New UWorld question came out yesterday: here it is.

[Phloston]

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To anyone sitting his or her exam soon who's already finished UWorld and was only going to review incorrects, be aware that there's a new UWorld question that just came out yesterday, and it's NOT easy.


QID# 8542

 

[Gooner007]

To anyone sitting his or her exam soon who's already finished UWorld and was only going to review incorrects, be aware that there's a new UWorld question that just came out yesterday, and it's NOT easy.


QID# 8542

wow! thanks for the heads up!

 

[Victorinox]

To anyone sitting his or her exam soon who's already finished UWorld and was only going to review incorrects, be aware that there's a new UWorld question that just came out yesterday, and it's NOT easy.


QID# 8542

Damn you Phloston, you screwed up my pretty percentage chart 😡
I narrowed it down to two options but had never heard of one of the options, so picked the one I had heard of, which was wrong.

Thanks for the heads up though.

 

[tednfs]

I hadn't even heard of 2 of the options.

 

[Phloston]

I got it wrong just so you know.

I'm tiredly trying to blast through the QBank a second time, then when I encountered this question I was like wtf because I knew for a fact I hadn't seen this before. Then I saw at the bottom: "updated 11/29/2012," so realized it just came out yesterday.

 

[ZGX]

Got it right.

I looked at "chemotherapy" and immediately thought tumor lysis syndrome (ty pathoma thought process) which would lead to gout (uric acid buildup) damaging the kidneys

The drug itself sounded familiar, so I went with it.

I noticed a lot of people chose the other (wrong one), this is a common distractor, you only use this drug to lower the levels of uric acid, which takes too long.

 

[Phloston]

Got it right.

I looked at "chemotherapy" and immediately thought tumor lysis syndrome (ty pathoma thought process) which would lead to gout (uric acid buildup) damaging the kidneys

The drug itself sounded familiar, so I went with it.

I noticed a lot of people chose the other (wrong one), this is a common distractor, you only use this drug to lower the levels of uric acid, which takes too long.

You realize that not using probenecid has nothing to do with time or "how long it takes," right?

You don't use it because it only serves to increase uric acid concentration in the renal tubular lumen, and in urate-excess states (e.g. tumor lysis syndrome), the flood of urate being produced, in combination with probenecid (or sulfinpyrazone), can cause nephrolithiasis. So you don't use it in renal insufficient patients or in those with excess uric acid production. You'd use it for chronic mal-secretion, such that increasing luminal urate wouldn't put the patient at risk for crystal deposition.

 

[Jonari]

How did you know it was a new question, besides seeing the updated thing at the bottom? Does UWorld release a new qbank every year? 😕

 

[Phloston]

How did you know it was a new question, besides seeing the updated thing at the bottom? Does UWorld release a new qbank every year? 😕

I went through the whole QBank already just 1.5 months earlier, so not only am I somewhat familiar, but I only missed 15% on the first pass, so when I got this question wrong, a big red flag went up because I knew right away I had not seen the concept before. Then, after having read the explanation, I was 110% sure I had never read/encountered that concept before. Then I saw the "date updated" at the bottom, and it became clear to me that it was a new question.

 

[da Vincis World]

Be sure to go over any newer uWorld questions again before the test....I had three on my test that almost duplicated the new uWorld questions.

 

[Phloston]

Be sure to go over any newer uWorld questions again before the test....I had three on my test that almost duplicated the new uWorld questions.

It's not like it's possible to sort them by date though..

How would you even suggest going about that other than by memory/guessing which ones are new?

 

[da Vincis World]

It's not like it's possible to sort them by date though..

How would you even suggest going about that other than by memory/guessing which ones are new?

When I was going through my "marked" and "incorrect" toward the end of my studying they added 20-30 questions over the course of a couple of weeks....they all showed up as "unused", so I made a test with those "unused" and reviewed that test the day before my exam. The only way you would notice it is if you are working with "marked" or "incorrect" questions exclusively.

 

[Phloston]

When I was going through my "marked" and "incorrect" toward the end of my studying they added 20-30 questions over the course of a couple of weeks....they all showed up as "unused", so I made a test with those "unused" and reviewed that test the day before my exam. The only way you would notice it is if you are working with "marked" or "incorrect" questions exclusively.

Thanks for the heads up. I just finished the second pass of UWorld tonight, so over the next 10 days or so up until my exam, I'll keep tabs as to whether any unused questions show up.

 

[DIMC]

Two more added today.

 

[Phloston]

Two more added today.

Nice. Thanks for pointing that out.

One of those questions is pretty much identical to one I just encountered on one of the NBMEs.