CBSE Score

[Handinhand]

Hey all,

Just got the scores back on my CBSE that my school required us to take. I know that the CBSE is supposed to be pretty close to Step 1, but I just wanted to figure out how accurate it is? Also, I read that these questions are years old, so I'm wondering if the material emphasis is the same? I can't think of a single biochem question we had on the CBSE but thought that biochem is a fairly well tested subject now on boards -- is this true?

I got an 80 raw score which they correlate to around a 220 Step 1 score. I know it's not a fantastic score, but I'm still two months out (June 7th exam day), so I'm hoping I can bring my score up to the 240 range.

Thanks for any advice!

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[wololololololo]

If you're starting at 220 it's pretty likely you'll get at least a 240+ in 8wk if you grind out a basic study plan (uworld, pathoma, FA). Take an NBME a couple weeks to check your progress.

 

[PharMed2016]

Just from the pharmacology perspective, there are a few answers that aren't quite right nowadays but I know better than to pick the most up to date. Haha.

e.g direct thrombin inhibitors (dabigatran), oral factor xa inhibitors (rivaroxaban), ... etc.

 

[Handinhand]

What do you mean by that? They were previously correct and now aren't? Is this because they are essentially irreversible in a case of trauma, and that they're so good way to measure their therapeutic effect? I ask because I've certainly learned about dabigitran more than once throughout medical school.

 

[PharMed2016]

I don't remember the exact question but it asked about the MOA for treatment of a thromboembolism in a patient with DVT/PE. Among the answer choices were the MOA for all the newer agents and warfarin. Obviously, you would select warfarin given that the boards are always a few years behind although depending on the patient one of the newer agents could possibly be used.

*I'm not advocating the use of newer agents btw but they can be used in select cases.

 

[Handinhand]

I see.

How about TIA's and prevention? I had a UWorld question about a women who had a TIA and wanted to know treatment to prevent future episodes. I picked Aspirin, but they wanted Warfarin. Warfarin certainly isn't wrong, but I would think subjecting someone to Warfarin and the blood monitoring that goes with is would be a little much to start with -- but I am not a pharmacist nor physician so I don't know which is preferred clinically.

 

[Apoplexy__]

I got an 80 raw score which they correlate to around a 220 Step 1 score. I know it's not a fantastic score, but I'm still two months out (June 7th exam day), so I'm hoping I can bring my score up to the 240 range.

My school showed a plot of the CBSE and USMLE results. By eyeballing the comparison, people generally improved about 20 points. 220 --> 240 was definitely seen.

About your warfarin Q, you sure there wasn't anything else that hinted towards warfarin? I would have put ASA too with just the info you provided. But maybe she had a-fib, or a previous MI, or something?

 

[Handinhand]

I'm sorry, I misspoke about the pathology. It was a PE, not a TIA. I must have been tired when I was reviewing, because it makes perfect sense now why you would use Warfarin instead of Aspirin in a patient with a hx of venous thrombo-embolism.