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Neurology shelf prep?

Discussion in 'Clinical Rotations' started by Quijotemd, Mar 31, 2006.

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  1. Quijotemd

    Quijotemd Member 10+ Year Member

    53
    0
    Jan 26, 2005
    Can anyone recommend resources to prepare for the neurology shelf exam?

    Thanks!
     
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  3. Quijotemd

    Quijotemd Member 10+ Year Member

    53
    0
    Jan 26, 2005
  4. bulldog

    bulldog Senior Member 10+ Year Member

    553
    1
    Sep 8, 2002
    pretest neuro was pretty good. honestly, not much neuro questions out there. I did pretest neuro (probably got like 50-60% of qouestions right), the blueprints mcq which i got like 68% on, as well as the neuro questions from qbook (just flip through the medicine section of qbook and pick out the neuro questions...there's about 50 in all) which I got around 70%. Score on real shelf was like low 70s.
     
  5. Mage

    Mage Member 7+ Year Member

    84
    0
    Oct 17, 2001
    OH
    With only pretest and blueprints, I scored 81raw (90 %tile). I had excellent neuro attendings who taught a LOT, though (consistent golden apple winners).
     
  6. dfagod

    dfagod Member 7+ Year Member

    71
    0
    May 23, 2005
    I also thought pretest was good. We only had 2 weeks of neuro and had to take the shelf, and I read some of first aid for step 2 and did most of the neuro pretest. What I was shocked at was how little CNS stuff there was. It was mostly peripheral nervous, vascular, and headache questions.
     
  7. ophtho2020

    ophtho2020

    8
    0
    Dec 11, 2007
    Our neuro department gives us Pretest and Clinical Neurology ( LANGE by Greenberg) on the first day of the rotation. Doing questions is key - reading... not so much.
     
  8. Bubchik

    Bubchik Senior Member 10+ Year Member

    390
    8
    Jul 11, 2004
    I absolutely agree that there was almost none of CNS stuff, no weird strokes or localization. But tons of PNS: metabolic, toxic, hereditary, etc. Bunch of dementias showed up as well.

    I did Casefiles and some of Pretest (50%), and thought it was plenty. I also tried reading Lange Clinical Neuro, but it was overkill. I managed to get through 100 pages (was lucky that it was all about PNS).
     
  9. dancinjenn

    dancinjenn I'm ready for my close up 7+ Year Member

    673
    1
    Feb 10, 2004
    MI
    We are recommeded the House Officer Series for Neurology. ISBN#: 0-7817-4747-3 It has short chapters on pretty much every major subject and is an easy read. I am in Neurology right now and it the book is even small enough to fit in a pocket if you have time to read on the floor. I know of several students who say that this, plus pretest, is enough for the shelf.
     
  10. anitra

    anitra

    9
    0
    Jul 18, 2007
    I am a third year Neurology resident and I saw all these posts, i can say that students in my department have found this Neuroprep very useful and seemed to have got good scores. I also used it myself as a resident to prepare for my RITE exam. Good luck to all of you with your shelf!!!
     
  11. cantthinkofname

    cantthinkofname Member

    3
    0
    Jul 22, 2008
    I couple people in my class recommended case files neuro-- anyone use it? How does case files compare to blueprints?
     
  12. InternationlDoc

    InternationlDoc Imported like a Ferrari 10+ Year Member

    286
    12
    Aug 21, 2005
    Anybody has any recommendations for neurology shelf? I got blueprints and pretest from a friend, but everyone at my school says "Nothing helps"

    This was by far the toughest shelf exam my friends have taken...I'm :scared:

    want to do well, any body has any suggestions?
     
