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Step 1 * Lets put all exam exam experiences


together
Step 2 CK #138432
usmlenew1 - 11/14/06 10:43
Step 2 CS

if you are intrested lets put all exam experiences(i mean


Matching & Residency
rememberd questions) together and share it
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Step 3

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* Re:Lets put all exam exam experiences


Archives
together
#559930
m_l_e - 11/15/06 16:51

#125588
duce - 10/06/06 19:33

I just got done taking the test on monday and I feel that
USMLEWORLD were more like the style of questions that you saw
on the test however USMLEWORLD was so much harder then the
step.
USMLErx is a great review because everything that is tested on in
USMLErx is on the test just not asked in that format.
Kaplan q bank is going to be your best bet on seeing where you
stand because so many people have done this q bank and where
you are on on your avg is pretty solid as how you should score on
the real exam.
I did the kaplan class and found it helpful.
now the test. (everyone already knows to have breakfast and go in
with a goodnight sleep so no need to talk about that)
once I got into to the test I felt really comfortable I got fairly easy
first two sections and then I had a hard 3rd section so I took a
break. after my break I went in and my 4th and 5th section were
actually pretty hard to, took a break in between both of those.
kinda worried after that. but the 6th and 7th blocks were pretty
easy. when I walked out I thought it was a fairly good test. it was
definitely a fair test, there were no trick questions or trick answers.
kinda sad whenever I left, I went through first aid and missed like
14 questions I was sooooooooooo bummed made me really upset.
OHHH by the way DO FIRST AID AT LEAST 65% of the questions
comes out of the first aid. so definitely look through that.

NOW WHAT WAS ON THE TEST:


2 cohort study questions
a confounding bias question
sampling bias question
sensitivity question
attributable risk question
Type 1 error question
Child abuse question
A WHOLE BUNCH OF WHAT WOULD YOU DO IN THIS SITUATION
QUESTIONS
variable ratio question
rRNA is the most abundant question
Exons are expressed question
where on tRNA does the anticodon bind
Restriction enzyme question

1 of 17 12/31/2018, 10:51 AM
Lets put all exam exam experiences together - USMLE Forum http://www.usmleforum.com/files/forum/2006/1/138432-4.php

a Lac Operon question


Competitive inhibitor question
2 Cell Cycle questions
Golgi is where O-Oligosaccarides are added
microtubule question
Collagen is seen in granulation tissue question
immunohistochemical stain of cytokeratin question
Glycolysis is metabolized in the cytoplasm
NADPH oxidase def. question
citrate regulates glycolysis
rate limiting enzyme in heme synthesis
what enzyme is in gluconeogenesis question
2 G6PD questions
Lactase def. question
cystathione cynthase def question
maple syrup urine disease question
SCID question
where is insulin uptake question
Pompes dx. question
Ketone bodies in DKA
Medium Chain Acetyl CoA question
2 LDL questions
how does lead poisoning affect heme
CO2 transport in blood
Imprinting question
Anticipation question
Hardy Weinberg question
Neurofibromatosis question
2 cystic fibrosis questions (1. what transporter, and what dx can
you get)
myotonic dystrophy is trinucleotide repeat
LHON is mitochondrial
Vitamin B6 question
Vitamin B12 question
monopygotic twin question
allantois is median umbilical ligament
Buccinator pushes cheek up against your molars
DAMN question- CN 7 via solitary nucleus (how do I forget that)
Double cervix caused by
Double Uterus caused by
Testes are paraaortic
what artery does testes get blood supply from
viral growth phase chart
Endotoxin questino
Mycobacteria stain
Chlamydia stain
Corynebacteria and EF-2
Haemophilus influenza question
Strep viridans not bile soluble
Salmonella question
a lot of Pseudomonas questions
PAS stain question
Conjugation question
CMV and a MONO question
I HAD 5 SEPERATE QUESTIONS ON MENINGITIS DIFFERENT ONES
viral, bacterial and fungal
Genital Warts question
about 9 questions on micro drugs
Thymus site of T cell maturation
where on the antibody structure does the light chain have a
disulfide bond ( such a gay question)
IL-1 question
B27 know
Acute rejection question
know minoxidil also give a B-blocker with it
Zero order elimination question
bethanachol question
physostigmine question
2 alpha-1 blocker questions
what drug pheochromocytoma
Erythromyocin cyp inhibitor
Cardiac cycle question

2 of 17 12/31/2018, 10:51 AM
Lets put all exam exam experiences together - USMLE Forum http://www.usmleforum.com/files/forum/2006/1/138432-4.php

ventricular fibrillation question (EKG)


capillary fluid exchange question (lymph movement)
cause of AAA
Visibility under microscope after MI
Cardiac Tamponade question
Na channel blocker that increases QT
MEN 1
2 Graves dx questions
Papillary thyroid cancer question
Carcinoid syndrome question
Glucocorticoid question
Right hepatic artery supplies what part of liver
Parietal cells secrete HCL
Meckels diverticulum question
Whipples dx. question
Type A gastritis
duodenal ulcer feels better after food
stomach cancer question
volvulus
colorectal risk factors
Gilberts dx
Hepatocellular carcinoma (cause)
Oncogenes
Thalassemia question
Hodgkins reed sternberg
2 warfarin questions
Thrombolytic question
Methotrexate and leucovorin
Bleomycin question
Vincristine and neurotoxicity
ATP release cross bridge
osteocyte in osteomalacia
Gout crystals
Temporal Artertis question
PAN question
Colchicine acute gout

Well you guys are starting to get the hint. there were a lot of tough
questions on the test. but I hope I finally got through the test.

