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Anyone taken the COMLEX this year and want to comment on it? What are they emphasizing this time around? What was your preparation(UWORLD, COMSAE, Kaplan,USMLERx, etc.) and how did it compare?
No love? Some of us are taking COMLEX this week! Share some insight!
was your exam full of neuro questions as someone else had? thanks!
Lots of sympathetic/parasympathetic questions which made up most of the anatomy on my test. Know your bugs and basic characteristics of them. Really straight forward stuff-- I basically just used first aid for bugs and drugs and felt good about it. A decent amount of electolyte questions that asked about changes in K, Ca, etc. As mentioned earlier, I studied with first aid, brs path, brs physiology, and simmon's omt. I also used Kaplan USMLE and COMLEX qbank. For the most part, I felt the qbanks, first aid, and simmons were really all I needed. A lot of the questions I felt were not in review books, and I got from listening in class. There were about 10-15 questions I was not sure of each block, but I generally felt that these were questions I would not have known even if you gave me an extra 2 months to study. As a whole I didn't mind the test and thought the COMSAE was a decent representation of the actual COMLEX. Some people commented that they thought the COMSAE was a little harder and I guess I can see what they are saying, but I still feel as though it gives you a good idea of what to expect.
by chance what percentage were you getting correct on the kaplan comlex qbank.
COMSAE? I'm assuming you're talking about those downloadable PDF files from the NBOME website? If so, some of those questions are like -- Ok, I speak,read,write and comprehend English fairly well (as a native born U.S. English speaker) but what the hell is this question asking? Not - Ok, I've seen that concept before but just can't recall the details right now but literally -- what are you asking me for? I also speak OMM fairly well (I grabbed the OMM to English translator chip early) and didn't have a problem with those Q's.
The Kaplan Q bank is way, way different from those questions. Am I the only one feeling this way?
The Kaplan Q bank is way, way different from those questions. Am I the only one feeling this way?
It's not the PDF. It's the NBOME version of an assessment exam, similar to those released by the NBME.
http://www.nbome.org/comsae/index.html
10-15 ECG'S!!! Please tell me they were all Atrial Flutter
Thanks for the reviews guys its been helpful
ok...here's what was on my version of today's test:
I really think I had 50 questions that dealt with a pregnant woman, lots and lots of OB/GYN questions, things I didn't know and I didn't think I would be expected to know at this level...but whatever. There was a question about giving an antibiotic for a chylamdial infection and ALL the ones listed were C/I in pregos, including azithro which is first line otherwise...and I checked myself with FA on my lunch break, so there must have been one that was safer than the others, but I didn't know it but I just found it in Harrison's...Amox...gee...maybe I should have studied for boards with my Harrisons!?!?! riiiiight
So would not knowing OMT down cold kill you on COMLEX? Ive ran through Sarese once quickly and still am not able to retain much. Im prolly gonna spend another few hours on it and hopefully something will sink in by Saturday.OMT--some very easy/straightforward, some not-so-much, I studied Savarese and felt like I knew just about everything from that source, just a few random things I wasn't sure about but still felt I could reason my way through it. Maybe 2-4 cranial questions, not much. LOTS of symp/parasymp, and probably 5-8 chapman's points (only one I didn't know, and still don't, mostly cuz the question was just worded weird as hell.
So would not knowing OMT down cold kill you on COMLEX? Ive ran through Sarese once quickly and still am not able to retain much. Im prolly gonna spend another few hours on it and hopefully something will sink in by Saturday.
wow i would have never guessed that
this article in emedicine says azithro is DOC and amoxicillin is alternative
http://www.emedicine.com/med/topic3269.htm
really good article talks about all infxns in pregnancy and tx choices
bad question then, both amox and azithro were answer choices, other options were doxy, some cephalosporin and tetracycline. Sanford guide is the book for current treatment recs and they say Amox. I had it down to amox and azithro...but seems pretty grey...it's hard for them to ask treatment questions at this level for something like pregnancy in my opinion, seems more like step two-worthy stuff to me. oh well. it was just one question, but it definitely peeved me off.
