Updates and improvements

Sep 8 to 14 · 86 updates

1. 14Sep · Mon

   Student stories on the home and upgrade pages

   New

   • New
     Student stories from the August 2026 takers, shared with their permission. more ▾less ▴

     The home page and the upgrade page now show short stories, with photos, from students who took the August 2026 boards with BoardPal, shared with their permission.

   Dialysis questions rewritten to board-exam length

   ImprovedFixed

   • Improved
     All 53 dialysis questions rewritten to board-exam length, answers unchanged. more ▾less ▴

     Every practice question on dialysis (hemodialysis sessions and their complications, fistulas, grafts and dialysis catheters, peritoneal dialysis exchanges, peritonitis and exit-site care, and choosing between the two methods) was rewritten to the length and shape of the board exam, with tighter options and a clearer explanation. All 53 questions keep their answers.

   • Improved
     Thirty-five questions now test ground no other question asked. more ▾less ▴

     Thirty-five of those questions used to test facts the bank already asks many times, such as feeling for the thrill over a fistula or spotting cloudy drained fluid. They now test ground no other question asked: why a strong pulse over a fistula can point to a narrowing, why needle sites are rotated, what a milder dialyzer reaction looks like, why missed sessions raise the risk of disequilibrium syndrome, how antibiotics are given for peritonitis on peritoneal dialysis, and why pink drained fluid during a period usually needs no treatment.

   • Fixed
     Two dialysis teaching points updated to match current references. more ▾less ▴

     One question taught ending the run without returning the blood for a dialyzer reaction, a step we could not confirm in current references; it now teaches the milder type B reaction instead. Exit-site care questions no longer name a specific cleaning product, because international guidance on that changed recently.

   Five new practice questions and an updated vancomycin flashcard

   NewImproved

   • New
     Five new practice questions on immunization, measles and the SDGs. more ▾less ▴

     Five new practice questions on facts our flashcards taught but no question tested: the oral polio vaccine dose, the ages for the two measles-containing vaccine doses, how long the third tetanus toxoid dose protects, vitamin A for children with measles, and which Sustainable Development Goal covers clean water and sanitation.

   • Improved
     Vancomycin flashcard updated; five flashcards linked to new questions. more ▾less ▴

     The vancomycin trough flashcard keeps its trough ranges and now notes that since 2020, US guidelines prefer AUC-guided dosing (400 to 600) over trough-only monitoring for serious MRSA infections. Five flashcards now link to the new practice questions.

   Five new flashcards and a corrected bowel-sounds explanation

   NewFixedImproved

   • New
     Five new flashcards on facts the practice questions test. more ▾less ▴

     Five new flashcards for facts our practice questions test but no card taught: the water-holding phase that can follow diabetes insipidus after pituitary surgery, the Health Technology Assessment Council that decides PhilHealth benefit coverage, who determines apex hospitals under the Universal Health Care Act, the two SDG 3.2 mortality ceilings (12 newborn and 25 under-five deaths per 1,000 live births), and the ward-bed rule behind no balance billing.

   • Fixed
     Bowel-sounds explanation corrected on one practice question. more ▾less ▴

     A practice question on paralytic ileus had the bowel sounds of a mechanical obstruction backwards. Its explanation now says they are high-pitched and hyperactive early and fall silent only late, when strangulation or ischemia sets in. The answer is unchanged.

   • Improved
     Fifteen more flashcards linked to their practice question. more ▾less ▴

     Fifteen more flashcards now link to the practice question that teaches their fact.

   Acute kidney injury questions rewritten to board-exam length

   ImprovedFixed

   • Improved
     All 49 acute kidney injury questions rewritten to board-exam length, answers unchanged. more ▾less ▴

     Every practice question on acute kidney injury (its types and causes, the early signs, the phases and recovery, contrast dye and medicine safety, crush injuries and muscle breakdown, blocked urine flow, and kidney injury in heart and liver failure) was rewritten to the length and shape of the board exam, with tighter options and a clearer explanation. All 49 questions keep their answers.

   • Improved
     Thirty-nine questions now test ground no other question asked. more ▾less ▴

     Thirty-nine of those questions used to test facts the bank already asks many times, such as spotting a dangerously high potassium or telling a prerenal injury from tubular necrosis. They now test ground no other question asked: why IV fluids start before a crushed limb is freed, why a falling urine output can be the first sign while the creatinine is still normal, why one kidney stone can stop all urine in a person with a single working kidney, how much fluid to give back after a blockage is relieved, why low-dose dopamine and acetylcysteine do not protect the kidneys, and why repeated kidney injuries add up over time.

