Goljan + Qbank. wow!

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exmike

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I've been using qBank and Goljan for the last three weeks, about half through each of them. Wow has it made a difference in my NBME scores

Pre goljan/qbank
NBME Form 3 - 410/195 🙁 😱

After 50% of goljan lectures and qbank and 3 weeks
NBME Form 1 - 560/232 🙂

Now to finish them! I put off goljan for a long time b/c I didnt want to listen to lectures, but seriously, it works. Do it! Annotating my First Aid with goljan & qbank seems to be working really well so far.
 
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exmike said:
I've been using qBank and Goljan for the last three weeks, about half through each of them. Wow has it made a difference in my NBME scores

Pre goljan/qbank
NBME Form 3 - 410/195 🙁 😱

After 50% of goljan lectures and qbank and 3 weeks
NBME Form 1 - 560/232 🙂

Now to finish them! I put off goljan for a long time b/c I didnt want to listen to lectures, but seriously, it works. Do it! Annotating my First Aid with goljan & qbank seems to be working really well so far.
Click to expand...

Hey exmike, are you writing down the answers to the stuff you get wrong or everything? I was thinking of the stuff I get wrong and the stuff I get right, just to read the answers.
 
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But it took me one year to learn pathology. So hopefully 8 hours with goljan isn't considered your path course.
Yes, he sums things up pretty good, and so does first aid.
But if you just read a bunch of facts you ain't going to learn anything for longer than 2 weeks.
Is it easier to learn 2 things about 40 different people or 40 things about 2 different people.
I would argue the latter, simply saying that if you associate and integrate you will be better off in the long term (MS year II) but just reading facts make you good at jeopardy for a few weeks.
 
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ndspider said:
But it took me one year to learn pathology. So hopefully 8 hours with goljan isn't considered your path course.
Yes, he sums things up pretty good, and so does first aid.
But if you just read a bunch of facts you ain't going to learn anything for longer than 2 weeks.
Is it easier to learn 2 things about 40 different people or 40 things about 2 different people.
I would argue the latter, simply saying that if you associate and integrate you will be better off in the long term (MS year II) but just reading facts make you good at jeopardy for a few weeks.
Click to expand...

well, just on a hunch, i'm going to say that since he's studying for step 1, he has already taken a path course at his school and is using goljan now for review purposes. what exactly is the point of your post?
 
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Even though I did very well in my path course, I felt like I didn't truly understand things until I heard Goljan. He just has a knack of making complex things simple and tying it all together.

I'm guessing the original poster has similar sorts of feelings (without putting words into his/her mouth)....

Besides, Goljan is 37 hours, not 8 --> it's possible to learn a lot in a week!
 
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I understand that Gojlan is a good review. But don't be under the impression that you NEED him.

I am also pretty sure that (since ther recordings are from 2002) the NBME knows Goljan pretty good as well.

If they check these boards to see who is posting questions, they probably already made love to Edward Goljan.

BTW if you got Goljan from a torrent. i made the torrent so you should thank me.
 
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not to poop on anyone,

but isn't form 3 much harder than form 1, thus the lower score?
 
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YouDontKnowJack said:
not to poop on anyone,

but isn't form 3 much harder than form 1, thus the lower score?
Click to expand...

Even if it was harder then form 1, I think they would have adjusted for it. I took 2 NBME exams and I thought one was much harder then the other but my score was almost the same.
 
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nrosigh said:
Even though I did very well in my path course, I felt like I didn't truly understand things until I heard Goljan. He just has a knack of making complex things simple and tying it all together.

I'm guessing the original poster has similar sorts of feelings (without putting words into his/her mouth)....

Besides, Goljan is 37 hours, not 8 --> it's possible to learn a lot in a week!
Click to expand...
Thats EXACTLY what i mean. Its not that I really learned anything new from Goljan, its more that he put things in a way that made a light bulb go off in my head and be like "Oh NOW i get it! So simple!"

Kashue: I write down the questions I feel unsure about while I took othe NBME and looked it up after taking it.
 
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For the people who are using the Goljan audio reviews, are you going through his notes along with the audio?

Do the audio reviews follow the order of the notes?
 
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Don't bother writing down the questions.

go to prep4usmle.com

Those people do it for you and have discussions.

