shelf must know items dx and tx

[suckerfree]

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I was wondering if you could help me out since my internal shelf is this coming Monday. I have created a list for myself of the most common conditions for which I should be able rapid fire rattle off the top of my head the diagnosis and treatment algorithms because they will be all over the shelf. Please tell me what items I should add that will likely show up to the list:

1 indications for FFP vs. Cryoprecipitate vs. individual factor transfusion
2 Comm acquired pneumonias typical atypical
Nosocomial acquireds
3 DOE/PND
4 CHF tx
5 AMI
6 Angina tx
Stable
Unstable
Prinzmetal/variant
7 PE
8 DVT
9 Stroke
10 Hyper K
11 Hypo K
12 Hyper Ca
13 Hypo Ca
14 Hyper Na
15 Hypo Na
16 Emergency indications for dialysis
17 UTI
18 common STDs - gonorrhea, chlamydia, syphillis
19 osteoporosis

Thank you!!!

 

[QuinnB]

know everything...posting this kind of stuff, that is after having taken the medicine shelf, is ethically wrong

 

[suckerfree]

I suppose you think that First Aid for USMLE is also "ethically wrong".

I don't want to argue. Every medical school has shelf review sessions with department heads who judiciously choose topics to discuss that are traditionally high yield for the exam. What I'm doing for myself is no different, and all I'm doing is organizing my own thoughts. Please don't post unless you have an item to add that you think is "high yield."

 

[katrinadams9]

Actually, Quinn is right. Plus you can get in trouble with the NBME folks. Here's the quote from the USMLE forums:

The materials (i.e., test questions, clinical computer simulations, and standardized patient cases) of the USMLE, NBME’s self-assessment program and NBME subject examinations are copyrighted. Publishing any ‘remembered’ materials or replicas of these materials on The Student Doctor Network (or any other forum) is an unauthorized reproduction of NBME’s materials, constitutes copyright infringement and is strictly prohibited. Any violation of NBME’s copyrights and trademarks can not only lead to legal sanctions, but can also have professional consequences. Medical students and medical school graduates, prospective students, examinees of the USMLE and NBME self-assessment examinations and subject examinations are reminded that they are bound to the terms they agreed to follow regarding disclosure of intellectual property prior to the administration of one of these examinations. Failure to adhere to the terms of these policies will subject an individual to various penalties up to and including being barred from future USMLE examinations.

 

[Hood]

hey, i'm new here, and enjoy reading the forums from time to time. i am in IM now and can appreciate what the OP is worrying about - the vastness is sick. anyways, i don't think what he's asking is unlawful. what nbme is worried about is you coming here and rattling off a question you remember verbatim along with the answer choices, which is not what we are doing here.

simply saying, yeah, there's a lot of ID stuff and 'know how to workup chest pain' isn't cheating any more than saying 'know antibiotic coverage for blah blah' on step I. give the brotha a break.

 

[Bertelman]

OP, since you mentioned it, isn't this stuff available in review books? PreTest. A&L. Boards & Wards. Step Up. I really don't think you'll get any additional info from this forum.

Since you're asking, though, #1 is kinda low yield. I don't think that would have made it on my top 50 list.

 

[suckerfree]

alright! who friggin cares. I hate the answer, "Its in the book". No kidding! everything is in FA! But its stooopid to say to someone who wants to think about things, "just know everything in first aid!" I just thought it would be helpful to myself or anyone else to have a good list of top 25 items that are the highest yield. That is all. But apparently I should watch out for some of the hall monitors on this forum as they may phone the NBME and say, "excuse, but 'suckerfree' was posting on sdn and was asking for guidance on high yield concepts to the IM shelf. I think you should hire a detective, find out who he is, and tell him to stop because he is unethical." 🙄

Thread closed!😡 👎

 

[Bertelman]

I'll never understand people that ask for assistance on an anonymous internet forum, then get peeved if it's not what they wanted to hear. It's free advice, delivered by a bunch of overworked, underpaid smart-asses that have seen a thousand threads like yours before. We all took the same shelf you are about to pass, and I bet none of us thought it would be appropriate to ask for assistance in this forum.

I didn't suggest you memorize FA. If I thought you could, I am certain you wouldn't be posting. But books such as that are REVIEW books for a reason. They all have sections in the back for high-yield topics. Heck, even an English major could determine which topics are most relevant. Uhhh, it's like, the topics with the most pages dedicated to them. Flip through the book. If they spend 10 pages talking about CHF, and 3 lines on Peyronie's disease, it should be obvious which should command your attention.

btw, this is the stage in your medical education when you should be able to differentiate relevant from non-relevant using your own judgment. You have found out by now that no one is around to ask, "Is this gonna be on the test?" At some point in the very near future, you will be making distinct decisions that affect someone in a profound manner. We won't be holding your hand then, either.

 

[hyperbaric]

Actually, Quinn is right. Plus you can get in trouble with the NBME folks. Here's the quote from the USMLE forums:

It seems as though the OP has not yet taken the shelf, so (unless he used a psychic hotline to access the test bank) he probably isn't in violation of any NBME policies. IMHO, his request for high-yield topics is a reasonable SDN question. And, yes, he prob could 'go to the books' to get the info, but that is a separate complaint.

 

[Bertelman]

It seems as though the OP has not yet taken the shelf, so (unless he used a psychic hotline to access the test bank) he probably isn't in violation of any NBME policies. IMHO, his request for high-yield topics is a reasonable SDN question. And, yes, he prob could 'go to the books' to get the info, but that is a separate complaint.

I'm not feeling the threat of the NBME on this particular thread, but I think they were implying those that could give help had already taken the test, thus would be violating the agreement. It's pretty obvious the OP can't betray the NBME at this point.

p.s. you didn't include any high-yield topics for the OP.

 

[QuinnB]

wow. the op got pissy quick. the reality is that the nbme has busted people before, including schools and administrators for violating the policy that katrina so kindly abstracted. there have been a ton of these posts on this very forum regarding IM shelf stuff, but like bertelman said anything that you post here w/ good conscious is probably just as easy to find in a textbook.

Also, review companies and those who write review texts do get sued...a lot. The princeton review has been in a 5 year long lawsuit with the AAMC regarding their "MCAT violations."

And finally to satisfy the terms for posting here, you should really know your anemia. Just know everything about it.