about 40% path


20% physio
20% Behavioral
10% micro and immuno
10% Biochem and Molecular

That about covers it, pray for me guys and good luck studying
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* Re:Lets put all exam exam experiences


together
#560398
yani - 11/16/06 00:18

Here is my share of contribution for 99 score path. GL

Name: Step 1 Remembered 2004 Part 1.pdf


Size: 27KB
The download link is: http://www.sendspace.com/file/e142e2

Name: Step 1 Remembered 2004 Part 2.pdf


Size: 44KB
The download link is: http://www.sendspace.com/file/gsjypo

Name: Step 1 Remembered 2004 Part 3.pdf


Size: 271KB
The download link is: http://www.sendspace.com/file/zc4pvz
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* Re:Lets put all exam exam experiences


together

3 of 17 12/31/2018, 10:51 AM
Lets put all exam exam experiences together - USMLE Forum http://www.usmleforum.com/files/forum/2006/1/138432-4.php

#561204
usmlenew1 - 11/16/06 16:30

thank you all,yelito61,mydream,Grace,goldfish,


rockinmle,pongly,shigella,courage,doctoria,
yani,m_l_e
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* Re:Lets put all exam exam


experiences together
#562984
usmlenew1 - 11/17/06 18:11

many thanks to cokemd - 11/16/06 20:11 #139153

today..........from our friend..............hope this help some of people


here........... GL to everyone.........

:)

------------------------------------------------------------

ALLHAMDULILLAH WERE THE WORDS WHN I WALKED OUT OF MY


TEST CENTRE ON 10/11
N YES 11/15 WAS NO WAY DIFFERENT
ALLHAMDULILLAH ECHOED AROUND MY EARS WHN I GT MY SCORE
REPORT AFTER 15 DAYS
OF
CONSTANT TENSION
I WASNT ABLE TO SLEEP THE NGHT BEFRE N GT UP EARLY THE
NEXT MORNING ,THE
CLOCK CLIKED 1 PM N I SAID TO MYSELF THATI WONT BE ABLE
TO GET MY RESULT EVEN TODAY
WENT TO MY ROON N THOUGHT SHULD SLEEP FR A WHILE,AFTER
15 -20 MINUTES MY
FATHER CAME N TOLD ME IT HAS ARRIVED N THEN HIS
NEXT WRDS WERE 99- I WAS LIKE SHOCKED N PIKED UP THE
SCORE REPORT N
WATCHED IT FR FEW MINUTES,N THEN MY MOM CAME N YES I GT
99/246
ALL COZ OF THE PRAYERS N WISHES OF MY PARENTS N ALL MY
FRIENDS WHETHER MY
COLLEGE FRIENDS OR PPL I KNOW THRU INTERNET
THANK U GUYS I WONT BE ABLE TO DO THAT WTHUT UR PRAYERS
AND YES ALLAH WAS
VERY VERY KIND TO ME
ALLAH HAS REALLY BLESSED ME WTH SUCH PPL WHO REALLY
SUPPORTED ME IN TIMES OF
NEEED
THANK U GUYS THANKS A TON

LAST FEW DAYS WERE REALLY TOUGH FR ME


THE CONSTANT WAIT FR THE SCORE SHEET WAS DIFFICULT BUT
IN A WAY IT
ALLOWED ME THE FAMOUS"'EXTRA TIME'' FOR PRAYERS N DUAS
N ALLHAMDULILLAH ,THANKS A LOT ALLAH ,ITS ALL COZ OF UR
KINDNESS

WELL I POSTED MY EXPERIENCE BEFRE SO WILL JUST STIK TO


SOME IMP AREAS

MY SCORE CORRELATIONS FRST

KAPLAN Q BANK (FRST TIME,DID WTH MY SECOND


READ,UNTIMED)=73-78PERCENT
KAPLAN Q BANK(SECOND TIME,DID WTH MY 4TH READ)=88-91

4 of 17 12/31/2018, 10:51 AM
Lets put all exam exam experiences together - USMLE Forum http://www.usmleforum.com/files/forum/2006/1/138432-4.php

PERCENT
KAPLAN Q BOOK(FRST TIME)=82 PERCENT (DID WTH MY 3RD
READ)(BEHAV WAS AROUND
64 PERCENT)
KAPLAN Q BOOK(REVISION)=MOSTLY HOVERING AROUND 90
PERCENT BUT REALLY DID IT
FAST,QUIKLY WENT THRU
USMLE WORLD(DID WTH MY 4TH READ,A SINGLE BLOK
DAILY,TIMED)=71PERCENT///79TH
PERCENTILE ACCORDINGTO THEIR STATS
KAPLAN SIMULATED (AFTER 3RD READING)=73 PERCENT
NBME FORM 3 (DID ON 28TH SEPT=15DAYZ BEFRE MY
EXAM)=660/250
NBME FORM 4(DID 2 DAYS BEFRE MY EXAM=9TH OCT)=620/244

USED
PRETEST PHYSIO
PRETEST BIOCHEM N GENETICS
PRETEST PHARMA
A TOTAL WASTE OF TIME ACCORDING TO MY PERSONAL
EXPERIENCE,IF HAD USMLE WORLD
RELEASED EARLEIR SHULD HAVE DONE UWRLD

EARLIER)

DID ABT 75 PERCENT OF ROBBINS REVIEW QS,WASNT ABLE TO


COMPLETE AS WAS SHORT
OF TIME ,STILL THEY WERE GOOOOD

NOW MY RESOURCES
MOST IMP=PRAYERS OF SO MANY PPL,EVEN OF THOSE WHOM I
NEVER MET,THANKS FR THAT
PHYSIO=KAPLAN PLUS BRS(INITIALLY WENT THRU ALL BRS BUT
LATER ON JUST USED TO
REVISE ITS NEUROPHYSIO CHAPTER)
ANATOMY=HIGH YIELD GROSS ANATOMY
HIGH YIELD NEURO
HIGH YIELD EMBRYO
HIGH YIELD HISTO
JUST USED KAPLAN IN MY SECOND READ N THEN NEVER REVISED
IT AGAIN,I
CONSIDER HY MCH MUCH SUPERIOR FR ANATOMY THAN KAPLAN

BIOCHEMISTRY=FRST 3 READS REVISED LIPPINCOTS BIOCHEM


WTH KAPLAN BIOCHEM
LAST READ DIDNT USE LIPPINCOT N JUST REVISED KAPLAN

PHrma=kaplan plus lange flash cards


used a bit of katzung revieW

PATHOLOGY=A VERY STRANGE PREP WAY ACTUALLY


USD BRS IN MY FRST READ
THEN NEVER USED IT
THEN I MY SECOND READ USED GOLJAN RAPID REVIEW
IN MY 3RD N 4TH READ USED GOLJAN HY NOTES

MICRO=FRST READ MMRS N THEN STUCK TO KAPLAN,ITS NOTES


ARE THE BEST

IMMUNO=KAPLAN AMAZING

BEAVIOUR=FRSTREAD BRS,2ND READ BRS N KAPLAN ,N THEN


ONLY KAPLAN
BRS WAS SOME HOW NOT SUITABLE FR ME,FOUND IT VERY
SCATTERING

BIOSTATS=APPLETON N LANGE
REVIEW BOOKS
FRST AID 2004 EDITION

5 of 17 12/31/2018, 10:51 AM
Lets put all exam exam experiences together - USMLE Forum http://www.usmleforum.com/files/forum/2006/1/138432-4.php

KAPLAN MEDESSENTIALS(USED IT IN MY LAST READ)

FOR DVDS=I USED OONLY BEHAVIOUR DVDS FULLY


WATCHEDA BIT OF GENETICS DVDS
WATCHED THE LAST 2 LECTURES(SLIDE REVIEW) FROM PATHO
DVDS

REST STUCK TO KAPLAN AUDIOS FOR

BIOCHEMISTRY
GENETICS
PHARMACOLOGY
MICRO(WASTE OF TIME)
IMMUNO

AUDIOS ARE SAME AS DVDS,THEY HAVE FEW CHAPTERS


MISSING,AUDIOS DONT FOLLOW THE PAGE TO PAGE LECTURE
FORMAT THAT DVDS DO

GOLJAN AUDIOS
LISTENED TO THOSE TWICE
ONCE IN MY LATE 2ND N 3RD READ
N ONCE IN LAST 10 DAYZ BEFRE MY EXAM

WAT WULD BE MY CHOICE FR STEP1 RESOURCES NOW

PHYSIO=KAPLAN (WTH DVDS)PLUS DO NEUROPHYSIO FROM BRS


ANATOMY=ONLY HIGH YIELD SERIES WTH CTS N MRIS FROM WEB
PATH(NO NEED TO GO FOR DVDS)
BIOCHEM=ONLY KAPLAN WTH ITS DVDS
GENETICS=KAPLAN WTH DVDS
PHARMA=KAPLAN WTH LANGE FLASH CARDS N IF STILL U HAVE
SOME EXTRA TIME GO FOR KATZUNG REVIEW(ESP ITS ANS)(WONT
RECCOMEND USING DVDS)(STILL CONSIDER PHARMA IS 80
PERCENT CRAMING,SO Y TO WASTE UR TIME ON WATCHNG THAT
DVD,INSTEAD USE THAT TIME TO CRAM PHARMA)
PATHOLOGY=ITS WAT SUITS U,LOTS OF VARIATIONS AMONGST
VARIOUS PPL ,MY PERSONAL OPINION IS DONT GO BY THE
LABEL,CHOOSE WAT SUITS U, AS PATHO IS V IMP IN THIS
EXAM,SO CHOOSE THE MATERIAL WCH SUITS U N SERVES U WELL
ONLY GOLJAN AUDIOS IS A MUST
WTH SLIDE REVIEW LECTURES FROM KAP DVD
U CAN PIK ANY OF THE BOOKS,PPL PREFER BRS,I HATED THAT
BOOK,SOMEHOW NEVER COMMUNICATED WELL WTH THAT BOOK
GOLJAN NOTES/BRS/KAPLAN =ANY OF THEM WTH GOLJAN
AUDIOS N HIS SLIDES=SERVES U WELL
MICRO=KAPLAN AMAZING BOOK-COPY OF JAVETZ IN A WAY(DONT
HVE TO USE THE DVDS)
IMMUNO=KAPLAN PLUS USE DVD LECTURES
BEHAVIOUR=KAPLAN PLUS ITS DVDS(ITS THE BEST COMBO)
MOST IMP RESOURCE=WISHES N PRAYERS OF UR PARENTS N PPL
AROUND U,DONT THINK THAT U LL SUCCEED WTHUT THEIR
PRAYERS,
PLUS DONT FRGET UR DUTIES TO ALMIGHTY ALLAH

FOR QS
KAPLAN Q BANK
KAP Q BOOK
USMLE WORLD Q BANK
NBME EXAM(ATLEST ONE FORM,EITHER FORM3 OR 4)

THATS ABUT IT

6 of 17 12/31/2018, 10:51 AM
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SOME THINGS THAT I WULDNT HAVE DONE


1.USED SOME PRETEST BOOKS LIKE PHYSIO,PHARMA,BIOCHEM N
IT WAS JUST A WASTE OF TIME
2.WASTED TOO MUCH OF MY TIME ON GENETICS
3.BEEN TOO TENSE THRU OUT MY PREP,
4.USED BEHAVIOUR SCIENCES DVDS AT THE END,SHULD HAVE
STUCK TO IT RGHT FROM THE STRT

