Top Biohacks to Score 260+ on USMLE

Dirty Medicine
30 Dec 201811:04

Summary

TLDRThis script offers comprehensive strategies for acing exams, emphasizing the importance of mental and physical preparation over rote memorization. It advises waking up early, exercising, and maintaining a healthy diet to ensure a good night's sleep before the exam. On test day, it recommends a strategic diet of protein bars and water to sustain energy, and advises against heavy meals to prevent blood sugar crashes. The speaker also provides tips for the morning of the exam, including a nutritious breakfast, moderate caffeine intake, and arriving early to the testing center to acclimate and stretch. The script concludes with advice on post-exam behavior, discouraging the search for answers and advocating self-assurance in one's performance.

Takeaways

  • 😌 **Mindset Over Memorization**: Having a good mindset and self-care are as crucial as memorizing information for exam success.
  • 🌞 **Early Morning Exercise**: Waking up early and exercising the day before the exam can help ensure a good night's sleep.
  • 💤 **Sleep Quality**: Aim for 8-9 hours of sleep before the exam to be well-rested and mentally prepared.
  • 🍽️ **Proper Nutrition**: Pack a drawstring bag with water and protein bars for test day to maintain steady energy levels.
  • ☕ **Moderate Caffeine**: Consume half a cup of coffee on test day to avoid overloading on caffeine and to stay alert.
  • 🥚 **Optimal Breakfast**: Have a breakfast of oatmeal and eggs to provide a slow release of complex carbs and essential nutrients for the brain.
  • 🏋️‍♂️ **Physical Activity**: Engage in physical activity the day before the exam to improve sleep quality and reduce exam-day anxiety.
  • 📚 **Tutorial Time Utilization**: Use the tutorial time at the test center to write down essential biostats equations for quick reference.
  • 🚫 **Avoid Post-Exam Stress**: Do not look up answers or discuss questions after the test to prevent unnecessary stress while waiting for results.
  • 🧘‍♂️ **Maintain Good Posture**: Practice good posture and stretching to reduce tension and improve mental performance during the exam.

Q & A

  • What is the recommended time to wake up the day before the exam according to the transcript?

    -The recommended time to wake up the day before the exam is 5:00 a.m.

  • Why is it suggested to engage in physical activity the day before the exam?

    -Engaging in physical activity the day before the exam is suggested to ensure a good night's sleep and to avoid trouble sleeping due to pre-exam anxiety.

  • What is the recommended duration of sleep the night before the exam?

    -It is recommended to sleep between eight and nine hours the night before the exam.

  • What two items should be packed in a small bag for test day according to the transcript?

    -The two items that should be packed in a small bag for test day are water and protein bars.

  • Why should protein bars be low in carbohydrates and high in fat and protein?

    -Protein bars should be low in carbohydrates and high in fat and protein to optimize brain fueling with macronutrients and prevent a blood sugar crash during the exam.

  • What is the suggested breakfast on the day of the exam?

    -The suggested breakfast on the day of the exam is oatmeal and eggs, paired with half a cup of black caffeinated coffee.

  • Why is it advised to drink only half a cup of coffee on the exam day?

    -Drinking only half a cup of coffee is advised to avoid overloading with caffeine, which could lead to anxiety, jitters, and frequent urination during the exam.

  • What should one do upon arriving at the testing center before the exam starts?

    -Upon arriving at the testing center, one should stretch and maintain good posture to reduce tension and enhance confidence and performance.

  • How should the tutorial time at the beginning of the exam be utilized?

    -The tutorial time at the beginning of the exam should be used to write down biostats equations on the provided whiteboard or paper to save time during the actual test.

  • Why is it important to use all the breaks offered during the exam?

    -Using all the breaks is important to prevent burnout, maintain energy levels, and keep the mind sharp throughout the exam.

  • What should one avoid doing immediately after finishing the exam?

    -One should avoid looking up answers or discussing specific questions with others immediately after finishing the exam to prevent unnecessary stress and maintain confidence in their performance.