Just to a site search like.... "nbme form 2" site😛rep4usmle.com in google and you will see a bunch of stuff.

put a ": p" no space where the smiley face is
 
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medhacker said:
ahhmm, sorry to rain on your modesty apart party, but there's more than one goljan torrent version 😴 :laugh:
Click to expand...

Well mine is the 1.6 gig from demonoid upload in janurary
Over 1027 downloads....
 
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i bow to rock lee....as well as ndspider..i think i have the 450 meg version..care to share the link you can PM me to your version?
 
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DrMikeyLu said:
i bow to rock lee....as well as ndspider..i think i have the 450 meg version..care to share the link you can PM me to your version?
Click to expand...

First person to make the diagnosis. Rock Lee.
You are going places my son. Big places

My school blocked the site. (bastards) but I did a search off of google's cache
XXXX
Pm'ed
 
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DrMikeyLu said:
i bow to rock lee....as well as ndspider..i think i have the 450 meg version..care to share the link you can PM me to your version?
Click to expand...

Could I get a PM for this too please? Would definitely appreciate it. Thanks.
 
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Google for Demonoid, click torrents and search for Goljan in there. I just found and added the torrent, thanks!
 
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just so you know, demonoid has closed registrations (i don't know if permanent or not) and you have to be a member to search torrents...unless you have an invitation code.
 
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JayZee said:
just so you know, demonoid has closed registrations (i don't know if permanent or not) and you have to be a member to search torrents...unless you have an invitation code.
Click to expand...

Mmmm... how come I was able to search w/o registering and logging in then? Regardless, other choices are piratebay and mininova.
 
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Goljan is the shiznit.
I am listening to him with his RR book.
And I am humbled.
 
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Duchenne's said:
For the people who are using the Goljan audio reviews, are you going through his notes along with the audio?

Do the audio reviews follow the order of the notes?
Click to expand...

There are some PDF files floating around of the notes that correspond exactly to his lectures (the notes he gives to his kaplan students). Most people, including myself, bought the rapid review, which corresponds quite nicely. Yuo can annotate the RR while listening to Goljan.
 
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are any of you guys going to be reviewing the 100 page HY? has anyone found it really helpful so far?

J
 
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Have all of the Goljan lectures and notes 36 44 and 100 - they make great check lists. Have his path RR and most commons books. Is stuff clicks with me. He makes better sense than others resources I have had to listen to. Wish some of my Profs had heard his lecture style.
 
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ndspider said:
Where is erythropoieten made?
Click to expand...

It is naturally made in the kidneys.

It can be made in the liver in cancer states.
 
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This point is actually somewhat controversial, but the most widely accepted answer would be peritubular capillary endothelial cells.
 
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docmd2010 said:
more specifically the juxtaglomerular cells in kidneys 🙂
Click to expand...

It depends on what source you look at. Just today, during our renal physiology board review, I was looking at FA 2005 and it said two different places in the kidney on the same page (p. 355):

1) the JG cells of the JG apparatus (modified smooth muscle cells of the afferent arteriole).

2) the endothelial cells of peritubular capillaries.

I looked it up in Williams Hematology, and found this:
(Skip to the bold part)

The principal hormone regulating erythropoiesis is kidney-produced Epo.7 Erythroid progenitors express their own Epo.41 Different levels of kidney-produced Epo are optimal for various stages of erythroid maturation.42 Purification of Epo provided a partial protein sequence that led to cloning of the gene and permitted mass production of the recombinant protein.43 The EPO gene contains five exons, four introns, and functionally important 5' and 3' untranslated sequences.44,45 From 80 to 90 percent homology exists between the human gene and genes for mouse and monkey EPO. The cDNA also encodes a 27-amino-acid leader peptide. The mature circulating Epo has 165 amino acids. Epo and its recombinant form are heavily glycosylated -globulins with a molecular mass of 34,000 daltons and a specific activity of approximately 200,000 IU/mg.44,45 Sixty percent of the molecular weight is contributed by amino acids; the other 40 percent is made up of carbohydrate. The classic study by Jacobson and coworkers7 in 1957 suggested strongly that the kidney was the organ of production. Using molecular probes for EPO mRNA enabled the pinpointing of synthesis to cortical interstitial cells46,47 of endothelial or fibroblastic lineage. The cells appear to function in an all-or-none fashion, with the overall production of mRNA dependent on the number of cells activated.48

I have heard Goljan say that it is the peritubular capillaries, but who knows which text he considers the best.
 
