SEPTEMBER 2017 QUESTIONS, AS RECALLEDDISCLAIMER OF LIABILITY: THE AUTHOR/S DISCLAIM LIABILITY FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES and assumes no responsibility or liability for any loss or damage suffered by any person as a result of the use or misuse of any of the information or content found herein. The author/s assumes or undertakes NO LIABILITY for any loss or damage suffered as a result of the use, misuse or reliance on the information and content found herein. BIOCHEMISTRY • ALL PATHWAYS • FED vs. FASTING STATE • Diabetes Mellitus and the enzymes involved (glycolysis, gluconeogenesis, Beta Oxidation) • Substrate phosphorylation vs oxidative • Michaelis-Menten & Lineweaver-Burk plot (Definition) • Pathway Sites • Purine and Pyrimidine pathway (IMP, salvage pathway) • Catecholamines pathway (precursor and enzymes) • enzyme inhibited by aspirin and ibuprofen: COX • Vit B6 (caboxylase) • Most abundant fibrous protein in the human body: COLLAGEN • Most variable component of daily energy expenditure: PHYSICAL ACTIVITY • A young girl with a history of severe abdominal pain was taken to Emergency Room at 5 a.m. in severe distress. Blood was drawn, and the plasma appeared milky, with the triacylglycerol level in excess of 2,000 mg/dl (normal = 4–150 mg/ dl). The patient was placed on a diet extremely limited in fat but supplemented with medium-chain triglycerides. Which of the following lipoprotein particles are most likely responsible for the appearance of the patient’s plasma? A. Chylomicrons B. High-density lipoproteins C. Immediate-density lipoproteins D. Low-density lipoproteins Recommended material: TOPNOTCH LECTURE + TOPNOTCH MAIN HANDOUT + TOPNOTCH PEARLS Recommended Samplex: UST Mock boards (2016, 2017) + UST Post Test (2017) + Lippincott’s End-of- Chapter questions Note: One of the easiest subjects you will encounter. DO NOT MISS the topnotch lecture in biochemistry at all cost. Master the diseases with enzyme deficiencies involved, they were not asked in the biochemistry exam itself, but was asked on the other subjects. Only a few BRS Biochem questions were lifted. More than 20% of the questions were lifted from UST. Topnotch superexams for additional learnings. Hindi pa nagmumutate ang Biochemistry sa board exam. Super high-yield ng lecture/handout ni Dr. Baticulon so less likely na irevise ang Biochem handouts. Read the Topnotch handout during internship. Dagdagan nyo na lang ng notes from Lippincott. For me, this is the EASIEST SUBJECT in the board exam. Your goal is to have a 90+ grade in this subject. do not panic! Attend Dr. Sa mga weakness ang Anatomy. . He emphasizes the important points during the lecture. kasi memorization sha. If kelangang magprint ng pictures at idikit sa pages ng Anatomy handout. specially the gross anatomy part. Water under the bridge. • Adrenal blood supply • Ureter (Blood Supplies. do it. Vibar’s lecture. etc) and lung branches nila and yung mag sub branches) • Deep perineal space Recommended Material: TOPNOTCH MAIN HANDOUT + NETTER Recommended Samplex: UST Mock Boards (2016) + UST Post Test (2017) + Topnotch Pearls Note: Factor in the specialty of the board examiner when studying for this subject. Again. Supplement it with Netter. DO NOT PANIC! Try to eliminate options. and other anatomical structures in relation to the ureter) • Everything about the Prostate • Prostate Volume in mL • Brachial Plexus • Dermatome Levels • Hesselbach’s Triangle • Hernias • macrophage of placenta: hofbauer cell • lining of small intestine and testes • Floor of the orbit • Epithelial lining of hollow organs that contract and distend • Right bronchial artery is a branch of (basta know about the major arteries (subclavian. There are options that can