conversations.from: human
conversations.value: What is a description for a book titled USMLE Step 1 Secrets about Thomas, Brown, Medical with the genre: Medical Books, Medicine?
conversations.from: assistant
conversations.value: Thomas A. Brown, the author, Medical Student, West Virginia University School of Medicine, Morgantown, WV
conversations.from: human
conversations.value: What is the first five paragraphs for this book? End with the sentence ' You don't have to have a study partner if that doesn't work for you even if other people suggest it.'.
conversations.from: assistant
conversations.value: USMLE Step 1 Secrets
  Naturally, this is one of the most frequently asked questions among eager examinees who have completed the USMLE Step 1. Scores are typically made available on the NBME website 3 to 5 weeks after your exam date (lag time is determined by the number of students who have taken the exam during your window). On the morning that your score will be released, you will receive an email from NBME alerting you that your score will be made available that afternoon. Your score report will contain your numerical score and a brief outline of your performance in a broad array of areas. The information provided will be quite similar to the score report you receive if you elect to take a practice NBME exam through the NBME website.
  Although it will be a challenging task, studying for the USMLE Step 1 will also be a rewarding experience that will prepare you for a successful transition into your clinical years. Students often say that they feel incredibly accomplished (and intelligent!) after sitting for this examination. We guarantee that your score on the USMLE will greatly reflect the work you put into studying and your attitude about the experience, so aim high and keep your chin up. Before you know it, the USMLE Step 1 will be behind you and you will be well on your way to a wonderful career in medicine.
  The 6 to 8 weeks you spend studying for Step 1 is a unique time in your education. You are given this opportunity to solely dedicate yourself to acquiring a vast body of knowledge without any distracting write-ups, quizzes, or other tedious assignments. Embrace the task as an opportunity for self-improvement because if approached correctly, your endurance, maturity, and study skills will drastically sharpen. These skills will serve you well for the rest of your career, far after the details of embryological processes and biochemical nuances have faded. Actively seek and appreciate the moments when your mind feels stuffed with information; it will empower you. Studying for Step 1 was the best time of my life that I would never want to repeat.
  Although it seems intuitive, be sure to put in time doing practice questions in a variety of subject areas. DO NOT solely focus on areas in which you are already proficient or areas you really enjoy. Suffer through the sections that are the bane of your existence, and you will see marvelous results!
  While Step 1 is a hugely important exam and everyone around you may be freaking out about how to study for it, the most important thing to remember is that it is still just an exam. It is very important not to get caught up in how everyone around you is studying for the exam. Whatever techniques work for you in terms of studying for exams is the same way you should study for this exam. Changing your study techniques specifically for this exam can be very harmful. If you study best at home, then study at home; and if you study in the library with friends, then study in the library with friends. You don't have to have a study partner if that doesn't work for you even if other people suggest it.
conversations.from: human
conversations.value: What is four more paragraphs?
conversations.from: assistant
conversations.value: You order iron studies because iron deficiency is the most common cause of microcytic anemia. Serum iron and ferritin are both decreased. TIBC is increased, indicating an iron deficiency anemia. A smear shows hypochromic RBCs and a low recticulocyte index.
  Iron is required for hemoglobin synthesis. Reduced cytoplasmic hemoglobin results in smaller (microcytic) cells that have less color (hypochromia).
  Decreased ability to produce hemoglobin due to low iron results in less RBC production. Any anemia resulting from decreased erythropoiesis will result in a low reticulocyte count (see question 2 from Basic Concepts for further discussion).
  TIBC is the amount of free serum transferrin that is available to bind iron. In iron deficiency, not only is the low serum iron contributing to an increased proportion of unbound transferrin, but the liver is also producing more transferrin.
conversations.from: human
conversations.value: What is the last four paragraphs?
conversations.from: assistant
conversations.value: Figure 28-15 shows marked ST-segment elevation in the anterior (V1-V3) and lateral (V4-V5) leads, indicating an acute anterolateral myocardial infarction.
  Figure 28-15 Electrocardiogram from an elderly man with a history of coronary artery disease who is actively experiencing chest pain.
  Figure 28-16 shows marked ST-segment elevation in the inferior leads (II, III, aVF), indicating an inferior wall transmural myocardial infarction. The inferior wall is typically supplied by the right coronary artery (RCA).
  Be able to determine which coronary artery is occluded based on ST-segment elevations in various ECG leads. You may also be asked to identify this coronary artery on an angiogram, so practice looking at these images in an anatomy atlas.