USMLE Step 1 scoring system has been changed to Pass or Fail from 3-digit scoring. Many would debate that you will no longer need to focus much on Step 1 preparation and just go for it quickly, but the fact is the exam isn’t any easier and you still risk…
Author: Epomedicine
USMLE 
How to use Uworld and Amboss for best Step 2 CK scores
Uworld is undoubtedly the best practice resource for USMLE Step 2 CK. Amboss is great supplemental resource and must for those who need to read the chapters in a systematic manner. In absence of a good High yield resource for Step 2 CK like the First Aid for Step 1,…
Blog 
3 Things To Consider When Treating Chronic Depression
Are you treating a patient with chronic depression? Finding the right approach can feel like walking through a minefield, with very real consequences. The following information will help you come to the best decisions. When studying medicine, it is tempting to consider what you learn from your books as the…
Clinical Skills and Approaches 
Inverted Reflexes
An inverted tendon reflex refers to the elicitation of the movement opposite to that normally seen when the reflex is elicited. Mechanism of Inverted Reflexes A lesion which simultaneously affects: This leads to 2 components: Mechanisms of hyperactive response: Types of Inverted Reflexes 1. Inverted supinator reflex: 2. Paradoxical triceps…
Clinical Skills and Approaches 
Hoffmann’s Sign
History Method of Eliciting Hoffmann’s Reflex Mechanism of Positive Hoffmann’s Reflex Sudden stretch of the finger flexors causes involuntary finger flexor contraction due to activation of a monosynaptic stretch reflex. Exaggeration of the reflex is caused by hyperreflexia in the setting of upper motor neuron dysfunction. Upper motor neuron lesions…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Heart Disease in pregnancy
Mortality risk associated with pregnancy Group I – Mortality <1% Group II – Mortality 5-15% Group III – Mortality 25-50% Commonest in Pregnancy Valvular heart disease: Mitral stenosis Congenital heart disease: ASD Cyanotic congenital heart disease: Fallot’s tetralogy (TOF) Predictors of Cardiac Events during Pregnancy N – NYHA Class >II…
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What is Dental Bonding?
If your teeth are chipped, cracked, or discolored, a cosmetic dental procedure like dental bonding can give you the confidence to smile anytime and anywhere, according to Dentist Charlotte, NC. Dental bonding is when your dentist repairs damage to one or more of your teeth using tooth-colored composite resin. It…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Staging and Grading of Bone Tumors (Neoplasm)
Enneking (MSTS) Staging for Malignant Bone Tumors Stage Grade Site Metastasis IA Low Intra-compartmental None IB Low Extra-compartmental None IIA High Intra-compartmental None IIB High Extra-compartmental None III Any Any Regional or Distant Low-grade tumors generally have few mitotic figures, little if any cellular atypia, and have a relatively non-infiltrative…