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==Dimensions==
==Dimensions==
Dimensions are used to trigger your knowledge regarding the need for valve replacement or valve repair.  You should know the dimensions that should trigger valve replacement in the guidelines.
Dimensions are used to trigger your knowledge regarding the need for valve replacement or valve repair.  You should know the dimensions that should trigger valve replacement in the guidelines.
==EKG==
Tests for pattern recognition skills.  Review lots of complex EKGs.  The EKGs can be tough but are fair. It usually comes down to 2 diagnoses, not 5 or 6.  If you see VT, it is most likely it.  Pick the most serious diagnosis that is threatening to the patient if you are not sure.

Revision as of 13:07, 29 September 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Data

There is no random data provided on the test. Capture the one line summary of what they are telling you in all the data. This is there for a reason. Use it to guide you in discerning what they are trying to test you on in this question.

Goal of the Exam

They are looking for you to integrate knowledge, not just regurgitate knowledge.

Distracting Answers

These answers are not that close to the correct answer so that the test is fair. They are somewhat distant from the correct answer. Usually comes down to two answers.

Geography

Living in South America should trigger consideration of Chagas disease for instance.

Symptoms

Symptoms are provided because the guidelines are often based upon symptoms.

Treatment versus Diagnosis Options

Look for the one choice that is not diametrically opposed to the others, that is different from the others.

Dimensions

Dimensions are used to trigger your knowledge regarding the need for valve replacement or valve repair. You should know the dimensions that should trigger valve replacement in the guidelines.

EKG

Tests for pattern recognition skills. Review lots of complex EKGs. The EKGs can be tough but are fair. It usually comes down to 2 diagnoses, not 5 or 6. If you see VT, it is most likely it. Pick the most serious diagnosis that is threatening to the patient if you are not sure.