5.KAPLAN MICRO AUDIOS---->JUST A TOTAL WASTE OF TIME


I CONSIDER KAPLAN MICRO NOTES,THE BEST WRITTEN AMONGST
ALL,THEY HAVE EVRYTHNG

THINGS TO REMEBER
LOTS OF THNGS THAT U SHULD REMEBER THE DAY OF UR EXAM
MAKE A LIST OF ALL THNGS U THNK U GONA FRGET OR U THINK
SHULD BE REVISING ON THE LAST DAY
I THOUGHT THESE THNGS WERE IMP
WILL POST THOSE SUBJECT WISE
A.ANATOMY
1.BRACHIAL PLEXUS INJURIES
2.FRACTURES N THEIR RELATED NERVE INJURIES
3.GET GOOD IDEA WHERE IMP VESSELS ARE IN CTS/MRIS
4.ALL BRAIN STEM LESIONS(KNOW THEM V WELL)

PATHOLOGY N PHYSIOLOGY
1.DERMA
2.CNS TUMORS
3.KNOW THE EFFECT OF VARIOUS RESPO DISEASES ON
FEV1,FVC,TLC,INSIDE OUT
4.KNOW THE CONCEPTS OF GFR,FF N RPF,ALDOSTERONE N RENIN
IN VARIOUS DISEASES N STATES
5.DO LOOK ALL GRAPHS REALLY WELL(IN EXAM U DO GET
GRAPHS,MAKE SURE U KNOW THE CONCEPTS)
6.COAGULATIVE DISORDERS,U SHULD KNOW HOW TO
DIFFERENTIATE BW EACH OF THOSE
7.VALVULAR HEART DISEASES KNOW THEM WELL(2-3 QS ARE
ALWAYS THERE)
8.VITAMINS YES THEY R V IMP
9.SOME IMP TUMORS FROM WCH U WILL DEF GET THE QS
*VON-RECKHLING HAUSENS DISEASE
*TUBEROUS SCLEROSIS
*OSLER-WEBER RENDU DISEASE
*NF-2
*STURGE WEBER SYNDROME
*VHL
10.KNOW GENERAL NEOPLASIA CHAPTER REALLY WELL,THEY ASK
THNGS RELATING TO A PARTICULAR CANCER CAUSES N
PREVENTION

BEHAVIOUR
1.CHILD DEVELOPMENT
2.PERSONALITY DISORDERS
3.DEFENSE MECHANISMS
4.BEHAVIOUR PHARMA---V IMP
5.ETHICS RULES---

PHARMA
1.GENERAL CONCEPTS ,ALL FORMULAS--THEY R ALWAYS ASKED
2-3 QS
2.ANTI ARRYTHMICS
3.ANTICANCER DRUGS
4.ANTI VIRAL
5.DO LOO THOSELAST FEW PAGE SOF KAPLAN RELATING TO
HERBAL MEDICINES N STUFF ,ITS BEING ASKED

MICRO N IMMUNO
1.VIROLOGY CLASSIFICATION

7 of 17 12/31/2018, 10:51 AM
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2.MYCOLOGY MORPHOLOGY
3.LAST TWO CHAP OF KAPLAN MICRO(AMAZING )
4.CLUSTER DESIGNATION

BIOCHEM N GENETICS
1.AS GOLJAN UNCLE SAYS ALL PATHWAY REGULATING ENZYMES
WTH THEIR RESPECTIVE DEF DISEASES--V IMP
2.GLYCOGEN STORAGE DISEASES
3.AMINO ACIDS N FATS RELATED TO VARIOUS DISEASES
4.JUST TRY TO TAKE "THE BIG PICTURE"FRST N THEN U WILL BE
ABLE TO INTEGRATE
5.GENETICS BE SURE ABT THE GENETIC DIAGNOSIS
METHODS N THEIR PARTICULAR DIFFERENCES
BIOSTATS
ITS THE SUBJECT I HATED MOST
BE SURE ABT SENS.SPEC,+VE AND -VE PREDICT VALUE
MEAN MEDIAN MODE

LASTLY STRT QS AS SOON A SPOSSIBLE


AS THE EARLIER U STRT WTH QS ,THE MORE U WILL BE ABLE TO
INTEGRATE ALL U HAVE GAINED THRU KAPLAN OR SOME OTHER
TEXTS U R USING
IF U R OPTINGG FOR 2 DIFFERENT Q BANKS USE1 AS A LEARNING
TOOL N DONT TIME URSELF IN TAHT(MY PIK FR TAHT IS KAP Q
BANK)
N THE OTHER ONE USE IN TIMED MODE N CALCULATE UR
SCORES(KAPQ BOOK N USMLE WORLD Q BANK)FOR PROPER
FINISHING OF UR PREP

MAKE UR NOTES FROM Q BANK FOR QUIK REVIEW,OTHERWISE U


LL STRT HAVING THAT WEIRD FEELING IN THE END THAT U DONT
REMEBER ANYTHNG,JUST REVIEW THOSE IN 2-3 HRS N ALL UR Q
BANK IS BACK IN UR PRESENT MEMMORY

N YES DONT DONT N PLZ DONT MISS DR.STEVE DAUGHTERY'S


DVDS
THEY R AWESME

N LASTLY BE CONFIDENT,BELIEVE IN URSELF N ALSO IN THE


ALMIGHTY ALLAH
KEEP UR SELF MOTIVATED,
U CAN DO ONLY2 THNGS
1.WORK HARD
2.N PRAY FOR THE BEST
INSHALLAH UR HARD WORK WILL PAY OFF

GOOOOOOOOOOOOOOOOOOOOOOOD LUCK ALLLL

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* Re:Lets put all exam exam experiences


together
#568618
oldie - 11/22/06 22:00

ANY OTHER NEXPERIENCE

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* Re:Lets put all exam exam experiences


together
#569633
usmlenew1 - 11/23/06 22:33

http://www.sendspace.com/file/qkegia
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* Re:Lets put all exam exam experiences

8 of 17 12/31/2018, 10:51 AM
Lets put all exam exam experiences together - USMLE Forum http://www.usmleforum.com/files/forum/2006/1/138432-4.php

together
#572403
usmlenew1 - 11/27/06 03:54

myusmle - 11/25/06 21:05 #141355

HI guys,
I know it`s not what u think,
Its my exam experience, ha ha haaaa got u all
Yes i took my exam today
Its neither too hard nor too easy.
and i was this relaxed even before the exam, acutally i`m feeling
tensed now about my score
i know i`m not a 99er
i was not so active member in the forum, just a post here, a post
there
prepared for 3 months full time

first 2 months-- studied about 8-10 hrs a day


last month-- 12-14 hrs a day

study materials-- as usual the golden trio-- Goljan, kaplan and FA

Q banks--
usmlerx-- right from the start of the prep for a month --
cumulative --64
usmleworld - towards the end of my prep-- cumulative 63

last 15 days-(did nt study that hard) notes from q banks


(i cud`nt study for almost last 2 weeks due to health reasons)

nbme
form 1 -- 300 -- at the start of prep(ie 3 months ago)
form 2-- 520 -- 3 weeks before the big one

usmlecd
41, 40, 41 -- 4 days before the test

now the actual exam


there-- were no hox/pax genes in my exam
no rare genes or rare mol bio concepts
patho-- was heavily tested as everone knows
pharmo-- next
micro-- next
if u know these 3 subjects thoroughly u can answer atleast 60%q

anatomy

got 12-14 ul nerve inujuries


3-4 q from lower limb
LAD(know all ur coronaries and the areas they supply)-- had 3 q
from that

physio

this was my scary subject


but i was lucky i didn`t get that scary q
know all ur endocrine disorders and feedback inhibitions
Inhibin-- 3 q
ADH --- 5-6 q
aldosterone --2/3
MEN
leuprolide
finasteride
levothyroxine
DM- 8 q
raloxifene
elctrolyte abnoramilities and acid base disturbance were heavily
tested in my exam got almost 20-24 q -- scenarios, most of them
in the form of graphs , up and down arrows

9 of 17 12/31/2018, 10:51 AM
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restrictive and obstructive -- lung volume changes-- graphs


dialted and restrictive cardiomayopathy -- graphs
excitation-- contraction coupling-- 3/4 q
secritin-- hco3 -- graph

most of the phsio-- in graphs or in tables

bichemistry

nieman picks
carnitine deificiency
pyruvate kinse def
g6pd def -- 4/5 q--caused by drugs -- primaquine, sulfonamides
vit b12-- 4/5 q
thiamine-- alcoholic
folate-- pregnancy 3q

mol bio
a-t c-g bonds
dna gyrase
tata box
7 methyl guanosine cap
restriction endonuclease-- 4q
2 transgenic mice exp -- answerable
unhybridised loops on mRNA
dna recombinant technology

micro
clostrdium difficile
clostridium botulinum
staph epidermidis
strep bovis
strep agalactiae
transformation
reassortment
transduction
syphilis
cryptococcus
aspergillus-prediliction to b.v
gonococcus

patho
DM-- nodulosclerosis -- pic
Hyperpalstic arteriolsclerosis
Ischemia-- irreversible injury changes
enzymatic fat necrosis
p53 gene-- 4/5q
retinobalstoma/ostesarcome 2 q
osteoporosis
prostate hyperplasia
infiltratin ductal ca -- pic
renal cell ca -- pic
renal paillary necrosis--pic
berry aneurysm --pic -- identify the artery on MRI
7th nerve-- pic
epidural hematoma--pic
cmv retinitis--pic
VSD-- murmur
VSD-- changes in PO2 in varoius chambers
PDA - maintenance and a pic of it
SVC syndrome
pulmonary arterial changes in sarcoidosis
sarcoidosis-- fibroisis of the lung-- comparision of lung volumes
SLE -- ANA
RA--
Osteoarthritis
osteosarcoma
paget`s
(i was heavily tested on musculoskeltal diseases - which i`m very
poor at-- i got even poor performance on this topic in nbme exams,

10 of 17 12/31/2018, 10:51 AM
Lets put all exam exam experiences together - USMLE Forum http://www.usmleforum.com/files/forum/2006/1/138432-4.php

i neglected it again and i did not prepare well)

behvioural
factitious disorder by proxy-- 2q almost similar
developmental milestone in a 7 month old
separation anxiety disorder
SSRIs-- increased latency in ejaculation

genetics
a hardy-weinberg problem

guys the questions are very very long that i had rush answering
the last 10 q in every block
the exam is most like usmleworld -- some 2 step and some 3 step
thinking
fro almost half the q i got either a pic-- ct/mri/gross/histo,,,
graphs,,, up and down arrow diagrams,,, schematics
so plz go thru the pics before u take the test-- do not neglect pics
i got only 2 one liners, rest of them all very very long
the rest u all know-- take good rest the day before---------stuff

that`s it my friends from my exam


i would like to thank all the active forum members who have
contributed immensly to the forum by bringing up q,
materials,boosting up the confidence in times of need
take care
all the best to u in ur prep for the steps

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* Re:Lets put all exam exam experiences