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As the synthesis and secretion of EPO is so closely linked with hypoxia, it makes sense that endothelial cells would be could candidates. These cells are in a perfect position for constantly sampling the p02 content of blood. As a good connection, realize that EPO hypersecretion is associated in certain paraneoplastic syndromes with VASCULAR tumors, notably hemangioblastomas in VHL disease.
 
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Abacus1050 said:
As the synthesis and secretion of EPO is so closely linked with hypoxia, it makes sense that endothelial cells would be could candidates. These cells are in a perfect position for constantly sampling the p02 content of blood. As a good connection, realize that EPO hypersecretion is associated in certain paraneoplastic syndromes with VASCULAR tumors, notably hemangioblastomas in VHL disease.
Click to expand...

The most common EPO-secreting cancers are Renal Cell Carcinoma and Hepatocellular Carcinoma.
 
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Just out of curiosity, how long does it take to download the Goljan stuff on bit torrent. I have never used it and thought it would be good to go ahead and get the audio for next year while I know where it is.
 
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Shades McCool said:
Just out of curiosity, how long does it take to download the Goljan stuff on bit torrent. I have never used it and thought it would be good to go ahead and get the audio for next year while I know where it is.
Click to expand...

Took me about 5 hours or so with a cable connection, went at 100 kbps for the most part.
 
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Has anyone noticed any out-of-date information from the 2002 Goljan lectures? Most noticable to me was that he states a V/Q scan is the study of choice for PE but clearly now four years later a spiral CT is done. I think this is more Part 2 material, but anyone notice anything else?
 
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Pegasus52082 said:
Has anyone noticed any out-of-date information from the 2002 Goljan lectures? Most noticable to me was that he states a V/Q scan is the study of choice for PE but clearly now four years later a spiral CT is done. I think this is more Part 2 material, but anyone notice anything else?
Click to expand...

I noticed him make a few statements about viruses and cancer that are no longer true due to the advent of the HPV vaccine...not too much else.
 
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Just gotta plug this guy again.

So he mentioned in the renal lectures that if you see a plasma sodium below 120, there is nothing else that can cause it besides SIADH. This very concept has shown up at least 4 times in qBank. Every time there was a plamsa Na less than 120, the stem or answer had a reference to SIADH. Amazing! 😀
 
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DrMikeyLu said:
y dont you just download for free?? you can even d/l the 500 pg notes for free as well
Click to expand...

I found the audiobooks on bittorrent, but can you point me toward the notes?
 
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MadameLULU said:
http://www.prep4usmle.com/forum/thread/35818

This guy has made it available.
Click to expand...
Yea - he charges like $36 for it from a country that does not have copyright laws and you can donwload on several places onthe internet for free - same stuff same gig size - you figure. Your $$$
not mine... Try mininova search for goljan use bittorrent...This is the informaton age or has is that passed already?
 
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Pegasus52082 said:
Has anyone noticed any out-of-date information from the 2002 Goljan lectures? Most noticable to me was that he states a V/Q scan is the study of choice for PE but clearly now four years later a spiral CT is done. I think this is more Part 2 material, but anyone notice anything else?
Click to expand...
Use of Troponin vs. CK-MB for MI Dx...he said troponin was the best enzyme to use, but I believe the consensus now is that CK-MB is best. Correct me if I'm wrong...
 
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CaptainZero said:
Use of Troponin vs. CK-MB for MI Dx...he said troponin was the best enzyme to use, but I believe the consensus now is that CK-MB is best. Correct me if I'm wrong...
Click to expand...

You're wrong.

I'd recommend finding out why this is the case. What is the specificity of CK-MB compared to Troponin, and why? How do the duration of CK-MB and Troponin elevation compare?
 
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CaptainZero said:
Use of Troponin vs. CK-MB for MI Dx...he said troponin was the best enzyme to use, but I believe the consensus now is that CK-MB is best. Correct me if I'm wrong...
Click to expand...

i thought he said ck-mb was the gold standard?
 
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