  13. Snuffbox

    Snuffbox 2+ Year Member

    74
    0
    Jul 1, 2008
    You'll be fine with Blueprints and Pretest. I didn't blow it out of the water, but I did fine with those two resources. I really didn't study that much either. Yeah, its tough but don't stress too much. I took it with mostly 4th years and they thought it was very difficult though
     
  14. eachpeach

    eachpeach Member 5+ Year Member

    31
    0
    Dec 15, 2005
    can anyone post about what his/her raw score correlated to in terms of national percentile? thanks
     
  15. Instatewaiter

    Instatewaiter But... there's a troponin 10+ Year Member

    5,772
    1,585
    Apr 28, 2006
    Washington

    Raw score is based on a normal distribution for every single one of the NBME shelf exams. The average is a 70 and the standard deviation is a 7 or 8. So a 77 means you were 1 STD above the mean and so you are 84th percentile. 84 is 2std and thus 97.5th percentile.

    I used Pretest and blueprints + reviewed USMLE for step1's neuro section. I have never been a fan of blueprints in the past but I thought it was very solid for the neuro shelf.

    I agree there was not a whole lot of CNS stuff but it definitely showed up. The key is being able to localize the symptoms. To a specific part of the brain, brainstem, cord or PNS. Spend some time reviewing dermatomes, what each nerve does (like obturator, femoral etc) which will help with localizing radicular vs mononeuropaties. Of course, know how each major disease presents and the treatments.

    Raw score 87. Percentile 98th
     
  16. eachpeach

    eachpeach Member 5+ Year Member

    31
    0
    Dec 15, 2005
    hi -- yeah, the "average of 70, mean of 8" is what the shelf is supposed to be ideally, but in fact, the organization provides a different mean and SD for each "quarter" or the year.

    For example, in medicine, a raw score of 79 corresponds to the 80th percentile in the first quarter but only the 72nd percentile in the 2nd quarter. [and in the 2nd quarter, a score of 87 corresponds to the 94th percentile]

    That's why I was looking for individuals to post their score & percentile for neuro. Thanks for doing so!
     
  17. eachpeach

    eachpeach Member 5+ Year Member

    31
    0
    Dec 15, 2005
    Does anyone else who has taken the neuro shelf within the last several months have a score and a national percentile? Thanks
     
  18. RunningKing

    RunningKing 10+ Year Member

    30
    13
    Mar 4, 2007
    Are you sure the raw score is 70 SD 8? I received a raw score of 97.5, does this mean that I scored 3.5 SD above the mean?
     
  19. JonnyWise

    JonnyWise Junior Member 7+ Year Member

    30
    0
    Jul 10, 2005
    I second all the recs for blueprints neuro and pretest neuro. Both are relatively high yield. If you only have time for one I would do pretest.
     
  20. Instatewaiter

    Instatewaiter But... there's a troponin 10+ Year Member

    5,772
    1,585
    Apr 28, 2006
    Washington
    I dont think raw scores come with decimal places. That probably is your percentile score. Nice job though.

    u rocked it
     
  21. Knucklehead

    Knucklehead 7+ Year Member

    64
    5
    Mar 22, 2009
    i used case files and pretest scored a 85 raw. My clerkship director said that corresponds to a 92nd %ile...
     
  22. Scaredshizzles

    Scaredshizzles 5+ Year Member

    695
    4
    Jul 11, 2007
    No, a lot of schools just curve your scores and call it your "raw" score so that it is not confused with percentile. I think it is actually pretty rare for NBME shelves to have raw scores over 95...
     
  23. ROBINHOOD001

    ROBINHOOD001

    6
    0
    Dec 17, 2009
    If not all the neuro shelf q's are about neuro, then what else do the NBME ask about?

    Are there any IM, or Psych q's?
     
  24. ROBINHOOD001

    ROBINHOOD001

    6
    0
    Dec 17, 2009
    :confused:


    What kind of question on your shelf, Please?
     
  25. codeb1ue

    codeb1ue ASA Member 7+ Year Member

    153
    15
    Nov 13, 2008
    Seattle
  26. SeminoleFan3

    SeminoleFan3 Senior Member 10+ Year Member

    1,243
    10
    Mar 3, 2006
    Not the same. I looked at both before buying one in the store, and Neuroscience is more like your first year course. Neurology is the one you need.
     
