Page 1 of 12: Blog: USMLE step1 preparation log/diary

usmle1doc · Credits: 3768 My Scrapbook

Hello to all those preparing for USMLE step1,

I’m a regular visitor of Rxpgonline (used to visit GRE forum previously) and have decided to take the USMLE path for my residency in my subject of interest. After this decision I had an addiction of reading posts of other USMLE forums and finally have decided a strategy and final list of books to study after filtering numerous of them. I’ve revealed that problems and game plans of medical students in India are a lot different as most of us write this exam AFTER completion of MBBS again during or after internship. This is very much evident from the topics like “Whether to join Kaplan or not?” and “availability of recent material” etc.
I’m starting this thread, Just to monitor the preparation of myself (lazy, procrastinator, tangential) as well as those all who are in the phase of serious and sincere preparation. It would be like a regular diary of a medico with study related events throughout day in it. It would be a good tool for many like me to alter certain things about source of study and method of study based on the suggestions of all the rxpg members.
Finally it would be a good resource in retrospect about “how to prepare for usmle1” (or otherwise) after the final scores. Although I’ve made my own line of prep it would be great to have inputs from all others about their experiences while studying. We can even post interesting points during reading on this thread, which would help all of us.

My aim - score of 95+
My limitation - Short time (8 weeks) for preparation
My strength - Full one year study for AIPG covering retrospective reading of all subjects
And RXPGONLINE forum16 members inputs.
My resources- First aid 2006
Step-up
BRS-Pathology , Physiology , behavioural science
High Yield- Anatomy , embryo, histo, neuroanatomy
Kaplan notes (specifically Biochemistry )
Clinical micro made ridiculously simple
Kaplan DVDs (behavioral science, neuroanat, biochem, pharmac)
Goljan audio + notes + high yield
Qbank-kaplan (online) in last 4 weeks (100 qs/day)

Rakhi would be a great “muhurt” to start the schedule

Today’s target- Comprehensive review from First Aid-2006 General info

I know with sincere efforts and help of you guys I CAN DEFINITELY MAKE IT!

usmle1doc · Credits: 3768 My Scrapbook

"Well begun is half done"
After making plan and actually posting it on this forum made me feel a bit serious about my preparation.
I just tried to figure out the overall big picture of the long way (actually short as its only 8 weeks) of my studies. But there was a diffrence this time.I'm filled with positive enrgy. Went through the compilation of exam experiences and general inforamtio section of First aid. I'm starting to develop optimism.
Todays good point- While going thruogh the study strategies part of FA i read that solving sample Qs (150 released by ecfmg) is a good start to know the weak areas. Its a good idea!!!!!!
I'll try to solve these Qs tonite. Lets see if it works!!!!

usmle1doc · Credits: 3768 My Scrapbook

Ahh! Its a beautiful day today!!!!!!!!
One of most iportant festivals celebrating the immortal relationship of brother and sister! I'm goona remove alll the friendship band recently tied to make space for "Rakhi".

I took my sample test yesterday. My score 43, 41, 43. Felt very very good.
But later I reminded myself that these are just sample Qs for orienting oneself to the software (FRED) and format of questions and that these may not represent level of difficulty of real thing.

Todays good point- Pathology and physiology costitutes >50% even in sample test which makes them very very high yield. Its good to master these subjects first alonwith parallel prep of ther subjects from FA.

Todays target- Seems i'll have take off due to scheduled visits to my sisters for rakhi. Still I'd try my best to start with BRS Physiology . Lets see if Ican do it!!!!!!!!!![b]

usmle1doc · Credits: 3768 My Scrapbook

It seems I had given command of not studying to my subconscious mind while writing post in the morning.
I couldn't start BRS Physio. But had a fun filled day.
Now trying to "rationalize" that good mindset is necessary for preparation whichis usually built up by events and get togethers like rakhi.
But finally managed to sit down and think about tomorrows plan.

Todays good point- I realised while deciding between physio and patho that these subjects are very much complementary. So it would be beneficial to go with systemic appoach e.g. reading endo from physio followed by patho making it 'pathophysio" in real sense.