Outlines

00:00

📚 Preparing for Exam Day: Strategies and Self-Care

The speaker emphasizes the importance of having the right strategies and mindset for exam success, not just memorizing information. They suggest waking up early and exercising the day before the exam to ensure good sleep. The use of a white noise machine is recommended for a restful night's sleep. On exam day, they advise waking up early, having a healthy breakfast, and drinking half a cup of coffee to avoid caffeine overload. The speaker also discusses the importance of packing a drawstring bag with water and protein bars for test day to optimize brain fueling with the right macronutrients, and avoiding sugary drinks that can lead to energy crashes.

05:01

🥗 Optimal Breakfast and Test Center Etiquette

The speaker recommends oatmeal and eggs as the optimal breakfast for exam day due to their complex carbohydrates and protein content, which provide sustained energy for the brain. They also advise pairing this with half a cup of black coffee for a caffeine boost without overload. The speaker then details the importance of arriving early at the test center, stretching to maintain good posture and confidence, and using the tutorial time to write down necessary biostatistics equations on the provided whiteboard for quick reference during the exam.

10:02

🏋️‍♂️ Utilizing Breaks and Post-Exam Advice

The speaker advises taking full advantage of breaks during the exam to prevent burnout, recommending stretching, hydrating, and snacking on protein bars. They stress the importance of maintaining good posture and not sitting continuously at the test station. After the exam, the speaker advises against looking up answers or discussing the test with others, suggesting instead to be proud of one's efforts and the strategies used to prepare for the exam.

Mindmap

Keywords

💡Strategies

In the context of the video, 'strategies' refers to the various methods and techniques one can employ to optimize performance on a test day. The video emphasizes that alongside studying, having the right strategies is crucial for success. Examples from the script include waking up early, exercising, and proper nutrition to ensure a clear mind and body readiness for the exam.

💡State of Mind

The 'state of mind' is mentioned as an essential factor that can significantly impact exam performance. It refers to the mental and emotional condition of a test-taker, which should be calm and focused. The video suggests that maintaining a positive and relaxed state of mind is as important as the knowledge itself, highlighting the need for good sleep and self-care.

💡Self-Care

Self-care in the video is about taking care of one's physical and mental well-being, especially in the lead-up to an exam. It includes activities like exercising, eating healthily, and ensuring adequate sleep. The video underscores the importance of self-care as a means to achieve peak performance, suggesting waking up early and engaging in physical activity the day before the exam.

💡Bio Hack

A 'bio hack' in this context refers to the use of lifestyle modifications and dietary changes to enhance cognitive function and overall performance. The video discusses bio hacking as a means to achieve optimal brain function on test day, such as through proper nutrition and sleep, which are portrayed as hacks to improve biochemistry for better exam results.

💡Macronutrients

Macronutrients are the large molecules the body needs in large amounts for energy and growth, including carbohydrates, proteins, and fats. The video explains the importance of macronutrient balance, particularly on test day, to maintain steady energy levels and prevent cognitive crashes. It advises against high-carb, low-fat meals and instead promotes low-carb, high-fat, high-protein snacks.

💡Blood Sugar

Blood sugar, or glucose levels, are a key focus in the video as they directly affect energy and focus. The video warns against spikes and subsequent crashes in blood sugar levels, which can impair cognitive function. It advises against consuming high-sugar foods or drinks on test day to prevent these fluctuations.

💡Protein Bars

Protein bars are recommended in the video as an ideal snack for test day due to their low-carb, high-fat, and high-protein content. They are suggested as a way to maintain steady energy levels without causing a blood sugar crash. The video instructs to pack protein bars for breaks to prevent the need for a heavy meal and to sustain cognitive performance.

💡White Noise Machine

A 'white noise machine' is a device that produces constant, soothing sounds to help mask other noises and aid in sleep. The video recommends using one to habituate to the environment and ensure a good night's sleep before the exam, which is crucial for maintaining a clear and focused state of mind during the test.

💡Caffeine

Caffeine is a stimulant that can temporarily ward off drowsiness and increase alertness. The video advises consuming a moderate amount of caffeine, specifically half a cup of coffee, on test day to enhance focus without causing jitters or the need for frequent bathroom breaks.

💡Oatmeal

Oatmeal is highlighted as an ideal breakfast choice for test day due to its complex carbohydrates, which release energy slowly and provide sustained brain function. The video suggests pairing oatmeal with eggs, a source of protein and fat, to further slow the metabolism of carbohydrates and maintain steady energy levels throughout the exam.

