Anushka
MD Program (MS4)
SAT : 1600 / 1600
AP Biology : 5 / 5
AP English Literature and Composition : 5 / 5
AP Physics : 5 / 5
AP Calculus : 5 / 5
AP English Language and Composition : 5 / 5
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Online Complete Course | Comprehensive coverage of MCAT areas including Biological and Biochemical Foundations, Chemical and Physical Foundations, Psychological and Social Foundations, and Critical Analysis and Reasoning Skills |
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Qbank | Over 3000 questions including paragraph-type, standalone questions, and detailed explanations like a real exam |
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Flashcards | Premade flashcards with concise and effective content for easy memorization |
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Detailed review of all nursing content areas you’ll encounter on exam day.
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Comprehensive Clinical Principles Master the application of clinical knowledge with concise, high-yield content focused on key clinical concepts for patient care.
Essential Diagnostic & Treatment Information The course simplifies disease diagnosis, treatment plans, and patient management, making complex scenarios.
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Extensive Qbank Coverage Practice a vast array of clinical scenarios with detailed, case-based questions. This resource ensures a comprehensive review across critical areas of medicine.
High-Yield Clinical Questions Questions are crafted to highlight vital clinical concepts, enhancing recall and application for effective diagnosis and management in real-world situations.
Organized Learning Approach Content is structured by chapter and topic, facilitating targeted study sessions that reinforce learning and improve exam readiness.
Tailored to match the actual MCAT's sections, ensuring a similar concepts on real exam.
Emphasizes key concepts and skills required for the real MCAT, aiding in effective preparation.
Presents content in a condensed format for easy retention and quick learning which includes keypoints.
Tailored to match the actual MCAT's sections, ensuring a similar concepts on real exam.
Emphasizes key concepts and skills required for the real MCAT, aiding in effective preparation.
Presents content in a condensed format for easy retention and quick learning which includes keypoints.
Tailored to match the actual MCAT's sections, ensuring a similar concepts on real exam.
Emphasizes key concepts and skills required for the real MCAT, aiding in effective preparation.
Presents content in a condensed format for easy retention and quick learning which includes keypoints.
Tailored to match the actual MCAT's sections, ensuring a similar concepts on real exam.
Emphasizes key concepts and skills required for the real MCAT, aiding in effective preparation.
Presents content in a condensed format for easy retention and quick learning which includes keypoints.
Our Step 2 CK Qbank, with over 4,149+ expertly crafted questions, spans critical areas of clinical medicine, providing a comprehensive practice experience that strengthens your diagnostic and management skills.
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NotesA 4-month-old male is brought to the emergency department due to fever
Answer
Diagnosis: Septic arthritis
Management: Joint aspiration and empiric antibiotics
Explanation
Septic arthritis is an infection of the synovial fluid and joint tissues. It is an orthopedic emergency that requires prompt recognition and management. Routes of infection include hematogenous spread of bacteria into the joint space, direct entry through penetrating trauma, or contiguous spread from adjacent osteomyelitis. The most common cause of pediatric septic arthritis in all age groups is staphylococcus aureus. Haemophiles influenza, Escherichia coli, and group B streptococci are other common pathogens. Clinical features include reduced mobility, limping, fever, fussiness, and decreased appetite. Infants with septic arthritis of the hip may have a history of crying during diaper change as this involves manipulation of the lower extremities. The affected leg is held in flexion, abduction, and external rotation as this maximizes the joint space volume and reduces pain. Joint tenderness, swelling, erythema, and warmth are common examination findings. If there is suspicion for septic arthritis, the affected joint should be aspirated. Synovial fluid WBC count greater than 50,000/ml suggests septic arthritis. The fluid should also be sent for culture. Imaging has a limited role on the diagnosis of septic arthritis however should be used to rule out other causes of joint pain. Septic arthritis should be managed in conjunction with orthopedic and infectious disease specialists when possible. Antibiotics and joint drainage are the cornerstones of management. Antibiotic therapy should be started as soon as possible.
Workup : CBC, CRP, ESR, synovial fluid studies
Management : Joint drainage (aspiration, arthrotomy) and empiric antibiotics
Miscellaneous : A delay in the diagnosis and management of septic arthritis of the hip can lead to long term complications such as femoral neck deformity, limb-length discrepancy, osteonecrosis, femoral head destruction, and growth disturbance.
