08-24-2014, 06:47 PM
hi guys. Just got home from day one. it was HARD!!!
First of all there was an abstract to read with 3 associated questions i every sections. 2 sections were in-patient/ER but the rest were all office based.
about 1/3 of the whole exam was on kids with different rashes. I identified a rheumatic fever and mononucleosis and a few other stuff.
EVERY elderly case had poor air entry with distant heart sounds wheeze and a murmur. THERE WERE LOADS OF murmurs! Only one case needed you to listen, then rest describe the murmur.
The questions were very very long. I only had around 5 min to spare in each section.
In addition unlike the NMBE they were in the emergency scenarios and would for example say
67 year old with COPD in respiratory distress etc etc...and they would say "in addition to oxygen, what would be the next appropriate treatment to initiate"
i found in NBME they forget about ABC and so its hard to answer the question.
I am very disheartened. kind of feel like I didn't know study all that time because i guessed most things.
Now to do some last minute reading for CCS
First of all there was an abstract to read with 3 associated questions i every sections. 2 sections were in-patient/ER but the rest were all office based.
about 1/3 of the whole exam was on kids with different rashes. I identified a rheumatic fever and mononucleosis and a few other stuff.
EVERY elderly case had poor air entry with distant heart sounds wheeze and a murmur. THERE WERE LOADS OF murmurs! Only one case needed you to listen, then rest describe the murmur.
The questions were very very long. I only had around 5 min to spare in each section.
In addition unlike the NMBE they were in the emergency scenarios and would for example say
67 year old with COPD in respiratory distress etc etc...and they would say "in addition to oxygen, what would be the next appropriate treatment to initiate"
i found in NBME they forget about ABC and so its hard to answer the question.
I am very disheartened. kind of feel like I didn't know study all that time because i guessed most things.
Now to do some last minute reading for CCS