   • Fixed
     Two kidney injury details corrected: the dialysis acidosis cut-off and what granular casts prove. more ▾less ▴

     One question listed a blood pH of 7.15 as a reason for emergency dialysis, although the usual cut-off for severe acidosis is below 7.1; its options now describe each reason in words. A few questions also treated granular casts in the urine as proof of tubular necrosis, which they are not on their own; those questions now rest on findings that actually decide the answer.

   Ten more flashcard decks read whole, eighty cards sharpened

   ImprovedFixedNew

   • Improved
     Ten more flashcard decks read whole; eighty cards sharpened. more ▾less ▴

     Every card in ten more decks was read against its practice question: Laboratory Values, Mosquito-Borne Diseases, Mood Disorders, ADH Disorders (DI vs SIADH), Parkinson's Disease, the Expanded Program on Immunization, GI Absorption and Elimination, Rash Diseases, Universal Health Care and the SDGs, and Site-Specific Cancers. Eighty cards were sharpened: cards that printed most of a list and asked for one item now ask for the whole set (the three things to avoid in suspected appendicitis, the five diseases pentavalent protects against, what to avoid before a stool blood test), look-alike cards now name each other (correcting sodium too fast in each direction, a silent abdomen in ileus against one that falls silent late in a blocked bowel, the measles, rubella and chickenpox isolation rules), and thin notes under the answer now carry what the practice question teaches (when measles and chickenpox precautions can end, why tolvaptan and demeclocycline are held in reserve).

   • Fixed
     Five flashcards corrected against their sources. more ▾less ▴

     Five cards were corrected against their sources: shingles pain counts as post-herpetic neuralgia only after three months, not weeks; average-risk colorectal cancer screening starts at 45; the vaccine-freezing card now names the vaccines it compares instead of claiming only two vaccines are freeze-sensitive; PhilHealth's primary care benefit is now YAKAP (formerly Konsulta); and peau d'orange is the pitted skin texture, with skin dimpling a separate sign.

   • New
     Four new flashcards split out of crowded cards. more ▾less ▴

     Four new cards where a card was carrying two facts at once: mask-like facies beside micrographia in Parkinson's disease, the three classic defects of congenital rubella syndrome, the first nursing action in serotonin syndrome, and the city-wide health system beside the province-wide one.

   • Improved
     Sixty-three flashcards linked to the right practice question. more ▾less ▴

     Sixty-three flashcards now link to the practice question that teaches their fact; they had no linked question before, or pointed at one about something else.

   Iron and hemophilia questions corrected and sharpened

   FixedImproved

   • Fixed
     A hemophilia vaccine question corrected: the mistake is now skipping his vaccines. more ▾less ▴

     A hemophilia home-care question counted asking for his vaccines in the muscle as the mother's mistake, but a needed vaccine is still given there with a fine needle and firm pressure. The mistake in that question is now skipping his vaccines, and the explanation teaches how they are given safely.

   • Improved
     Three children's iron questions now test new ground, answers unchanged. more ▾less ▴

     Three questions on iron in young children repeated questions the bank already asks about adults. They now test new ground: expecting a blood lead level for a toddler with iron-deficiency anemia who mouths paint flakes, sending a toddler who swallowed iron tablets to the hospital even though he looks well hours later, and not doubling a missed dose of iron. All four questions keep their answers.

   Chronic kidney disease questions rewritten to board-exam length

   ImprovedFixed

   • Improved
     All 53 chronic kidney disease questions rewritten to board-exam length, answers unchanged. more ▾less ▴

     Every practice question on chronic kidney disease (high potassium, fluid overload and the fluid allowance, the renal diet, phosphate binders, uremia, anemia, blood pressure and diabetic kidney damage, the filtration rate, and using medicines safely with failing kidneys) was rewritten to the length and shape of the board exam, with tighter options and a clearer explanation. All 53 questions keep their answers.