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#572410
usmlenew1 - 11/27/06 04:31

aniak078 - 03/02/06 13:35

Hi folks,
I took my exam on Feb 27. Glad I am finally over with it and can
relax.
I studied for around 6 or 7 months (not been to strict about my
studies,only doing a few hours daily).
As for me, I didnt take the simulated test and Step 1 was the first
time I had to sit for 8 hours. I found it a bit difficult and hard,
because I am almost 34 wks pregnant, my back hurt after some
time, making it hard to concentrate.
I studied from Kaplan Books (2002), First Aid 2005, Q-book and
Q-bank questions I have on a CD( around 2000 questions).
The test itself came out to be a lot more twisted than the questions
I have came across in Q-bank. Some of them were very long and
took some tome to read, only to find out at the end,that they
asked a totally different thing, and all the reading was unnecessary.
Timing was...hmmm... I could use an extra 10min's for each block.
I would mark around 5-10 questions, and there wasn't really
enough time to go back and rethink them.
LOTS OF immuno, questions about genes, I got a feeling that they
liked to put some new stuff in questions, stuff I couldn't even find
in 2005 First Aid :(.
Here are some remembered questions
-ectopic pregnancy and gross pic , asked about most common
cause (PID and Neisseria)
-some RAA questions
-2 q's on ABO Rh typing and baby with kenicterus,
-Metoclopramid and Dopamine ( meto... works as DA antagonist)
-PRO and milk production (easy)
-Hydatiform mole (bHCG increase) quite easy
-rifampin and p450

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-pt with sudden increase of BP, (pheochromocytoma)


-brown fat, and HOW it generates heat
-Lupus cerebritis (??) confused on this one , havent came across
lupus cerebritis in my studies :(
-pearly plaques and pt with skin tumor
-ca in situ vs. invasive ca
-pic of kid's eyes --> collagen (brittle bone disease)
-a mic pic of many cilia ,and asked what it's for( been confused for
a minute, because the pic looked really cool, like bunch of flowers
not cilia (p. 68 in 2005 F. Aid)
-fetus and decreased amniotic fluid. where's the defect?some weird
answers, no kidney hypoplasia,but some strictures like
ureteropelvic/ureterovesical?/weird choices
-Filtration fraction , GFR and ERPF (review F. Aid in kidney
physiology). it was do'able.
-diGeorge and 3 pouch
-1 brachial cleft -external auditory meatus
-way oral contrc. work- decrease FSH and LH
-hoarseness and recurrent nerve (from Vagus)
-x ray of foot and stated pt has numbness, pt has DM, was it due
to arterial changes of neuropathy?
-2 qs on visiual field defects (easy)
-sertoli cells and TBF
-gross of old spine-compression fracture
-brain tumor (marks positive for SYNAPSIN???-)had no idea. i
marked neural cell tumor?even though i havent seen it in
F.A....nothing else worked for me. was negative for glial fibrillary
protein
-girl with broken femur--->aseptic necrosis
-an athlete with mass above the umbilicus ( rectus abdominis
hematoma?) weird qs.
-which dont pass thru thalamus?(vision,taste,smell, touch,hearing)
-old pt with CHF ,what increases? CO/venous,arterial resistance/
SNS?
-needle inserted at right axilla,10th rib-what is pierced?liver/lung?
-around 10 questions on pt-dr . (and how should dr act)
-relative risk(looks easy but they made it totally twisted :()
-sensitivity ,
-case control
-brocas and wernickies

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* Re:Lets put all exam exam


experiences together
#572413
usmlenew1 - 11/27/06 04:43

#72084
savi - 01/28/06 16:58

Hello friends,
I took my test on Friday,27th jan.I want to share my experience
with you.

Materials I used:
*All Kaplan material(notes,qbook,qbank,physio.qbank,simulated
CD,DVDs)
*Goljan notes(read once) and audios,100 pages HY notes.
*2003 FA
*FRED CD
*Qs from some other sources.

MY BIG DAY:

*I was the first person to reach the test center!!!I started my test
at 7.40am.(I was so surprised when they allowed me to start it
before 8am,because I was not expecting it.)
I finished the tutorial within 2-3 min,during that I tried to write
some formulae on the laminated sheet,but I got the warning on the
screen about `no activity`.When I started the first block,I found

12 of 17 12/31/2018, 10:51 AM
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that qs were very vague—neither sufficient clues to end up with


correct answer nor the expected answer was in choices.So,at the
end of first block,I was not happy.I took 4 min.break.Then started
second block hoping that,it will be satisfactory….but no…I
realized that the USMLE board is very good at mind
reading.Otherwise how would it know that my weak subjects are
mol.bio.,immunology,neuro-anat.&biochem.?I got lots of qs from
these subjects.And these subjects were all over my test along with
ANS,CNS pharma.They tested me on all possible ANS&CNS drugs
thinking that I`m doing some Phd.kind of study in pharma.!!!!!!!!!!
Then I cancelled taking my second break and started doing 3rd
block.Total,I took 4breaks,two times I did 2blocks without any
breaks.Time was not problem for me.Everytime,I left with
7-13min.,I used that time to change my CORRECT answers to
INCORRECT answers!!!!!!!!!!!!!!!!!!!!
When I realized that today my luck is not with me,I went into
trance state of mind and finished whole test without any positive or
negative feelings.I entered into test center with some hopes
because,I was satisfied with my plans and preparations.But at the
end of the test,I was just puzzled about my performance.I really
really don`t know how I did.Only my scores can tell,so waiting for it
and praying also.

REMEMBERED QS:

@PHARMACOLOGY:
*2 calculations from pharmacokinetics/dyanamics.
*resistance to rifampin in TB patient.
*MOA of 5FU
*drug contraindicated in patient with penicillin allergy.
*MOA of amphotericinB
*Which 2 HIV drugs can be given with AZT.
*sucralfate –MOA in gastic ulcer case.
*asthamatic patient on theophylline-taking erythromycin.
*another case history-weight loosing pills and grape fruit juice.
*one graph showing effects of phenylephrine and Ach-with
endothelium intact and endothelium removed-some kind of
experimental scenario.
*young patient with acne-you want to start isotretinoin-what
precaution?-pregnance test.
*another q on acne-isotretinoin.
*graph showing effects of pentothal and propofol and asked why
the diff.in their anesthetic effect?..pentothat is distributed in
adipose tissue.
*4-5 qs-some are twisted-on second messengers-G-proteins.
*Many qs on ANS & CNS drugs-not much easy.
*Q on HMG CO-A reductase.
*Many experimental(at least I felt that way) pharma.qs.
*drug for induction of ovulation-clomiphene
*Naloxone-for opioid OD
*patient using parathrane spray for mosquito to get protection from
west nile fever-poisoning.
*MOA of glucagons in OD of beta-blockers.
*MOA of drug for drop seizures

@BIOSTAT.:

*Calculation of RR(relative risk)-very easy.


*90%CI=0.9-2.1,asked its interpretation about that study.
*Cohort study
*p=0.01—its significance-described one study of dietary fiber and
colon CA.
*Effect of one one new drug curing that particular disease-on
incidence & prevalence.

@BEH.SCI.:

*phobia case-in patient with artificial pacemaker.


*factitious disorder-path.lab worker with hematuria.
*one girl stopped going to school after an vehicular accident.
*Informed concent-mentally retarded patient for hernia repair.

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*old patient-came with 2 daufgters-how will you start…etc.


*Teen comes with STD,asks not to tell her parents…
*female worker with nuchal rigidity-onlt at work,no pain at
weekends-what will you suggest?stetching exercise/ask more about
her posture/work depression.

@MICRO.:

*if soil is heated at 100^oC for 20min.-which is going to be alive?


B.anthrax/botulinum toxin/smallpox virus
*chaga`s –bug?-Tr.cruzi
*bug causing pneumonia in CF.
*polio case-site of lesion.
*daycare has many cases of pinworm-girl with no symptoms-what
is next step?
*Tx of pinworm.
*T.versicolor-hypopigmented patches.
*girl with strep.throat-route of transmission.
*case of SABE(sub acute bact.endocarditis)-identify the bug-alpha
hemolytic,optochin resistant.
*CSF findings for viral meningitis.
*legionella infection-
*leptospira-hooks at the ends.
*herpetic lesions around lip-

@IMMUNOLOGY:

*HIV resistance-CCR5
*Drawing of Ig-which is not part of heavy chain and binds with
disulphide bond.
*drawing of endogenous pathway for class I
MHC(TAP->RER->Golgi…)
*C3 deficiency
*defective integrin-how does it affect? Adhesion/migration
*q on HIV with low CD4 count.
*
@BIOCHEMISTRY:

*MCAD deficiency-dicarboxylic aciduria


*Maple syrup urine disease-valine was in choices.
*Ac.porphyria-with alcohol
*patient with malabsorption-fat soluble vit.supplementation is
needed.
*MOA of brown fat in newborn-uncoupling agent
*pilot on 3days fasting-action of glucagon
*arginino succinate in urea cycle
*patient on pure veg.diet-what deficiency?..CHO/protein
/fat/minerals
*deficiency of tyrosine-effect on which neurotransmitter?Ach/NE
/GABA/dopamine

@MOL.BIO.&GENETICS:

*2 pedigree qs
*photo of a girl with blue eyes-defect in?..precollagen-1
*why some diseases are common in A.jews?-vague options.
* DNA synthesis in nucleus &RNA synthesis in cytoplasm-how is it
possible?
Nucleus/nuclear pores/chromatin….
*2qs on southern blot,northern blot &other immunoassays.
*mutation at TATA box
*given numbers to codons-asked how many codons are
translated?you have to identify stop codons and answer
accordingly.
*some one liner qs on transcription/translation
*mutation in glucuronyl transferase enz.in a case of Gilbert`s
syndrome.
*adopted kid-wilson`s disease-keyser fleisher ring
*I-cell disease
*anticipation
*no Hardy-wienberg!!!!!!!!

14 of 17 12/31/2018, 10:51 AM
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@PHYSIOLOGY:

*patient having anovulatory cycles-description of endometrial


biopsy findings-drawing given(menstuation,ovulation)-identify the
time of Bx taken.
*DKA in 11yr old type1 DM
*diarrhea-metabolic acidosis
*superstitious administration of insulin-findings
*findings in ac.resp.alkalosis-on graph
*case of resp.acidosis
*aldosterone
*angiotensin-tested 2-3 times in diff.ways.
*lactation during pregnancy is inhibited due to-estrogen was in
options.
*Grave`s disease-only lab.findings were given
*case of adrenal hyperplasia
*what stimulates bile secretion?no CCK was in options.very
different options.
*emphysema-cause is def.anti-trypsin,which enz.is increased?-
elastase
*patient on dialysis for clearing of immune complexes.how can you
increase the rate of dialysis?decrease pore size/increase surface
area/increase thickness of dialysis memb.
*graph of pul.pressure vs compliance-it was pul.fibrosis
*experiment-in which animal`s ureter diameter is reduced by 50%-
effects on GFR etc.
*phonocardiogram of mitral regurgitation
*ECG tracings in all leads-asked diagnosis-I chose ventricular
tachycardia.
*tracing od aortic & ventricular pressures-asked the MV closure
point.
*micturition reflex
*45 yr lady with vertebral pain-the whole blood and serum profile
was given(25-30 lab values)and asked for diagnosis.I found only
elevated levels of parathyroid,so chose parathyroidism—10 answer
choices were given.(it took me more than 2 min.i bookmarked it
and did at the end of the block).
*q on thyrotrophin.
*no Dannet yarrow diagrams(I love those),no renal or
resp.calculations,no famous physio.graphs(with which I was very
comfortable)!!!!!!!!!!!!!
*Kaplan lecturer says that GI is low yield,but I got many qs from
GI.

