Since African American is in the question stem, it's quite likely it's Sickle Cell Anemia.Ģ) Original ASK: "Your tentative diagnosis is best confimed by which of the following?" REWRITTENT: "Sickle Cell Anemia is best confirmed by which of the following?"ģ) The answer is B: Hemoglobin ElectrophoresisīONUS: Did you spot the distractor? The distractor is D: Checking for G6PD deficiency. Checking for alpha 1-antitrypsin deciencyġ) STEP 1: Patient is suffering from some anemia as evidenced by low RBC count, pale conjunctiva, fatigue. Checking for methemoglobin and related enzyme decienciesĮ. Your tentative diagnosis is best conrmed by which of the following?Ī. Lab work shows the presence of Howell-Jolly bodies in his red blood cells, and his red blood cell count is low and left-shifted. He is able to touch his toes without difculty and exhibits above-average exibility. He has no history of bleeding from his gums, but hemorrhagic petechiae appear when he bruises while playing. Physical examination reveals that his sclerae appear slightly yellow. He eats a good breakfast every day consisting of cereal and milk, a banana, and a tall glass of freshly squeezed orange juice. His mother states that he has complained of fatigue constantly, and she is troubled that it could be his heart.
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" A 4-year-old African-American male presents at a free clinic with pale conjunctiva, breathlessness, and mild icterus. Turn the TWO STEP into a ONE STEP by writing down the answer to STEP 1 of a TWO STEP and then rewriting the ASK/PROMPT with the answer to the first step.
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What isn't so obvious is that often times students can employ lazy techniques (like keeping the answer to step 1 in their brain) and/or they get to the ASK of the prompt and either get distracted and forget the importance of their STEP 1 answer or they THINK they have no idea how to answer the ASK/PROMPT based off how it is written. The difference between one step and two step questions is being able to accurately answer step one (this is the obvious part). The strategy above, while it might take a little longer, can help prevent you from distractors. Two step questions are fairly common in STEP 1 style questions. $40 per form if you do not have the form as part of your bundleġ) Answer STEP 1 of a TWO STEP question and WRITE IT DOWN on your green sheetĢ) REWRITE the ASK/PROMPT of the question WITH the answer to STEP 1ģ) Evaluate your answer choices with your REWRITTEN ASK/PROMPT."Best indicators at this institution are UW2, NBME 18, NBME 21".NBME Self Assessments are a better indicator of what you would score that day."
It's more of a gauge of what might be possible within 3-4 weeks.