 If you're looking for a video on a specific topic, simply type in what you're looking for in my channel, Search Bar, and if I have videos addressing that topic, it will take you right to them. What's up, you guys? It's Adana. Welcome back to my channel. As promised, I'm going to be doing an in-depth review of Kaplan's Cubank. Now the Cubank is a question bank that is full of questions for pants prep and pants review that Kaplan has, and you can actually download your own Cubank. I will provide a link for that in the description box below. You can access the Cubank on your computer or on your phone, which is what I'm going to do because my kids actually have an appointment to go to a dentist's appointment. So let's go. So we're at the dentist's office, and I'm going to be doing the Kaplan, like, Cubank right now because I need to study, right? So it says a 25-year-old woman comes to the healthcare provider for an annual exam. She's been feeling well over the past year. Her past medical and surgical histories are unremarkable. Her past OB history is significant for term vaginal delivery two years ago of a male infant with spina bifida. Examination is within normal limits. The patient states that she would like to try to become pregnant within the next few months and wants to know if she needs to start taking any vitamins or medication. Which of the following supplements should this patient take? So it has folic acid, four milligrams per day starting preconceptionally. Folic acid, four milligrams per day starting in the first trimester. Vitamin A, 10,000 IU per day starting preconceptionally. Vitamin A, 10 milligrams IU per day starting in the first trimester, or no supplements are needed. So I'm going to go with A. And then let's see if I got it right. Explanation. The correct answer is A. Oh, I feel good. Like I was really nervous about that one, that I wasn't going to get it right in front of you guys. That says the correct answer is A. Several studies have established a relationship between folic acid and the prevention of neural tube defects. And it goes on to talk about what choice B was and what the recommended dosage is. And then choice C, why that one's incorrect. And then choice E, of course you need to do prenatal vitamins prior to actually becoming pregnant. So no supplements at all is just incorrect. All right, well let's go to the grocery store because they're done. All right, so as you can see, we're here at the grocery store and I did some light shopping, but I'm also doing some study. And that is the beauty of having this Kaplan Q-Bank on an app. You can take it wherever you are. And you guys can take it wherever you want to go as well because I have partnered with Kaplan to give you all access to this app with a 15% discount. So I will leave that link in the description box below where you'll be able to access this app for 15% off. You can also go right now if it's setting for the pants or didactic year for 20% off because they have a back to school special. But let's do this question. It says a 20 year old man is brought to the emergency department three hours after ingesting 50 tablets of 325 acetaminophen in a suicide attempt. He's nauseous and vomiting but no other abnormalities on physical examination. His temperature is 37 degrees Celsius. Blood pressure is 135 over 80, pulses 100, and respirations are 20. Serum cinaminophen concentration is within the range of probable toxicity. But serum transaminase and other hepatic markers are normal. Which of the following is the most appropriate next step in management? So it has activated charcoal, acetylcysteine, it has phenylcyclamine, activated charcoal and acenocysteine and gastric lavage. So I'm gonna go with D. I know that you can do activated charcoal and acetylcysteine especially within the first eight hours and I think four hours for activated charcoal. So let's go with D. We'll see. The correct answer gets me. My gosh guys, I learned something in didactic gear. I feel really good about myself right now. Okay, she's starting to get a little crazy but it goes through and it gives you the correct answer and why the other answers are wrong. Since she's getting a little crazy, I'm gonna go pay for these really quickly and we'll be on our way. So we're here at the park, had to bring the kids because they were acting up. Gotta get some of that energy off, but I also need study. So I'm doing another question and this question says, a 43-year-old man with recurrent history of peptic ulcer disease associated with diarrhea and strong family history of duodenal ulcer disease is suspected of having Zollinger-Ellison syndrome. Socretin is given as a rapid IV injection to test for gastronoma. Which of the following results would support the existence of gastronoma following secretion administration? So the question answers have gastrin released from antrum, increased serum gastrin, inhibition of gastric emptying, inhibition of gastric secretion, stimulation of pancreatic. HCO3 secretion. Okay, so I'm gonna go with the increased serum gastrin, that's B, because I know with ZS, like Zollinger-Ellison syndrome, you're supposed to have elevated levels of gastrin. I don't really know about anything else with the whole where it's released type of thing if that goes with another disease, but I'm gonna do that one. So, no, not that. And going with increased serum gastrin, let's see what the explanation says. B, gastronomas are gastrin secreting tumors. Yeah, patients who have gastronoma have high serum gastrin levels, which lead to hypersecretion of gastric and consequential duodenal and gigenal ulcers. So it tells you, oh, let me see that. The answer that I had that was that I was questioning. A, it says secretin inhibits antral release of gastrin, but it stimulates release of gastrin from gastrin tumors. Okay, so it would inhibit gastrin release from the antrum. So that's something that I need to just kind of go ahead and brush up on. And again, it tells you what you would review Zollinger-Ellison syndrome. So again, another test question down. If you do