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 Posted: Mon, 6th Feb 2012 23:54 Post subject: Studying sucks |
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This is what i've been doing all day. (And will continue to do so for another month or so) Study in the mornings and do questions from a question bank (sample board questions) in the afternoons/evenings. Here's an easy one for you guys, see what you think (without using google). I say easy because it's a first-level question, basically they are describing a disease and you just have to name the disease. Most of the questions are NOT like this. Most are either secondary (where they describe a disease and you have to know what the disease is and they ask what drug you use to treat it (thus needing to make two correct conclusions) or tertiary where they describe a disease, and ask you what is the mechanism of action for the drug used to treat the condition (so you have to know disease, what is the correct drug, and what that drug does) Also note there are only 5 answer choices here. Many of the questions are A-J and some are A-T..So no guessing for those, you either know it or you don't. Here goes:
A 47 year old man comes to the physician because of abdominal pain and fatigue for several months. He has noticed that his urine is darker than normal. Physical examination shows icteric sclera. The liver is normal-sized and the edge is smooth. The gallbladder is palpable but not tender. Which of the following is the most likely diagnosis?
A Acute cholecystitis
B. Amyloidosis
C Hepatic cirrhosis
D Hepatocelluar carcinoma
E Pancreatic cancer
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garus
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| Posted: Mon, 6th Feb 2012 23:57 Post subject: |
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snip
Last edited by garus on Tue, 27th Aug 2024 21:23; edited 1 time in total
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doobzilla
Posts: 1099
Location: Team America's Mount Rushmore Base. Stolen from Indians.
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| Posted: Tue, 7th Feb 2012 00:29 Post subject: |
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I'll play along...
Is it D? But only because cirrhosis is a hardening, the amyloidosis might show in the pee, and whatever else I can say that makes me sound smart.
Seriously though, is it d?
Hobo Zombie: TRAAAAAAAIIIINNNNNNSSSSSS
Woman Zombie: COMPLAAAAAAAIIIIIIINNNNNSSSSS
Englishmen Zombie: REFRAAAAAAAAAIIIIIINNNNNSSSSS
Thanks for the idea Lutz!
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Sin317
Banned
Posts: 24321
Location: Geneva
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| Posted: Tue, 7th Feb 2012 01:00 Post subject: |
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with wikipedia, everybody is a doctor these days ^^
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| Posted: Tue, 7th Feb 2012 01:06 Post subject: |
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Not bad reasoning, but no. (You actually narrowed it down to two choices which is really good) It's E, pancreatic cancer. Guy has been hurting for a few months, so anything with the word 'acute' in it would be wrong, so that rules out A (plus other stuff). Spot on with amyloidosis, as the question would have to say something about benz-jones proteins in the urine, or biopsy with congo-red stain. C you are correct too. And they would need to say something about him drinking, or his liver function tests (AST, ALT, GGT) would have to be elevated. Not heptacellular cancer because the liver wouldn't be smooth, it would have multiple tumors on it and they would have to say he had alpha-feto protein in his blood, or he was in contact with poly-vinyl chloride. Sadly this is exactly how late-stage pancreatic cancer presents. If caught early, the prognosis is really good, but it doesn't 'hurt' and you don't have any jaundice (yellowing of the eyes and eventually skin) until it's late stage 3 or early stage 4, and then there is almost nothing you can do for it. Surgery is only about 5% effective and has horrible side-effects (you can't live without your pancreas) . STRONG association with smoking and some genetics (called a K-ras mutation). Shitty disease because in real life, you'd have to tell this 47 year old guy that he will more than likely be dead in 6-12 months..
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garus
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| Posted: Tue, 7th Feb 2012 01:39 Post subject: |
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snip
Last edited by garus on Tue, 27th Aug 2024 21:23; edited 1 time in total
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doobzilla
Posts: 1099
Location: Team America's Mount Rushmore Base. Stolen from Indians.
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| Posted: Tue, 7th Feb 2012 02:22 Post subject: |
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I actually didn't use wikipedia for that, or I probably would've been spot on. 
