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Step 1 - tricks and tips-how top smash the stupid exam into pieces


Step 1 - tricks and tips-how top smash the stupid exam into pieces

Hi guys - Time to talk about step one
قرات دليل حكيم و لقيته غير علمي

Quote:
أسئلة نظرية بحتة، وطبعاً هذه الأسئلة لا تمت للسريريات بأي صلة (تحتاج إلى بصم كامل) ومن الضروري أن تقرأ مرجع علم الخلية.

كلمة بصم غير موجودة بال USMLE ........السؤال ببين بصم و حفظ و من الفضاء الخارجي بس هو بكون فكرة اساسية ملفوفة بورق شوكولا .....again : no memorization

Quote:
مادة صعبة وأسئلتها غريبة.
• إن كتاب الـHigh yield يحل منه نصف الأسئلة؟!! لذا إذا استطعت اقرا المواضيع الجديدة في الـ high yeild نفسي والتي ليست موجودة في الـ HY behavioral الكتابان متشابهان بنسبة 90 بالمئة.
• يوجد أيضاً كتاب Board review

common sense is weird ???
behavioral هي اسهل مادة بكل ال usmle step 1 ....كل ما تحتاجه هو ثقافة عامة-معرفة بالثقافة الاميركية و common sense and I gurantee u wont miss a single question
يعني بيجيك سؤال بيحطك بموقف و بقلك شو احسن جواب تجاوبه للمريض ؟ اي انسان لبق و مشتغل مع مرضى قبل هيك المفروض يعرف ...صح ؟

Quote:
هناك قاعدة متداولة: أن السؤال القابل للحل سوف تحله مهما كان الكتاب الذي درست منه، والسؤال الصعب لن تحله مهما كان الكتاب ولو بصمته بصماً. وتبقى مثل هذه القواعد مستقاة من التجارب الشخصية و لا تمثل الواقع بالضرورة.

في حدا بيبصم الاحصاء ؟ لا حول ولا قوة الا بالله

الاحصاء رياضيات يعني cerebral process - مقدرتك على حل السؤال ما الها علاقة بالكناب اللي قراته الها علاقة بمهارتك في الرياضيات بشكل عام و problem solving

Quote:
يركز من يضع الأسئلة على ما يسمى Rate Limiting Step في التفاعل الكيميائي، ولا يركزون أبداً على حفظ الصيغة أو تسلسل التفاعلات فلا تتعب نفسك بحفظ الصيغ أبداً، الصيغ والمخططات التي وردت في الفحص كانت شكلية و لإثارة الرعب في نفس الطالب فقط.

الصيغ نو اتفقنا ...بس تسلسل التفاعلات الرئيسية مهم ...ممكن يسالك عن the product of the reaction inhibited by a certain drug or may give u a challenging question that links two metabolic pathways together....u cant do these if u dont know the way the reaction goes

بال Usmle ما في شي اسمه اثارة الرعب ...usmle is a very relaxed exam ....هدف الامتحان يقيمك مو يخوفك و المخططات بسيطة مهما كبر حجمها بس الطلاب بحبو يكبرو الموضوع

Quote:
هل يسأل عن تخمير الجراثيم للسكاكر أو الأنظيمات التي تحويها؟
لا، لايسأل عنها إلا في الحالات المهمة مثلاً التفريق بين العقديات والعنقوديات بواسطة الكاتالاز.
و نصيحة: لا تتعمق في هذه الأمور.

this is the bread and better of micro on the test
if u dont master the distinguishing lab test and culture media the odds u will be dead meat

Quote:
مادة المناعة هي مادة بصم و ليس للفهم العام فقط فمثلاً: يجب أن تحفظ وظائف IL، TNF.. لأنها ترد بالفحص، للمناعة تطبيقات سريرية في الإيدز و الأعواز الخلقية أما عدا ذلك فتبقى مادة بصم أساساً

كلمة بصم غير موجودة بال USMLE ,,,,Immunology is a conceptual discipline-u need to LEARN few concepts and know how to apply them

غ

Quote:
البية الأسئلة تحل دون النظر إلى الصور المرافقة وهذا ينطبق على علم النسج والخلية.
• Question سؤال مطروق:

بطلوها هالعادة
ممكن يجيبو اسئلة مع Hx غير كافي و لازم تعرف تقرأ الصورة

Quote:
احفظ معادلات board review لانه عليها عدد كبير من الأسئلة..

