Question of the Week #74, 75

74) A 75 year-old man with history of hypertension presents to the emergency room with complaints of shortness of breath and palpitations. His vital reveal a heart rate 142/min, blood pressure 130/86, temperature 98.6 and oxygen saturation of 89% on room air. On auscultation, there are no rhonchii or crepitations, the heart rate was irregular and rapid with out any murmurs. The patient is placed on oxygen by nasal cannula. An urgent EKG is obtained which reveals rapid atrial fibrillation with no evidence of significant ST-T changes. The patient is started on diltiazem. Chest x-ray is normal and a brain natriuretic peptide is 80ng/L. Electrolytes, TSH and complete blood count are with in normal limits. Cardiac enzymes are drawn. Arterial blood gases reveal a pH of 7.48, po2 of 58, pco2 of 20 on room air ( Fio2 of 21%). The next step in establishing the etiology of his atrial fibrillation :

A) Cardiac catheterization
B) Spiral CT scan of the chest
C) Venos doppler of lower extremities
D) 2D Echocardiogram
E) D-Dimer

75) What is the most likely etiology of atrial fibrillation in Case 1?

A) Acute ST elevation MI
B) Acute pulmonary embolism
C) Pneumothorax
D) COPD exacerbation
E) Congestive heart failure

Archer launches PayPerView for USMLE Step 3 audio/video lectures

Archer Review releases Pay-Per-View option for those who missed out on their live reviews
Pay-Per-View enables you to watch the streaming video lectures for USMLE step 3 at your own convenience. These recordings are similar to the live webinar review in that you can see the powerpoint presentation running on your desktop screen while you also listen to the instructor’s audio.

Archer Review answers some of the frequently asked questions regarding Pay-Per-View
Please see below

What is Pay-Per-View?
Pay-Per-View system allows you to access the streaming video lectures online at your convenience and watch them at your home on your own desktop. You may purchase the full length course or topic-wise access.

Can I watch a Demo?
Yes! Contact us

What lectures for USMLE Step 3 do you currently offer via. Pay-Per-View?

The lectures that are currently available via. Pay-Per-View areA. Archer Full length ( 36 hours) USMLE Step 3 Review Course. B. Archer USMLE 3 Topic-Wise Lectures ( Hematology, Cardiology, Gastroenterology, Nephrology/Acid-base/Electrolytes, Pulmonology/Ventilators, Infectious diseases, Endocrinology, Neurology, Ethics, Rheumatology/ orthopedics/ sports medicine, Oncology, Preventive medicine, Psychiatry, Gynecology, Pediatrics and Dermatology )C. Lectures for USMLE Step2 CK will be available very soon.

What are these Video Lectures? Are they similar to your live reviews?

These streaming video lectures are the recordings of our live webinar sessions. These are exactly similar to our live review in that you can see both the powerpoint presentation ( a capture of the instructor’s desktop screen) as well as listen to the audio in conjunction with the powerpoint presentation. This eliminates the need for looking at a hand out or notes while listening to the lecture as you can directly see the powerpoint running on your screen.

Are we provided with any hand-outs or lecture notes?

Yes, you will be provided with relevant Archer USMLE Step 3 notes by e-mail once you purchase the streaming video for a particular topic or for the entire review.

Is Pay-Per-View more expensive than live review?

At this time, the cost of live review as well as Pay-Per-View is similar.What are the benefits of Pay-Per-View over the Live review?Live review needs to be attended at a designated time. Pay-per-view can be watched at your convenience. In Pay-Per-View, you can pause and listen to a particular portion again. You can also listen to the same lecture almost one and half times with the “watch time” that we currently provide.

What are the limitations of Pay-Per-View when compared to Live Review?

During the live review, you can directly ask questions and talk with the instructor. There is no such possibility via. Pay-Per-View. However, you may send us questions by e-mail and our instructor will try and answer them in about 3 days.

What is “Watch Time”?

Watch time is the amount time you are provided to watch the lecture. You are approximately provided with a watch time that is 50% greater than the length of the review. This allows to rewind and replay certain portions of the lecture if you wish. Watch time will not expire when you exit the lecture. Any unused watch time will be stored in your account and you can use it on an other day. When you resume the lecture, make sure to forward the player to the point where you left off. You can also replay the previous session as long as you have sufficient watch time in your accountFor each lecture, you will be provided with the duration of the lecture and the “Watch time” when you begin.

