深知识点，其实也是在看书学
习。点面缺一不可。再下来才是买题库，time mode测试做题。新题库主要是用来测试
和练速度，再有就是进一步学习巩固知识点。除了UW外，还推荐买FA和Kaplan的题库。
FA的考点不错，题的长度和真正的考试题也很接近，值得做。Kaplan题长，有些怪，但
对提高速度很有帮助，也有一些不错的知识点。
我感觉有些人还有一个学习的误区，就是抠得太细。有些东西你花很长时间搞不懂的就
干脆放弃。谁都不可能全会。
我自己就是做完UW后感觉速度不够，考前3周做NBME2是590。立刻有买了Kaplan，两周
把Kaplan完成，速度明显提... 阅读全帖 |
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l********y
发帖数: 2295 | 44 thanks herby, i agree nbme2 is the easiest..
best luck for your study too. |
|
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s******t
发帖数: 579 | 46 Here you go.
NBME1：
BLOCK1:CBBDC FDCJH CAGCF CBFED BDBED DAABB ECCAB DEBED CACEAD
BLOCK2:BDADD EAEGC EDBEC DGAHN BBEEB CDEAA ADBFE EDDDE DDBBBB
BLOCK3:FCBBE CACAE CCAED ABGCD CAACC CAEAB BBEBA DABAA DCEDB-
BLOCK4:HEDDD GFPBA HAIBB DCECB ACEDA EABEA DDBDC GFEEB BCBEFC
NBME2：
BLOCK1：EABEB BCCDA JHDAD B-DAC ABABB AECDG DBEAC AFAGA EBECBF
BLOCK2：DBADC DBDAC BDCCB CBABE FDDE- IBEBD EBBAA DEDDB CEDECD
BLOCK3：DCCBA ABDDB EBDAC ECGCB EBCBH ECDGA DDCCB CBFED EFDBCD
BLOCK4：AABEE FCGEB ACEEF CEDJE EDEAB FD... 阅读全帖 |
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l********y
发帖数: 2295 | 47 Waiting a huge Baozi from BZ, hehe~~~
Was so nervous when I opened the report, 262/99, so happy, all my hard-working
is well paid off. -- i know people will think this is BSO, but i can't help, sorry.
first thanks my family for the great support! and all the helps and advices from all the friends here, especially the friends we studied together, I really appreciate all the helps from you guys!
Material: kaplan note+MTB(step3)+FA+UW+kaplan Q bank
Prep time: study with a busy full-time job. on-and... 阅读全帖 |
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c****r
发帖数: 494 | 48 btw, thanks for your suggestion on my CK. You was right that I should not
wait until I finished my OB. Did NBME2 last week, achieved my expectation. :
) |
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y******i
发帖数: 75 | 49 史上最小99,不过还是很高兴的.2月9日考试,3月2日拿到成绩.
感受如下:
FA 和SECRET我都买了,不过翻了翻,觉得一般,所以就没有继续再看.这也许是我没有得
高99的原因,我觉得KAPLAN NOTES还是最好的,配合UW题库,我只用了这两个.复习的时候
,我把UW的重点记在书相应内容的旁边,总后复习的时候,只看这本书就够了.
我的NBME成绩不是很好NBME1:450(考前2个月)
NBME2:420(1个半月)
NBME3:490(考前2周)
NBME4:490(3天)
CD:82%/82%/89% (1天)
UW: 580/235(1天)
考试前一天,基本没有睡着,太紧张了,因为最近版上过来人都说题干很长,时间很紧,我
的做题速度又比较慢,速度一快,正确率就要下降,所以紧张快要疯掉.当打开第一个
BLOCK的时候,读题干都不知道讲的是什么病,到第4道题大脑才恢复正常.所以没... 阅读全帖 |
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w*****i
发帖数: 220 | 50 考了半天古，在版上搜出来了一份，号称多人讨论核对版，多谢当年贴出来的前辈。转帖如下：
NBME1：
BLOCK1:CBBDC FDCJH CAGCF CBFED BDBED DAABB ECCAB DEBED CACEAD
BLOCK2:BDADD EAEGC EDBEC DGAHN BBEEB CDEAA ADBFE EDDDE DDBBBB
BLOCK3:FCBBE CACAE CCAED ABGCD CAACC CAEAB BBEBA DABAA DCEDB-
BLOCK4:HEDDD GFPBA HAIBB DCECB ACEDA EABEA DDBDC GFEEB BCBEFC
NBME2：
BLOCK1：EABEB BCCDA JHDAD B-DAC ABABB AECDG DBEAC AFAGA EBECBF
BLOCK2：DBADC DBDAC BDCCB CBABE FDDE- IBEBD EBBAA DEDDB CEDECD
BLOCK3：DCCBA ABDDB EBDAC ECGCB EBCBH ECDGA DDCCB CBFED EFDBCD
BLOCK4：AA... 阅读全帖 |
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