   • Improved
     Thirty-two questions now test ground no other question asked. more ▾less ▴

     Thirty-two of those questions used to test facts the bank already asks many times, such as spotting a dangerously high potassium or the signs of fluid overload. They now test ground no other question asked: why a long-standing high potassium can leave the heart tracing looking normal, how boiling and draining a vegetable lowers its potassium, why phosphate added to processed food matters more than the phosphate in plain food, why aluminum phosphate binders were given up, what the red cells look like in the anemia of kidney disease, why the hemoglobin is not pushed back to normal, and why heart disease ends more lives than kidney failure does in the middle stages.

   • Fixed
     Two kidney questions corrected: the breathless-patient first action and the low-potassium snack. more ▾less ▴

     One question asked for the first action for a woman with fluid in her lungs who was hard to rouse and gasping, and gave sitting her up with oxygen as the answer. A patient that drowsy needs help breathing first, so the question now describes a woman who is awake and breathless. Another called a few cups of white rice with a salad the safest low-potassium snack; it now teaches that the size of the portion matters more than whether a food is on the low-potassium list.

   Children's blood and cancer questions cut to exam length

   ImprovedFixed

   • Improved
     All 55 children's blood disorder and cancer questions rewritten to board-exam length, answers unchanged. more ▾less ▴

     Every practice question on children's blood disorders and cancers (hemophilia and von Willebrand disease, immune thrombocytopenia, iron-deficiency anemia, sickle cell disease, thalassemia, leukemia and chemotherapy care, Wilms tumor, neuroblastoma, retinoblastoma, and the bone cancers) was rewritten to the length and shape of the board exam, with tighter options and a clearer explanation. All 55 questions keep their answers.

   • Improved
     Thirty-three questions now test ground no other question asked. more ▾less ▴

     Thirty-three of those questions now test ground no other question asked, such as when regular clotting factor starts, holding ice in the mouth during a short chemotherapy infusion, the urine test that points to neuroblastoma, why a Wilms tumor is not biopsied before surgery, which child with a fever on chemotherapy is admitted, the overnight chelation pump, daily penicillin and the home spleen check in sickle cell disease, why vincristine goes only into a vein, and when a spleen may be removed in immune thrombocytopenia.

   • Fixed
     Questions with a second defensible answer were rebuilt, including hemophilia vaccines and the sickle cell crisis. more ▾less ▴

     Several questions had a second answer that could be defended. A hemophilia vaccine question no longer suggests the muscle route is forbidden, since the vaccine is still given there with a fine needle and firm pressure. The sickle cell pain crisis question now asks which step treats the cause, because pain relief and fluids both start right away. A vincristine question that treated constipation as a wrong answer was rebuilt, since constipation is part of the same nerve side effect.

2. 13Sep · Sun

   Five new practice questions behind flashcards that had none

   NewImproved

   • New
     Five new practice questions on facts the flashcards already teach. more ▾less ▴

     Five new practice questions: reading the lab pattern of primary hyperparathyroidism, which leg position eases arterial versus venous leg pain, proportionate universalism in a barangay nutrition program, what a peak flow in the green zone means, and the bleeding to watch for after a very fast birth.

   • Improved
     Four more flashcards linked to the right practice question. more ▾less ▴

     Four flashcards now link to one of those new questions, so the practice question behind each card teaches the same fact the card does.

   Sixty-seven flashcards relinked to their practice questions

   ImprovedFixedNew

   • Improved
     Sixty-seven flashcards linked to the right practice question. more ▾less ▴

     Sixty-seven flashcards now link to a practice question that teaches their fact. Forty-four of them had been linked to questions that were since retired from the bank, and the rest had no linked question or pointed at one about something else.

   • Fixed
     Adolescent health program card uses the current program name. more ▾less ▴

     The flashcard on the DOH program for ages 10 to 19 now uses its current name, the Adolescent Health and Development Program; the older name, the Adolescent and Youth Health Program, is kept in the note under the answer.

   • New
     Two new flashcards: vascular dementia and screening test properties. more ▾less ▴

     Two new flashcards: vascular dementia and its step-by-step decline after strokes, and what sensitivity, specificity and the two predictive values of a screening test each measure. The IV insertion card also gained a note on what to do once blood flashes back.