Do I need any special system requirements to play these?

These are WMV files and will play with any Windows Media Player.

How about the Internet connection requirements?Dial-Up connections are ok but broad band connection is preferred for uninterrupted access.

If interested, please visit Pay-Per-View to sign up!

Excerpts from Archer Rapid Review – Nephrology by Dr.Red

this is a 30 minute clip from recent Archer USMLE Step 3 Rapid review quickly summarizing electrolyte imbalance and acid-base

The above embedded video is not displaying the video. For access to full video+ audio, click here : Nephrology

USMLEGalaxy launches affordable live online USMLE Reviews!

Unique Live Review Courses

Unique Live Review Courses

USMLE Step1 and Step2 are the exams taken each year by thousands of doctors seeking admission in to various residency programs in the USA. USMLE Step3 on the other hand, is a mandatory exam that needs to be passed in order to get a license to practice as a physician in the United States. Yearly, thousands of medical graduates and students take these exams world-wide. They are usually looking for review courses that can best prepare them to ensure guaranteed success on these very competitive exams. There are several companies on the market that provide these review courses. However, most of them are expensive and also, require students to travel several hundred miles to attend their live reviews. Consequently, some students opt not to take the review courses there by, loosing the opportunity to get efficient guidance from the experts. The students that do take these courses are usually faced by time and money constraints as they are required to shell out an extra couple of thousand dollars on accomodation and travel expenses on top of what they have already paid for an already expensive live review. Some residents who are preparing for USMLE Step3 exam have huge time constraints that they cannot attend these live reviews unless they forego their valuable vacation period.

USMLE Galaxy, LLC has recognized these obstacles that limit USMLE exam takers from obtaining valubale advice and expert teaching. As an experiment, USMLE Galaxy LLC, has an initially launched USMLE Step3 Live Review courses ( Archer live USMLE Courses, Archer USMLE Step3 Rapid Review and Dr.Red CCS Workshop) through its division, http://www.CcsWorkshop.com. These reviews were a huge success and have reached about 3000 USMLE step3 examinees in a span of 8 months. Dr.Red CCS Workshop focuses on a unique way of preparing students for USMLE Step3 CCS and hence, is a grand success with consistent demand for about 2 workshops a month. Archer rapid review for Step3 was initially started as a 2 day course but now extended to 3-days. Archer USMLE Step3 rapid review attempts to cover all frequently tested USMLE Step3 topics over a duration of 26 hours. The most helpful feature of these reviews is that you can interact and participate in the live course with out having to leave your home. These reviews have been especially useful for the residents who are very busy with their training. Now, USMLE Galaxy, LLC is also releasing live, online reviews for USMLE Step1 and Step2. These reviews will be available right on your desktop and most importantly, they are live. All you need is a computer with internet access and a microphone. If you do not have a microphone, you can use a telephone to interact with your instructor. You can participate as you do in a classroom. A “hand” icon on the software lets you notify the instructor that you have a question any time during the session. Your question will be answered by the instructor at the end of each sub-topic. These reviews can be accessed from anywhere in the world.

Balaji.T, USMLE Galaxy’s ( http://www.ccsworkshop.com)(http://www.usmlegalaxy.com) Executive Vice President of Marketing said “These interactive, live sessions bring expert teaching and classroom atmosphere to your very own home. Most of our physicians are experts in teaching, have scored very high on their USMLEs and are board certified with top 10 percentile scores on the Internal Medicine board exams. We do rotate our teaching physicians to provide uninterrupted access to these live reviews. There are several review courses in the market but nothing gets more effective and extremely affordable than our unique sessions. Some companies offer online courses in a recorded format but you do not get a chance to interact with instructor in a classroom atmosphere. Eventhough, some of our future sessions will also be pre-recorded, our teaching physicians will actively supervise these lectures and after each sub-topic they will unmute you to see if you have any questions. They will actively answer all your questions during the session itself there by bringing interactive classroom atmosphere to your very own home. We have a practice of mailing surveys to our attendees after our rapid reviews. Our post-review surveys have revealed that almost 100% attendees have rated these reviews as “Very Helpful ” and “Extremely affordable”. More than 95% have commented and rated our teaching physicians as highly effective “

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