like five or ten of these a day, you're gonna be a beast. And you're gonna be so prepared for pants because you're gonna be, like think of it, five a day. And there's how many days in the year that you're going to school for until you have to pass your pants. I have 14 more months of this, so we've still got this. Oh, I gotta go, she's gotta pee, gotta go. The bathroom break is done. We have averted a crisis. Gonna wash our hands and then we're gonna go and actually see these little ones because they're hungry. Go ahead and wash your hands. But again, I still need to study and still have to keep up on my questions. So I'm gonna do that very shortly. Are you done, Mimi? Are you done? You're just playing right now. You're done. She's done, you guys. Let's go. You're done. All right, but still got my phone. So we're gonna do this next question. And on this question, we're gonna be talking right now. It says a 25 year old main man sustains multiple stab wounds to the abdomen when he's mugged while jogging. The assault takes place in the evening. He is dumped by the attackers behind thick vegetation and is not found until the next morning, at which time, exploratory surgery reveals multiple small bowel and colonic lacerations. What? All of the lacerations are repaired. In the post op period, the patient has persistent hypertension, even though he received adequate fluid infusion and his central venous pressure is 12 millimeters per mercury. Further studies done with the help of pulmonary artery catheter revealed high cardiac output and low peripheral resistance. Which of the following is the most likely diagnosis? Adrenal insufficiency, cardiogenic shock, hypovolemic shock, neurogenic shock, septic shock. OK, so he was mugged and then he had a bunch of lacerations. Let's go with hypovolemic shock. I'm really just guessing on this one, but I would think since he was mugged and then he was staying over there overnight and he wasn't found until the next day. Maybe he is volume depleted. Let's see if that's. So I was wrong. The correct answer is septic shock, which also makes sense because he's been there overnight. His small bowel was perforated. So there's probably some type of infection going on, but it tells you the signature of septic shock in the normal volumic patient is high cardiac output and low peripheral resistance, which is what they made sure to say in the question, Sam. So that's something that I'm going to write down and remember so that I can go back and study it for later. But right now I have to go eat something. All right, so the kids are fed. I haven't started eating yet, but I'm going to do that. But before I do that, I want to get into this last question that I'm going to do for you guys. It says, an eight-month-old boy is brought into the office for a regular checkup. He is developing well and does not seem to have any particular problems. He is still breastfeeding, but has started solids at five months of age. He enjoys strained vegetables and fruits, cottage cheese, soft meats. Mother thinks that he will soon wean off the breast milk because he likes real food very much. She's interested in recommendations as to introducing other new foods in the months to come and expects him to be eating almost everything by his first birthday. On physical examination, the boy is sitting currently in his mother's lap and responds appropriately to visual and auditory stimuli. He is in the 19th. Yeah, is that the 90th? He's in the 90th and 95th percentile for height and weight, respectively. The immunizations are up to date. Which of the following foods should be avoided before the boy is one years old? So a lot of times, these questions, just like they will appear on pants, has a lot of these kind of like distractors. So talking about vegetables, he enjoys eating strained vegetables and fruits and cottage cheese. Like we don't really need to know that. Who cares about that? Unless it's really pertaining to something that's happening with the boy. Like if he was not, you know, having really excessive bowel movements or something, then we're thinking, oh, maybe he has like a lactose intolerance because he's eating cottage cheese. But since that's nothing that's happening with him, you just go on to the question and the answer is, it says beans, egg yolk, fish, honey, iron fortified cereals. Of course, you're not gonna stop iron fortified cereals. You need that. They don't get iron as it is. Fish, I mean, yeah, you might think of mercury. So that's kind of like a little bit of a distractor. Egg yolk in the same thing. Beans, no, you need protein. But I'm gonna pick honey because you don't give honey to kids under the age of one because of botulism. So I'm gonna do that. I'm pretty sure about that answer. Explanation. The correct answer is D, honey. Solid foods can be introduced four to six months. Before this time, the risk of adipi is increased and infants are not mentally ready to take solids. It says honey is to be avoided in the first year of life because there's increased risk of infantile botulism. And that's something that you just learn automatically anyways in PA school. So that's it. That's Kaplan's Cubank in a nutshell. You can go in there and also create your own tests. You can talk about the different tasks or specific systems. So if you just wanna learn about cardiology, you can just ask for cardiology questions and you have up to 99. So it may have 200 possible questions but each test can have up to 99 questions. And if you do three to five questions a day, you're gonna be a beast in cardiology when you're done. So be sure to go on over to the link that I will leave in my description box for Kaplan's Cubank as well as the other resources that they have for you. You will get 15% off if you use my code, which is the down of 15. And you can also do the back to school code, which they have until September if you're studying now and you need a little extra help, which will give you 20% off. I hope you guys enjoyed this video and thank you guys so much for watching. I will talk to you guys next time. Bye.