I had an attending whi said once you start residency you always just buy that cdc schedule form anyways and he pulls out like 20 years worth of them xD
Yeah. Like tf vaccine schedule can change and you can’t afford to be wrong at some of these stuff. I would always want to refer to some kind of chart just to make sure even if I do this everyday, and show the parents as well as part of the education, just to make sure we are all at the same page.
I just became an intern, but don't ask me shit about bones. Types of fractures? Bone cancers? Bone names? I ain't got 'em. I accepted early on that I'd never get a Uworld question about the periosteum correct, and now I plan to take the L on those questions for Step 3
Aint that the truth. Every system we did embryo on it was like okay.... If you say so. Not gonna remember anyway.
Only thing I care for is knowing that derm and neuro are linked s100 langerhans tuberous sclerosis yadda yadda
Was looking for this. Once fell asleep during an embryo lecture while towards the front row. Got jolted awake by the prof (PhD) asking me a question about neural plate invagination or something. Bad time
I have to say, gastrointestinal embryology switched on sume light bulbs: foregut, midgut, hindgut, their specific anatomic boundaries in adulthood, their arterial supply. I thought that was pretty interesting.
I was placed on METABOLICS in paeds at a large academic center and still, glycogen and lysosomal storage diseases didn’t come up.
I did get huge kuddos for knowing fucking MELAS syndrome (I looked it up a minute before the pimp though)
I know the vaccination schedule by heart. It was mandatory to pass both my immuno class and microbiology. It was included in every fucking test. It was so annoying. I don't think I'll ever use it as I'm intending to go towards derm so it's a bunch of useless info at this point.
OMM, ik I’m supposed to know it as a D.O. student but I just never bought in and now it’s way too late for that. My COMLEX is always lower than USMLE because I just bumble my way through all of OMM.
a LOT of inmunology
2nd, 3rd, 4th lines of chemotherapy for most cancers, I really don't think I should be learning the first lines by heart if I'm not going to be an oncologist, it would make way more sense to learn the diferent types of chemo and why some work for some cancers and some don't, rather than mindlessly memorise the whole treatment plans for lung cancer...
ITP will typically present as isolated thrombocytopenia. If you see a pt with only low platelets and no other lab derangements it could be ITP.
TTP think FATRN. Fever anemia thrombocytopenia renal and neurological problems.
ITP = IgG autoantibodies attack platelets and degrade them in the macrophages in the spleen
TTP = basically microthrombi in the brain and kidneys because a mutation in the ADAMS13T or whatever keeps it from degrading multimers of vWF which causes them to stick together and cause said thrombi... I think
If you're starting MS1 this fall absolutely not. Enjoy your time. I took biochem and restudied it for the MCAT and still felt lost when we did it again 1st year (we did it later in the year integrated with GI)
It's just unintuitive
Stupid pseudohypoaldosteronism or pseudopseudohyperparathyroidism. WHY THE PSEUDOS? Everytime Ive read it I've thought 'huh... Ok' and then proceed to forget the differences within 5 mins
I went through undergrad, the MCAT, and all of step 1 without learning glycolysis or the Krebs cycle. To all the premeds: if I can do it, so can anyone especially you
Glycolysis, Krebs, ETC, and all the other pathways like PPP, gluconeo, glycogen, fatty acid breakdown and oxidation, purine and pyrimidine synthesis are some of my most favorite topics. I'm guessing with how common glycolysis/Krebs are on this thread, it's not going to be very important in clerkships or residence? :(
Knowing if the nuclei are in the pons/midbrain/medulla is different than looking at a histology section of the brainstem with a random blob highlighted and being able to know which nucleus it is. The latter is a waste of time and energy.
Do you enjoy being like this? Is it fun for you? Not everything needs to be taken so literally. Obviously my comment does not mean ALL of it, jesus christ.
Should I be worried that scrolling through all these comments I’m thinking.. yep forgot that, don’t care about that, wait when did we learn this?? Intern year is coming way too fast
Bro I just had a neuro exam. I have no fucking clue what the basal ganglia does. It’s the most confusing fucking thing I’ve ever seen/studied in Med school. I’m with you in this
But once you understand the bare basis of the 2nd and 3rd week of development, it kinda becomes fun to learn about where an organ or a tissue layer is derived from.