be easily eliminated because they are obviously wrong. Mahirap aralin ang Anatomy. tyagain sya. One of the hard exams. The histology part consists ~20% which was answerable. The histology part in the topnotch handout is already sufficient for your review. brachiocephalic. what muscles and nerve supply are involved. Tip: Read the question. Study well.ANATOMY AND HISTOLOGY • Macrophage of lungs and heart (Definition) • Few Upper and Lower Extremity questions • Leg inversion/eversion. know the signs & symptoms for the disease. Know the description of the pathognomonic signs. Dengue. read about smallpox virus kahit eradicated na siya quasi it was asked both in the microbe and prev med exams • Bacteria (everything about bacteria) • Picornavirus (Viruses in this family) • Management of parasitic disease. it is the single best reviewer in Micro-Para! CHAROT! . LGV • mycobacteria can produce disease indistinguishable from tuberculosis • Most common mode of transmission of anthrax • Bacteria with synergistic effect with influenza virus • Confirmatory test – PID • Mobile genetic elements: TRANSPOSONS • Transcription. Majority of the questions were clinical. Therefore. Madura foot. and many were clinical scenarios.MICROBIOLOGY • VIRUS (everything about viruses). A few pathology concepts were asked. SuperDuperUltraMega MicroPara Table is a combination of Topnotch main + supertable + FirstAid USMLE Step 1 + Micro MRS + other references. • larval stage in the lungs or intestine • Malaria • Cholera • Schistosomiasis • Leptospirosis • Bubonic Plague Vector • Meningococcemia and prophylaxis • Situational questions on Anthrax vs meningitis. translation • Start/Stop codons • Herpes virus Recommended Material: SuperDuperUltraMega MicroPara Table (Familiarize and Master this!) Recommended Supplement Material: Sketchy Micro + Topnotch Superexam (First 200 items) Recommended Samplex: UST Mock Boards (2017) + UST Post Test (2017) Notes: One of the fair-hard subjects. Majority of the questions involved cases and were cascading questions in format. they gave the definition but not the pathognomonic sign itself. No questions were asked regarding the descriptions of the agars/culture/tests. Physiology questions are clinical. . Walang lalabas sa inaral mo verbatim. you will be able to answer the questions correctly. Pulmonary embolism. progesterone etc) • Phospholamban • Filtration rate computation • Source of greatest percentage of the redistributed blood volume in case of hemorrhage • Hemophilia A • Effect of finasteride exposure on fetus • Thrombotic thrombocytopenic purpura: Decreased activity of the plasma metalloproteinase ADAMTS13 • Diet of patient with MHC class II antigen HLA-DQ2: GLUTEN-FREE DIET • circadian rhythm is controlled by which of the following nuclei: SUPRACHIASMATIC • Anxiety: GABA-A • Gastrocolic reflex Recommended Material: TOPNOTCH LECTURE + TOPNOTCH MAIN HANDOUT Recommended Supplement Material: TOPNOTCH Superexam (First 200 items) Recommended Samplex: End-of-chapter questions from BRS and Ganong.PHYSIOLOGY • Pulmonology Concepts (Restrictive vs Obstructive. Equal number of questions on all concepts. VQ Shunting) • Physiology in OB (estrogen. Hindi mo aaralin ang BRS Physio dahil may lalabas na tanong dun. it will give you clarity if you were having a hard time on this during your med school days. aaralin mo sha para para maintindihan ang Physio. Pray Pray Pray and repeat. Do not memorize Physio. you have to understand the concepts. Pretest Physio Notes: The hardest subject on the first week. DO NOT MISS the topnotch lecture. Pero if naintindihan mo ang inaral mo. • CPD Units: 35 units required for MD • Administrative vs Civil vs Criminal • Damages • Licensee vs Trespasser vs Invitee • Personal