  27. codeb1ue

    codeb1ue ASA Member 7+ Year Member

    153
    15
    Nov 13, 2008
    Seattle
    good to know. Thanks seminole
     
  28. juiceman311

    juiceman311 Senior Member 5+ Year Member

    563
    3
    Aug 9, 2005
    Shelf in 2.5 weeks. PreTest, UWorld questions, Case Files, Blueprints, Kaplan Step2 notes at my disposal. Haven't done ****ake mushrooms yet as far as studying 1.5 weeks in. Any advice for the best materials?

    Definitely will get through the UWorld questions next weekend (not many) and the Kaplan notes the week of the test (not long, easy read over high yield topics). But for the next 1.5 weeks not sure how to best utilize my time.
     
  29. juiceman311

    juiceman311 Senior Member 5+ Year Member

    563
    3
    Aug 9, 2005
    Man that stinks, I guess my school's the only one left standing who takes the Neuro shelf?
     
  30. vicinihil

    vicinihil Member Moderator Emeritus 10+ Year Member

    1,583
    2
    Aug 12, 2004
    naw we do it too. I plan to go at it with Blueprints, Case Files and Pretest. Hopefully this strategy will pan out. I hear it was a mother of a test. We only need to get above 5%tile to "pass" the shelf. I don't know what that corresponds to in terms of a raw score...
     
  31. pediperson

    pediperson 5+ Year Member

    105
    0
    Feb 13, 2010
    Blueprints, Casefiles and Pretest worked really well for me!
     
  32. Doctorverardoll

    Doctorverardoll 10+ Year Member

    383
    2
    May 17, 2007
    Baltimore
    I did Pretest and Case Files for the shelf. Also a handful of UW questions. I HATED the Lange text, though my attending did show me Lange Current Diagnosis & Treatment in Neurology and it seemed to be a better read, though perhasps too wide a range of scope for the clerkship.
     
  33. Deferoxamine

    Deferoxamine Non-smoking 5+ Year Member

    929
    35
    May 7, 2009
    USA
    My final shelf exam is now behind me. :D

    Tons of us take here Neuro right at the very end of 4th year, even post-Match. I prepared for the Neurology shelf by slacking off on the floors, drinking, and watching too much TV. About a week or so before the shelf, a bunch of us realized that we wanted to make sure we passed comfortably and graduated on time, so we sorta freaked out and started studying 1-2 hours/day. My book of choice was Blueprints Neurology (x1). I'm actually not sure it helped.

    Raw score: Mid 80's
    Percentile > 90th

    Medicine and Psychiatry galore. Whatever.

    Bottom line: If you worked your ass off for the shelf exams during third year, you will have absolutely no trouble with this test. I was really surprised how much stuff came back to me when I read each question.

    Also, you MS3's this year have NO idea how lucky you are to have 2 hours and 30 minutes for these exams. It was waaaay more time than I needed for this one. Last year, the 2 hours and 10 minutes cutoff had us sweating bullets almost each and every time.
     
  34. swtiepie711

    swtiepie711 Senior Member 5+ Year Member

    1,039
    2
    May 16, 2006
    Wait, shelves are now 2 hr 30 min? Where does it say that? I'm used to 2'10".

    Casefiles + UW neuro = pass? Thx!!
     
  35. MCATMAN45

    MCATMAN45 Chief Resident 7+ Year Member

    74
    2
    Sep 19, 2007
    Boston, MA
    MDApps:
    there are basic psych questions. the NBME Subject Test Outlines for the neuro shelf state that 5-10% of the exam is "mental disorders," which are basically psych questions. i think that outline was reasonably accurate for the real exam. i probably had 6-7.
     
  36. username456789

    username456789 7+ Year Member

    4,479
    6,526
    May 24, 2009
    Bump. I have this shelf in less than two weeks. I tried to read through CaseFiles and did most of it but hated it. I'm 2/3 of the way through PreTest now. I've never felt so underprepared for a self before. Suggestions?
     
  37. Poiu86

    Poiu86 7+ Year Member

    241
    0
    May 22, 2007
    New York
    bump?


    I'm curious about this too. GuyWhoDoesStuff - how did it go? Thoughts on prep?
     

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