Tomorrows target- Endocrines, Renal, GI for BRS physio n patho.

usmle1doc · Credits: 3768 My Scrapbook

"Aim for the stars and you'll atleast end up on high clouds"

While writing about my todays target in last post I was full of enthusiasm but during the actaul execution of plan i realised that IT WAS TOO MUCH......and it was not "realistic" to cover this huge target.

However I'm proud of myself that procrastinator like me could complete about 2/3 of the estimated target. I completed my endocrines and gasto from BRS physio as well as BRS Pathology . Reading endocrines and GI from physio was really very painfull due to lots of hormones and their actions so it took lot of time. It took 3.5 hours to complete 30 pages of endocrinology in physio. Butirecognised the importance fo assimilating a concept when I was reading endo from Pathology . I was glided through the whole endo path in very less time as i could make out the features of disorder based n its basic pathophysio like increase/decrease in hormone. Same was the case with GI but not compable to endocrines.

There are lots of arrow questions on USMLE (what increases and what decreases). In my opinion its very much managable to grab these points once the cocepts and effect of hormones/enymes are well understood and then co related accordingly to the pathological process/disease.

Todays good point-

Studying Physiology and consequently Pathology saves a lot of time and better for long term memory due to logical associations. Specifically hormones, actions and diseases due to different levels.
BRS patholgy rocks for its simple and to the point details. It has no minutea which are not required. Tiny bits of clinical correlation can be made very well from goljan AUDIO. reading RR patho is waste of time if Goljan Audio+ BRS are used.

Tomorrows target-

Renal physio,patho, male/female reproductive patho (physio coveved in endocrines already)

usmle1doc · Credits: 3768 My Scrapbook

Hi,

While scanning my misc. material for USMLE prep I got the good document named "medical students amnesia". Its really good for quick reference of disesase which has names/eponyms.

Thought that it would be useful to others so posting it here....

Regards,USMLEDOC

Addison’s Disease 1. Primary adrenocortical deficiency

Addisonian Anemia 2. Pernicious anemia (antibodies to intrinsic factor or parietal cells ® ¯IF ® ¯Vit B12 ® megaloblastic anemia)

Albright’s Syndrome 3. Polyostotic fibrous dysplasia, precocious puberty, café au lait spots, short stature, young girls

Alport’s Syndrome 4. Hereditary nephritis with nerve deafness

Alzheimer’s 5. Progressive dementia

Argyll-Robertson Pupil 6. Loss of light reflex constriction (contralateral or bilateral)7. “Prostitute’s Eye” – accommodates but does not react8. Pathognomonic for 3°Syphilis9. Lesion pretectal region of superior colliculus

Arnold-Chiari Malformation 10. Cerebellar tonsil herniation through foramen magnum = see thoracolumbar meningomyelocele

Barrett’s 11. Columnar metaplasia of lower esophagus (* risk of adenocarcinoma)- constant gastroesophageal reflux

Bartter’s Syndrome 12. Hyperreninemia

Becker’s Muscular Dystrophy 13. Similar to Duchenne, but less severe (mutation, not a deficiency, in dystrophin protein)

Bell’s Palsy 14. CNVII palsy (entire face; recall that UMN lesion only affects lower face)

Berger’s Disease 15. IgA nephropathy causing hematuria in kids, usually following infection

Bernard-Soulier Disease 16. Defect in platelet adhesion (abnormally large platelets & lack of platelet-surface glycoprotein)

Berry Aneurysm 17. Circle of Willis (subarachnoid bleed) Anterior Communicating artery18. Often associated with ADPKD

Bowen’s Disease 19. Carcinoma in situ on shaft of penis (* risk of visceral ca) [compare w/ Queyrat]

Brill-Zinsser Disease 20. Recurrences of rickettsia prowazaki up to 50 yrs later

Briquet’s Syndrome 21. Somatization disorder22. Psychological: multiple physical complaints without physical Pathology

Broca’s Aphasia 23. Motor Aphasia (area 44 & 45) intact comprehension

Brown-Sequard 24. Hemisection of cord (contralateral loss of pain & temp / ipsilateral loss of fine touch, UMN / ipsi loss of consc. Proprio)

Bruton’s Disease 25. X-linked agammaglobinemia (¯ B cells)

Budd-Chiari 26. Post-hepatic venous thrombosis = ab pain; hepatomegaly; ascites; portal HTN; liver failure

Buerger’s Disease 27. Acute inflammation of medium and small arteries of extremities * painful ischemia * gangrene 28. Seen almost
exclusively in young and middle-aged men who smoke.