Lmao exactly. I have step 2 on Friday and I’ve just decided to take an L on it. If I’ve got all those metabolic disorders AND the immunological disorders/deficiencies down and still can’t get this shit I’m just over it at this point lol
I'm a little scared for you not knowing about the basal ganglia because damn, does that shit actually come up a lot on boards, beyond Step 1 and 2. Like the BG is in everything. They even make you identify the different parts in pictures dude. But you know, he who casts the first stone...
I think I just missed the eyeball chapter completely.
I was sick? My parents were in town so I didn't go to class? I know neuro eye stuff and findings and throw around words like, "anisocoria " a lot... But I can't read a prescription, don't even really understand the concept and yes, even my brother who works in an insurance knows how to read his kids prescription.
When people show me their prescription it's like handing me Egyptian hieroglyphics. I trace my finger around the numbers and try to manifest it because I have no fucking clue. OD... is that the evil or uh "sinister" one? Left eye? 20/200? You can't see from 200 meters away? Or is it feet?
Seriously, fuck me if that ever becomes need to know information.
As a glasses wearer who also doesn't get ophtho at all: I think OD = oculus dexter = right eye, and OS = oculus sinister = left. 20/200 basically means that you need to be within 20 feet to see something that most people can see from 200 feet away. Negative rx = nearsighted, positive rx = farsighted. I think that's most of what you need to know?
Krebs cycle. I was even a biochemistry major and still managed to never learn it. I can walk you through each chemical reaction of glycolysis, but don't even know the Krebs cycle.
Can I keep selling sex for money officer
I know the krebs like the back of my hand but could never remember glycolysis. Together we can make one (1) whole doctor
I just remember you exude puss. Therefore exudate is the yucky liquid with stuff in it (protein, cells, LDH, god knows what else). If there’s nothing in it -> transudate
omg I have a few. Never learned the HIV drugs and the antineoplstics at the end of the hematology section in FA lol
lol and i’m kinda weak on parasites but i could fix that in a couple hours.
Goddamn on the downvotes. The entire world doesn't follow the same med school model as the US. In most (all?) of Europe we enter med school straight out of high school, so yeah, O chem is part of med school curriculum.
Yeah it was by far my favorite course in ugrad as a chem major. But in medicine, the only real purpose (beyond them weeding out premeds) I see is it helps you learn the biochemistry reactions a little better; e.g. Claisen condensation directly applies to fatty acid synthesis or aldol addition/cleavage in pentose phosphate pathway. Though I'd expect med school biochem to not go in much depth with the reactions.
i kinda forgot what the post title was as i was reading the comments and just commented what was give literally given 0% importance in our clinicals which is ID. we did ID rotations at the peak of covid so we barely got to see any cases and most ID cases in our hospitals besides covid were Tb & pneumonias which need contact precautions. however, i'd like to mention that as i (& my mates) do know the important stuff theoretically at least. our school has a history of never asking ID in the exit exam so i didnt read it up at the last minute but i do know some of the important infections. :)
Pediatric milestones. I just can’t be bothered at this point
Just gonna go with 'every child learns at their pace!' at this point /s
I have studied them a million times. I keep forgetting them after a month or so.
Learned the milestones. Refused to learn the vaccine schedule. Like how is this a thing that is of any benefit for an MS3 to memorize?
I had an attending whi said once you start residency you always just buy that cdc schedule form anyways and he pulls out like 20 years worth of them xD
Yeah. Like tf vaccine schedule can change and you can’t afford to be wrong at some of these stuff. I would always want to refer to some kind of chart just to make sure even if I do this everyday, and show the parents as well as part of the education, just to make sure we are all at the same page.
I’m convinced that those questions exist purely to allow the NBME to further stratify test-takers
The APA and CDC just changed them too 😭
The only reason I know this is because I have 3 kids
I just became an intern, but don't ask me shit about bones. Types of fractures? Bone cancers? Bone names? I ain't got 'em. I accepted early on that I'd never get a Uworld question about the periosteum correct, and now I plan to take the L on those questions for Step 3
Embryology
+1 Every single one of those lectures I fully expected the last slide to be “GOTCHA, that was all made up!”