في شي احسن من حفظ المعادلات ....انك تعرف من وين اجت و شو اصلها

Quote:
Questions

Kaplan Q bank- ليس مهم كثيراً في الفحص وهو للدعم وهو عبارة عن CD
Kaplan Q book- يأتي كمرحلة ثانية
USMLE sample-
NRMP sample- هو عبارة عن دفع مبلغ معين من أجل 4 بلوكات تشبه أسئلة step تماماً مع قبامهم بتصليحها لك
Kaplan simulated-.
Pretest Medicine

-. .

وين راح اهم شي Usmle world ? و تانيا شو دخل pretest medicine ب step 1 ؟؟ظ

NOW my guide.see next post

by
بعد التخرج


سيكون شيئاً جباراً لو قام الدكتور عياد بوضع دليله
عنجد انتظر بفارغ الصبر.,.

Buzz_LightYear

The 4 elements of success
1-a smart focus prep 50%
2-background 20%
3-IQ 20%
4-trusting your heart and understanding the language of the world 10%

the exam : a highly conceptual standardized exam : problem solving and analysis will help u get the big scores,memory won't take u anywhere

for how long should I study ?

an individualized question
the optimal is a quick (3-4 month) prep
but some people are undeniably slow and need time to grasp all these concepts - those may need a longer prep-6 months maybe
regardless of the duration one point is important
choose a realistic date for your exam and never change it unless absolutely necessary -if u keep postponing ur test u will go into a vicious cycle of postponing and forgetting and ultimately u will find urself forced to enter the exam worse than you used to be in when you postponed for the first time

Material :
the big question

physiology : BRS or kaplan ?
the new BRS 2007 is great
you have to consider the following :
1-the graphs : do them very well and add comments from the text to them...they are extremely high yield and make your life easy

2-Tables
Tables in BRS are very efficient,loaded with useful info and highly crammable
do them very well

3-learn the concepts very well
dont waste your time on small useless details,understand the big picture,know the major players in each physiological process and how their changes affect this process

Biochemistry cell and molecular biology

Kaplan

the book is good , just the right amount of details

1-learn how different pathways are interconnected
for example intermediates of Krebs cycle are also intermediates of several other processes
this is a major source of challenging qs on the test

know the major pathways very well: where,do they occur and the important intermediates

there is a considerable amount of overlap between biochemistry and pharmacology : this can be used to consolidate what you already know

Pathology
the bet series is Goljan
Audio and notes which are available on the net
the guy knows step 1 very well and gives u just what u need

in patho
1-focus on clinical aspects do not waste time on anatomical and histological descriptions - and alwasy use visual aids when studying this aspect - slides and photos

Microbiology
MRS is too long but if u have a good clinical background it wont take more than a few days

the tables are very high yield and may be more important than the text

the drug sections are awesome- you can skip antimicrobials in pharmacology altogether

the lab tests are very important as well as different types of culture media
FA is very high yield for micro - read it

Immunology
conceptual
learn the important functions of the Major Interleukins
learn the concepts of cellular and humoral response,the concept of negative and positive selection
Immunodeficiency is very important - know the defect,the missing elements and the types of infections that predominate

Kaplan is more than you will need

Neuroanatomy
if you have a good neurological background all you need is to study different sections in the brain and spinal cord
learn these sections,MRIs and CTs well

High yield is a good source for such images but any radiology atlas should suffice

the spinal cord pathways and injuries are fairly important
blood supply too- read that chapter in HY and give special attention to the angiograms

Histology and anatomy :
take notes from the qbanks and read FA

the qs on the exam are the weirdest of all-unless your surgical knowledge is superb you may find it hard

the clinical applications in snell are great - if u have time for them

also chest abdomen and pelvis CTs are important ...the one's in snell are good

Embryology
read Hy ...but a good guess is to say that 90% of the qs can be answered from FA and subconcious backgroung knowledge

