FREE USMLE/COMLEX Question Bank | Question #2

[@bilaldarwish180]

Sketchy Pharm did us dirty by not letting us know Mirtazapine causes Agranulocytosis, but our boi dirty got our back.

[@krish.7144]

its still not there 2 years later!

[@AP-xe2yt]

this exam maker did bait me into picking clozapine...and i learned a new fact about mirtazapine . awesome video

[@bobdylansmith1]

Yep 50/50 between depakote and mirtazapine for me personally

[@bobbettac1]

clutch question. Nowhere in FA or Sketchy or my notes did I have Mertazapine causing agranulocytosis....

[@polk304]

yea same here

[@digiklone1]

yeah man,that made me confused too

[@l2ebel96]

www.accessdata.fda.gov/drugsatfda_docs/label/2010/020415s023s024.pdf It's a rare side effect that I had to "control+f" for.

[@csskkai]

@@l2ebel96 yes, it's under "frequently NOT reported". If it's so uncommon, would a test question really target that side effect of mirtazipine?

[@shayaniqbal359]

Metformin can also cause B12 deficiency !

[@freedaboyoung3722]

When you're so unknowledgeable that the only thing that came to me was "yeah so he obviously stopped the Clozapine 5 years ago, that ain't it"

[@freedaboyoung3722]

You're right, my mind DID go to valproic acid and lithium because I heard they baddies

[@Drhamzaasad]

Dirty, for the love of God, please do a vid on Anti arrhythmic drugs and cardiomyopathies. Not the basic stuff, the stuff that’s gonna get the questions right. Bless you.

[@indrasharma3267]

you're doing the lord's work with these videos

[@thanasegaran1]

I'm definitely donating you! Keep going bro(s)

[@appexsos]

Loving this format !! Thank you so much doc !! Gingival hyperplasia = phenytoin

[@AhsanKhan1998]

Ccbs

[@oishi5518]

phenytoin,cyclosporine,nifedipine

[@bobdylansmith1]

They don’t ask questions that easy anymore :(

[@imjustlivinglife1747]

Great breakdown of the question and options! Thank you!

[@karataych0p]

Solid video and test taking skills. Thank you. Totally see how you got 250+

[@horsecrazed01]

Having polls within these videos with the answer choices as options would be a nice interactive way to answer the questions and see how our answer choices compare to others

[@wardtaylore]

I thought obviously it was Clozapine and almost skipped this...

[@abhaychaniyara6003]

me 2 lol

[@himadevarapalli9258]

I’m trying to donate to get you some coffee and it’s recurring. Post my exams you’ll be getting more than coffee. For real your videos are the best!!!! Keep uploading

[@DirtyMedicine]

i love coffee. thanks

[@excuseme1543]

about to drop into that Patreon! love the *HIGH YIELD BOTTOM LINE* :)

[@chanelv5373]

I just love your videos. Thank you so much for all your labor in doing these videos.

[@phamnguyen912002]

thank for your videos.... I definitely support for your channel. I got 10 days left for Step 2 ck lol. Any recommendation for prep-test. I'm so nervous rn

[@cameliavalhuerdiporto2211]

Thank u so much for this video...It really helps me know how to think in front of a question

[@Joyful__Journeys]

I’m definitely gonna donate soon thank you so much

[@shashwatkeshri]

I love your videos dirty! I do have al suggestion for you. Could you please number the videos on biochemistry that you uploaded last week. It would be great of you. Amazing content as always!

[@DirtyMedicine]

they go in order if you open the playlist

[@saurabhbawawohnhaftinnerem4429]

If he has leukopenia why fever was so high...because in leucopenia enough cytokines are not released

[@barbie2becks1]

Can someone please tell me what is the srs vs sepsis criteria he referred to at 1.03? would be very helpful, thanks.

[@h.a7688]

That was hard question, thanks for choosing it, it helped me a lot

[@abubakkarsiddique828]

Great👍

[@mdsohail6921]

Just loving it

[@sm4887]

Amazing amazing !!!

[@drinaciofernandes]

Most of the questions in uworld have like this triad of clues. If you go through the explanations . Most of them are a combination of three symptoms or signs or lab values or whatever. Any tips on how to identify stuff like that .

[@rekhakadam6393]

Thank you so so much... 🙏🏻🙏🏻

[@shadibaajour1699]

Could you link some more information regarding Mirtazapine causing agranulocytosis? Here is a link to an article I found (www.journalagent.com/tjh/pdfs/TJH_29_3_297_298.pdf), but it is the only mention of it that I can find, and I am wondering where else you have come across this. Otherwise, I appreciate your breakdown of the question and the application of good test-taking strategy. Thanks for all the videos.

[@shadibaajour1699]

ajp.psychiatryonline.org/doi/pdfplus/10.1176/appi.ajp.162.7.1386 Another source, a bit older.

[@shreyamishra916]

Thanks dirty, we love you too.

[@sitthuson]

wait Mirtazapine causes agranulocytosis? First aid fail me this time

[@staceyjane2797]

You're the best 💝😘

[@powerisrespected]

where were you when i was in my first year of my medical school .

[@sandeshsharma3560]

he was staring straight into the shining sun

[@nainasheikh9683]

you are great

[@jayvlog8803]

Love this

[@vrindasharma557]

Great job sir . Can u pls pls make a video explaining all confusing conditions causing ambiguous genitalia. Exam in a month . Plssss

[@samik3184]

When's the ethics coming out brooo

[@monika246]

Thankyou😊

[@philipperameau6964]

I thought valproate caused agranulocytosis

[@DirtyMedicine]

Not regularly, no

[@stevenmahnke1861]

@@DirtyMedicine But there was only 6 reported cases of agranulocytosis in 2 million individuals prescribed mirtazapine according to an article in the American journal of psychiatry in 2005.

[@piyushpuri7284]

Go-go-go!

[@ventiladorbueno1846]

Thanks

[@1412Z]

THANK YOU

[@cheerleaduhhlove6697]

Sketchy totally left that out smh

[@fezzyness]

I understand you are making videos for difficult questions, but honestly it would be more helpful to make videos for questions people are 50-50 on. Valproic acid also can causes Agranulocytosis, both are rare. But you’re comparing

[@DirtyMedicine]

These are questions people get wrong . Valproic acid has less of an association with it than Mirtazepine and therefore it doesn’t get asked since the research is more inconclusive . Also as the question stated, exam writers would sooner ask you about other ADRs. It’s about anticipating what they might ask. And to be fair if you wanted 50/50 questions , maybe a standard Qbank is more appropriate for you. I’m trying to save you points not write questions 50% of people get right

[@emilyi771]

Tysm

[@bookbites101quotes]

👌👌👌

[@samadrahman9902]

GOAT

[@mariyamn]

wahoo

[@polinaburov]

dirty, i love u thank you very much, you're perfect

[@alirahman8964]

mirtazapine causing agranulo is no where to be found in f.a. maybe you are confusing it with methimazole

[@DirtyMedicine]

No, you are making a critical mistake that most medical students make thinking that simply because something is NOT in FA means it's not true. Well, it is true and it's showing up more and more because exam writers know that it's not commonly listed in resources. Know it.

[@alirahman8964]

@@DirtyMedicine i'm just saying that there are other drugs more commonly linked to agranulocytosis and since f.a and uw is considered the prime source for study then maybe our focus should be at the s/e of drugs mentioned in it. Didnt mean no disrepect but this question did seem a little off the line.

[@anonymousperson8222]

fire

[@alejandracontreras3297]

We love you Dirty

[@famajawad]

WHAT