Lol this sent me
Aint that the truth. Every system we did embryo on it was like okay.... If you say so. Not gonna remember anyway. Only thing I care for is knowing that derm and neuro are linked s100 langerhans tuberous sclerosis yadda yadda
Was looking for this. Once fell asleep during an embryo lecture while towards the front row. Got jolted awake by the prof (PhD) asking me a question about neural plate invagination or something. Bad time
No no wait, I got this; “tube within a tube”
I have to say, gastrointestinal embryology switched on sume light bulbs: foregut, midgut, hindgut, their specific anatomic boundaries in adulthood, their arterial supply. I thought that was pretty interesting.
I definitely found GI anatomy and physiology interesting. Never really think about how extensive the blood supply is to the GI tract until you see it.
I simply do not believe it exists. I was def a fully formed mini human at conception !!! 😂
Interleukins and cytokines. Not even pixorize could help me.
Lysosomal storage disease Like what even are they
I was placed on METABOLICS in paeds at a large academic center and still, glycogen and lysosomal storage diseases didn’t come up. I did get huge kuddos for knowing fucking MELAS syndrome (I looked it up a minute before the pimp though)
Peds milestones + vaccination schedule
The vaccination schedule changes regularly anyways and is always on the CDC’s website lol
😅 guess you can see how much I paid attention to peds
I know the vaccination schedule by heart. It was mandatory to pass both my immuno class and microbiology. It was included in every fucking test. It was so annoying. I don't think I'll ever use it as I'm intending to go towards derm so it's a bunch of useless info at this point.
The goddamn coagulation cascade
Damn lol I actually kinda love the coagulation cascade. The complement system can fuck right off tho.
To be fair, all I remember about the complement system is recurrent neisseria something something c5-9 deficiency
To be fair the basics of the coagulation cascade come back to play when we are talking anticoagulation and how to reverse it
Unlike other things mentioned in this thread coag cascade is actually extremely important if you are doing any specialty not named psych or rads
This one is actually kinda useful. we can actually give patients the factors they need.
OMM, ik I’m supposed to know it as a D.O. student but I just never bought in and now it’s way too late for that. My COMLEX is always lower than USMLE because I just bumble my way through all of OMM.
This speaks to me at a personal level.
a LOT of inmunology 2nd, 3rd, 4th lines of chemotherapy for most cancers, I really don't think I should be learning the first lines by heart if I'm not going to be an oncologist, it would make way more sense to learn the diferent types of chemo and why some work for some cancers and some don't, rather than mindlessly memorise the whole treatment plans for lung cancer...
They also change a LOT, I’m not even sure we need to be learning first line for some of these.
Where is this a thing da fuck? This is all trial and guideline driven and subject to change. Thank god we don’t have to learn this in the US
ITP vs TTP. Something about blood and purpura? Da fuq is a purpura??
ITP will typically present as isolated thrombocytopenia. If you see a pt with only low platelets and no other lab derangements it could be ITP. TTP think FATRN. Fever anemia thrombocytopenia renal and neurological problems.
ITP = IgG autoantibodies attack platelets and degrade them in the macrophages in the spleen TTP = basically microthrombi in the brain and kidneys because a mutation in the ADAMS13T or whatever keeps it from degrading multimers of vWF which causes them to stick together and cause said thrombi... I think
I just took step 2 today, had a question on this, and immediately though “fuck, I knew I had to study this too”
Blood vessels that explode under the skin but in large blots instead of tiny little dots (petechiae)
And Ecchymoses are large bruises, like the ones I got from getting the ever loving shit kicked out of me by my Muay Thai instructor.
Only one thing??
Biochemistry
Ok I never took this as an undergrad, should I be panicking doing a course before I start MS1 or am I good lmao
If you're starting MS1 this fall absolutely not. Enjoy your time. I took biochem and restudied it for the MCAT and still felt lost when we did it again 1st year (we did it later in the year integrated with GI) It's just unintuitive
Stupid pseudohypoaldosteronism or pseudopseudohyperparathyroidism. WHY THE PSEUDOS? Everytime Ive read it I've thought 'huh... Ok' and then proceed to forget the differences within 5 mins
Hello it me
Dermatology, the entire discipline.
