utlonghorn50 said:I am just starting Psych and I was wondering if anyone just studied First Aid and Pre-test. If so, did you do well. If not, what do you suggest. Yes i did read the recent post. Thanks for the help.
phoenixsupra said:Maybe one or two questions about nomal child development. Same with theories. But there is a TON of med/psych questions. The psych shelf is tough. Don't underestimate it.
bremd said:when you say med/psych questions, do you mean what medical conditions can look like psych diagnoses? Also, what do you guys think about memorizing those lists of which medications can cause psychosis/depression/etc?
mountaindew2006 said:Last week I found out that I had failed the psych shelf exam. I did so mainly because I could not finish the exam (I just straight up put A down for about 20 q's). It sucks!
so the books i used were these: Current Clinical strategies, blue prints, kaplan, first aid for step 2.
I feel like I had some solid resources.
q's i did were from: qbank for psych, qbook for psych, pretest for psych, and the 75 q's at the back of blue prints
I feel like i really knew the material. i could nail a dx and tell you the tx rather easily. time though is killing me! it appears that none of the q's i used to prep for the exam were as long or convuluted as the real deal. From any of you that aced the bad boy, any suggestions? In particular is there a "GOOD" question source?
I know ppl say that you should read the last line, but gosh i just can't get myself to do that....
I'm using Blueprints, PreTest, and the A&L question book......I'll keep ya posteddrcrusher said:Does anyone have suggsetions for passing Psych shelf? What books and question sources were successful?
I was as vague as I possibly could have been.stw2361 said:Big Frank, I suggest you delete the above post. You give away quite a bit of "test-specific" information in there. Just trying to help out!
Promised I'd post when I got results back.bigfrank said:Took the Psych. Shelf today and I must say that I'm not sure how I did. I studied fairly hard for it and used Blueprints, A&L's question book, and PreTest. That's it.
All in all, it was, I suppose, a fair test, that really forced you to know your differential diagnoses. Quite a bit of "real" pathology on it (seizures, drug OD, IBD, FAS) that forced you to oftentimes work-up the patient with an EKG as opposed to prescribing a SSRI for a panic disorder.
ekimsurfer said:don't feel bad... psych is a field meant for those who can't interact within the other fields. you shouldn't feel bad that you are normal and don't feel like dealing with the deranged (no pun) world that is idiotic psych questions.
skidmark said:Took that mofo today...it was a beast. I barely had time to finish, and I was hustling. Made step 1 look like a joke. I studied first aid and did Appleton and Lange. I heard the national average is 70, does that mean the average person gets 70 out of the 100 questions correct or is the 70 an adjusted score?
EasyRider said:At my school, you have to get a raw score of a "90" on Psych Shelf Exam (PLUS a 90 for clinical evaluations). I still don't know what percentile this corresponds to on the exam.
Anyone know what percentile a raw score of 90 is on the psych shelf exam?
Mike59 said:I'm not convinced that any particular book can prepare you for a high score. I think it's a combination of what you know, whether or not you're a good test-taker, and your ability to sift through BS questions and somehow get them right
skidmark said:I used First Aid and did all the A&L questions at least twice. I got a raw score of 86. I am very pleased with this score considering the difficulty of the test. As I look back, the hardest thing about the test was that it made you think fast. I had no time to think twice about an answer and I still finished the test with less than a minute left. There were very few questions about psych drugs on my exam. I had a few medicine questions which had nothing to do with psych (i.e.Lesch-Nyhan) I had a couple of child development q's. Unlike in A&L, I had absolutely no questions where the answer was a percent (i.e. what percent of schizophrenics commit suicide). A&L was full of those questions so don't worry to much about them.
EasyRider said:Just took the exam today. I agree with this statement. The questions were a mixbag of stuff. Out of 100 questions, I would say 60-70 were pure psych. 15-20 were pseudo-psychiatry, and 15-20 had no relevance to psychiatry at all. First aid for Psych should be enough for the 60-70 pure psychiatry questions (IF YOU KNOW IT COLD). The exam had 100 questions. There were 93 questions with a clinical presentation, and 7 short matching questions at the end. The matching questions had about 15 different choices, and a short 1-2 sentence question. I did these first to get off to a good start.
The 15-20 pseudopsychiatry questions were management of outpatient/ER patients and mechanisms of common drugs in psychiatry. Appleton and Lange Qbook should net you some points here.
The last 15-20 had no relevance to psychiatry at all! These questions depended on what you brought to the table with your knowledge base. These questions were pure pediatrics, neurology, or endocrinology. These include presentations of Creuzfeld-Jakobs disease, papilledema in a patient with intraventricular hypertension, temporal lobe lesion with quadranopsia, how to treat SIADH, PKU vs Lead Poisioning, and cushing's vs addison's disease.
I used Case Files and FA Psych plus I also paid attention at the required lectures we had to attend every week as part of the rotation at our school. Also went through A&L questions once. I did well enough to H at my school.VicAmor7 said:Did any use Case Files and if so did they help? I personally think case files may be better than blueprints, but haven't took the exam so not confirmed.
carrigallen said:Just took the Psych shelf today. Much easier than the Internal med shelf, I finished with 12 minutes to spare. (2 hours 10 min total, 100 q's).
- A sizable fraction was more like neuro than psych.
- Big focus on anti cholingergic/anti dopinergic side fx.
- One question regarding benzos and liver metabolism, I got it wrong.
- At least 30% of q's were children/adolescent
- About 25% or more were o.d./withdrawal q's
- A disproportionately high number of anorexia/bulemia q's, maybe 7 total.
- I had a similiar acute dystonia question three times on my test.
That about sums it up.
Absolutely no %'s or numbers q's (ie what is the prevalance of bipolar? 1%, 3%, 5%?) Absolutely no epidemiological q's. Almost no q's on defense mechanisms, no q's on psychoanalytical/developmental theories.
This test seems like it was written with the title, "What should an internist know about psychiatry?"