The day before...

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TerpMD

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I know there are some older threads on the topic but I wanted to see what people thought about that final day. I get the impression that there are two schools of thought- cram as much as you can or relax as much as you can.

I have a feeling I will end up somewhere in the middle- I want to do something but I think I might avoid questions to limit the anxiety. What do you guys think?
 
I would say avoid doing questions for sure. I would say stick with things that you have learned before in FA, but that you haven't done in a while or requires memorization etc. I am going to focus on Micro, Pharm, and biochem for my last day.
 
3 P'S, path, pharm, physio
biochem is not high yield enough to warrant last day look
maybe micro if you dont feel comfortable enough
 
Thanks for the input guys. The big day is Friday so I'm just going to try and look over some crammable stuff and then watch a movie before bed. I can't wait to stop having dreams about this stuff!!!

If anyone else has ideas let me know!

Slightly off topic- but I called my prometric center to confirm yesterday and they were so nice to me, it really put me at ease. Funny how such a small thing can reduce stress in these crazy times.
 
But it falls out of my brain so quickly!!!

Seriously. I know what you mean. My test is tomorrow. I'm sort of cramming. Sort of relaxing. But I feel like there's crap I don't know even though I've reviewed it since it's just falling out of my head.

For better or for worse, it's over for me in less than 24 hours.
 
I know there are some older threads on the topic but I wanted to see what people thought about that final day. I get the impression that there are two schools of thought- cram as much as you can or relax as much as you can.

I have a feeling I will end up somewhere in the middle- I want to do something but I think I might avoid questions to limit the anxiety. What do you guys think?

1.) I would suggest that you don't do any new questions. However, you may want to focus on reviewing select practice questions you got wrong. As I went through my various Qbanks and the such, I marked the questions that I got wrong that left me with an "ahh haaaa!" feeling. Then I reviewed them, understood why I got them wrong, and reinforced the learning objectives that underlie them. Of course, I didn't focus on the stupid, nit-picky practice questions that I got wrong (aka a lot of Kaplan's stuff), only the ones that I marked and felt were important.... anyway, I did this a few times during the last week, and did this once more the day before.

2.) Of course, reviewing a lot of questions you got wrong might be somewhat damaging to your nerves and cause some anxiety. In general the day-before is a very nerve-wrecking time anyway. To help limit test anxiety and to reinforce your confidence, it can be helpful to review your study progress. The day before I wrote out all my practice score equivalents on a sheet of paper and looked at my performance progress. Meanwhile I kept thinking to myself, "I can do this, I can do this." Sorta like a mantra. Anyway, looking at my most recent NBME results really boosted my confidence and calmed my nerves. If I wind up getting anything near those results I'd be very happy!

3.) Although it's sorta late to cram any new information in, it doesn't hurt to look over some familiar stuff one more time. The week leading up to my exam, I typed up some 50 pages of listed, "high-yield" testable material in all the major disciplines. Stuff like key drug-drug interactions, selected drug of choice, signature drug toxicities, biochem rate-limiting reactions, biochem enzyme deficiencies and what substrate accumulates, vitamin deficiencies, serum tumor markers, key regulators of the cell cycle and oncogenes/tumor-suppressor genes, HLA associations, autoimmunity antibodies, anatomy clinical manifestations for various lesions, etc. etc. Although FA clearly has a lot of this already written in there, I found it helpful to type it up myself after reviewing the material from Kaplan and other sources. Then the night before I pretty much read through my own lists, and I thought about how or why these things might present clinically. The whole time I would think, "who gets this? what would a patient with this look like? how would you diagnose it? what treatment option is best? what will prognosis be like? what is the mechanism underlying the disease?"

--------------------------------------------
Well hope that helps. I don't subscribe to that school of reasoning "do nothing the day before"... that's just not how I do things. On the other extreme is "cram everything!!", which doesn't work either. Somewhere you have to draw the line and realize that for this test, no-one is ever absolutely 100% ready, everyone has at least "one more thing" to review... that's the whole point. You're gonna see stuff on this thing that you never saw before. They test more than what you know; they test how you think, they want to see your reasoning process. That's why point #1 above is so important.

Well good luck, stay calm and take it one question at a time ^_^
 
1.) I would suggest that you don't do any new questions. However, you may want to focus on reviewing select practice questions you got wrong. As I went through my various Qbanks and the such, I marked the questions that I got wrong that left me with an "ahh haaaa!" feeling. Then I reviewed them, understood why I got them wrong, and reinforced the learning objectives that underlie them. Of course, I didn't focus on the stupid, nit-picky practice questions that I got wrong (aka a lot of Kaplan's stuff), only the ones that I marked and felt were important.... anyway, I did this a few times during the last week, and did this once more the day before.

