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any recent step2 exam takers?
i am planning to take my exam in 2 weeks, and i was wondering how people felt about it. was it is easier than QBank or Qbook? and what is a good cumulative score on these MCQs for passing the exam.
thanks and good luck everyone! |
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Re: any recent step2 exam takers?
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I heard that whatever your Qbank scores, you add 20 to it. That will give you your 2 digits USMLE scores. So if you got a 60 on QBank you will get an 80 on the real exam. May the force be with you. |
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Some of the questions I remembered
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Here are some of the questions that I remembered from my test. What is the mechanism of stress incontinence. They gave several options on detrusor muscle, neurogenic, and urethra damage. A diabetic patient with hypertension. What is the drug of choice to treat the this patient's hypertension. A question on how to treat diverticulitis in a 70 year old man. A question on complication of Kwashika disease. A question on lyme disease and what is the drug of choice. Several questions on defense mechanisms. Several questions on pediatric growth curve. |
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SUI - Stress Urinary Incontinence
... is a loss of urine that occurs with increased abdominal pressure. It can be induced by a cough, or straining to lift something. GSUI (Genuine SUI) is caused by anatomic defect, and frequently is a result of childbirth. The damage is usually found in the urethrovesical junction, it follows a pelvic floor muscle, and it sometimes involves nerve damage. Urethral Hypermobility is most common and is surgically correctible. Rarely you may come upon Intrinsic Urethral Sphincteric Deficiency, (ISD), caused by a defective urethral sphincter. It is a cause of surgical failures in attempts to correct GSUI.
Detrusor Instability (DI) should not be confused with GSUI. It is called "spontaneous bladder", or "unstable bladder". It is associated with dysfunction of Loop I, or loss of Central Inhibition. Urethral Instability is the loss of urine caused by loss of urethral pressure. And detrusor hyper-reflexia is hyperactivity of the detrussor muscle. This causes incontinence in elderly, institutionalized women. This is a CNS disorder. MIXED INCONTINENCE is common. It combines both GSUI and DI. These patients are treated conservatively (medical and pharmacologic therapy) before surgery is attempted. |
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