USMLE STEP 1: Adrenal Cortex deficiencies with question

[@RandyNeilMD]

Hope it was helpful. STEP 1 is a test of concepts. Learn it as though you are going to teach the next guy in line.

[@RicardoMartinez-ov4xl]

hello on the second question i think you made a mistake and is not zona glomerulosa I think is zona faciculata bc of the HTN and Low renin levels please let me know because im a little confuse

[@bishie02]

The licensure exam for physicians in my country comes in 15 days. We were given 4months of review. But with 16 hrs of binge-watching your videos, I got more stuff retained and understood than I ever did in the past three months. Thank you Dr. Neil, no matter how my exam goes, I can't thank you enough. God bless you!

[@RandyNeilMD]

Sittie, No matter the outcome...KEEP MOVING FORWARD!! Please keep me posted on your progress... We can always regroup and attack (move forward) in another direction. Stay FOCUSED... Stay STRONG.

[@yosiguevara]

My USMLE step 1 is on Monday and I’m here just binge watching all your videos. Simple and helpful. Thank you so much!!!

[@RandyNeilMD]

Yosira, Keep us updated on how it goes... I'll try and add one more video for your watching before your exam. Stay positive, Stay confident.

[@abhayamolik7519]

Hey, so how did go

[@chryslerfordgm]

Same situation. My exam is Monday (tomorrow) and there's no better than Dr.Randy Neil to simplify everything

[@NeerajKumar-dr6es]

I have been preparing for Step 1 for the past six months. During this time, I watched countless videos on KZbin but struggled to understand the topics. However, today, I want to thank you for making my life so much easier

[@amandaorta2271]

I think I got it for the first time! Amazing!!!!! Please do more videos..

[@RandyNeilMD]

Music to my ears... Glad it was helpful.

[@erkanbatti]

I cannot tell you how many times I have tried to memorize that table on first aid. And dummy that i am i could never get it. But in the first 5 minutes of this video I was like ......whattttt .....no wayy.... i finally got it. Thank you so much so much.

[@RandyNeilMD]

Erkanbatti, Thank you for the feedback... Glad it finally was a little easier. Thank you for the comment.

[@rachellopez3133]

To learn medicine with you Dr. Neil is so much fun! Thank you so much!

[@RandyNeilMD]

Thank you Rachel for the kind words

[@JhishnuN]

This is handsdown the best explanation on this topic!!! Thank you for keeping it so simple Dr Neil!!

[@RandyNeilMD]

You're very welcome!

[@carisamclean6716]

Dr. Ryan you are simply the BEST teacher. Thank you so much for taking the time to prepare us as students for the USMLE exam. I wish you had a review program.

[@RandyNeilMD]

Carisa, Thank you for your kind words... I'll keep trying as long as you tell me it is helpful.

[@pierrehudson2080]

Wow I have been Trying to understand this concept for years!

[@pierrehudson2080]

You actually knocked it down for me in 5 minutes

[@RandyNeilMD]

PERFECT. Let others know...

[@victordelaguila6662]

Excellent videos, I’m totally a fan of yours. Just for my mental sake, in the last case, I though the most reduced (deficiency) would’ve been the 17 hydro, and not the 11, because of the high BP and the ambiguous genitalia. Thank you for provide us with your knowledge !

[@princessz5087]

Really love that the pathway connecting with the three parts of Adrenal Cortex, and that really making it easy to answer different questions. Super!

[@RandyNeilMD]

Princess Z, Thank you for commenting... I hope you are studying HARD!!

[@pedrofoster4172]

such an amazign way this you've found teaching medicine with common sense. thanks dr.

[@RandyNeilMD]

You are most welcome Pedro.

[@danielcastilo1840]

I scoured the internet to find a great and easy explanation for this beast of a theme ( congenital adrenal hyperplasia) and by far your explanation is the best . Hands down , awesome 👏!!

[@RandyNeilMD]

Daniel, Thats music to my ears... Glad it was helpful.

[@abduldanish6112]

the most difficult topic of step 1 for me, and u explained it so well, appreciated doc

[@RandyNeilMD]

Abdul, Glad it was helpful. Let me know of any other topics that were confusing... Keep Studying HARD!!