References : Brown DW, Sheffer BW. Pediatric Septic Arthritis: An Update. Orthop Clin North Am. 2019 Oct;50(4):461-470. doi: 10.1016/j.ocl.2019.05.003. Epub 2019 Aug 2. PMID: 31466662.
An 18-month-old male is brought to the emergency department due to abdominal pain
An abdominal ultrasound is shown below
Answer
Diagnosis: Intussusception
Management: Decompression enema (pneumatic or hydrostatic)
Explanation
Intussusception is the telescoping if one segment of bowel within another. Cancer is the most common cause of intussusception in adults, while in children the etiology is often unknown. The incidence is highest in the first 18 months of life. Potential etiologies of intussusception in children include polyps, viral infections, reactive lymphoid hyperplasia, duplication cysts, and Meckel’s diverticulum. Intussusception classically presents with intermittent cramping abdominal pain. Parents often describe 15-minute episodes of inconsolable crying associated with pulling of the legs towards the chest. The child is often described as being completely normal between these episodes. Other symptoms include nausea, non-bilious or bilious emesis, lethargy, and bloody stool. As the disease progresses there is mucous production in the bowel which give the stool the appearance of “red currant jelly”. This is a late finding that is not seen in the majority of patients on initial presentation. On examination the abdomen is typically non tender and non-distended. A palpable “sausage shaped” mass and scaphoid right lower quadrant (Dance’s) sign are specific findings although they are uncommon. Ultrasonography is the imaging modality of choice and has a very high sensitivity and specificity. The classic finding is the “target sign” which represents layers of intestine within the intestine. Air, barium, or water-soluble contrast enema are both diagnostic and therapeutic. The success rate is up to 80%. If reduction is unsuccessful or if there are signs of peritonitis, surgical management is indicated
Workup : Abdominal ultrasound is diagnostic in most cases
Management : Decompression enema (pneumatic or hydrostatic)
Miscellaneous : If left untreated, intussusception has a very high mortality rate.
References :
Frank Gaillard, CC BY-SA 3.0
A 32-year-old female is brought to the emergency department after she collapsed at a nearby coffee shop
Answer
Diagnosis: Ventricular fibrillation
Management: Defibrillation
Explanation
The rhythm displayed is ventricular fibrillation (VF). VF is a life-threatening arrhythmia characterized by high-frequency disorganized contractions. The ineffective contractions significantly compromise cardiac output and lead to hemodynamic collapse. VF is the most commonly identified arrhythmia in cardiac arrest. In most cases it is related to coronary artery disease however it may also be caused by electrolyte disturbances, electrophysiologic disorders (WPW, Brugada syndrome, long QT syndrome), and cardiomyopathies. Electrocardiographic features of ventricular fibrillation are:
Workup : Electrocardiogram
Management : Defibrillation
Miscellaneous : The amplitude of the waves in ventricular fibrillation gradually decreases, eventually leading to asystole. This is due to depletion of myocardial energy stores.
References : Neumar RW, Otto CW, Link MS, Kronick SL, Shuster M, Callaway CW, Kudenchuk PJ, Ornato JP, McNally B, Silvers SM, Passman RS, White RD, Hess EP, Tang W, Davis D, Sinz E, Morrison LJ. Part 8: adult advanced cardiovascular life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010 Nov 2;122(18 Suppl 3):S729-67. doi: 10.1161/CIRCULATIONAHA.110.970988. Erratum in: Circulation. 2011 Feb 15;123(6):e236. Erratum in: Circulation. 2013 Dec 24;128(25):e480. PMID: 20956224.
