25yo woman brought in after running in front of cars at busy intersection. Options: Angelman, Down, FAS (is it this?), Fragile X, Prader-Willi, RettĤ. Has epicanthal folds, II/VI murmur as LSB, 30th %ile for height, can't hop on one foot, and knows half of her alphabets 5yo girl with difficulty learning and completing basic assignments. Options: conversion disorder, dysthymic disorder, GAD, OSA, restless leg (possibly this but no mention of legs moving uncontrollably at night), normal sleep phenomenaģ. 52yo woman with weird feeling in her calves when trying to go to bed that keeps her up at night for a couple of hours and is affecting her work/causing her stress. Options: adjustment with depressed mood (not it), adverse effect of carbidopa-levodopa, dysthymic disorder, MDD, normal reaction to chronic medical illnessĢ. Parkinson's pt on carbidopa-levodopa and pramipexole with inc depressive symptoms for past 3 weeks, flat/tearful affect, doesn't want to go anywhere or do anything, says "who wouldn't be sad with this disease." What is the diagnosis? Would appreciate some help and explanation of the following NBME 1 questions:ġ. A little neuro (that you could have gotten if you did pre test and lange), some basic IM stuff that pertained to delirium/psychosis. It really mostly seemed like 2nd year all over again as far as the info that you needed to know. Overall I actually thought it was easier than the other shelves I have taken so far. Lots of buzzwords/typical vignettes I thought so you can scan the long vignettes looking for keywords instead of reading through the whole thing. Time wasn't a big issue for me in general, had around 40 min left to go through the 20 or so questions I had marked but I could see how you could get behind because almost all of the stems are long. Worth going through the 10 pages of peoples posts here as well because I did have 2-3 similar/same questions as others. Don't even begin to waste your time on that stuff. Lange was better than pretest for simulating questions but would recommend doing both if possible (I think pretest got me 1 or 2 I would not have gotten and almost all their stems are short so it doesn't take long to do all 500).īiggest thing I can stress-absolutely none of that stupid stuff like erik erickson crap so skip those chapters in whatever sources you do end up using. Uworld was great for simulating the real shelf as well but overall too easy and not enough questions. Those questions seemed very similar to the real thing. Overall, I thought nmbe 1 was the best thing to prepare and would have done nbme 2 given more time. I also did nbme 1 the weekend before which helped boost my confidence (93). After that I just finished lange, did all of uworld psych qs the weekend before my shelf and then the week of I went through my notes and did random pretest questions. Starting my 2nd, I went through all of FA psych and took notes on anything I didn't feel comfortable with which seemed to help a lot. The 1st two weeks I mainly just did random questions from pre-test and lange (probably 200 total). My rotation was 4 weeks but the hours were nice so I felt like I had plenty of time to study compared to other shelves. I used lange q&a, uworld, pretest and FA psych. Took this shelf last Friday and got my results back today.
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