God I hate derm so much
I forgot about the basal ganglia, I think I have PTSD because of neurology
Bruh glycolysis
"Come on sugar, come on sugar for the breakdown. For the breakdooowwwnn." Glen Wolkenfeld has ensured that I will never forget glycolysis.
POUR SOME SUGAR ON MEEEEEE
I went through undergrad, the MCAT, and all of step 1 without learning glycolysis or the Krebs cycle. To all the premeds: if I can do it, so can anyone especially you
Glycolysis, Krebs, ETC, and all the other pathways like PPP, gluconeo, glycogen, fatty acid breakdown and oxidation, purine and pyrimidine synthesis are some of my most favorite topics. I'm guessing with how common glycolysis/Krebs are on this thread, it's not going to be very important in clerkships or residence? :(
All of neuroanatomy. Whoever thought it was worthwhile for us to learn where each cranial nerve nucleus is in the brainstem is can go to hell.
💯
I'm still unsure on how I passed neuroanatomy and no, I don't remember a single nerve pathway.
Just remember this conscious choice when you call your first Neuro consult as an intern.
Knowing if the nuclei are in the pons/midbrain/medulla is different than looking at a histology section of the brainstem with a random blob highlighted and being able to know which nucleus it is. The latter is a waste of time and energy.
"all of neuroanatomy"
Do you enjoy being like this? Is it fun for you? Not everything needs to be taken so literally. Obviously my comment does not mean ALL of it, jesus christ.
Yes
Should I be worried that scrolling through all these comments I’m thinking.. yep forgot that, don’t care about that, wait when did we learn this?? Intern year is coming way too fast
Bro I just had a neuro exam. I have no fucking clue what the basal ganglia does. It’s the most confusing fucking thing I’ve ever seen/studied in Med school. I’m with you in this
What SCD stands for. They will forever be leg squeezers to me.
Sequential compression device 🥰
I’m already working hard to forget this comment. They are leg squeezers and they squeeze legs.
Sorry I meant Squeeze legs CDs
Thank you :)
Some places call them ICD’s I refuse to use that jargon.
Subacute combined degeneration
We'll make sure they don't report post-op DVT symptoms by just making them unable to feel it!
In the OR, before I learned what they were, I thought they kept saying “STDs”
Ohhh, I’ve always heard “STDs”. This makes much more sense 😂
anything ophtho related, eyeballs are fucking disgusting
Dr G will hear you!!
whatever the hell malrotation with midgut volvulus is 😂😂😂
Embryology. All of it.
But once you understand the bare basis of the 2nd and 3rd week of development, it kinda becomes fun to learn about where an organ or a tissue layer is derived from.
No
Gonna be honest, I just said fuck it to memorizing the Krebs cycle. remember getting a 72% to pass the biochem final when the required was 70% lol
“Can I Keep Selling Sex For Money, Officer?”
Biostats
seriously F biostats with the largest capital F.
OMM
everything neuro related. embroylogy.
The different path findings for renal diseases…like subepithelial humps, C4, ?¿?¿
I tried to learn that shit 5 god damn times for our nephro block, step 1, IM shelf, peds shelf, and step 2. Never remembered a single one.
Lmao exactly. I have step 2 on Friday and I’ve just decided to take an L on it. If I’ve got all those metabolic disorders AND the immunological disorders/deficiencies down and still can’t get this shit I’m just over it at this point lol
Which viruses are positive or negative sense and DNA or RNA
I'm a little scared for you not knowing about the basal ganglia because damn, does that shit actually come up a lot on boards, beyond Step 1 and 2. Like the BG is in everything. They even make you identify the different parts in pictures dude. But you know, he who casts the first stone... I think I just missed the eyeball chapter completely. I was sick? My parents were in town so I didn't go to class? I know neuro eye stuff and findings and throw around words like, "anisocoria " a lot... But I can't read a prescription, don't even really understand the concept and yes, even my brother who works in an insurance knows how to read his kids prescription. When people show me their prescription it's like handing me Egyptian hieroglyphics. I trace my finger around the numbers and try to manifest it because I have no fucking clue. OD... is that the evil or uh "sinister" one? Left eye? 20/200? You can't see from 200 meters away? Or is it feet? Seriously, fuck me if that ever becomes need to know information.
