 I'm really nervous right now. My PA community down, okay? What's up you guys? Zidane, welcome back to my channel. So for those of you who are new, thank you guys so much for joining me on this journey right now, stay well, subscribe and hit that notification bell. Everyone that has been rocking with me for the past year and a half, I appreciate each and every one of you. Thank you guys again for watching and welcome. So I'm really excited about this, you guys. I guess you could tell by like me just being all like super bubbly. But I'm super excited about this because you know, people are always like, I've heard a lot of PA's and like PA students and stuff say and even some like physicians. But like, oh, you know, PA school is like cramming two, four years of med school into two years of PA school. And I'm like, okay, like, I don't know because I've never been to med school. So I wanted to kind of test it out for myself. That's why I was happy when Licturio offered to sponsor this video and let me try out their app. It has a bunch of questions for their QBank different, various different questions for USMLE, Comlex and MBBS. So I'm gonna do some of the USMLE questions to see how I do, see if PA school is like teaching me what I need to know or teaching me more than what I need to know, you know or, you know, teaching me on par as like a med student, I don't know. So we're gonna check this out. I'm gonna show it to you on the screen as I go through some of these questions very briefly for you and then I'll talk about the app. Okay, so I have my Licturio app here. So it has like a question of the day. I don't know, like I'm really nervous. My PA community down, okay. So by no means am I like the end all be all for a PA students and their knowledge, but let's see. Oh my gosh, this question is long. 55 year old man presents the emergency department with shortness of breath and weakness, pastoral clustering includes coronary artery disease, arterial hypertension, chronic heart failure. He reports that the symptoms started around two weeks ago and have been gradually worsening his temperatures, 36.5, which is 97.7, BP13501, puncture heart rate 90, respirations 21, O2 sat 94. On examination, a mild JVD is noted. Oscultation reveals bilateral crackles, hitting a Tema and lower extremities is noted. Okay, his plasma brain BMP level on rapid bedside assays 500, just X-ray and it indicates enlarged cardiac silhouette. Okay. His, he is diagnosed with acute on chronic left heart failure with pulmonary edema and receives immediate care with borosimides. Okay, so he's, they use Lasix to like get the water off. The physician proposes a treatment with a new, oh gosh, naparulosilin inhibitor, which of the following changes below are expected to happen if the patient is enrolled in the trial? I have no idea. Like, I have no idea. Oh my goodness. I don't even know what we're talking about right now. Okay, so we're gonna do increased water reabsorption by the renal. Okay, I'll probably say that, naparul, like so like that sounds like it's dealing with the kidneys. I may be wrong. If he's having left heart failure, he's gonna have edema. So collecting dots is what causes the water, is where like waters reabsorb. I don't know, guys. So I'm gonna just go with that. Like, I'm not even gonna draw this out. Let's see. I was wrong. Plus a fail. All right, so I'm gonna end that, end this test, cool. And then let me go to four questions. 45 year old female undergoes endoscopic retrograde, colandio, pancreate, pancreato, graphy for evaluation of suspected biliary strictures, the ERCP identifies two ducks and the pancreas is small ventral and a large dorsal duck. A diagnosis of congenital pancreatic anomaly is made, which of the following statements best describes this anomaly. Most of the patients with this condition presents early in childhood with abnormal symptoms. I mean, well that obviously doesn't make any sense. She's like 45 degrees. She would have had those symptoms already. I said 45 degrees. She's 45 years old. Oh my goodness. It is a rare congenital anomaly of the pancreas. Patients with recurrent episodes of pancreatitis due to this condition do not require any intervention. Please. Magnetic resonance, colandio, pancreate, to graphy. That is such a tongue twister. Scanning of the abdomen is the most sensitive and non-invasive diagnostic technique for this condition. I mean, I think stack sign is lead poisoning. I'm gonna go with this. Ah, and I got that. Oh my goodness. Like, I don't know, am I sweaty? Let me see what stuff they have here, Mark. Okay, so we can flag the questions. We can see lab values. Oh, we can add notes. What is this about? I don't