Highlights

Studying extensively does not guarantee success without the right strategies and mindset.

The importance of having a good night's sleep the night before the exam.

Waking up early and exercising the day before the exam can aid in better sleep.

Using a white noise machine can help habituate to the environment for better sleep.

Recommendation of 8-9 hours of sleep the night before the exam.

Packing a drawstring bag with water and protein bars for test day.

Optimizing brain fuel with low-carb, high-fat, and high-protein snacks.

Avoiding a large meal during breaks to prevent blood sugar spikes and crashes.

Drinking half a cup of coffee on test day for a moderate caffeine boost.

Having a breakfast of oatmeal and eggs for sustained energy.

Arriving at the testing center at least 30 minutes early to account for unforeseen delays.

Stretching and maintaining good posture in the waiting area to reduce tension.

Writing down biostats equations during the test tutorial for quick reference.

Using all breaks during the exam to prevent burnout and maintain focus.

Avoiding looking up answers or discussing the test after completion to prevent anxiety.

Transcripts

play00:00

guys listen to me you can study your ass

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off

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for up to three months know every piece

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of information in first aid you world

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pathoma sketchy blah blah blah blah

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doesn't mean if you don't have the

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right strategies the right state of mind

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and the right self-care leading up to at

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going into your exam

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the exam itself is just as big a hurdle

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that you need to get over

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as memorizing all of the information

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that's tested on the exam

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because of that i'm going to share a

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video

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right now with all of my strategies for

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scoring

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really high this video is going to focus

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on things that you can do

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to sort of bio hack yourself into

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performing your best

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on test day so let's get right into this

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the day before the exam so literally one

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day before your exam

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you have to do two things to get

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yourself

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in the right position to take your test

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the next day the first thing you have to

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do

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is wake up really early and i really i

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do suggest waking up at 5 00 a.m

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you want to get your ass up out of bed

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the day before

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and exercise that day i don't care if

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you go for a jog

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if you lift weights it doesn't matter

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but you need to engage yourself in

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physical activity

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after having woken up around 5 00 a.m

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that morning now the reason that you do

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this is because you don't want to have

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trouble sleeping

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that night and what everybody

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unanimously reports is that they have

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trouble sleeping the night before their

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exam

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but if you woke up at five in the

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morning and you exercised

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the day before and you ate relatively

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healthy and took care of yourself that

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day before

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you will have no problem sleeping that

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night okay i also recommend that you

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check out something like a white noise

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machine on amazon

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because if you use that the night before

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you'll habituate to your environment and

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you won't have any excuses for not

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having gotten a really good night's

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sleep

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now i don't know how much time you need

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to sleep but i would recommend between

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eight and nine hours the night before

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but the day before wake up at 5am get

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some exercise

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hopefully you have some type of white

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noise machine in your bedroom that can

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help you

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get some restful sleep the night before

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sleep about eight or nine hours

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and you're good to go now let's talk

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about the night before so before you go

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to bed

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you have to do a couple things you need

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to pack your your food

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for test day so what i recommend is that

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you buy a drawstring bag or some type of

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small bag it can be anything

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and in that bag you need two things

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two very crucial things that you will

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use during all of your breaks on test

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day

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you need water and you need protein bars

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and ideally the protein bars need to be

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um relatively low carb relatively

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high fat and protein okay the reason and

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we'll get into this that you do this is

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because we need to optimize how the

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brain is being fueled

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with which macronutrients water is the

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only thing that you can drink on test

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day don't drink

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energy drinks don't drink soda don't

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drink juice nothing that has sugar or

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caffeine during the day

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the protein bars let's talk about why

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you're gonna eat protein bars so

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every single time you have a break on

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your test day i want you to go to your

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locker and nibble on a protein bar okay

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you're not gonna eat a big lunch you're

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a fool if you pack a big lunch and you

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eat

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a giant meal during your break on test

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day and the reason this is is because

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after you eat

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your blood sugar will spike and this is

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a graph of what happens to blood sugar

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in red this is what we don't want to

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happen so when you eat a high carb low

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fat meal or any large meal for that

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matter

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your blood sugar will creep up creep up

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creep up go out of its normal

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physiologic range

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and then your pancreas will take over