I thought about commenting on it but I worry about them counting my comments against me, and then I'm thinking, well what if I'm wrong, and it's just me who can't remember and the question really is a fair one. Anyone know how the "comment" thing really works??
So how are these questions compared to COMSAE/real deal?
ok...here's what was on my version of today's test:
Anatomy--lots of limb musculature, and peripheral innervation, there was a hernia question, in regards to what type, where it was in relation to ligaments, vessels, ect, a few nerve injury questions (not too heavy) I didn't have many crazy ortho questions, though there was one that just had an xray, and a short, non-contributory story and they wanted to know what drug to treat it with. I still don't know wtf I was looking at on that one...haha
Neuro--not too many, know blood supply to all brain areas, and the language centers, cerebellum, MS/GB, and for the love, study up on your neuromuscular diseases, I had like 5 questions on myotonic dystrophy which gets like a whole half a freaking page in Harrisons and is only mentioned ONCE in FA...and not even what it is, just that it's a trinucleotide repeat disease
OMT--some very easy/straightforward, some not-so-much, I studied Savarese and felt like I knew just about everything from that source, just a few random things I wasn't sure about but still felt I could reason my way through it. Maybe 2-4 cranial questions, not much. LOTS of symp/parasymp, and probably 5-8 chapman's points (only one I didn't know, and still don't, mostly cuz the question was just worded weird as hell.
Phys--ECGs like mad, well maybe it just felt that way cuz I'm not the best at those , probably like 10-15 which was more than I expected. Otherwise clinically oriented and straightforward, not too esoteric, and not too crazy, I think I calculated an anion gap, but no other calcs needed. Cardiac murmurs, and of course, autonomics, several electrolyte questions too.
Micro--Some easy, some not, easier than COMSAE though, none that weren't in FA. Mostly bacteria, not too many viruses, and hardly any nit-picky molecular stuff, other than toxins, antigens, ect.
Immuno--maybe 20-25 ques...a lot on types of hypersensitivites, some on the diseases, a LOT (matching, and others) on functions of cytokines and interleukins.
Biochem--straightforward, enzymes, substrates and know your vitamins, especially B-12, ect, folate, thiamine. Know the bilirubin pathway unconj/direct, ect and the diseases there. A few questions on clotting, diagnosing dz based on PT/PTT ect.
Genetics--I had probably 15-20 questions on this, and I was surprised by them, I figured them out, but a little more USMLE than I expected from the COMLEX, reading western blots, karyotypes and pedigrees (2 I think)
Path--pretty sparse, and pretty general, lung cancer, bowel diseases, PUD, pancreatitis, GB, only a few leuk/lymph questions, some anemia questions, what types, like in COMSAE
Behavioral/Pysch--not too many, questions on OSHA, medicare and ethics, lots of stuff on scizophrenia, lots and lots of psych drugs (below)
Pharm--It was weird. I don't know how else to describe it. Lots of questions, and some were convoluted and I couldn't figure out wtf they wanted to know in order to answer the questions on some. LOTS of pysch drugs, be sure to know side effects, some MOA's but not too many, more questions about which drug to use for what. Only a few on antibiotics (thank heavens--for me at least...)
In general, fair test, some gimmies, some you had to try for and only a few that felt kinda impossible, but I guess we'll see when I get my bleepin' score back
I really think I had 50 questions that dealt with a pregnant woman, lots and lots of OB/GYN questions, things I didn't know and I didn't think I would be expected to know at this level...but whatever. There was a question about giving an antibiotic for a chylamdial infection and ALL the ones listed were C/I in pregos, including azithro which is first line otherwise...and I checked myself with FA on my lunch break, so there must have been one that was safer than the others, but I didn't know it but I just found it in Harrison's...Amox...gee...maybe I should have studied for boards with my Harrisons!?!?! riiiiight
maybe study a ob/gyn book for that stuff?? I don't know, I took an ob/gyn class at my school and I knew some stuff, but it's nowhere in first aid, and I'm not sure really where to find it "at this level"
wow. long post. it probably won't help too much. or maybe it will. to all who have yet to take it
I noticed some of you guys said there were a lot of ECG's on there. Were they all rhythm strips or did you have to deal with 12Lead ECG's as well and finding the axis and all that other bullcrap? Thanks.