know. I don't know, I'll see that note later, but I'll look at it. So, and then we can do reverse. Okay, so I'm gonna do reverse. A two-year-old boy is brought to the emergency department by his mother for evaluation of severe abdominal pain that began one hour ago on examination. The patient is a fibril and has to be diffused rebound tenderness with acute left lower quadrant pain. A stool going, test is positive. Small bowel perforation is suspected. What is the embryologic structure that is the underlying cause of this patient's presentation? So like, I paid attention in pathophysiology, but like, it wasn't easy. So, this is like a patho question. I'm gonna go with this, no. I mean, they're trying to trick me with this virmia form appendix because there is rebound tenderness, left lower quadrant. But you know, like, if you do like, Roth's things for appendicitis, you'll get that, that tenderness. But I'm gonna add some Meckles diverticulum. Okay, so it's extends outside of the ilium. So I like this because it's giving you like all of the reasons why virmia form appendix is a finger like structure that buds off the cecum near the iliocecal valve. So yeah, you know, like, they're trying to trick me like, oh, well, maybe it's like a appendicitis, like it's a Roth's thing sign, but it wasn't. So, there we go. All right, so I got one wrong already and then I had like the other two, right. A 22 year old woman presents to the gynecologist for evaluation of amenorrhea and dyspirinia. Okay, the patient states that she recently got married and has been worried about getting pregnant. The patient states that she's never had a period. And that sex has always been painful. On examination, the patient is Tanner stage five with no obvious developmental abnormalities. The vaginal exam is limited to secondary, limited secondary to patient discomfort. The vaginal canal is hypoplastic with no visualizations. Let me see, so what was my things? What can I do here? Can I, no, I can't. All right, so what is the most likely cause of this patient? It would be really cool if I can highlight some of this stuff, but I can't. Like the hypoplastic vagina and Tanner stage five, dyspirinia and amenorrhea. It's not hyperperlactinemia. That's, so it's, she's not like that stuff. And it's not PCOS. They would talk about like, you know, she has a bunch of hair and all this extra stuff. Exposure, you didn't know. So it's Turner or malaria. I believe, like I'm pretty sure it's malaria. Turner syndrome is, I don't think it has those things. Malarion is the one that is like amenorrhea dyspirinia, but it's really the hypoplastic vaginal canal. I'm gonna go with that. Kill it, it's, and I'm excited about that. The malaria duct, also known as the, okay, whatever, is an embryologic structure found in both male and female embryos. The malaria duct forms the fallopian tubes, uterus and cervix. So this is cool, like I like that. It gives you everything here on the app. It's like telling you, like giving you a little, you know, just kind of review. And that is like what you want from any Cubank that you are studying from. You wanna make sure that they're telling you why your answer is correct and why the other answers are incorrect. Two-year-old male infant fails to pass meconium for the first 36 hours of life. He was born on term vaginally to a healthy 19-year-old woman from uncomplicated pregnancy at birth. His weight was 8.6 pounds. At the time of presentation, he weighed 8.4 pounds. His vital signs, RS follows, blood pressure, 70 over 50, heart rate 130, respiratory rate 33, temperatures 98.6 on physical exam. He is active and appears hungry. His abdomen is distended, no masses can be identified on palpation, okay? The valve cells are active on auscultation. The patient's anus is patent. On upper GI, study with oral contrast demonstrates normal anatomy, okay? So it's not like pyloric stenosis. Barium enema is then administered, which reveals a large amount of retained barium contrast with dilate signaling colon, the retention. What, which option describes the cause of this patient's symptoms? I honestly am a little unsure about this. I could show you the musculator for lower C1 colon. No. All right, so if there's retention of the barium contrast with a dilated C1 colon, I'm gonna just go with, I don't know. It's, I don't think it's that, I don't know. I'm gonna probably go with this. I probably got it wrong, but we'll see. I got it wrong now, I feel bad. Not okay, not okay. All right, last question. A 17 year old female presents to the OBGYN clinic for evaluation of primary and menorrhea. Like I need to make sure that I get all these OBGYN questions right, because this is definitely