[@tokki8070]

One of my friends recommended your channel, and I'm loving it. I'm a medical student. I've been struggling with this concept for...I don't know how long. Your approach is exactly right. Know the concept and then any question is doable. Thank you so much for your work!

[@RandyNeilMD]

PREFECTION.

[@harvey2733]

dr. randy is a great teacher and a savior for all medical students preparing for usmle or any other medical entrance exams around the world. thanks a ton sir.

[@RandyNeilMD]

Suraj, Thank you for such kind words... I am glad videos have been helpful for you.

[@teoleal91]

The perfect playlist for the last Week of the long journey... Thank you very Much for everything Dr.

[@RandyNeilMD]

You are most welcome.

[@danielcastilo1840]

This is BY FAR the Best explanation . Absolutely spot on . Thank you, no o e surpasses your explanations Dr Mcneil, i am studying for step 2 ck and i always lean on your videos to review and they never fail.God bless you

[@RandyNeilMD]

Thank you as always for the kind words!

[@josecarlosvillazoncurbelo]

thanks a lot Dr.!!! Your materials are very very very useful. I strongly like your videos and the way you simplify the complex. thank you for passing on your knowledge!!!

[@RandyNeilMD]

You are most welcome!

[@kajalpatel2608]

You are the best,Dr.Neil!!!

[@RandyNeilMD]

Appreciate the comment Kajal.

[@aneripatel1921]

I have skipped this table and its related questions every single time. Now, that I finally get it, I feel so stupid as to why didn't I look for your video earlier?! Best video out there, hands down. Keep up the good work.

[@grethelturino2553]

I've been having trouble with this for a while now ...... thanks ..... a lot

[@RandyNeilMD]

Hope it was helpful.

[@VIVI1337]

Thanks a lot for all of your videos, I've reviewed Kaplan videos, Rx videos, boards and beyond videos. Honestly, a lot of these biostats vids you uploaded (which is what lead me to your channel) is exactly what I needed because my foreign school didn't teach biostats/epidemio well enough. The other companies' videos I mentioned honestly can't compare, 1 hour video of theirs is the equivalent to 10 minutes in your videos. Thank you so much for these, this channel is a gem and I'll recommend it to anyone who asks about step resources!

[@RandyNeilMD]

VIVI, Thank you for commenting. Glad videos are helpful.

[@Raghadkhamis-qe5hp]

You are a blessing to humanity

[@RandyNeilMD]

Humbling comment

[@stevebradford3939]

lol where have you been my entire life. Love of my life queen thank you soooo much. omg

[@RandyNeilMD]

I'll take it as a compliment... :)

[@shaantanu1012]

A reminder that you are amazing as always! Thank you :)

[@RandyNeilMD]

Thank you Shaantanu...

[@ayabaheijista9292]

I can’t thank you enough doctor Randy! You always save my day

[@RandyNeilMD]

Aya, Glad it was helpful.

[@shakimunasinghe8943]

You are a truly gifted teacher. I wanna be like you.

[@RandyNeilMD]

Shaki, Very humbled by your comment.

[@spititout12]

Holy moly 🙀 it’s so easy now .

[@RandyNeilMD]

PERFECT!!

[@mariaapatino71]

Thanks! You're so gifted and made so easy to understand basic concepts needed for step 1, 2 and 3! I'm so grateful finding your channel while studying for Step 3. God bless you and don't stop posting videos!

[@RandyNeilMD]

Maria, Thanks you for the kind words and feedback.

[@saraabouelnaga4473]

Sir this is beyond amazing!!! Thank you!

[@drprofessoromar]

this was so awesome, great visual. thank you

[@RandyNeilMD]

You are welcome.

[@Maryam-kg7vp]

my ifom exam is tomorrow whether I will pass or no , I just want to thank you for everything , you are an amazing person.

[@RandyNeilMD]

Appreciate the kind words Maryam

[@omidmoham]

amazing video! Thank you so much for making it this easy to understand.