I noticed some of you guys said there were a lot of ECG's on there. Were they all rhythm strips or did you have to deal with 12Lead ECG's as well and finding the axis and all that other bullcrap? Thanks.
Hey all...
I would agree with what Strawberry and the others have been saying. I took mine today... well technically yesterday, the 12th and had a real treat with it. In fact, if my COMLEX were a lady, I would avoid her like she had Trichamonas with corkscrew motility... but anyway.
Micro: yeah, know your micro. You don't have to have a Ph.D to get some pointage, but they throw you some curves. One thing I was VERY disappointed by was seeing 4 questions about Staph and several about neonate/kiddie meningitis. I did NOT pour over FA to get 4 questions on Staph., but they were easy points. Oh, and thanks NBOME for starting off EVERY micro question "A pt presents with nausea, vomiting, diarrhea x hours duration, fever, malaise, and myalgias...". Yeah, so does EVERY illness under the sun at some point. Some of the micro q's were straightforward: guy from europe w/ no hx of immunizations has a some pharyngitis with tonsilar swelling and a "grey-green membrane." Point! Not that many antimicrobials so that was well and good.
Neuro: there was quite a bit. I lump the peripheral neuropathy stuff in there, so it makes for quite a bit. I was expecting some of the neuro to be a little tougher. There were some that I was sketchy was on, but overall it wasn't bad. I felt like I answered middle cerebral artery for plenty of them, so know the distribution of vasculature as well deficits from occlusion. Quite a few head CT's with bleeds... if I had to look at one more I was gonna hang myself with my mouse. There were a few q's that asked about a side effect due to withdrawal of one of the five listed drugs; usually the S/E was seizure.
There were about 5 or 6 murmur q's, a couple that I had to spend some time thinking about and drawing on the dry erase board because of how they asked the q.
I actually got an SLE/hydralazine question.
The EKG's I had were a 3rd degree AV block and a few 12 leads with really high amplitude QRS's in the V leads that had q stems asking about chest pain, dyspnea, blah blah blah.
The endo/renal stuff was calcium-vitamin D-PTH-bone stuff and some electrolyte disturbances. I did NOT have to calculate **** on my test. Oh, wait... I had to subtract the direct bilirubin from the total bilirubin to get the indirect. I take that back, there was math.
OMM: Good n plenty sacroiliac dysfunctions plus lots of cord levels. It seemed alot of the pt's in the q stems had low back pain. Oh, and it seemed like all of the pt's were getting hurt... a very accident-prone group. I hope they have Afflack and not that other guy. A good convo with your Savarese book should do the trick.
There was a bit of repro on there. Malignancies mainly.
Oh, and I had some head/neck anatomy stuff. As well as ophtho pathology (i.e., herpetic keratitis)
I would say that you could get by with FA, Savarese, micro and pharm flash cards and a couple q-banks. Anymore would be wasteful. When it came down to it, all I ended up with in the end was my FA and flash cards... oh and q-banks.
Oh, and PS: there were a few pharm questions that had to do with insomnia. I was really expecting a kitchen sink to fly through my computer monitor after I saw those. And if i can end with over an hour left on the timer.. you can too!
Well, here's to 3rd year!!! Let's all flush this crap from our heads and prepare to be filled with REAL medical knowledge! Best of luck to those taking it Friday/Saturday. You'll be in my prayers.
thanks for the nice write up. and congrats on finishing.
I take this thing on saturday... wrote the usmle on tuesday and i thought i'd still have gas left in the tank to make it through some savarese etc before saturday. stupid policy.. $229 is enough motivation NOT to change my date.
Is there a consensus on how many days should be spent in studying OMM?
Is it something worthy of spending a week or two on or a day?
Is there a consensus on how many days should be spent in studying OMM?
Is it something worthy of spending a week or two on or a day?