   Ten more flashcard decks read whole, sixty-four cards sharpened

   ImprovedFixedNew

   • Improved
     Ten more flashcard decks read whole; sixty-four cards sharpened. more ▾less ▴

     Every card in ten more decks was read against its practice question: Labor Complications and OB Emergencies, Bronchial Asthma, Epidemiology and Vital Statistics, Asepsis, IV Therapy and Wound Care, Alzheimer's Disease and Dementia, Thyroid Disorders, Growth and Developmental Milestones, Tetanus, Polio and Rabies, the CHN Process and CO-PAR, and ARDS. Sixty-four cards were sharpened: cards that printed most of a list and asked for one item now ask for the whole set (the 4 A's of Alzheimer's, the Berlin definition of ARDS, the four wound-healing phases, the thyroidectomy bedside kit), look-alike cards now name each other (intrinsic and extrinsic asthma, the four priority-setting criteria, proportionate mortality against the cause-specific death rate), and thin notes under the answer now carry what the practice question teaches (why crackles come late in ARDS, why the biting dog is watched 14 days, what to do with the gown inside a contact-precautions room).

   • Fixed
     Two flashcards corrected against their sources. more ▾less ▴

     Two cards were corrected against their sources: a 12-month-old typically says one to three meaningful words (not two or three), and the air-embolism card no longer names the wrong heart chamber. The transfusion-reaction card now says the saline goes through new tubing, which is the point its practice question tests.

   • New
     Five new flashcards on facts the decks had skipped. more ▾less ▴

     Five new cards where a deck taught around a fact its own practice questions key: the four degrees of uterine inversion, the general fertility rate, the rate of natural increase with the rule of 70, and the two missing community-health criteria, appropriateness and preventive potential.

   • Improved
     Forty-eight flashcards linked to the right practice question. more ▾less ▴

     Forty-eight flashcards now link to the practice question that teaches their fact; they had no linked question before, or pointed at one about something else.

3. 12Sep · Sat

   One tidy row of buttons under every explanation, flashcards first

   ImprovedNew

   • Improved
     One fixed row of buttons under every explanation, Make a flashcard first. more ▾less ▴

     The buttons under an answer explanation now sit in one fixed order on every review page (practice, practice review, mock board review and History): a Keep this question row with Make a flashcard first, then Save to Vault, Bookmark and Add my note; a Go deeper row with the cram sheet and Drill this topic; and Report a problem as a quiet link at the end. The Make a flashcard button is the one filled button in the row.

   • New
     Make a flashcard says Ready-made when we already wrote the card, and opens with it filled in. more ▾less ▴

     When we already wrote a flashcard from the question you just answered, the Make a flashcard button says Ready-made, and opening it shows that card already filled in, so saving it to your deck is one more tap. About one in five practice questions has one today, and more are on the way.

   • Improved
     The Vault note shares the Why'd you miss it row. more ▾less ▴

     Added to your Vault automatically now sits at the end of the Why'd you miss it row instead of on a line of its own, and the Save to Vault button matches the other chips in size.

   • New
     A one-time What's new card with five features worth a look. more ▾less ▴

     Existing students see a one-time What's new card on their next visit with five recent features worth a look, each with a link straight into it.

   Mock rank tile: locked until your first mock, shorter label

   Improved

   • Improved
     Mock rank tile shows a lock until your first mock and a shorter label. more ▾less ▴

     The Mock rank tile on your dashboard now shows a lock until you have taken a mock board, then a trophy, the same way the Practice rank tile does. Its label reads just Mock #1 instead of Mock #1 · all-time, so it no longer gets cut off on phones.

   One progress bar on Today's Plan

   Improved

   • Improved
     Today's Plan keeps its progress bar and drops the green card tint. more ▾less ▴

     The Today's Plan card on your dashboard no longer tints itself green from the left as you tick tasks. The bar under the heading already shows the same progress, so the card is calmer to read.

   A tidier Vault

   Improved

   • Improved
     The Vault's opening card is shorter, with Start review on the first screen. more ▾less ▴

     The Vault's opening card is shorter and puts Start review on the first screen: next to the counter on a computer, right under the questions-per-run chips on a phone. The counter alone says how much of your pile this run covers, the heaviest-topics rows now read Redo and New questions with no sentence under them, and the three-bullet rules box is one line. The button that used to say Drill fresh after a Vault run now says New questions in your weak topics.