Hobo Zombie: TRAAAAAAAIIIINNNNNNSSSSSS
Woman Zombie: COMPLAAAAAAAIIIIIIINNNNNSSSSS
Englishmen Zombie: REFRAAAAAAAAAIIIIIINNNNNSSSSS
Thanks for the idea Lutz!
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Przepraszam
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Location: Poland. New York.
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| Posted: Tue, 7th Feb 2012 06:32 Post subject: |
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| Posted: Tue, 7th Feb 2012 07:05 Post subject: |
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i've decided to stay away from google/wikipedia and other stuff when im sick cus i enter panic mode
>>>> >>>>>>> >>>>>>>>> ♪ Viva La Vida ♪ <<<<<< <<<<< <<<<<< <<<
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| Posted: Tue, 7th Feb 2012 08:20 Post subject: |
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It's all fun and games until you realize that you only had to fully write one of the trace using Casimir's trick, and you wrote all four of them. And that one exercise (positron positron scattering) took over 6 pages and approximately an hour to write and you still have 4 exercises to go through -.-"
And then the assistant put's stinking infinitesimal Lorentz transformations proofs in exam. Fuck you assistant!! -.-"
Now I need to go to the exam on 17th and that's the end of exams. The oral exam will be like in March xD
My uni sucks ass...
"Quantum mechanics is actually, contrary to it's reputation, unbeliveably simple, once you take the physics out."
Scott Aaronson | chiv wrote: | | thats true you know. newton didnt discover gravity. the apple told him about it, and then he killed it. the core was never found. |
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BLaM!
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Location: Germany
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| Posted: Tue, 7th Feb 2012 23:07 Post subject: |
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Finished studying medicine 2 weeks ago , fuckin finally..  But there are always some other stuff to worry about when that's over..that's how it goes I guess..Now I need to volunteer a bit..
Just be patient and never give up , it can be really exhausting tho..good luck ! 
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spankie
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nouseforaname
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| Posted: Wed, 8th Feb 2012 01:17 Post subject: |
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| nouseforaname wrote: | | spankie wrote: | | Imagine working. Performing all year long, needing more than 50%, and every day rather than 2 weeks per year |
yeah, except you get paid |
but maybe not that very well... |
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BLaM!
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Location: Germany
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| Posted: Wed, 8th Feb 2012 01:23 Post subject: |
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Indeed , especially here..  , life sucks.. 
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spankie
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Location: Belgium
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| Posted: Wed, 8th Feb 2012 12:24 Post subject: |
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| nouseforaname wrote: | | spankie wrote: | | Imagine working. Performing all year long, needing more than 50%, and every day rather than 2 weeks per year |
yeah, except you get paid |
It's an investment! Just read some books on labour economics, it will make you feel good.
Each year you study has a lifelong payoff return of 8% (at least in Europe, might be a bit lower in USA due to study costs). So you might not be earning money, but you will be earning 8% more in the future.
And then imagine you are going for a university degree of 4-5-7 years? So you have a payoff return of 32, 40, 54%
Mark it in your agenda, it takes 12.5 (100/8 ) years to earn back your investment (direct costs of studying and your opportunity cost because you had no income when you studied). If you live past the 12.5 year mark, you actually made a smart decision to get into university instead of going to a job immediately. Everything past the 12.5y mark is windfall profit. Just don't die the first 12.5y of your working life
Happy reading: http://scholar.google.be/scholar_url?hl=nl&q=http://sites.google.com/site/mavalfortwebpage/home/teaching/development-economics-psme-1/Psacharopoulos_1994.pdf&sa=X&scisig=AAGBfm0GKFAyppu1a3yx9pEa6UonUxFBWA&oi=scholarr
I just checked, medicine is 10%, economics 12%, engineering 11%, science 9% etc. So you are in the good sector
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when we'll start taking pathology it will go hectic. We're gonna study all human pathology in 1 semester and you'll need 70% in everything to pass D:
