Do you get the point? Again if you donвЂ™t have his book you can get it from here. This is a GoljanвЂ™s page of Cushing Syndrome and as you can see he explains why each of the findings happen.

If you carefully look at the findings it doesnвЂ™t explain why each of them happens. This is a first aid page of Cushing Syndrome. Many of you might ask why Goljan? Because Goljan explains every single point properly. Once you are done with Pathoma, I want you to start by reading Rapid Review Pathology by Goljan. So please make sure you watch all of his videos and read his book at least once before going to the exam center. He is so damn good! He will increase your pathology knowledge up to 60%. I personally read his book twice and watched his videos simultaneously. Make sure you buy the pathoma textbook from here and watch all of his videos. Sattar is a must! I love this guy! He saved my life in many ways.

So, if you have a little background on pathology I would say skip his videos and do the followings: He will draw everything on the board and make sure you understand every single point by quizzing you. If your pathology is really weak like you donвЂ™t know anything at all then you should watch Dr. So, what materials to use for this big guy? Here is how you should organize your pathology preparation: If you want to pass and score high on your Step 1, you must know disease association because thatвЂ™s what your exam will ask you. Most of you know your material, however, your UW scores are not improving because you cannot connect the dots and make the association.

You need good practice and resources to master this type of question. Now out of all three of these type of question, exam and USMLE World loves pathology associated question. The answer is: The patient has ADPKD and he has an increased risk of having berry aneurysm, diverticulosis, mitral valve prolapse, and hepatic cyst. On renal ultrasound, his kidneys are enlarged bilaterally. Here is an example of pathology associated question:ДЄ 44-year-old male presents with hematuria, flank pain, and elevated blood pressure. Her afterload is increased and cardiac output is decreased which is why she is having syncope. WhatвЂ™s happening with her Afterload and Cardiac Output? On cardiac auscultation, there is a systolic murmur at the right sternal border. Here is an example of pathophysiology question:ДЄ 72-year-old female present recurrent episode of syncope. WhatвЂ™s the disease? The answer is: Creutzfeldt-Jakob Disease Electroencephalography shows biphasic sharp wave patterns. Startle myoclonus is appreciated on physical examination. These symptoms have been progressively worsening over the past month. Here is an example of a direct pathology vignette:ДЄ 58-year-old male presents with difficulties in concentration and worsening insomnia. What do I mean by direct pathology question? In my exam I had pathology questions that are direct, some are mixed with physiology and others are an association. Not only it will help you in Step 1 but it will help in all USMLE Steps. Pathology is one of the highest yield sections in Step 1, so make sure you know it inside and out.

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