Burkitt’s Lymphoma 29. Small noncleaved cell lymphoma EBV30. 8:14 translocation31. Seen commonly in jaws, abdomen, retroperitoneal soft tissues32. Starry sky appearance

Caisson Disease 33. Nitric gas emboli

Chagas’ Disease 34. Trypansoma infection - cardiomegaly with apical atrophy, achlasia

Chediak-Higashi Disease 35. (AR) Phagocyte Deficiency = defect in microtubule polymerization36. Neutropenia, albinism, cranial & peripheral neuropathy & repeated infections w/ strep & staph

Conn’s Syndrome 37. Primary Aldosteronism: HTN; retain Na+ & H2O; hypokalemia (causing alkalosis); ¯ renin

Cori’s Disease 38. Type III Glycogenosis – Glycogen storage disease (debranching enz: amylo 1,6 glucosidase def. Glycogen)

Creutzfeldt-Jakob 39. Prion infection * cerebellar & cerebral degeneration

Crigler-Najjar Syndrome 40. Congenital hyperbilirubinemia (unconjugated)41. Glucuronyl transferase deficiency. Can progress to
Kernicterus42. Less severe form will respond to Phenobarbital therapy

Crohn’s 43. IBD; ileocecum, transmural, skip lesions, cobblestones, lymphocytic infiltrate, granulomas44. (contrast to UC: limited to colon, mucosa & submucosa, crypt absces
ses, pseudopolyps, * colon cancer risk)45. Clinically: ab pain & diarrhea; fever; malabsorption; fistulae b/t intestinal loops & abd structures

Curling’s Ulcer 46. Acute gastric ulcer associated with severe burns

Cushing’s 47. Disease: Hypercorticism 2* to * ACTH from pituitary (basophilic adenoma)48. Syndrome: hypercorticism of all other causes (1* adrenal or ectopic)49. - moon face; buffalo hump; purple striae; hirsutism; HTN; hyperglycemia

Cushing’s Ulcer 50. Acute gastric ulcer associated with CNS trauma

de Quervain’s Thyroiditis 51. Self-limiting focal destruction (subacute thyroiditis)

DiGeorge’s Syndrome 1. Failure of 3rd & 4th pharyngeal pouches formation: Thymus & Parathyroid2. Thymic hypoplasia * T-cell deficiency3. Hypoparathyroidism à Tetany

Down’s Syndrome 4. Trisomy 21 or translocation – Simian Crease

Dressler’s Syndrome 5. Post-MI Fibrinous Pericarditis autoimmune

Dubin-Johnson Syndrome 6. Congenital hyperbilirubinemia (conjugated) = bilirubin transposrt is defective not conjugation7. Striking brown-to-black discoloration of the liver

Duchenne Muscular Dystrophy 8. Deficiency of dystrophin protein * MD X-linked recessive

Edwards’ Syndrome 9. Trisomy 1810. Rocker-bottom feet, low ears, small lower jaw, heart disease

Ehler’s-Danlos 11. Defective collagen

Eisenmenger’s Complex 12. Late cyanotic shunt (R®L) pulmonary HTN & RVH 2° to long-standing VSD, ASD, or PDA

Erb-Duchenne Palsy 13. Trauma to superior trunk of brachial plexus Waiter’s Tip

Ewing Sarcoma 14. Malignant undifferentiated round cell tumor of bone in boys <15yoa - t11;22

Eyrthroplasia of Queyrat 15. Carcinoma in situ on glans penis

Fanconi’s Syndrome 16. Impaired proximal tubular reabsorption 2* to lead poisoning or Tetracycline (glycosuria, hyperphosphaturia, aminoaciduria, systemic acidosis)

Felty’s Syndrome 17. Rheumatoid arthritis, neutropenia, splenomegaly

Gardner’s Syndrome 18. AD = adenomatous polyps of colon, osteomas & soft tissue tumors

Gaucher’s Disease 19. Lysosomal Storage Disease glucocerebrosidase deficiency – glucocerebroside accumulation20. Hepatosplenomegaly, femoral head & long bone erosion, anemia

Gilbert’s Syndrome 21. Benign congenital hyperbilirubinemia (unconjugated) = ¯d glucuronyl transferase activity

Glanzmann’s Thrombasthenia 22. Defective glycoproteins on platelets = deficient platelet aggregation

Goodpasture’s 23. Autoimmune: ab’s to glomerular & alveolar basement membranes. Seen in men in their 20’s

Grave’s Disease 24. Autoimmune hyperthyroidism (TSI): IgG Ab reactive w/ TSH receptors. Low TSH & TRH – High T3 / T4

Guillain-Barre 25. Polyneuritis following viral infection/ autoimmune (ascending muscle weakness & paralysis; usually self-limiting)
Hamman-Rich Syndrome 26. Idiopathic pulmonary fibrosis. Can see honey comb lung.

Hand-Schuller-Christian 27. Chronic progressive histiocytosis

Hashimoto’s Thyroiditis 28. Autoimmune hypothyroidism. May have transient hyperthyroidism. Low T3 /T4 & High TSH

Hashitoxicosis 29. Initial hyperthyroidism in Hashimoto’s Thyroiditis that precedes hypothyroidism

Henoch-Schonlein purpura 30. Hypersensivity vasculitis = allergic purpura. Lesions have the same age.31. Hemmorhagic urticaria (with fever, arthralgias, GI & renal involvement)32. Associated with upper respiratory infections

Hirschprung’s Disease 33. Aganglionic megacolon

Horner’s Syndrome 34. Ptosis, miosis, anhidrosis (lesion of cervical sympathetic nerves often 2* to a Pancoast tumor)

Huntington’s (Chromosome 4) 35. AD: Progressive degeneration of caudate nucleus, putamen (striatum) & frontal cortex ¯ GABA

Jacksonian Seizures 36. Epileptic events originating in the primary motor cortex (area 4)

Job’s Syndrome 1. Immune deficiency: neutrophils fail to respond to chemotactic stimuli 2. Defective neutrophilic chemotactic response = repeated infections3. Commonly seen in light-skinned, red-haired girls37. ’d IgE levels

Kaposi Sarcoma 38. Malignant vascular tumor (HHV8 in homosexual men)

Kartagener’s Syndrome 39. Immotile cilia 2° to defective dynein arms infection, situs inversus, sterility

Kawasaki Disease 40. Mucocutaneous lymph node syndrome in kids (acute necrotizing vasculitis of lips, oral mucosa)

Klinefelter’s Syndrome 41. 47, XXY: Long arms, Sterile, Hypogonadism

Kluver-Bucy 42. Bilateral lesions of amygdala (hypersexuality; oral behavior)

Krukenberg Tumor 43. Adenocarcinoma with signet-ring cells (typically originating from the stomach) metastases to 44. the ovaries

Laennec’s Cirrhosis 45. Alcoholic cirrhosis

Lesch-Nyhan 46. HGPRT deficiency47. Gout, retardation, self-mutilation

Letterer-Siwe 48. Acute disseminated Langerhans’ cell histiocytosis

Libman-Sacks 49. Endocarditis with small vegetations on valve leaflets50. Associated with SLE

Lou Gehrig’s 51. Amyotrophic Lateral Sclerosis degeneration of upper & lower motor neurons

Mallory-Weis Syndrome 52. Bleeding from esophagogastric lacerations 2* to wretching (alcoholics)

usmle1doc · Credits: 3768 My Scrapbook

Marfan’s 1. Connective tissue defect: defective Fibrillin gene Dissecting aortic aneurysm, subluxation of lenses