Pharmacology
Important
autonomic drugs and basics are a good read from kaplan

the new pharmacards 2007 are a huge improvement over the old edition
organized by organ systems and updated with many new drugs the book is great
admittedly it is stuffed with small details that may be too much for the test,but still it has a nice approach and its cardiovascular section is particularly good

concentrate on major SE and MOA

also prevention and treatment of oncology drugs side effects is of special importance

Qbanks

one word
UW
UW
UW
UW
USMLE WORLD

doing this bank is more important than first aid
the qs are just like those in the exam and the content is very high yield

Th exam itself
the qs are highly conceptual - no memory intensive question
the weirdest question are actually very basic concepts wrapped in chocolate paper
still if u cant figure out the answer quickly dont dwell onto it
pick up an answer and proceed

remember : many qs are experimental and wont contribute to your score - if u face a question that is weird,badly written or totally out of blue,the odds its experimental - dont panic-pick up an answer and proceed

if u find yourself stuck between two answers - ask your heart
if your heart is kind and pure it will guide you
believe in God (whether your God is Allah,Jesus,YWHA .mother nature or the great architect of the universe ) feeling the power of a supreme being watching over you will make your mind clearer

best of luck for everybody in the exam

in two words
First Aid + UW

Dr_Ayyad
بعد التخرج


سيكون شيئاً جباراً لو قام الدكتور عياد بوضع دليله
عنجد انتظر بفارغ الصبر.,.

not different dont worry
just written in a better way

Dr_Ayyad
بعد التخرج


forgot about behavioral

common sense is the rule

questions include clinical cases (psychiatry),best responses to patients and ethical dilemmas

the qs are largely common sense ...if you have s good general knowledge and have dealt with patients before there should be no problem

BRS is very good and has and albeit brief
,adequate Biostat section

Dr_Ayyad
بعد التخرج


Thanx Dr ,Very Happy

mbs2380's picture
mbs2380
بعد التخرج


أديش أخد معك وقت دراسة؟؟؟ بكفيه 4-5 أشهر بعد ستيب2؟؟؟

وكم وش درست؟؟؟

moonberg's picture
moonberg
بعد التخرج

Quote:
أديش أخد معك وقت دراسة؟؟؟ بكفيه 4-5 أشهر بعد ستيب2؟؟

you asked and answered

Quote:
BRS is very good and has and albeit brief
,adequate Biostat section

BRS is great and has an , albeit brief,adequate biostat section

Dr_Ayyad
بعد التخرج

Quote:
وكم وش درست؟؟؟

___________

variable
from 0-2 except biochem 3 times

Dr_Ayyad
بعد التخرج


Hi, there
I read Dr. Ayyad comments and I would like to say mine
1- I agree with you that step1 is intellectual more than memorizing exam. However there is noway to explain why vancomycin causes thrombocytopenia. Also, the development of normal child needs to be memorized. In other wards, memorization has some rule in all USMLE steps. One simple explanation is that you do not have time to find the reason behind everything or simply there is not at all such a reason.

2- The most difficult thing in behavioral science is ethics which is a CULTURAL/LEGAL issue before anything.
What I want to say is that although some questions are common sense but a lot of questions requires direct American experience which is not available to all of the Syrian students.
One advice I would like to add to all of you: Please check the treatment of psychiatric disorders from up-to-date.

3- Again Biostatistics is thinking subject (especially types of errors and alpha value). But just like you need to memorize the equation of the area of the circle or the cubic root of 27, you also need to memorize some equation in Biostatistics like sen/spe/PPV, etc. To put it simple, memorize them to save time.

4- I could agree no more with you that you need to know some formulas or pathways, however only in general. There is no need for in-detail.
Yes step1 is a releaxing exam however there is a lot of questions that they put to terrify you or waste your time like long questions with formulas or genetic code so be prepared to such questions.

5- What they wanted to say in Hakeem guide is that overdetailed info we learn in faculty like all biological/biochemical features of every single microbe on the earth are unlikely to present in the exam and I think our friends are aware of this fact.

6- Again you need to memorize what IL-5 or TNF-b does basically to save time at study and at exam.

7- Yes it is correct some of questions are only solved based on pics like dermatology and x-rays. However try first to solve the question depending on the text rather than the pic because some pics are tricky. Vice verse some texts are tricky and you can only get the question from pics (like the only definite way to differentiate SD hematoma from ED hematoma is from CT) so be careful.

