Welcome. My name is Divine. This podcast, I'm going to call this a series of related interesting

mechanisms, a series of related interesting mechanisms. Into this podcast, my goal is to go over some

things that have a lot of relationships,

just some common relationships that are frequently tested on step one,

on step 2, CK, and on step three.

As I go through the podcast, you're going to see why I'm emphasizing certain things in this podcast.

So the first thing I'm going to go over here is,

what if they give you a question about a patient that has a history of celiac disease?

And then they tell you that over the last six months,

the patient has had mencies twice,

and that when she had menenses she had very heavy flow and then

you're told that you know she the longest she went between menses was like 93 days and then you're also

told that this individual, you know, has just, you know, they give

you some vital signs. You notice that her blood pressure is like 120 over 90. And you notice that

a heart rate is 49 bits per minute.

And then they ask you which of the following is the underlying mechanism behind the patients presenting symptoms.

I would really hope that you pick an answer that talks about autoimmune cell destruction,

right?

The thing is, if I'm being completely honest with you, the USMLEs, they are not going to come out and say Hashimoto's, no, right? This is something

that I emphasize a lot in my review classes that these days, straight answers are like dinosaurs

on the USMLA exams. They have largely evaporated from the exams.

These days, they will give you something that is correlated with, but not exactly what

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