A 74-year-old male is brought to the emergency department due to altered mental status
Answer
Diagnosis: Classic heat stroke
Management: Supportive care, temperature reduction
Explanation
This patient is presenting with signs and symptoms suggestive of classic heat stroke (severe nonexertional hyperthermia). Heat stroke is the most serious heat-related illness and is characterized by severe hyperthermia and central nervous system dysfunction. Nonexertional heat stroke typically occurs in the elderly but can occur in anyone with medical, physiological, or social risk factors that predispose to heat-related illness due to decreased thermoregulatory capacity. The diagnosis is established clinically based on a history of heat exposure, hyperthermia > 40°C (104°F), and neurologic abnormalities. Hypotension, tachycardia, and tachypnea are common. The skin is typically dry in nonexertional heat stroke due to the decreased sweat gland response in the elderly. Flushing, oliguria, pulmonary crackles, and altered mental status may also be present. Heat stroke is treated symptomatically and conservatively. Temperature reduction is the cornerstone of management. Evaporative and convective cooling methods are preferred in the elderly. These include application of ice packs fanning, and infusion of cold intravenous fluids. Antipyretics (NSAIDs, acetaminophen) have no role in the management of heat stroke.
Workup : Clinical diagnosis based on temperature, symptoms, and history of heat exposure
Management : Supportive care, temperature reduction
Miscellaneous : Heat stroke kills more people on average than any other extreme weather event.
References : Epstein, Y., & Yanovich, R. (2019). Heatstroke. New England Journal of Medicine, 380(25), 2449–2459. https://doi.org/10.1056/nejmra1810762
A 12-year-old girl is brought to the emergency department due to abdominal pain, nausea, and vomiting
Answer
Diagnosis: Acute iron poisoning
Management: Whole bowel irrigation, IV deferoxamine
Explanation
Iron poisoning is one of the leading causes of poisoning deaths in children. It most commonly occurs due to ingestion of prenatal vitamins. Iron catalyzes free radical formation, interferes with oxidative phosphorylation, and combines with water to form free hydrogen ions and iron hydroxide, leading to metabolic acidosis. It is toxic to the cardiovascular, gastrointestinal, and nervous system. The clinical manifestations of iron poisoning are divided into stages, however there may be significant overlap in some cases.
Workup : Diagnosis established based on history of ingestion, radiographs, and serum iron concentration
Management : Whole bowel irrigation, IV deferoxamine
Miscellaneous : Orogastric lavage, activated charcoal, and syrup of ipecac should be avoided in acute iron poisoning.
References : Howland MA. Risks of parenteral deferoxamine for acute iron poisoning. J Toxicol Clin Toxicol. 1996;34(5):491-7. doi: 10.3109/15563659609028006. PMID: 8800186.
These premade flashcards are filled with engaging and effective blueprint concepts, including high-quality images, charts, tables, diagrams, and illustrations, all created by Yale's perfect 528 scorers.
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The team behind UMock Step 2 CK with Perfect scores
Anushka
Yale University
Anjali
Yale University
Casey
Neurologist
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She graduated magna cum laude from Yale University with a B.S. in Molecular, Cellular, and Developmental Biology. She is currently a fourth-year medical student. She received perfect scores on the MCAT (528/528) and SAT (1600/1600), and has extensive experience for the MCAT, SAT, and AP exams. At Yale, she conducted genetics research and was the recipient of multiple research fellowships. During high school, she was a two-time finalist (top 20) in the U.S. National Chemistry Olympiad and was one of 80 students worlwide selected to attend the prestigious Research Science Institute (RSI) at MIT.
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She graduated magna cum laude from Yale University with a B.S. in Molecular, Cell, and Development in Biology and distinction in her major. Anjali Walia is a fourth-year medical student. She was also elected to the prestigious Phi Beta Kappa honor society. She achieved a perfect score (528/528) on the MCAT. At Yale, she published pulmonary research and led numerous reproductive justice advocacy efforts. She was finalist (Top 20) of the U.S. Chemistry Olympiad and obtained a perfect score on the SAT (1600/1600).
Scores:
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Casey Vickstrom graduated summa cum laude from Northwestern University in 2014 with a B.A. in Biological Sciences. He is a third-year medical student in the MD/PhD program at the Medical College of Wisconsin, having completed his PhD in Neuroscience in 2020. His research focused on neural circuits and endocannabinoids related to anxiety and depression. He aims to study mechanisms of neurological diseases to identify new therapeutic targets. Casey has extensive tutoring experience for Step 1 and plans to pursue a career in neurology or related specialties. In his free time, he enjoys skiing, soccer, and spending time with family, friends, and his dog.
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Presently working as a medical director at urgent care.