Page 1 of 3: FAQ: How to get 99 in USMLE Step 1?

zoondub · Credits: 1810 My Scrapbook

HELLO PEOPLE
BEFORE U START GIVING TOO MUCH VALUE TO THE USMLE EXAM --KNOW THIS -- ALL THIS IS HYPE
THE EXAM ITSELF IS RUBBISH
WE WASTED FOUR -FIVE MONTHS PREPARING FOR IT WHEN IN REALITY THEY GIVE Q'S THAT CAN BE CRACKED BY ANY SECOND YEAR STUDENT IN HIS SLEEP.....

ILL BE MORE THAN GLAD TO HELP U OUT ,
U CAN CONTACT ME, ASRAR PG SKIMS, RIZWAN PG SKIMS, KHALIL . PG SKIMS ALL GMC SRINAGAR PASSOUTS

JUST REPLY WAT U WANT

zoondub · Credits: 1810 My Scrapbook

Hello there
Take this list and save it in ur PC , jot down later!!
1 Anatomy -high yield neuroanatomy embryology, rest mcqs
2 physio -brs physio
3 biochem-lippincott
4 patho -brs and robbins review
5 micro and immunology -levinson and jawetz
6 pharma -lippincott
7 behavioural science- high yield AND THE KAPLAN BOOK
8 Psychiatry -high yield
916 First Aid for the USMLE 2004- excellent review for the basic sciences( i recommend this!)

]HOW to start:: see we know the subject but have forgotten the few lines here and there which make up a concept-right? now we dont want to study again what we already know, but we must be sure what exactly we have forgotten( is it the receptors, is it the mechanism, renal or hepatic excretion?, which nerve?, osteosarcoma is usually seen in knee or hip?, meningioma is seen in men or women??--things like that!!)
But also we need to know if our present knowledge is correct!!
BEST method is to do MCQ papers rt now( u r not supposed to know every question so no panic will be there) set up a strict time for the exam and see how u do--it takes days just to get oriented to it but if u persist you will finish the paper in required time.
THEN FOLLOW UR INSTINCTS and dont complain u dont have any!!!!

HOPE THATS enough
bye and zzzzzzzzzzzz

zoondub · Credits: 1810 My Scrapbook

I CAN HELP U GUYS GET 99
NOT ONE OF THOSE "PAY ME" GUYS

TEL ME WHAT U NEED

Length of Fetus
Length of fetus is measured during pregnancy as:-i.e., the progress of growth of the fetus in length in IU life. It should not be confused with the length of fundal ht.

Crown-rump length:- is measured in first
half of pregnancy i.e., upto 20 wks measure from Vx to Coccyx
fetal length is more helpful in - prematurity than in post maturity

Crown-heel length:- from the end of square the no. of lunar month at the time of --- - exam and multiply *5 in cm. e.g., 8th month * - 5 =40 cm
20 wks in the 2nd half of pregnancy

CHL in 1st half of pregnancy=squaring the no. of lunar months*4 e.g.., 4*4=16 cm
Normally at the end of:-
12w=7cm 32w=39-41cm
16w=18-27cm 36w=42-44cm
24w=28-34cm 40w=50-53cm
28w=35-38cm
After 20wk the fetal length in inches is equal to half of no. of gestational age in weeks.e.g., at 28wk =14 inches.

Estimation of fetal wt in grams
1) Johnson’s Formula :-it is applicable only in Vx presentation e.g., F Ht(cms)—above the pubic symphysis minus 12 if Vx above I S or minus 11 if below I Spines. Then multiply by 155=fetal wt in gms e.g., 32-12*155(155 is constant)=20*155=3100gms
2) (Fetal ht in cms-n)/3=lbs.
3) Calculation of Intrauterine fetal wt by pelvimeter
It is 90% accurate(see new Dawn 112 page)

Age of the fetus by clinical methods
i.e., calculation of gestational age clinically
A) Haase’s rule: 1st 5 lunar months::the fetal length in cms=16=4*4—it’s square is the no. of lunar month
2nd 5 lunar months::the fetal length in cms divided by 5=e.g., 40cm/5=8th lunar month
B) Gravidography: (Gravidogram):serial tape measurements of the distance from pubic symphysis to fundus in cms (after emptying the bladder) throughout pregnancy are taken. These are charted graphically against gestational maturity in completed weeks. On repetition these values get increased with advancing gestation. The continued increase in fundal ht and abdominal girth indicate continued fetal growth. Height of the topmost level of the uterine fundus=5 cms(2inches) above the pubic symphysis=16 w
=2.5 cm( 1 inch) below umbilicus=20 w
=lower border of umbilicus =22 w
=upper border of umbilicus =24 w
MacDonald’s rule:- after 24-26 wk of pregnancy, onwards upto term
The ht of the growing fundus (in cms) divided by 3.5=gestational age in lunar months.e.g., if it is 32 cms=then it is 8 ½ months (34wks)
But this is a poor measurement since=
1) the volume of am fluid (hydramnios)
2) multiple pregnancies
3) variations in abd wall thickness
4) full engagement of fetal head near term
may alter the measurement.
Before 20-24wks=height of the fundus from pubic symphysis to umbilicus *2/7=duration of pregnancy in lunar months or *8/7=duration of pregnancy in weeks.
-At 28 weeks, the fundal ht lies at the lower 1/3rd of the distance between the xiphisternum and umbilicus.
-At 30wks it lies midway between them.
-At 36wks, it reaches upto the level of xiphisternum.
-From 36-40wks, it lies at the level of 32-34wks again due to
a) engagement of fetal head / breech into pelvis
b) or simple dropping down of fetal head or breech into pelvis
c) due to liquor amnii absorption
this is known as Lightening-a sensation felt by mother at the level of her stomach after 38 wk --she feels a sense of emptiness at the epigastric region.
=the mean fundal ht at 20w=about 20 cms
at 40w=about 36cms( fundal ht from superior border of symphysis pubis to xiphisternum) standard charts are available for this( P K Din p23)
-at the end of 16wks, the fundus may be felt nearly midway between the umbilicus and symphysis pubis
-at the end of 20wks, the fundus occupies the 2/3rd of the distance between umbilicus and the sym pubis
-after the 12th week, the fundus rises about ½ per week or 1 inch/2 weeks( 2.5 cm/ 2weeks)
-after 20th week average upward growth of the fundus is 3.75-5cms( 1 ½ -2 inches) per month ( non TLT)
-at about 24wks, the fundal ht lies at the upper border of the umbilicus (Eastman)
Fundal ht is clinically assured on repeated obstetric exam by the same obstetrician by relating the top level of the uterine fundus, above the pubic symphysis to certain abd landmarks

Serial Measurement of Abdominal Girth at the Level of Umbilicus after 1st half of Pregnancy
(Not before that)

At 30 wks = normal in 30 inches; 1 inch increase per week occurs till near term. The progressive increase is more important than a single measurement. So serial measurement of increase in abd girth with advancing are taken. This is not accurate.

Changes in Weight Gain
Normally there is a steady increase in weight of a pregnant women until the last 2-3 weeks of pregnancy. It stops increasing at about term. It may remain stationary----may begin to fall which means that pregnancy is at least mature.
In normal pregnancy –the wt gain should not exceed 2 ½ kilograms in any one month or 0.9 kg in a week.
The max permissible wt gain throughout the whole period of pregnancy is about 10 or 11 kg( about 24 lbs) although 12 ½ kgs is allowed—1/3rd of this wt—increases in 1st 20 wks. Another 1/3rd =next 10 wks. Remaining 1/3rd =between 30 wk to term.

doc_ravi · Credits: 118 My Scrapbook

Hi
I did my mbbs 6 yr back and i may appear next yr.

I dont think i will go for kaplan coaching, so plz guide me what/how to prepare for USMLE .... in detail.
My [snip] and [snip] id is rsjaurr.
waiting for ur response......

zoondub · Credits: 1810 My Scrapbook

Dont spend money on kaplan.
high yield BRS BSS is sufficient
u shud muv fast and get ECFHMG cert before sept 1 , the deadline for step 3.
regards

manoharsg · Credits: 78765 My Scrapbook My Reading List 262569 Books

i am currently in my final year please give me details regarding the aggregate marks required in mbbs to appear for USMLE .I even want to know that is there nay criteria (minimum marks required in medial) to write the USMLE examintaion.pls guide me

Length of Fetus
Length of fetus is measured during pregnancy as:-i.e., the progress of growth of the fetus in length in IU life. It should not be confused with the length of fundal ht.

Crown-rump length:- is measured in first
half of pregnancy i.e., upto 20 wks measure from Vx to Coccyx
fetal length is more helpful in - prematurity than in post maturity

Crown-heel length:- from the end of square the no. of lunar month at the time of --- - exam and multiply *5 in cm. e.g., 8th month * - 5 =40 cm
20 wks in the 2nd half of pregnancy

CHL in 1st half of pregnancy=squaring the no. of lunar months*4 e.g.., 4*4=16 cm
Normally at the end of:-
12w=7cm 32w=39-41cm
16w=18-27cm 36w=42-44cm
24w=28-34cm 40w=50-53cm
28w=35-38cm
After 20wk the fetal length in inches is equal to half of no. of gestational age in weeks.e.g., at 28wk =14 inches.

Estimation of fetal wt in grams
1) Johnson’s Formula :-it is applicable only in Vx presentation e.g., F Ht(cms)—above the pubic symphysis minus 12 if Vx above I S or minus 11 if below I Spines. Then multiply by 155=fetal wt in gms e.g., 32-12*155(155 is constant)=20*155=3100gms
2) (Fetal ht in cms-n)/3=lbs.
3) Calculation of Intrauterine fetal wt by pelvimeter
It is 90% accurate(see new Dawn 112 page)

Age of the fetus by clinical methods
i.e., calculation of gestational age clinically
A) Haase’s rule: 1st 5 lunar months::the fetal length in cms=16=4*4—it’s square is the no. of lunar month
2nd 5 lunar months::the fetal length in cms divided by 5=e.g., 40cm/5=8th lunar month
B) Gravidography: (Gravidogram):serial tape measurements of the distance from pubic symphysis to fundus in cms (after emptying the bladder) throughout pregnancy are taken. These are charted graphically against gestational maturity in completed weeks. On repetition these values get increased with advancing gestation. The continued increase in fundal ht and abdominal girth indicate continued fetal growth. Height of the topmost level of the uterine fundus=5 cms(2inches) above the pubic symphysis=16 w
=2.5 cm( 1 inch) below umbilicus=20 w
=lower border of umbilicus =22 w
=upper border of umbilicus =24 w
MacDonald’s rule:- after 24-26 wk of pregnancy, onwards upto term
The ht of the growing fundus (in cms) divided by 3.5=gestational age in lunar months.e.g., if it is 32 cms=then it is 8 ½ months (34wks)
But this is a poor measurement since=
1) the volume of am fluid (hydramnios)
2) multiple pregnancies
3) variations in abd wall thickness
4) full engagement of fetal head near term
may alter the measurement.
Before 20-24wks=height of the fundus from pubic symphysis to umbilicus *2/7=duration of pregnancy in lunar months or *8/7=duration of pregnancy in weeks.
-At 28 weeks, the fundal ht lies at the lower 1/3rd of the distance between the xiphisternum and umbilicus.
-At 30wks it lies midway between them.
-At 36wks, it reaches upto the level of xiphisternum.
-From 36-40wks, it lies at the level of 32-34wks again due to
a) engagement of fetal head / breech into pelvis
b) or simple dropping down of fetal head or breech into pelvis
c) due to liquor amnii absorption
this is known as Lightening-a sensation felt by mother at the level of her stomach after 38 wk --she feels a sense of emptiness at the epigastric region.
=the mean fundal ht at 20w=about 20 cms
at 40w=about 36cms( fundal ht from superior border of symphysis pubis to xiphisternum) standard charts are available for this( P K Din p23)
-at the end of 16wks, the fundus may be felt nearly midway between the umbilicus and symphysis pubis
-at the end of 20wks, the fundus occupies the 2/3rd of the distance between umbilicus and the sym pubis
-after the 12th week, the fundus rises about ½ per week or 1 inch/2 weeks( 2.5 cm/ 2weeks)
-after 20th week average upward growth of the fundus is 3.75-5cms( 1 ½ -2 inches) per month ( non TLT)
-at about 24wks, the fundal ht lies at the upper border of the umbilicus (Eastman)
Fundal ht is clinically assured on repeated obstetric exam by the same obstetrician by relating the top level of the uterine fundus, above the pubic symphysis to certain abd landmarks

Serial Measurement of Abdominal Girth at the Level of Umbilicus after 1st half of Pregnancy
(Not before that)

At 30 wks = normal in 30 inches; 1 inch increase per week occurs till near term. The progressive increase is more important than a single measurement. So serial measurement of increase in abd girth with advancing are taken. This is not accurate.

Changes in Weight Gain
Normally there is a steady increase in weight of a pregnant women until the last 2-3 weeks of pregnancy. It stops increasing at about term. It may remain stationary----may begin to fall which means that pregnancy is at least mature.
In normal pregnancy –the wt gain should not exceed 2 ½ kilograms in any one month or 0.9 kg in a week.
The max permissible wt gain throughout the whole period of pregnancy is about 10 or 11 kg( about 24 lbs) although 12 ½ kgs is allowed—1/3rd of this wt—increases in 1st 20 wks. Another 1/3rd =next 10 wks. Remaining 1/3rd =between 30 wk to term.[/quote]

usmleguy7 · Credits: 106 My Scrapbook

hi there

i want to clear all my usmles step 1 2 and 2cs by dec . already hav a visa . pls help how to do well in such a short time . am ready for any way posssible pls get bak same id usmleguy7 and my acount is at [snip] com pls get bak ...urgent.

andre_kama · Credits: 78765 My Scrapbook My Reading List 262569 Books

u great man morons wat do u mean the exam is rubbish

andre_kama · Credits: 78765 My Scrapbook My Reading List 262569 Books

u pathetic morons wat do u mean the exam is rubbish

EE · Credits: 102 My Scrapbook

hello,im preparing for usmle1. iwant to ask you that from wher histology and statistics should be done and for mcqs is printed q-bank is okand what should one do if the score after 2nd revision,in mcqs is about 65%.
thanks in anticipation.
EE

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