   The exam countdown box itself changes colour, a shade a day

   Improved

   • Improved
     The Exam countdown box warms from green through amber to coral, a shade a day. more ▾less ▴

     Instead of a coloured ring, the Exam countdown box on your dashboard now warms up gradually: green at 60 days out, sliding through amber to a deep coral by 7 days, one small shade each day. In the last two weeks it breathes gently from the inside rather than glowing outward. Exam eve and exam day keep the steady gold. The countdown on your Study Schedule tints the same way.

   Long study days fold up

   Improved

   • Improved
     Long study days show four tasks and a +N more row; finished tasks fold into one line. more ▾less ▴

     A day on your study plan now shows its first four tasks and a +N more row that opens the rest with one tap, instead of a long stack of cards. As you tick tasks off, the finished ones fold into a single line that says how many are done, so the day gets shorter as you go. The same fold applies to Today's Plan on your dashboard and to the phone list of your schedule; the Day view still shows everything.

   Practice rank box: the lock goes once you are ranked

   Fixed

   • Fixed
     The Practice rank box swaps its lock for a trophy once you are ranked. more ▾less ▴

     The Practice rank box on your dashboard kept showing a small lock even after you had a rank or a Top percentage. The lock now shows only while you are still working toward a standing, and turns into a trophy once you have one.

   The exam countdown warms up as the date nears

   New

   • New
     The exam countdown turns gold, then coral with a gentle pulse, as the date nears. more ▾less ▴

     The Exam countdown on your dashboard and the countdown on your Study Schedule now change colour together as the exam gets closer: calm green while it is far off, a gold ring inside 45 days, and a coral ring with a slow, gentle pulse in the last two weeks. On exam eve and exam day it settles to steady gold. If your phone is set to reduce motion, you get the colours without the pulse.

   Eighteen new practice questions where flashcards had no question

   NewImproved

   • New
     Eighteen new practice questions across nine topics. more ▾less ▴

     Eighteen practice questions were added for facts the flashcards teach but no question asked: delirium tremens safety and timing, the CIWA-Ar scale, the CAGE cut-off, a disulfiram reaction, phencyclidine care, torsades in refeeding, dental erosion from purging, FHSIS report timeliness, flying and diving after a pneumothorax, downward referrals, Patau syndrome, screening for neural tube defects, blended families, who heads the Department of Health, the Nutritional Guidelines for Filipinos, adolescent health services and a completed miscarriage.

   • Improved
     Twenty-three flashcards linked to a live practice question. more ▾less ▴

     Twenty-three flashcards now link to a live practice question that teaches their fact: sixteen to the new questions, and seven Referral System cards that had been pointing at questions retired in August.

   Exam countdown opens your study schedule

   Improved

   • Improved
     Tap the Exam countdown to open your study schedule. more ▾less ▴

     The Exam countdown box at the top of your dashboard now opens your study schedule when you tap it, so the days left and what to do with them are one tap apart.

   Make a flashcard, tidier and honest about long answers

   Improved

   • Improved
     The Make a flashcard panel is easier to read and use. more ▾less ▴

     The Make a flashcard panel under every explanation is easier to read and use. One Start with row offers the ready-made card when we wrote one from that question, the answer, or the answer against each wrong choice, and each chip now shows the first words of the choice it contrasts. Front, Back, and Note are labelled, the boxes grow to fit what is in them instead of scrolling, and the deck you are saving to sits next to the Save button.

   • Improved
     Cards from the answer start shorter, and long answers get a nudge to shorten. more ▾less ▴

     Starting a card from the answer now puts the scenario's opening sentence and the question on the front instead of the whole scenario, and the note under the answer keeps the full first sentence of the explanation instead of cutting it off with three dots. When the back runs to six words or more, a short line under it says so and asks you to cut it to the fact you need to remember, such as a term, a number, a drug, or a short list. It is a nudge, not a block, because a short list can legitimately run long.

   Clubbing is not a COPD change

   FixedImproved

   • Fixed
     A COPD explanation corrected on clubbing. more ▾less ▴

     A COPD practice question's explanation now says plainly that finger clubbing is not a typical COPD finding: when it appears in a client with COPD it should prompt a search for another cause such as bronchiectasis, interstitial lung disease or a lung cancer.