what I wanna go into it. And so it's gonna look bad for me if I get these wrong. She is well-developed with well-nourished female who looks her state at age. She has reached standard stage four, breast and pubic care development, external genitalia is normal in appearance. She has an older sister who underwent menorrhage at 12, a speculative exam reveals a short and vaginal canal with no cervix, no uterus is visualized during ultrasound, but both ovaries are noted. What is likely pathophysiology underlying this condition? Again, pathophysiology. So XO is Turner's, so that's not it. I love the ovaries to produce estrogen, no. Genotype XXY, that's Kline Felters. This is like Malerian again. So Malerian, it's one of these dots, but I think it's a paramism. Okay, come on. Ambiology and gastroenterology is the one that I missed. I just wanna check out this whole scan your book thing. So this app, this like Turner app has this thing where you can scan your book and you can get lectures. I mean, it's called lecture, so they do lectures, like live video lectures for you. So I wanna check this out. So I'm gonna do hypothyroidism and I scanned it and now I'm gonna hit okay and it's gonna upload it and I'm gonna see if I can get some video lectures on hypothyroidism, which is good because if you are a visual learner, then this is the app for you. Like you wanna actually see somebody talking to you about this. So let's see, everything is highlighted green, goiter, thyroid nodules, common substance related. Okay, what is that? So it's giving me like karyotypes and stuff. Is that even in, oh goiters. Oh look, so it has goiters there. Does it have anything about hypothyroidism though? Let's see what they have here. Here we'll take a look at the differences of goiter versus nodules by the time we're done with the section. That's like the same picture that was in the book that I scanned, but that is cool. So a really like cool way to just kind of learn, you know, six minutes. I could spend six minutes out of my day, look at that. I did a question you guys and it messed my thing up so I'm at 83% memorize now, whatever. Anyways, ultimately what this video says is that PA school has taught me something, okay? And I can answer some of these med school questions correctly, which is good. I feel good about myself and I feel great about PA school and the path that I've chosen to take. Some of those questions were really, really like in depth and detailed and kind of like tricky in how they were asking it, which is what they do with our pants as well, which is our certification exam for PA students, but you know, whatever. Like, I don't know if how it stacks up but like I learned something, we're doing our thing, y'all doing y'all thing, please let me know if you are a med student and you answered some of those questions with me, let me know how well you did on those questions and don't be lying, don't be saying, oh, Donna, I got them, oh, right, just because you're in med school, okay, we all friends, we're all friends here. You could be honest with me. All right, okay, so if you are interested in getting this app, I have an affiliate link in the description box below. So please use it, absolutely use it. If you're a pre-PA student and you kind of wanna check out what some of these questions may be looking like or a pre-med student, check out the link in the description box below as well. This is good, like I said, for PA students in that you can just have more exposure to questions and the material, so it's a good option for you in that sense, it is not specifically geared towards the pants, so that is a downside to it but you will still know the material and you will know it inside and out if you are actually going through these questions day in, day out and just kind of looking at all the lectures that they have available to you. So be sure to do that. Leave a question in the comment section below for me if you have any questions on this or anything else. Again, let me know how you did. I really wanna know if you guys did just as well as me or not. Thank you so much, Lectorio, for sponsoring this video and allowing me to just kind of look at these questions and see how well me, a PA student, stacks up against some of these USMLE type board questions. I feel good about myself, am I sweating? I'm sweating like a little bit, I don't know because I was so nervous. I did not wanna let us down, PA students. I think I did okay, but yeah, so thank you guys so much for watching. I really appreciate it and follow me on Instagram at AdanaPA and if you have not already done so, go ahead and like this video and subscribe. Thank you guys, I will talk to you guys next time.