8-...........

9- For question I did not try UW but what I do know that you do not have to solve qbank. Obook is useful to make sure that you have memorized kaplan books
the sample is always much easier so do not over-depend on it.
As most of step1 is in clinical format you do need to read some internal medicine. I recommend Kaplan internal medicine not pretest.Pretest are always futile

HO
بعد التخرج

Quote:
Please check the treatment of psychiatric disorders from up-to-date
i think i heard this sentence b4.
H.O, mmmm .. the same person?
u r welcome
DAM's picture
DAM


thax dr. Ayyad

DAM's picture
DAM


Click & Move

waheed
المرحلة الثانوية


Thank u both Dr-Ayyad & Dr.HO

Quote:
i think i heard this sentence b4.
H.O, mmmm .. the same person?
u r welcome

I think so
It will be great to have both Dr-Ayyad &Dr.HO on Hakeem
HO is one of the few students who got double 99 with high 3 digit scores

What about u Dr-Ayyad ? Have u got your Step 1 score ?

I think its time 4 it to be released

Good Luck

Al Durra's picture
Al Durra
بعد التخرج


thank u Dr_Ayyad ... i think everyone has his own experience !

what about ur score ?
precentages of questions according to subjects ?

kaplan q bank ( u said earlier 2007 version is much better than 2004 one )?
RxUSMLE ?
i think they were in ur plan as u said

Audio and notes which are available on the net
do u mean 36/100 pages & slides ... is there anything else ?

wish the best!

dr.msh's picture
dr.msh
بعد التخرج


and about FA ... do u know what r differences between 2007
and 2008 version ... like pharmacology,

thanks

dr.msh's picture
dr.msh
بعد التخرج


my prep scores
I use authentic online subscriptions not pirated CDs (I think Q bank writers deserve our support ....the 90 bucks or so they sell their qbanks for is nothing compared to their real value)

I do qs in mixed unused questions timed mode

in Kaptest i GOT 78% OVERALL - THE NEW KAPTEST IS HARD LIKE HELL BUT ADMITTEDLY THE QS OFFERED ARE DIFFERENT FROM THE REAL THING- MORE MEMORY DEPENDENT
regarding USMLE Rx I didnt use it .....I tried a sample of qs and felt they are badly written and unlikely to represent the real thing

In Usmle World I got 85%
is seperate subjects I had 80s in most except behavioral science (95%) and immunology 90%

I prefer not to tell my score - but I got an asterisk ( a star pointing to exceptional performance in all subjects except one : "Gross anatomy and embryology"

the exam composition was weird - most qs were interdisciplinary - but I felt physiology and pathology were particularly bulky

I used FA 2007 (I never knew that 2008 was out till after the test...the 2007 was very good indeed ...I didnt see FA 2008 but I heard it is larger than the previous edition

regarding USMLE Rx I didnt use it .....I tried a sample of qs and felt they are badly written and unlikely to represent the real thing

Quote:
do u mean 36/100 pages & slides ... is there anything else ?

in addition to what you already mentioned , goljan has a 340 Page note for pathology and a series of audio lectures that covers diseases from different aspects of basic science

again : the exam is not easy but doable,LEARN LEARN LEARN and do not memorize : make this exam the first block in a life-time learning process not just a tool to get residency

GL for all

Dr_Ayyad
بعد التخرج


ميرسي كتير ياشباب على هذه المعلومات القيمة جداً
وهذه الخبرات المتفاوتة والرائعة

الله معكم

رمضان كريم Smiling

hakeeem3oyon's picture
hakeeem3oyon
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hi guys..
i took step1 (2) weeks ago..
i have step2 score of 99
i can tell u fully trust that more than 80 %of the questions of step1 were clinical cases and something need analysis and just thinking about .i answer it depending on my previous knowledge of step2
i read just FIRST AID and 40 fresh NOTES...no USMLE world or any other kind of Q books..and i think that my score will be just perfect..
my score will be delivered in the first of october
first aid with guys notes were more than enough for (step1 basic q)),

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sea_lover


Up

Dude.MA
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