   • Improved
     Four flashcard notes sharpened against their sources. more ▾less ▴

     Four flashcard notes now carry what their sources say: no flying or diving for at least two weeks after a pneumothorax resolves (and neither as a career after a spontaneous one), the law's own definition of a health event of public health concern, which tooth surfaces erode first with repeated vomiting, and that a referral in either direction between different levels of care is a vertical referral. The Service Delivery Network card links to a live practice question again.

   Ten more flashcard decks read whole, sixty-nine cards sharpened

   ImprovedFixedNew

   • Improved
     Ten more flashcard decks read whole; sixty-nine cards sharpened. more ▾less ▴

     Every card in ten more decks was read against its practice question: Pulmonary Embolism and Pulmonary Hypertension, Pneumothorax and Chest Tube Management, Substance Use Disorders, Common Infectious Diseases (pathognomonic signs), the Referral System, Health Laws on Disease Reporting and Control, Eating Disorders, Family Planning Methods, FHSIS Recording and Reporting, and Pediatric Cardiovascular Disorders. Sixty-nine cards were sharpened: the three PE tests now say where each sits in the work-up, the Kawasaki IVIG and aspirin cards name each other, the target client list and tickler file cards tell you which one answers who is due now, cards that printed their own answer now ask for it (warfarin bridging, DMPA and bone density, spermicide and barrier methods, the acyanotic defect list), and thin notes under the answer now carry what the practice question teaches (do not strip the diphtheria membrane, antitoxin before the culture, week-three typhoid pain is perforation, the doxycycline prophylaxis schedule).

   • Fixed
     Four flashcards corrected against their sources. more ▾less ▴

     Four cards were corrected against their sources: the FHSIS monthly tally now runs the right way (the midwife's summary table feeds the rural health unit's monthly consolidation table), the summary table card describes the midwife's own sheet, the immunization law card now says RA 10152 repealed PD 996 rather than complementing it, and the Service Delivery Network card no longer lists an inter-local health zone as part of the network.

   • New
     Eleven new flashcards on facts the decks had skipped. more ▾less ▴

     Eleven new cards where a deck taught around a fact its own practice questions key: where spare chest-tube tubing is kept, the opioid-free days before naltrexone, the FHSIS as the routine recording system beside PIDSR, the five-day refeeding window, why low phosphate starves the tissues (2,3-DPG), post-purge fluid retention from aldosterone, tubal ligation counselled as permanent, the office above the rural health unit in the FHSIS ladder, target client list versus tickler file, the accuracy principle, and the M1 and M2 monthly forms.

   • Improved
     Sixty-eight flashcards linked to the right practice question. more ▾less ▴

     Sixty-eight flashcards now link to the practice question that teaches their fact; they had no linked question before, or pointed at one about something else.

   A leaner Performance page

   Improved

   • Improved
     Performance page: one-line card notes, the pass rule stated once, duplicate tiles gone. more ▾less ▴

     Every card on the Performance page now opens with one short line instead of a paragraph, and the PNLE pass rule (75% average and no NP area below 60%) is stated once, in Subject readiness, rather than four times down the page. The two small tiles at the bottom of Board Stamina (day streak, total answers) were duplicates of numbers shown higher up and are gone; the streak tile in This Week now notes that any study counts. No chart, number or button was removed.

   A tidier Mock Boards page

   Improved

   • Improved
     Mock Boards: format stated once, sections labelled NP1 to NP5 on each card. more ▾less ▴

     The exam format (500 items, one section at a time, 100 items and 2 hours each) is now stated once at the top of the Mock Boards page instead of on every card. Each board's five sections are labelled NP1 to NP5 under its progress bar, with a small gap between NP3 and NP4 for the Day 1 and Day 2 split. Untaken boards show just the bar and the Start button; boards in progress and finished boards keep their status line and scores.

   A tighter Practice page

   Improved

   • Improved
     Practice section rows are one line each; shorter notes on Practice and Flashcards. more ▾less ▴

     Each section row on the Practice page now says its progress in one line under the title (topics, answered, wrong) with the bar below it, instead of printing the bank size twice. The Today's practice note is one short sentence, and the question-bank line ends in a Vault link. The Flashcards page description is one sentence.

   Page headers line up with their cards

   Fixed

   • Fixed
     Page descriptions now span the same width as the cards below them. more ▾less ▴

     The one-line description under a page title (Flashcards, Practice, Performance, Mock Boards, Resources, Vault and the rest) used to stop short of the right edge, so it read as a narrower column than the cards below it. It now spans the same width as the cards on every page.