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and secrete insulin and then when that

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happens you'll see that downward slope

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and it's during this downward slope

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shown there with the red arrow that we

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feel what's called the crash so

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anybody who's gone to a fast food

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restaurant or eaten a candy bar knows

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what this feels like

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you crash after you have a big meal

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especially one

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with a high simple sugar to fat ratio

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and this is what we want to avoid on

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test day

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so because of this do not eat a big

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lunch it's better to space out

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your snacking with small snacks such as

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protein bars and that's what that

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you see there with that green line

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that's what we can achieve with a low

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carb

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high fat high protein snack eaten every

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couple hours and that's exactly what we

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want to do on test day

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to feed our brain the proper

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macronutrients and prevent a crash

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so it's very important that you

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understand this as future physicians you

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should have a working understanding of

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how

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sugar and insulin is processed in the

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body and if there's too much sugar

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that ultimately gets metabolized by

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insulin the brain is not going to feel

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at its best now let's talk about the

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morning of so you wake up and it's test

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day you're feeling a little jittery

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that's going to be normal

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how do you start the day well i'm sorry

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if you don't eat breakfast guys but you

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have to eat breakfast this day and you

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have to drink a little bit of coffee so

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the what we want to do on test day is

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drink

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one half cup of coffee okay here's why

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if you drink a full cup of coffee you're

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going to overload yourself with caffeine

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you're going to feel anxious you're

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going to feel jittery and you're going

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to have to piss like a racehorse during

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your exam and i don't want that to

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happen to you

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if you don't drink any coffee you're

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going to feel tired you're going to feel

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mopey and you're not going to

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have your brain functioning optimally so

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you're going to drink one half cup

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that's the perfect amount

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to not have to pee and to get a little

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bit of caffeine in your system

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okay so you start your day with one half

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cup of coffee after you drink the one

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half cup of coffee you got to have

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breakfast

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and if you don't eat breakfast make an

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exception this day because you have to

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feed your brain this is a long

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test guys it's a marathon not a sprint

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and if you don't start the day with some

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energy

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in your brain you're not going to have

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the cognitive ability to take this test

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so what breakfast should you eat

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the answer is oatmeal and eggs okay

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oatmeal is a complex carb while it has a

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lot of carbs in it they are metabolized

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very slowly they slowly release complex

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carbs to the brain

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and they allow the brain to function

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optimally putting a little bit of

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protein and fat in your diet with the

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eggs

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helps slow down that metabolism even

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further because in the

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in the presence of protein and fat carbs

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get broken down even slower so the fact

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that we've already got a complex carb

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and we're pairing it with a high fat

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high protein thing such as an egg which

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is an

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excellent source of nutrition for the

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brain this is the optimal breakfast guy

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so

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one or two eggs a small bowl of oatmeal

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this is the optimum breakfast you also

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want to pair that with the half cup of

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caffeinated regular black coffee

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high complex carb or low simple carb

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those are the meals that we want on test

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day especially at breakfast with our

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half cup of black

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caffeinated coffee so at this point in

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the day you've had your breakfast the

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day before

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you woke up early you exercised you went

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to bed early you turned on your white

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noise machine on amazon i don't get

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anything

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by mentioning that i have one in my

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bedroom it's the greatest thing but

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you're ready to go

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you woke up you had your breakfast you

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had your coffee you're feeling like

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you're going to go crush this exam

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what happens next now we got to go to

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the testing center so you arrive at the

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testing center and if you don't know

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what it looks like or you've never been

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in one before it kind of looks like this

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there's all these cubicles they have

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numbers

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and at each station you have your

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computer you have your little workspace

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and there's two pairs of headphones one

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is a noise cancelling headphone that

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just goes over your ears and it's

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supposed to block out noise it

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may or may not do that and the other are

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real headphones because you'll have some

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questions on your exam where you

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actually need to hear

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audio so you'll see the two headphones

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it can be really overwhelming if you've

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never seen a test center before with the

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cubicle so

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get it out of your system guys this is

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the testing center what do you need to

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remember for about the testing center so

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you're going to want to arrive at least

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30 minutes early because

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you never know what traffic's going to

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be like you never know if you have to

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uber there drive there you get in a car

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accident you get a flat tire