2.) Of course, reviewing a lot of questions you got wrong might be somewhat damaging to your nerves and cause some anxiety. In general the day-before is a very nerve-wrecking time anyway. To help limit test anxiety and to reinforce your confidence, it can be helpful to review your study progress. The day before I wrote out all my practice score equivalents on a sheet of paper and looked at my performance progress. Meanwhile I kept thinking to myself, "I can do this, I can do this." Sorta like a mantra. Anyway, looking at my most recent NBME results really boosted my confidence and calmed my nerves. If I wind up getting anything near those results I'd be very happy!

3.) Although it's sorta late to cram any new information in, it doesn't hurt to look over some familiar stuff one more time. The week leading up to my exam, I typed up some 50 pages of listed, "high-yield" testable material in all the major disciplines. Stuff like key drug-drug interactions, selected drug of choice, signature drug toxicities, biochem rate-limiting reactions, biochem enzyme deficiencies and what substrate accumulates, vitamin deficiencies, serum tumor markers, key regulators of the cell cycle and oncogenes/tumor-suppressor genes, HLA associations, autoimmunity antibodies, anatomy clinical manifestations for various lesions, etc. etc. Although FA clearly has a lot of this already written in there, I found it helpful to type it up myself after reviewing the material from Kaplan and other sources. Then the night before I pretty much read through my own lists, and I thought about how or why these things might present clinically. The whole time I would think, "who gets this? what would a patient with this look like? how would you diagnose it? what treatment option is best? what will prognosis be like? what is the mechanism underlying the disease?"

--------------------------------------------
Well hope that helps. I don't subscribe to that school of reasoning "do nothing the day before"... that's just not how I do things. On the other extreme is "cram everything!!", which doesn't work either. Somewhere you have to draw the line and realize that for this test, no-one is ever absolutely 100% ready, everyone has at least "one more thing" to review... that's the whole point. You're gonna see stuff on this thing that you never saw before. They test more than what you know; they test how you think, they want to see your reasoning process. That's why point #1 above is so important.

Well good luck, stay calm and take it one question at a time ^_^

Thank you this was very helpful! I also have a list I made for today. Hopefully, I can keep my sanity and get some sleep tonight.
 
But it falls out of my brain so quickly!!!

just relax, and trust me its all there in your brain, its just matter of pulling it out.
take some deep breaths, enjoy a nice meal so you can enjoy a good night sleep, (which probably none of you will.)
i must have woken up 3-4 times at night, scared that I slept in and missed the exam lol
 
just relax, and trust me its all there in your brain, its just matter of pulling it out.
take some deep breaths, enjoy a nice meal so you can enjoy a good night sleep, (which probably none of you will.)
i must have woken up 3-4 times at night, scared that I slept in and missed the exam lol

serisouly, having just taken it, theres in an inordinant amount of questions you will answer from just a "hunch". Just trust yourself, you'll be okay. You've looked at this stuff so many times, it's in there somewhere.
 
i started re-memorizing pharm (adrenergic, muscarinic, neuro, psych, and antibiotics) at about 4 pm... finished at 2 am... exam at 8:30am. I have to say that this helped me a lot- I got at least 6 questions on psych that I couldn't have answered before the re-memorization
 
For the USMLE, I stopped studying at 6:30pm the night before. I did a quick run thru of FA and looked at the rapid review/pics in the back. Also did a quick run thru of my pharm flashcards (which had material from FA highlighted on them). Then watched a couple episodes of LOST and went to bed

For the COMLEX, I ran thru Savarese the day before for a couple hrs, then stopped (was burned after USMLE the day before). The morning of, I studied OMM on the train ride over (~20 min).
 
I studied the day before the exam and would do it again...guess I am just to type A to totally chill out the day before the exam...to each his own. 😎
 
i studied a bunch of rote memorization type stuff: Biochem esp the diseases, the congenital immuno dzs, general congential dz, vitamin deficiencies, types of sensitivity rxns and anything I felt a bit fuzzy on.

I put the books away around 4-5pm and had a nice relaxing (kinda) evening.

I agree with some of the above posters: dont do any questions, it can only worry you.

Even if you dont feel like doing anything, that's cool too. There weren't a whole heck of a lot of memorization items on the exam. Most of it was conceptual. I had to study just to keep myself occupied. I felt better that I was studying than just sitting around. But that's just the kind of person I am.
 
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