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05/30/2026

📚 Did you know that back pressure is a high-yield physiology concept that shows up across organ systems on the USMLE? 🔥

When flow is blocked, pressure builds upstream…and that pressure can damage the structure/function “behind” the obstruction.

🗓 Urology:
BPH
⦿ bladder outlet obstruction → ↑ intravesical pressure → bladder hypertrophy, hydronephrosis, and postrenal AKI.

🗓 Cardio:
Congestive heart failure
⦿ poor forward flow → venous backup (“back pressure”) → pulmonary edema (left) + peripheral edema/ascites (right).

🗓 GI:
Intestinal obstruction
⦿ proximal buildup → distention + vomiting; if the obstruction is distal to the ampulla of Vater, vomiting becomes bilious.

🔥 Save this concept & share with a friend on the USMLE grind!

05/26/2026

singing “We Belong Together” to my first answer choice 💔 🥲

05/20/2026

Me: 0…(after skimming the abstract and choosing vibes)

05/18/2026

Microbiology can be such a challenging topic on the USMLE !! 🦇

Here’s what the NBME wants you to know:

If there’s a bat in the room (i.e. in the cabin) you must provide active immunity with the RIg.

This is a deadly virus which affects the nAch receptors, and in addition causes hydrophobia (spasm of the larynx muscles!) 🥤

Hope this breakdown helps you review the key mechanisms you need to know for the USMLE!! 📚✨

Check the link in my bio for more! 🔗

It's sometimes really hard to see a 55% on a UWorld block. But remember...The goal is to learn from each question and mi...
05/17/2026

It's sometimes really hard to see a 55% on a UWorld block.

But remember...

The goal is to learn from each question and miss as many questions during dedicated before you head into Prometric. 🙌🏽

If you're on the USMLE journey... you got this! Keep staying positive. ❤️💡



05/14/2026

📚 Did you know that Polycystic Ovarian Syndrome is tested more than three times across NBMEs for USMLE Step 1 and Step 2 CK? 🩺 

As of May 2026, the term PCOS is now PMOS (Polyendocrine Metabolic Syndrome). 

This is a major update in women’s health—this diagnosis now encompasses many of the comorbid factors patients experience. 


✅ For your USMLE exam, know the Rotterdam Criteria: 

• Hyperandrogenism 
• Oligo-/anovulation 
• Polycystic ovaries on ultrasound 

🧠 Management starts conservatively with weight loss, then progresses to oral contraceptives and spironolactone, plus ovulation induction agents like letrozole and clomiphene for patients who desire pregnancy!

If you’re taking the USMLE in May (or later), there are some important changes you must be prepared for! 🚨As you’ve prob...
05/13/2026

If you’re taking the USMLE in May (or later), there are some important changes you must be prepared for! 🚨

As you’ve probably heard, Step 1 and Step 2 CK are moving to 20-question blocks — each functioning like a 30-minute sprint.

If you’re in dedicated right now, don’t only practice 20-question blocks because of this change.

Create a few blocks which are:

✅ 20-questions

✅ Back-to-back 20-question blocks for stamina

The key: your break time is not changing.

In order to pass & score high, you want to be very mindful of pacing, transitions, fatigue management, and break strategy.

‼️ Share this post & comment “USMLE breaks” → I’ll send you my free PDF on how to structure breaks on Prometric exam day.

05/12/2026

If your last NBME humbled you, read this 🫶🏽…

A lower score does not mean you are going backward.

It usually means the exam exposed something specific that needs to be trained.

Here’s how to review it:

➡️ Separate the score from the signal.

The score feels personal.

The review is objective.

Ask:

Was this a content gap? A reading error? A diagnosis error? A management error?

A “I changed my answer from right to wrong” error?

That distinction matters.

➡️ Look for patterns, not just questions.

One missed question is a data point.

Five missed questions from the same reason is a pattern.

For example:

Did you keep missing “next best step”?

Did you jump to treatment before diagnosis?

Did you ignore vitals?

Did you over-focus on one lab value?

Did you miss the timeline?

That is where the score improvement lives.

➡️ Do not just review the explanation. Rebuild the decision.

For every missed question, ask:

“What was the test writer trying to make me notice?”

Then create a short takeaway:

“When I see ___, I should think ___ because ___.”

That turns review into clinical reasoning.

➡️ Remember: NBMEs are practice, not prophecy.

The purpose of the NBME is not to validate you.

The purpose is to reveal what still needs reps before test day.

Sometimes your score drops right before things start clicking because your brain is reorganizing the material.

Track your errors.

Do not let one practice exam convince you that you are not improving.

You are not supposed to feel perfect during dedicated. You are supposed to get better at responding to imperfection.

05/09/2026

Hantavirus causes a deadly hemorrhagic fever with renal syndrome! 💀

The USMLE wants you to know that the transmission is going to be from rodent urine or f***s. 🐭

Finally, you must know that hantavirus is part of the Bunya virus family! 🧬

Hope this helps in your studying!

The 3 GI diseases you NEED to know for the USMLE:Celiac Disease 🍞Autoimmune reaction to gluten → villous atrophy (proxim...
05/07/2026

The 3 GI diseases you NEED to know for the USMLE:

Celiac Disease 🍞

Autoimmune reaction to gluten → villous atrophy (proximal small bowel)

Key: chronic diarrhea, weight loss, 𝐢𝐫𝐨𝐧 𝐝𝐞𝐟𝐢𝐜𝐢𝐞𝐧𝐜𝐲 + anti‑tTG/anti‑endomysial

Crohn’s Disease 🧱

Transmural, skip lesions (anywhere mouth → a**s) → fistulas/strictures

Arrow question: RLQ pain, 𝐧𝐨𝐧𝐜𝐚𝐬𝐞𝐚𝐭𝐢𝐧𝐠 𝐠𝐫𝐚𝐧𝐮𝐥𝐨𝐦𝐚𝐬, creeping fat

Ulcerative Colitis 🩸

Mucosal/submucosal, continuous from re**um → proximal colon → toxic megacolon

Key: bloody diarrhea, p‑ANCA, increased risk of colon cancer + PSC

The transmural vs mucosal difference (and skip vs continuous) is clutch for Step 1!

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