McArdle’s Disease 2. Type V Glycogenosis - Glycogen storage disease (muscle phosphorylase deficiency = Glycogen)

Meckel’s Diverticulum 3. Rule of 2’s: 2 inches long, 2 feet from the ileocecum, in 2% of the population4. Embryonic duct origin; may have ectopic tissue: gastric/pancreatic remnant of vitteline duct/yolk stalk

Meig’s Syndrome 5. Triad: ovarian fibroma, ascites, hydrothorax – associated w/ fibroma of ovaries

Menetrier’s Disease 6. Giant hypertrophic gastritis (enlarged rugae; plasma protein loss)

Monckeberg’s Arteriosclerosis 7. Calcification of the media (usually radial & ulnar aa.)

Munchausen Syndrome 8. Factitious disorder (consciously creates symptoms, but doesn’t know why)

Nelson’s Syndrome 9. 1* Adrenal Cushings * surgical removal of adrenals * loss of negative FEEDBACK to pituitary * Pituitary Adenoma

Niemann-Pick 10. Lysosomal Storage Disease (sphingomyelinase deficiency – sphingomyelin accumulation)11. “Foamy histiocytes”

Osler-Weber-Rendu Syndrome 12. Hereditary Hemorrhagic Telangiectasia. Seen in the Mormon’s of Utah.

Paget’s Disease 13. Abnormal bone architecture (thickened, numerous fractures * pain)

Pancoast Tumor 14. Bronchogenic tumor with superior sulcus involvement * Horner’s Syndrome

Parkinson’s 15. Dopamine depletion in nigrostriatal tracts

Peutz-Jegher’s Syndrome (AD) 16. Melanin pigmentation of lips, mouth, hand, genitalia + hamartomatous polyps of small intestine

Peyronie’s Disease 17. Subcutaneous fibrosis of dorsum of penis

Pick’s Disease – 2 Different Diseases - 18. 1. Progressive dementia similar to Alzheimer’s

Plummer’s Syndrome 21. Hyperthyroidism, nodular goiter, absence of eye signs (Plummer’s = Grave’s - eye signs)

Plummer-Vinson 22. Esophageal webs & iron-deficiency anemia, spoon-shaped nails, SCCA of esophagus

Pompe’s Disease 23. Type II Glycogenosis – Glycogen storage disease * cardiomegaly (a 1,4 Glucosidase deficiency: Glycogen)

Pott’s Disease 24. Tuberculous osteomyelitis of the vertebrae

Potter’s Complex 25. Renal agenesis * oligohydramnios * hypoplastic lungs, defects in extremities

Raynaud’s 26. Disease: recurrent vasospasm in extremities = seen in young, healthy women27. Phenomenon: 2* to underlying disease (SLE or scleroderma)

Reiter’s Syndrome 28. Urethritis, conjunctivitis, arthritis non-infectious (but often follows infections), HLA-B27, polyarticular

Reye’s Syndrome 29. Microvesicular fatty liver change & encephalopathy30. 2* to aspirin ingestion in children following viral illness, especially VZV

Riedel’s Thyroiditis 31. Idiopathic fibrous replacement of thyroid

Rotor Syndrome 32. Congenital hyperbilirubinemia (conjugated)33. Similar to Dubin-Johnson, but no discoloration of the liver

Sezary Syndrome 34. Leukemic form of cutaneous T-cell lymphoma (mycosis fungoides)

Shaver’s Disease 35. Aluminum inhalation ® lung fibrosis

Sheehan’s Syndrome 36. Postpartum pituitary necrosis = hemorrhage & shock usually occurred during delivery

Shy-Drager 37. Parkinsonism with autonomic dysfunction & orthostatic hypotension

Simmond’s Disease 38. Pituitary cachexia – can occur from either pituitary tumors or Sheehan’s

Sipple’s Syndrome 39. MEN type IIa = pheochromocytoma, thyroid medullary CA, hyperparathyroidism

Sjogren’s Syndrome 40. Triad: dry eyes, dry mouth, arthritis risk of B-cell lymphoma

Spitz Nevus 41. Juvenile melanoma (always benign)

Stein-Leventhal 42. Polycystic ovary: see amenorrhea; infertility; obesity; hirsutism = LH secretion

Stevens-Johnson Syndrome 43. Erythema multiforme, fever, malaise, mucosal ulceration (often 2° to infection = mycoplasma or sulfa drugs)

Still’s Disease 44. Juvenile rheumatoid arthritis (absence of rheumatoid factor)

Takayasu’s arteritis 45. Aortic arch syndrome46. Loss of carotid, radial or ulnar pulses = pulseless disease. Night sweats.47. Common in young Asian females

Tay-Sachs (AR) 48. Gangliosidosis (hexosaminidase A deficiency * GM2 ganglioside) Cherry Red Spots of the Macula

Tetralogy of Fallot 49. 1.VSD, 2.overriding aorta, 3.pulmonary artery stenosis, 4.right ventricular hypertrophy

Tourette’s Syndrome 50. Involuntary actions, both motor and vocal Txt w/ Pimozide

Turcot’s Syndrome 51. Colon adenomatous polyps plus CNS tumors

Turner’s Syndrome 52. 45, XO = most common cause of Primary Amenorrhea. No Barr body on buccal smear.

Vincent’s Infection 156. “Trench mouth” – acute necrotizing ulcerative gingivitis due to Fusobacterium

Von Gierke’s Disease 157. Type I Glycogenosis – Glycogen storage disease (G6Ptase deficiency) – Glycogen accumulaiton

Von Hippel-Lindau 158. Hemangioma (or hemangioblastoma) = cerebellum, brain stem, & retina159. Adenomas of the viscera, especially Renal Cell Carcinoma160. Chromosome 3p

Von Recklinghausen’s 161. Neurofibromatosis & café au lait spots & Lisch nodules (Chromosome 17)

Von Recklinghausen’s Disease of Bone 162. Osteitis fibrosa cystica (“brown tumor”) 2* to hyperparathyroidism = osteoclastic resorption w/ 163. fibrous replacement

Von Willebrand’s Disease (AD) 164. Defect in platelet adhesion 2* to deficiency in vWF. aPPT, Bleed time

Waldenstrom’s macroglobinemia 165. Proliferation of IgM-producing lymphoid cells in men 50-70 yoa; PAS(+) Dutcher bodies

Wallenberg’s Syndrome 166. Posterior Inferior Cerebellar Artery (PICA) thrombosis “Medullary Syndrome”167. Ipsilateral: ataxia, facial pain & temp; Contralateral: body pain & temp

Waterhouse-Friderichsen 168. Adrenal insufficiency 2* to DIC169. DIC 2* to meningiococcemia

Weber’s Syndrome 170. Paramedian Infarct of Midbrain171. Ipsilateral: mydriasis; Contralateral: UMN paralysis (lower face & body)

Wegener’s Granulomatosis 172. Necrotizing granulomatous vasculitis of paranasal sinuses, lungs, kidneys, etc.

Weil’s Disease 173. Icteric Leptospirosis non-icteric prgresses to renal failure & myocarditis174. Dark field microscopy for dx

Wermer’s Syndrome 175. MEN type I = thyroid, parathyroid, adrenal cortex, pancreatic islets, pituitary

Wernicke’s Aphasia 176. Sensory Aphasia impaired comprehension

Wernicke-Korsakoff Syndrome 177. Thiamine deficiency in alcoholics; bilateral mamillary bodies (mediodorsal nucleua) (confusion, ataxia, ophthalmoplegia)

Whipple’s Disease 178. Malabsorption syndrome (with bacteria-laden macrophages) & polyarthritis

Wilson’s Disease 179. Hepatolenticular degeneration (copper accumulation [Txt w/ Penicillamine ] & decrease in ceruloplasmin)180.
Mallory Bodies in the Liver & also w/ alcoholic hepatitis & Hyaline change 181. Chromosome 13

Wiskott-Aldrich Syndrome 182. Immunodeficiency: combined B- &T-cell deficiency (thrombocytopenia & eczema)183. ¯ IgM w/ IgA