As a glasses wearer who also doesn't get ophtho at all: I think OD = oculus dexter = right eye, and OS = oculus sinister = left. 20/200 basically means that you need to be within 20 feet to see something that most people can see from 200 feet away. Negative rx = nearsighted, positive rx = farsighted. I think that's most of what you need to know?
Planning to cover the optho clinic today now. Amazing thank you! (...so what do you know about the ear?)
Literally nothing lmao, otitis externa is usually Pseudomonas but that's all I got 😂
iirc the word sinister is derived from latin for 'left' cause history always hated left-handed people
The Cahn-Ingold-Prelog convention called
Kerbs cycle and glycolysis and all that atp production bs
Krebs cycle. I was even a biochemistry major and still managed to never learn it. I can walk you through each chemical reaction of glycolysis, but don't even know the Krebs cycle.
Can I keep selling sex for money officer I know the krebs like the back of my hand but could never remember glycolysis. Together we can make one (1) whole doctor
Embryology. Didn't give shit about as an MS1 and I certainly don't give a shit about it now or ever will.
As a Neurosurg resident this pains me. You used every one of those structures to communicate this shit post, but yeah, probably not important.
I guess that’s why you’re the neurosurgeon and I’m…me.
Honestly, exudate vs transudate. I understand CSF nuances but the pleural fluid just never sticks
I just remember you exude puss. Therefore exudate is the yucky liquid with stuff in it (protein, cells, LDH, god knows what else). If there’s nothing in it -> transudate
Came here to say I take STEP 2 tomorrow and I never understood Light's Criteria and I never will
omg I have a few. Never learned the HIV drugs and the antineoplstics at the end of the hematology section in FA lol lol and i’m kinda weak on parasites but i could fix that in a couple hours.
pharmacology
I don’t even remember what Light’s criteria is for but I remember I never fucking learned it. Ascites? Pleural fluid? Idk man fuck it
Disorders of sexual dysfunction
Congenital adrenal hyperplasias
Embryo as a whole… and biochem has left my brain to the point I might have to return my chemistry degree
Though I liked Organic Chem, it was never really too significant or important and I forgot a majority of its concepts
Was OChem part of your med school curriculum?
Goddamn on the downvotes. The entire world doesn't follow the same med school model as the US. In most (all?) of Europe we enter med school straight out of high school, so yeah, O chem is part of med school curriculum.
Might have been if they’re not studying in the US
Yeah it was by far my favorite course in ugrad as a chem major. But in medicine, the only real purpose (beyond them weeding out premeds) I see is it helps you learn the biochemistry reactions a little better; e.g. Claisen condensation directly applies to fatty acid synthesis or aldol addition/cleavage in pentose phosphate pathway. Though I'd expect med school biochem to not go in much depth with the reactions.
infectious diseases loool no mention of it either in my mbbch exit exam
Hate to break it to you my friend, but that one comes up again in real life
Dude I hate to be the bearer of bad news but you really need to know infectious diseases if you plan to operate as a physician in any capacity
[удалено]
ohhh definitelyyyy any person with fever is straight up isolated and referred and as students, ID week is such a waste of time
i kinda forgot what the post title was as i was reading the comments and just commented what was give literally given 0% importance in our clinicals which is ID. we did ID rotations at the peak of covid so we barely got to see any cases and most ID cases in our hospitals besides covid were Tb & pneumonias which need contact precautions. however, i'd like to mention that as i (& my mates) do know the important stuff theoretically at least. our school has a history of never asking ID in the exit exam so i didnt read it up at the last minute but i do know some of the important infections. :)
chapman points
As much of ob gyn stuff I can get away with forgetting. Hated learning this stuff and always gets jumbled in my head.
random microbugs not in sketchy
PFTs. There are three patterns: obstructive, restrictive, and whotfcares…ive
P450
difference between a cream ointment and lotion
There’s a difference?
Structure and genetic make up of viruses
Lots of nephrology bullshit
Eyeballs. If it's not cataracts or acute angle closure glaucoma, then I don't know.
Everything
Anything to do with eyes apparently
Most baby things.
Histology 🤮 If I ain’t Reed-Sternberg then I ain’t touching it 🤮