[@RandyNeilMD]

Omid, Glad it was helpful.

[@mashaal3822]

you are a Godsend..thankyou for making it so easy

[@RandyNeilMD]

You are most welcome.

[@shakhnozagulombekova8111]

Thank you so much! You made it so easy to understand and memorize. You are the best 👍

[@RandyNeilMD]

Shakhnoza, Thank you for commenting. I am glad it was helpful for you.

[@sadafbaloch8617]

Thank you so much Dr. Neil

[@RandyNeilMD]

Sadaf, You are most welcome.

[@manaral-masri5054]

Amazing explanation!!! Thank you

[@RandyNeilMD]

Glad it was helpful.

[@elisab5958]

Thank you very much for this wonderful and concise video!

[@RandyNeilMD]

Elis, Glad it was helpful!

[@runbuda]

You made this 100% easier! Thank you

[@RandyNeilMD]

Ryan, Appreciate the comment.

[@theghost2274]

what a great explanation !!! 😍

[@RandyNeilMD]

Glad it was helpful!

[@drhoneybee973]

Wooohooo dat flowchart is cooolll🤩.i used to take tym in answering question on this topic to make sure it doesn't go wrong......following ur chart reduced my answering tym to half.....thanx doc for making things easy peasy🤗...

[@RandyNeilMD]

Dr. Shreya, Glad it was helpful... Thank you for the comment and feedback.

[@olgabockeria6940]

I was trying to memorize this and couldn't. Best explanation ever!!!!

[@RandyNeilMD]

Olga, Glad it was helpful.

[@adeelamalik9631]

you are amazing ! please keep making videos like these!!!

[@RandyNeilMD]

Adeela, You are very kind. Appreciate the comment.

[@Manuel78]

You are the best, thanks

[@RandyNeilMD]

Appreciate the comment Mirley

[@princessz5087]

Wonderful work. Greatly appreciate it.

[@RandyNeilMD]

Princess Z, Thank you .. Thanks for taking the time.

[@kalkidanwoubishet4862]

I can't thank you enough can you please do more videos on endocrine

[@RandyNeilMD]

I'll have to look into it...

[@valerialopezlozano1427]

DR Neil: COULD YOU PLEASE DO ONE WITH THE ACID BASE DISTURBANCES, AND IF ITS COMPENSATED, I FOUND SEVERAL VIDEOS BUT ALL VERY CONFUSING! GREATLY APPRECIATED.

[@RandyNeilMD]

Sure, that's a good topic... I do have stuff for that... stay tuned. Let me finish the pharm...

[@SA-jm1mm]

Thank you so much Dr.Randy my exam in 4 weeks each time I feel overwhelmed I watch your videos. Would you please make a video about visual field defects.

[@RandyNeilMD]

Thank you for comment. I will try and get to the video... Not sure I'll make it in the time frame.

[@ahmadziasafi9878]

Thank you Mr doctor

[@RandyNeilMD]

You are welcome

[@Sam_1964]

Outstanding teacher

[@RandyNeilMD]

Thank you.

[@DrHoma-us4ut]

Dr. Neil,in 3:58 you say we have salt wasting due to lack of cortisol. Is it due to lack of Cortisol or Aldosterone? I think hypoglycemia may be a better choice . If I am wrong, please correct me. Thank you Sir

[@RandyNeilMD]

I should have said combination of the two (Aldosterone & Cortisol) in reference to salt wasting... my error. Hypoglycemia more associated with the low Cortisol, nice catch.

[@DrHoma-us4ut]

@@RandyNeilMD Thank you for the explanation..Homa

[@swaroopkumar9069]

tq so much sir for making the concept easy🙏

[@RandyNeilMD]

Swaroop, You are most welcome.

[@rayannebarreto7070]

Thank you for this video!

[@RandyNeilMD]

You are welcome.

[@youmnahashem679]

Thanks Doc 🤝

[@RandyNeilMD]

Most welcome.

[@hash808k3]

Thanks very much sir!! This is very helpful.

[@RandyNeilMD]

You are most welcome.