Wolff-Chaikoff Effect 184. High iodine level (*)’s thyroid hormone synthesis

Zenker’s Diverticulum 185. Esophageal; cricopharyngeal muscles above UES

Zollinger-Ellison 186. Gastrin-secreting tumor of pancreas (or intestine) * * acid * recurrent ulcers

Roger’s Disease 187. Interventricular septal defect

Barlow’s Syndrome 188. Floppy vale syndrome – women b/t 20-40 yoa

Bracht-Wachter Lesions 189. Minute abscesses found in subacute bacterial endocarditis

Lutembacher’s Syndrome 190. Combination of septum secundum atrial septal defect w/ mitral stenosis

Schmidt’s Syndrome 191. Autoimmnue thyroid Disease (Hashimoto’s ) & insulin-dependent diabetes

usmle1doc · Credits: 3768 My Scrapbook

VHL 3p Von Hippel Lindau, Renal Cell CA
APC 5p Familial adenomatous polyposis, Colon CA
WT-1 11p Wilm’s tumor
Rb 13q Retinoblastoma, Osteosarcoma
BRCA-2 13q Breast CA
p53 17p Most human Cas
NF-1 17q Neurofibromatosis type 1
BRCA-1 17q Breast CA, Ovarian CA
DCC 18q Colon & Stomach CA
DPC 18q Pancreatic CA
NF-2 22q Neurofibromatosis type 2 = bilateral acoustic neuroma

usmle1doc · Credits: 3768 My Scrapbook

"......Marcus you can't see what's hidden in future"

No matter how serious and sincere you are about your studies still oyu have to be the slave of "time".
Same thing happened yesterday with me. I was well set with the resources, had a "realistic' goal and had no prior engagments whatsoever to disturb my schedule but still certain things happende that I had to discontinue the flow and had to leave to attned the urgency.

Still I realised the value of time as I started studying right at the first chance instead of waiting for my 'scheduled tie for study after walk
bath and blah blah blah" so that I could finish most of the part of target.
I completed Male and female reproductive path, Renal path from BRS path with the bonus of Skin path from BRS Pathology .
However I could not even start Renal Physiology from costanzo. And this is what i feel badabout just coz it was pretty managable and realistic
had it been the continuos study.

Todays good point-

While making schedules its always wise to allow some "space" for flexibility to patch up the material not covered due to unforeseen emergencies.

Know well about WT1 and WT2 genes and their associations with synromes asso. with wilms tumour-
WT2 is only asso with bechewith wodeman syndrome, for rest of the 3 its WT1

Todays's target-

Huh! its the continuation of yesterdays event that I'll have invest much of time again. And tomorow I have the unvitable family engagement. Turnig out to be "real weekend". Still would try to complete RENAL physio and Repiratory physio and patho
Lets see how much bonus i can cover .....
[/b]

usmle1doc · Credits: 3768 My Scrapbook

Well well well, bonus apart, I couldn't even achieve 25% target for these 2 days of weekend. Reason- familial responsibilities and associated functions/engagements/illness/urgencies(not emergencies)........

At times I feel that I shold also be studying in sme hotel or join expensive classes like others to keep me away form all these distractions. But then I realise that 70+K only for "motivation" is too much and there is no guarantee that i'll have full time for study while doing that! I won't let myself misguided by those who have got "caught" into the trap of K*p**n and trying to let others do the same by pompous descriptions of changes made in new thingy. Whatever its a personal choice i'd say.. in my opinion even the recent notes are ok to have as the excellent review books are much better than K****n stuff.

So what next? I've decided to come out of my "comfort zone" and kick by b@#t off to complete the backlog while achieving new target this week as per regular plan. That would include "stealing " of time from phone calls, internet and sleep. Even if i can produce 2 extra hours a day the whole problem wil be solved.

Just need your support and i know i'll surely get it......

This weeks schedule- Complete remaining physio (costnzo-BRS) and Patho (Shnieder-BRS) with related charts from "kaplan medessentials"

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