@GROSS&NEURO ANATOMY:

*many MRIs,CTs and gross specimens and pictures/drawings from


neuroanatomy.
*mainly localization of lesions-ACA,MCA,PCA,PICA etc.4-5 qs
*girl with hip pain-CT shown-given very vague 8 options-not sure
*second degree uterine prolapse-surgical correction-which ligament
has to be fixed first?round/ovarian/
*patient fell on outstretched hand-something reconstructed 3D
picture from CT shown-
aulsion/scaphoid fracture/dislocation of hook of hamate/pott`s
fracture?
*5drawings are shown-KUB-rt.ureter is petent,how will it show
when dye is injected(left sided hydroureter
&hydronephrosis)—very easy.
*congenital agenesis of kidney-pairs of embryological structures
given…eg.ureteric bud & metanephros.
*neural crest derivatives-little bit twisted q,but easy.
*shawnn cell for peripheral myelination-tricky q.
*medial medullary syndrome.
*MCA stroke-two MRIs given-for old patient.
*cervical sympathetic ganglion injury
*superior vena cave syndrome
*radial nerve injury
*shoulder dislacation
*rotator cuff injury
*cerebral angiogram-pointing to ACA-asked about its blockade
*compression of S1 spinal root-sensory loss

15 of 17 12/31/2018, 10:51 AM
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*FB in lung-common site-RLL


*identification of CN III on gross specimen of brain-case history of
III CN lesion is given
*distal part of duodenum is to be removed-which structure is at
risk?
Aorta/IVC/trachea/thoracic duct
*pul.agenesis in newborn-due to defect in?diaphragm(septum
transversum was in options)
*X-ray of fetus-intestinal loops in scrotum-not remembering what
was asked.
*what stops conduction of action potential from one atrium to
another?pericardium/myocardium/sinus venosus/chordae tendinae
*slide showing intercalated disc in cardiac muscle-
*x-ray of hip-small part of head of femur was separated-asked
muscle attached.
I don`t know-just guessed something…..
*Frey`s syndrome(not mentioned but asked about
anastomosis.(post parotidectomy –anastomosis between CN V
with post-ganglionic parasym.fibres-causing sweating instead of
salivation while eating)
*atelectasis of upper lobe will cause—deviation of trachea towards
opp.side/downward displacement of diaphragm/obliteration od
castophrnic angles/upward displacement of interlobar septa.
*Black & white histo.slide of adrenal layers-identification of layer
related to aldosterone(from case history)
*UMN & LMN lesions.
*photograph of pruritic rash on arm-which cells
mediate(langerhan`s cells/sebaceous/sweat cells/melanocytes)

@PATHOLOGY:

*Fetal Hb:e.g.a>g>b>d(a=alpha,g=gama,b=beta,d=delta)..4
diff.combinations given
*patient with multiple sexual partners,family h/o cx cancer-has
CIN;which is risk factor?
*first sign of alcohol withdrawal-ataxia/convulsions/tremors
*Baby with CT showing dilated ventricles,no cerebellum
Arnold-chiari syn./Dandy walker/holoncephaly
*young athelet with few cardiac problems-died
cardiomyopathy/fibroelastosis/CHF
*casparases in apoptosis
*juvenile RA-but not classic clues given
*fibromyalgia case
*chediac Higashi syn.
*histo-path slide given,asked diagnosis.
Renal cell ca/transitional ca/nephroblastoma
*endometriosis
*2 cases of PID with infertility
*reason for protein loss in nephritic-loss of negative charge
*2 qs on CD,UD
*qs on colon ca
*significance of CEA level(for diagnosis/staging/grading/localization
of tumor)
*post-streptococcal nephritic disease
*Membranous NS
*CT of abdomen-hepatic angiogram in hepatic
hemangioma(occupying almost left lobe of liver)-
*lipoprotein lipase is secreted by..hepatocyte/kuffer`s cells/lipocyte
/multiloculated adipocyte/uniloculated adipocyte
*young girl-fibrocystic change of breast
*described `streak ovary`s histo.findings-Turner`s syndrome
*common site for adeno CA..asc.colon/desc./transverse
colon/rectum
*VIPoma q.
*coagulation factor deficiency.
*ALL—CALLA ag,CD10
*polycythemia
*photograph of long standing leg edema—due to arterial
insufficiency/venous valve incompetency/cirrhosis/nephritic
*polyarteritis nodosa
*gross specimen of liver—looked like secondaries in it
*neonate with annular pancreas-levels of direct,indirect

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bilirubin,urobilinogen
*patient on hemolysis-x-ray shows osteopenia-what is
given?1,25deoxycholecalciferol
*carcinoid syn-urine levels of indoleacetic acid
*desmin positive lesion at the hip—it was hard to figure out from
given choices
*GBS in a patient with gastroenteritis
*dryclean worker-ulcer on leg
*temporal arteritis
*cluster headache
*migraine
*PCOS-if untreated?endometrial ca/type1 DM/adrenal
atrophy/adenosis
*CO poisoning-
*Goodpastures
*iron def.anemia in old lady-next step?look for occult blood in
stool(colon CA?)
*biopsy findings of colonic polyp.
*diagnosis by looking at the photograph—one growth in
colon…adenoma/villous papilloma
*thyroid nodule in post-radiation case-path.slide was shown and
asked for diagnosis.
Medullary/papillary/follicular
*A-V malformation in rabbit`s ear-how it is diff.than normal
vessel?Not able to remember the options.
*Familial hypercholesterolemia.

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* Re:Lets put all exam exam experiences


together
#577619
knightinblue - 12/02/06 20:33

hey guys,
silly question - how many of these past exam questions actually
repeat on current tests?
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