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leave early get there 30 minutes early

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you can always sit in the little waiting

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area

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before you're taken back what i want you

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to do while you're there while you're

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sitting in the waiting area while you're

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getting ready to go back

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is you gotta stretch okay you gotta

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stretch because if you feel tight if you

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feel tense it's gonna

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affect your mind the way that your body

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is positioned in space affects the mind

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and if that sounds really holistic well

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it is there are studies

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that show when you maintain good posture

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and you have an erect

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upright tone you arch your back and you

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you really

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exhibit confidence you feel confident

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and you perform better we have ample

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studies that show us that when you

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maintain good posture

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and when you have a confident posture

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you end up performing better whether

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it's work

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whether it's school whether it's usmle

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or complex okay

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so stretch maintain good posture walk

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around that testing center with your

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chest

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puffed out you're the boss today okay

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now you're gonna go back to your desk

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they're gonna you know fingerprint you

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do scan you do all the stuff like you're

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gonna feel like you're going through the

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airport you finally sit down at your

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cubicle

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and you're you're sitting at the screen

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and you see the test turn on

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the first part of the test is the

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tutorial and i think it lasts up to 15

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minutes

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plus or minus they may have changed that

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whichever the case there's a tutorial

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and you don't need to read it okay it's

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stupid

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it may it has nothing that you didn't

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know it's like how to click and pick

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answers it's the most basic in the

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world

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so during that tutorial you're going to

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want to use that time

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to write down your biostats equations so

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when you walk back into the testing

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center they're going to give you this

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little

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kind of flimsy whiteboard and a

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whiteboard marker

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and you're given two sheets of paper and

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during your tutorial you want to use

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that time to pre-populate that little

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whiteboard paper with all the equations

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that you might need when you get to a

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biostats question because think about it

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when you get to the biostats question

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you don't want to waste your time

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writing down an equation and solving a

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problem you want to already have those

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equations

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on the whiteboard so that you can look

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at it reference it and quickly bang out

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whatever

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question they ask you so during the

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tutorial which i think is 15 minutes

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still

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write down your equations write down

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true positive

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false positive false negative blah blah

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blah positive predictive value negative

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predictive value

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for how to write those equations see my

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video on biostats

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but this is the time during the test

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where you write them down and if you put

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them all on paper during the 15 minutes

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which is

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way more than enough time to write all

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the equations down when you get to a

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question where they actually

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ask you a biostats question you don't

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need to do anything you just

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plug and chug okay the other thing that

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i want you to do

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is use all of your breaks so at

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different points throughout the day

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you're going to be offered the

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opportunity to go take a short break

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take every break there is no reason to

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to power through and sit at your ta

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and sit at your desk and go on to the

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next section because you're going to

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burn out if you do that

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so i want you to use all your breaks and

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even if you don't have to go to the

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bathroom

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ask for the bathroom key go to the

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bathroom and pee out whatever little

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tinkles you got in you okay

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go to your locker if you're allowed take

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a little chug of water

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take a bite of a protein bar stretch

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maintain good posture

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use your breaks wisely guys if you sit

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at your table and you do section

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into section into section and you don't

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take the breaks you're gonna burn out

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and it's not going to be good on your

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brain

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it's going to impact your ability to

play10:20

crush this exam

play10:21

the last thing that i want to mention is

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what do you do when your test is over

play10:25

right

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you get to the end of your test and

play10:27

you're done

play10:28

freedom right braveheart guys great

play10:30

movie but freedom

play10:32

what do you do when you leave the

play10:33

testing center well i'll tell you what

play10:34

you don't do you don't

play10:36

look up answers right you don't look up

play10:38

you don't go and google and

play10:39

type in a question that you didn't know

play10:41

the answer to and see if you got it

play10:42

right or wrong don't bother making

play10:43

yourself miserable

play10:44

while you wait to get your score back do

play10:46

not mess around with looking up answers

play10:47

or talking to your friends about oh i

play10:49

got this one right and i got this one

play10:50

wrong because it doesn't matter

play10:52

it's not going to change you got what

play10:54

you got be proud that you murdered this

play10:56

test

play10:56

be proud that you use science and bio

play10:58

hacks to prepare your brain

play11:00

and to posture correctly because your

play11:02

test is finally over

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