disqualifications: Grounds for revocation of license • Different kinds of virginity • Concepts regarding captain of the ship doctrine.LEGAL MEDICINE. “Pambawi” subject! Your goal is to have a 90+ grade in this subject. vicarious liability. Familiarize yourself with the samplex and you are good to go. although some of the questions were rephrased. isulat nyo na ang rationale. Highlightan nyo na ang tamang sagot during internship. ETHICS AND MEDICAL JURISPRUDENCE • Majority of questions from “Compilation of Questions in Legal Medicine and Jurisprudence for the Philippine Medical Boards (600 items)” so make sure to read this material. Abet Rebosa’s powerpoint Recommended Samplex: Compilation of Questions in Legal Medicine and Jurisprudence for the Philippine Medical Boards (600 items) Notes: One of the easiest subjects. . Read the handout during internship (first reading). Secure a soft copy of the samplex entitled Legal Medicine Board Compilation (71 pages). Answer the 600-item samplex with corrected answer key and explanation from Topnotch. ostensible agent and other related terms • Types of evidence • Rights of physicians • Indirect vs direct contempt Recommended Material: Dr. Rebosa Lecture Recommended Supplement Material: TOPNOTCH MAIN HANDOUT + Dr. . 80% of the questions were cases and were cascading in format. Invest time on Patho. Sattar) Recommended Samplex: UST Mock boards (2016. pero tyagain. 2017) + UST Post Test (2017) Notes: One of the hard subjects. etc) • Most common cause of immunodeficiency in children • Troponin elevation. not the Mama Robbins. What is) • Normal PSA level based on age • BPH. cascading question type) • Phases and Pathologic events of MI(ex. makakasagot kayo kahit papano sa clinical subjects. The questions were quite confusing because the examiner will add additional data and “ifs” on the previous questions.Prostate cancer (know the difference in PE. It is based from Papa Robbins. not the Baby Robbins!!! Wag na mag-BRS Patho. Makapal ang Topnotch Main Handout.PATHOLOGY • HIV • Lymphoma • microscopic characteristics of each types of hypersensitivity and examples of each (refer to topnotch handout) • Disease of the blood vessels (atherosclerosis formation) • TB (xray findings of primary and secondary TB) • Meningo • Site of hyperplasia in prostate • Hodgkin vs Non-hodgkin (everything about this. Pathology is the bridge between basic and clinical subjects. The reference of the examiner is the Papa Robbins. Kapag namaster nyo ang patho. Do not rush and read the questions carefully. Master the must know and general concepts in pathology. appearance. how many hours post-MI? Recommended Material: Robbins & Cotran Pathologic Basis of Disease Recommended Supplement Material: TOPNOTCH Pathology Supertable + TOPNOTCH luminance lecture on pathology + TOPNOTCH Superexam (First 200 items) + Pathoma lecture videos (Dr. PHARMACOLOGY AND THERAPEUTICS • ANTI SEIZURE DRUGS (study all) • Forms of drug elimination • First order elimination • Warfarin & Heparin • Coagulation pathway • Anti arrhythmic drugs • Drug for SVT • Leuprolide given with Flutamide in prostate Ca to prevent disease flare • TB Drugs side effects and MOA (Cidal/Static) • Urology drugs • 5 a reductase inhibitor. Nagfocus ang examiner sa secondary effects ng drugs.2017) + UST Post Test (2017) Notes: One of the fair subjects. Like Furosemide. not on the primary effects. ang question is not about its diuretic effect. nitrofurantoin. . diuretics • Vasodilatory effect of furosemide is due to? • Furosemide is a high-ceiling diuretic because? • Definition of adverse drug reaction (choices were adverse drug event. diuretics. Memorize Memorize Memorize and repeat. but its vasodilatory effect. busulfan. The questions were straight to the point. aromatase inhibitor • can cause pulmo fibrosis (bleomycin. Familiarize yourself with the MOA and side effects of the drugs. side effect and adverse drug reaction) • Antibiotic that can be taken without regard to food intake (one choice in the question was Co-Amoxiclav) Recommended Material: TOPNOTCH LECTURE + TOPNOTCH MAIN HANDOUT Recommended Supplement Material: Sketchy Pharma Recommended Samplex: UST Mock boards (2016. 2017) + UST Pharma shifting exam (2016. MTX to name a few) • can cause gingival hyperplasia (phenytoin) • Diuretics. Dumami ang questions on subspecialties (like ortho. Aralin lang ang Supplement Handout ng Topnotch.SURGERY AND OPHTHALMOLOGY. OTOLARYNGOLOGY AND RHINOLOGY • Complications in parotid surgery when the facial nerve is damaged • Total thyroidectomy complications • Pancreatitis • Genital malformation • Anal abscess • Trigeminal neuralgia • Tic douloureux management • Long term management • Urology Topics • Ophthalmology topics • Scleritis • Froment sign • Ulnar nerve lesion • Neck nodes • Lesch Nyhan syndrom (wtf haha) • MTC vs papillary vs anaplastic thyroid CA surgical management (question in the boards mentioned total thyroidectomy with bilateral central neck node dissection which is usually for MTC) • PRAY!!! Recommended Material: Absite Recommended Supplement Material: TOPNOTCH SUPPLEMENT Handout + TOPNOTCH Superexam (First 200 items) Recommended Samplex: UST Mock boards (2017) + UST Post Test (2017) Notes: One of the Fair-Hard Subjects. one of the easy subjects ang Surgery. Pero last September 2017 boards. isa ang Surgery sa mga subjects na nag-undergo ng mutation. all of the following except… EXCEPT). In the past. . OK ka na sa Surgery. etc). The questions structure itself was confusing due to double negatives (e.g. OB. Dapat mabasa mo na ang IM Platinum during internship. Pero sino ang makakapagmemorize ng Harrisons? So kapit ka sa knowledge mo sa basic sciences + experience during clerkship and internship.MEDICINE • MUST KNOWS AND MOST COMMONS • Myocardial infarction • Pericarditis • Pneumonia • COPD • Seizures • Arrhythmia • Diverticulosis/diverticulitis • Asthma Category and Management • SLE most common presentation (carditis. • Occupational lung diseases eg exposure to refrigerant: acute effects.arthritis. Aherrera (the main author of IM Platinum) will be the lecturer in IM for September 2018 boards! ☺ . The reference of the board of examiner for non- derma questions is Harrisons. 2017) + UST Post Test (2017) Notes: One of the fair subjects. Micro.vasculitis etc) • Psoriasis (from pearls) • Fixed drug eruption vs contact dermatitis • Patient with GDM. tinanong sha sa IM. Internal Medicine is a combination of Physio. with a few cascading questions and cases. Few Dermatology questions were asked. What advice will you give? She is at risk of developing overt DM. chronic exposure • Most common cause of midsystolic murmur • Independent risk factors for UTI Recommended Material: Harrison’s Principle of Internal Medicine + TOPNOTCH Pearls Lecture/Handout Recommended Supplement Material: TOPNOTCH MAIN HANDOUT + IM Platinum board correlates + BOARDS in a FLASH Recommended Samplex: UST Mock boards (2016. Pharma. The questions were straight to the point. Yes. Dr. Mangangain sha ng time if sa actual review nyo pa lang sya ififirst read. Sabi. Your experience during clerkship and internship will be a great help when answering the questions. Patho. The questions were straight to the point. .OBSTETRICS AND GYNECOLOGY • Shoulder dystocia and management • GDM • Abruptio placenta • Placenta previa • BPS • Phases of labor • Arrest of dilation and other related concepts • Cervical cancer • Endometriosis vs adenomyosis • Teratoma • Choriocarcinoma • Ectopic pregnancy • Ovarian cancer • Menstrual cycle physiology • Ligaments • HCG peak at 8-10 weeks • Elevated HCG in 2nd trimester: Down Syndrome • Safe to fly up to 36 weeks AOG • Best time to perform congenital anomaly scan • Management for transverse lie • Staging of cervical cancer and its management • Woods corkscrew maneuver • Partial vs complete breech extraction • PCOS • Molar pregnancy: Complete vs Partial Recommended Material: FEU OB-GYNE REVIEW or DLSHSI Lectures or TOPNOTCH MAIN HANDOUT Recommended Supplement Material: BOARDS in a FLASH + TOPNOTCH Superexam (First 200 items) Recommended Samplex: UST Mock boards (2016. 2017) + UST Post Test (2017) Notes: One of the fair subjects. The questions were mainly cases and clinical scenarios. Clinical experience on clerkship and internship will greatly help you in this subject matter. DiGeorge c. Many Pathology topics involved. If the patient has recurrent infection but with enlarged tonsils and lymph nodes. Xray Findings) • HIV (neuro complications.Dr. Memorize all the important tables. criteria. sign and symptoms) • Immunodeficiency disorders (scid. If the diagnosis is bruton. which of the following is correct? 4. di george syndrome) • TB • ALL • Isoniazid Prophylaxis • Murmurs • viral exanthems (must now!!!) Recommended Material: TOPNOTCH LECTURE + MAIN HANDOUT or UST Pedia Board Review Recommended Supplement Material: BOARDS in a FLASH Recommended Samplex: UST Mock boards (2017) + UST Post Test (2017) Notes: One of the hard subjects. No EPI questions asked.PEDIATRICS AND NUTRITION • Neonatology (RDS. PE: absent tonsils. TTN. Same format ng sa Patho (same examiner . Manlilito ang examiner. Example of cascading questions (10 questions on immunodeficiency disorders): 1. know the Sign and Symptoms. . which of the following is correct? 5. Noche). magdududa ka sa sagot mo sa number 1. SCID 2. Patient with recurrent infection. what is the diagnosis? a. No Growth and Development Questions asked. Common variable immunodeficiency d. Onset. No IMCI questions asked. Bruton b. If the diagnosis is CVID. to the point na papalitan mo ang sagot mo sa number 1. Kaya wag magpapalito. What will confirm your diagnosis? Master the 80+-page Topnotch handout. Yung tipong may sagot ka na sa number 1. Majority of the questions were clinical scenarios and cascading in format. agammaglobunimenia. what is the diagnosis? (same choices) 3. pag nabasa mo next question. Cascading ang questions... coffee) • Variance computation • Sensitivity vs specificity • PPV • p value interpretation • Correlation of p value with types of error (type 1 and 2) • Definition of Epidemiology • Definition of public health • Definition of bias and types of bias • Types of variables (control. . Your Test taking abilities will be highly required in this subject.A. Few questions requiring computation. some of the answers can be found in the question itself. case control and their use) • Definition of alpha • Generation time. mode • Levels of prevention (primordial. But you can answer the questions correctly by using some test-taking strategies. and Preventive Medicine. primary. Pre Test Family Medicine and Preventive Medicine questions were low yield. 3-5 questions from NMS Family Medicine. median. etc) • Different types of studies (cohort. tertiary) • Definition of outbreak • Antigenic drift vs shift • vaccines for pregnant patient • Tetanus Vaccine Booster dose Recommended Material: TOPNOTCH MAIN HANDOUT (BIOSTAT and EPIDEMIOLOGY part) + TOPNOTCH PEARLS Recommended Supplement Material: TOPNOTCH Superexam Recommended Samplex: UST Mock boards (2017) + UST Post Test (2017) Notes: One of the over exaggerated subjects that was said to be problematic. 