[@archangel80303]

Thanks Dr Neil.Your videos are always simple and easy to understand Can you make a video on 5-alpha reductase deficiency ,mullerian agenesis as well as androgen insensitivity.These kinda confusing in relation with the CAH’s,especially when the vignette describes the sexual characteristics

[@RandyNeilMD]

Yea, that would be a good topic... I'll have to find some time to go back and work that one in...

[@Drspraker]

Love it!

[@RandyNeilMD]

Thank you again.

[@niceman1995]

underrated .. great

[@RandyNeilMD]

Iyab, Thank you.

[@xaaboopinkly]

Thanks sir!

[@RandyNeilMD]

You are most welcome Xaaboo

[@Gulshangurban]

Amazing, thanks lot

[@RandyNeilMD]

Most welcom.

[@omerhaseebkhan]

waiting for more endocrinology videos .especially a video on reproductive section tumors thanks

[@RandyNeilMD]

Omer, Thank you for commenting. I'll try my best.

[@jeejee77734]

Can anyone help me understand as to why the last question wasn't 17-hydroxlase def??

[@dilaudum1075]

Thanks a lot. I guess every time you say ACTH, what you actually mean is cholesterol, right?

[@ahmedtajelsir3253]

thanks doc, but i just gotta question.. why does 11 hydroxylase deficiency cause HTN considering that its needed for cortisol and aldosterone production

[@Steps_to_steth]

Thanks❤

[@RandyNeilMD]

You are welcome.

[@chryslerfordgm]

Thank you for all your videos. You're a life saver Regarding the last question, can the cause be elevated ACTH (which leads to high aldosterone & sex hormones)?

[@Knstar5566]

Plz upload video on bias questions, just thumb 👍 up for your skills.

[@RandyNeilMD]

The "bias" material is in the queue ... I need to make sure I cover all the major points...

[@Knstar5566]

Thanks alot, you are fabulous.

[@Dr.Azamkohlu]

Thank you don’t it’s help a lot

[@vikas1933]

Am i missing out something? Ambiguous genitalia means incomplete external sexual features, then how can Increase 17-hydroxylase cause ambiguous genitalia instead it has to be clitoromegaly in this pt

[@vennelagmc6690]

Tq sir,,lot

[@RandyNeilMD]

You are welcome.

[@mredoward9858]

Third case very tricky

[@puneethk6287]

Hello, can anyone tell me why in the 2nd question it is glomerulosa and not fasciculata? Because renin increases and BP decreases in glomerulosa aka 21 alpha deficiency

[@saadia1403]

Im unclear with last case as high BP and unclear genitals could have been 17 hydroxy also as explained earlier so why chose 11?

[@niveditasingh369]

I think in last question it should be 17-hydroxylase def…isn’t ?

[@AbbyEkwere]

No it’s not because there’s ambiguous genitalia but has increased BP

[@omranabdeen7337]

I think last question answer is 17 hydroxylase deficiency not 11 hydroxylase ?

[@studyaccount4724]

Oh wow! How does it feel to study step 1 with us all over again as an attending physician/psychiatrist 😂😂

[@RandyNeilMD]

Honestly, It's about feeling good about what we do...having that purpose. I like to teach stuff that I struggled with, so the nest guy in line doesn't have to... The satisfaction is in the feedback that you are giving. Thank you.

[@nyinggypo3373]

Nicely taught.. Sir

[@RandyNeilMD]

You are most welcome...

[@zsultana2875]

Are these questions are from uw?

[@RandyNeilMD]

These questions should be original...or atleast as original as you can ask them. You should be able to answser uWorld question with this information... or atleast that is the plan. Hope it was helpful.

[@remyarnot6522]

High yield

[@RandyNeilMD]

Thank you for comment

[@nyinggypo3373]

She is gonna look like a guy 😂😂😂😂

[@RandyNeilMD]

Glad it was helpful.

[@sumayabuzakok1463]

I always loved ur style in teaching. So calm. To the point. U saved our time ⏲️ ❤thx alot

[@RandyNeilMD]

You are welcome!

[@Drspraker]

Love it!!

[@RandyNeilMD]

Thank you