Surviving 4th Term

Joe Kim

Grand Marshal

Iota Epsilon Alpha

www.ieasgu.org

This is a compilation from several IEA members

Everyone has their own opinions

Therefore, take advice with a grain of salt

Adapt it to your own style

Disclaimer!

Helpful Hint

Biggest mistake:

Overloading with resources

Stick with a maximum of 2-3 things

When in doubt, GO BACK TO LECTURE SLIDES!

Virtually everything they tested was in the lecture slides!

Pathology What to Study

Lecture notes - #1 priority Morphology, etiology and pathogenesis 3 most

important Epidemiology ages for select diseases Complications Most commons Similarities between diseases Stages of diseases lobar pneumonia, MI, etc.

TNM Staging for Gen Path ONLY!!!

Lab slides: Images virtually EVERY image on the exam was from lab! Images from lecture were NOT on our test

Pathoma or Goljian are very helpful Robbins for clarification

Path Complete for Gen Path

Harry Potter Slides (good for Path Lab)

Rajs Slides: Very well organized

Combination of lecture slides, lab images, and Robbins

A LOT of information

Pathology What to Study

Pathology Practice Questions

Robbins Review: Great vignettes but easier questions

WebPath by Utahs Med School: Similar to Robbins Review

UWorld and USMLERx questions: Great vignettes and Step 1 prep Do after Gen Path

Do not know many people who used Pre-Test or BRS

Pathology Lab

Slides Use Lecture notes / Robbins

Harry Potter is a good resource here!

If you dont put something important in, the tutor will let you know

Use the brown boxes in Robbins for your morphology

Dont go crazy on epidemiology, treatment or course of disease

Dont spend too much time preparing slides < 30 min per slide

KNOW THESE IMAGES FOR THE EXAMS

Pathology - Extra Work

Concept Maps Just get something in: no need for a masterpiece

Draw it by hand, and spend no more than 15 minutes

If its not good enough, they will allow you to redo it

CPCs Dont let these bog you down

Doesnt need to be much greater than a page long

Dont spend too much time on them.

Just try to be able to contribute to the group discussion

Identify Peripheral blood smear

Morphology RBCs: Spherical shape, lack central zone of pallor

Leukocyte

Platelet

Disease Hereditary Spherocytosis

Etiology Inherited defect in RBC cytoskeleton proteins

Commonly autosomal dominant trait, 25% have more serious autosomal recessive form

Lack of membrane stability allows loss of membrane fragments while retaining volume,

becomes spherical

Pathogenesis Limited deformability in spheroid shape

Sequestration and destruction in spleen, congestion of cords of bilroth = splenomegaly

Increased RBC destruction leads to anemia

Hyperplasia of marrow red cell progenitors, increase in RBC production, reticulocytosis

Structural

Changes

Abnormality in proteins that make up mesh like suportive structure.

Autosomal dominant: defect in ankyrin

Autosomal recessive: defect in spectrin

Other Sites

& Diseases

Hemolytic anemias, sickle cell anemia

Signs and

Symptoms

Anemia, splenomegaly, jaundice

Investigation RBCs show increased osmotic fragility in hypotonic salt solution

Peripheral blood smear

Course Risk of aplastic crisis, B19 Parvovirus infection

Hemosiderosis

Highlights Hereditary disease affecting mesh like supportive skeleton

Spherical shape and corresponding loss of flexibility, increased destruction and anemia

See Robbins: Pg _424

Module Heme Slide 4 Group 34 Not Revised March 2014 Joemama

Vignette: Disco Steve presents to the clinic saying he has Disco in his blood, but he has been getting tired more frequently. After a

blood smear you agree that he has disco in his

blood, but the disco balls aren't a good thing.

Q1. What is the cause of pathogenesis?

1)Macrocytic RBC

2)Hypochromic RBC

3)Loss of pliability and flexibility

4)Lack of oxygen transport

The Exams

Virtually all of the information is from lecture slides!!

Exam 1: General Pathology + 2 Systems General Path: Easier with more 1st order questions They tell you the diagnosis / disease!

DO WELL ON THIS EXAM

Exam 2: Systemic Probably the most difficult exam I took at SGU

They curved it a LOT, so dont freak out like I did afterwards They do NOT tell you the diagnosis / disease!

Lots of questions on: etiology, complications, pathogenesis

3rd/4th+ order questions

Microbiology

Lecture notes - #1 priority Gram staining and morphology Gram positive and negative flow charts in First Aid

Enzymes, virulence factors and agars

Epidemiology for pneumonia, meningitis, and STIs

Foods and fomites

Virus classes and morphology (naked vs. enveloped)

Most commons

Keywords and specific differentiating factors

Know the first 2 weeks material very well

Student-made Tables / Charts Make sure to cross-reference with lecture slides!

Picmonic: I used it for a couple of bugs.

Some people loved it!

First Aid: Very organized and has good charts

What not to study: Specific treatment for specific microbes (but know them for Gen micro)

If they only mention the bug once and dont give specifics about it, dont spend time memorizing it.

Microbiology

Article quizzes: Read through the article twice making highlights of what you

think is testable, then study your highlights Reading comprehension test

Small Groups:

Prepare so you can discuss

Is luck on your side?

10 points was full credit.

15 points if the tutor was impressed.

It really depended on the tutor

Be warned... they might change it(?)

Microbiology

It is possible to get an A

CPD

CPD

Do NOT underestimate this class.

Written test: Random facts (not even the bolded facts) from

the lab manual and lecture slides

Start reading the lab manual, or else youll end up cramming hundred of pages of information

Practical / OSCE: Ashleys Amazing Notes annotate it!

Practice!!

If your brain is fried, find a partner, go to upper Taylor and practice!

Inspection is deceivingly difficult

Time yourself for:

History taking! (half your OSCE grade!)

Vitals! (Its harder than it looks!)

WIIPEEPS takes at least 30-40 seconds!

CPD

Quizlet'ers:

http://quizlet.com/misunderkicked

Other resources:

1) Pre- Read POCKET for your weeks chapter Sunday Night (its short guys)

2) Attend Lecture - pay attention annotating up RAJ slides OR taking notes on slides given

3) Go disease by disease getting info from a searchable BIG Robbins - skip diseases not covered in objectives. Read info in entire section of disease including the most important 'boxes' (Ie search Sarcoidosis - read that whole section)

4) Use Harry Potter in lab while people are talking - better yet mandate people in your group USE IT when they make their slides so you dont miss something...HP is a crap shoot some good stuff + some wtfs

5) Pathoma is 4-5 pages per chapter - why the hell wouldnt you just read the chapter? I did for some systems, others I didnt....its up to you. Did it help? I felt RAJ + Robbins was better for THIS class.

6) Saturday should be Review day ... the day you actually learn the material. You got a gist during the week now you memorize. Id do some Robbins Review and talk over RAJ slides with friends. Sunday Id hit up Micro and go through any Path questions I could find and again RAJ slides

7) Before EXAM re-read your Pocket Chapters it takes like 3hrs to read for an entire exams worth of material (dont do the general path chapters just systemic)

An Upper Termers Advice:

Kick some ass!

Any Questions? Contact me: jo3kim@gmail.com

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