3-5 out of the 500 questions from Pretest Preventive Medicine.PREVENTIVE MEDICINE AND PUBLIC HEALTH • Edward Jenner • Blood donor program privileges and requirements • Medical act (R. Biostatistics. confounding. mean. Only around 3-5 out of the 500 questions were lifted from Pretest Family Medicine. You cannot read them all. 2382) • Blood donation act (R. Read the questions carefully. 7719) • Formative vs summative evaluation • Impact evaluation • Risk factor for asthma (uncommon choices like aspirin. 5 questions from Jekel Epidemiology. incubation period • Coefficient of variance. In short. secondary.A. the examiner uses a lot of references as sources of questions. Vibar’s lecture • Netter • Topnotch Main Handout • Topnotch Pearls Handout MICROBIOLOGY • SuperDuperUltraMega Micro-Para • Micro MRS Table PHYSIOLOGY • Dr. Bawasan ang lakwatsa.” Bad influence sila! Allot two weeks per subject. Banzuela’s lecture • Ganong End-of-Chapter questions • BRS Physiology • BRS End-of-Chapter questions • Pretest Physiology LEGAL MEDICINE • Dr. Yns Pereyra’s lecture • UST Mockboards. • Start reviewing during internship. Preventive Medicine End-of-Chapter questions TIPS: • Two months of review is NOT enough! Nakakalula ang kapal ng mga handouts. • Wag maniniwala sa “Hindi ako nag-aral for boards. Yung magagamit nyo one week before the board exam. magsimula nang magbasa during internship. • Topnotch Supertable by based) Dr.” It’s either mayabang sya or tsumamba lang sya! • Pray. kahit hindi ka na magbasa during internship. Biostatistics. Pray. Pero nakapasa naman ako. tinupi raw ng examiner yung topics na kukunan nya ng tanong…” etc. Post-test • Topnotch Main Handout • Topnotch Pearls Handout SURGERY • Topnotch Supplement Handout • Topnotch Main Handout MEDICINE • IM Platinum + Board Correlates OB-GYNE • FEU Board Review OR • Med School Lectures Topnotch Main Handout PEDIATRICS • Topnotch 80+ page handout • Topnotch 127-page (Memorize the tables) handout • UST Pedia Review PREVENTIVE • Topnotch Main Handout (Biostat • CDC website lectures • UST Mockboards MEDICINE and Epid part) on Epidemiology • Topnotch Pearls OPTIONAL: • Pretest Family Medicine • Pretest Preventive Medicine • NMS Family Medicine End-of-Chapter questions • Jekel Epidemiology. Abet Rebosa’s powerpoint Philippine Medical Boards (600 items) PATHOLOGY • Topnotch Main Handout (Robbins. SUMMARY OF RECOMMENDED REVIEW MATERIALS SUBJECT MAIN (MUST-MASTER) SUPPLEMENTAL MUST-HAVE SAMPLE EXAMS BIOCHEMISTRY • Dr. Baticulon’s lecture • Lippincott • UST Mockboards / Post-test • Topnotch Main Handout • Lippincott’s End-of-chapter questions • Topnotch Pearls Handout ANATOMY • Dr. ☹ • During your mastery period. Rebosa’s lecture • Compilation of Questions in Legal • Topnotch Main Handout Medicine and Jurisprudence for the • Dr. Pray. etc… WALA NI ISA MANG NAGKATOTOO! Wag maniniwala sa mga patok. Kasi sa actual review. Masarap makinig sa lecture kung kumpleto ka sa tulog. Kasi hindi nyo na kayang balikan pa ang main handouts. • Wag maniniwala sa “sabi ng ganitong school. Kung kaya mong imemorize ang 80-page handout in two days. . seryosohin ang interns review. ito daw ang sabi ng examiner na lalabas!” “Sa patho. internship is your bawi/catch-up time. magiging two days na lang yan per subject. sige. Wag maniniwala sa mga upper batch na magsasabi na “Wag na kayong mag-aral. Elomina PHARMACOLOGY • Dra. make your own pearls handout na andun na lahat ng must-knows. • Kung hindi ka kagalingan nung medschool. hindi naman ganyan magtanong sa boards. Basahin na ang kayang basahin habang maaga pa • Sa mga hindi kayang magpuyat at hindi kaya ang maikling tulog. • Use only one material per subject during actual review and master it. Para may K kang matulog nang mahaba during actual review. • For interns.