   Home that rewards the work

   Improved

   • Improved
     Streak and plan cards fill as you work; scores count up; next badge on Home. more ▾less ▴

     Your streak tile is now the progress bar itself: it fills from green to gold as you answer today's questions, and the first time a day counts it gives one small pulse. Today's Plan fills the same way as you tick tasks. Your scores count up when the page opens, your rank tiles show how far you moved since your last visit on that device, the subject list marks any subject whose last two weeks are running ahead of its lifetime score, and the performance card names your next badge and what is left to earn it. On a rest day, Today's Plan shows your week in one line.

   A shorter, clearer Home

   Improved

   • Improved
     Home is shorter: Today's Plan on top, one-line notes, compact tiles. more ▾less ▴

     Your Home page is about a third shorter and easier to scan. Today's Plan now sits at the top, right under your streak, exam countdown and rank tiles, which all share one shape. The notes under each card are one line each, the four Explore tiles are compact, and the Common Questions block moved to Help & Support where the full list already lives. Nothing was removed from the app; every page is still one tap away in the top menu.

   A cleaner Study Plan header

   Improved

   • Improved
     Study Plan header tidied: one line of numbers, one short note, five settings tiles. more ▾less ▴

     The top of your Study Plan is shorter and easier to read. The countdown and your typical day's study time now share one line, the notes under it are a single short paragraph, and your five plan settings (dates, exam sections, focus, daily time, rest days) sit in one tidy row of tiles instead of a wrapping run of pills. Tap any tile to change that setting. The old Change dates link, which only scrolled to that row, is gone; the Dates tile is the control.

   Corrections from your question reports

   Improved

   • Improved
     Two reported questions repaired; no answer keys moved. more ▾less ▴

     Two reported questions were repaired this week, and both reports were right. The warfarin bridging question had a correct choice written as one long tangled sentence; it now reads in order, what the injection does while the warfarin is held and why it is easier to time around the operation, and the explanation gives the usual timing of the plan. The panic attack question said the client felt like he was going crazy, but its explanation talked about a fear he had voiced; the scenario now has him say the fear in words, and the explanation says plainly why a promise that nothing bad will happen is false reassurance. No answer keys moved.

   • Improved
     Three reported flashcards corrected: fetal death rate formula, Piaget ages, Salter-Harris recall. more ▾less ▴

     Three flashcards were corrected after student reports. The fetal death rate card now gives the formula the Philippine public health nursing references teach, fetal deaths over live births, and its note explains that WHO and CDC divide by live births plus fetal deaths, so use whichever denominator a question names; the three practice questions that work this rate now show both forms. The Piaget concrete operational card asked how many years the stage spans, which could be read as a length of time; it now asks for the ages it covers and notes that some texts end it at 12. The growth-plate fracture card now asks for the name of the classification, Salter-Harris, as its first recall row, and its title no longer gives away the next answer.

   Bookmark any question, and filter History by diagnostics

   NewFixed

   • New
     Bookmark any question in an answer review and find it again under Resources > Bookmarks. more ▾less ▴

     Under every answer review (a practice set, a mock board review, the diagnostic, History and the Vault) there is now a Bookmark chip next to Add my note. Tap it on any question you want to come back to, right or wrong. Your bookmarks gather under Resources > Bookmarks (also in the Study menu), grouped by topic with the newest first; each one reopens with its case, the choices, the correct answer, the explanation and your note, and it stays until you remove it. Unlike Save to Vault, a bookmark never clears itself and works on mock board items too.

   • New
     Filter History by diagnostics and see how each score changed from the last. more ▾less ▴

     History has a Diagnostics filter. It lists every diagnostic you have completed, newest first, with a small chip under each score showing the change from the one before, so retaking the diagnostic between mock boards shows you how your score is moving.

   • Fixed
     Your question notes now show inside the Vault too. more ▾less ▴

     A Vault run now shows the note you wrote on a question in an earlier review. It used to open the question without it.

4. 11Sep · Fri

   Six flashcards added where the readers found a gap

   NewFixed

   • New
     Six flashcards added where the readers found a gap. more ▾less ▴

     Type III (immune complex) hypersensitivity now has its own card beside Types I, II and IV; the Family APGAR deck now carries all five components (Partnership, Growth and Affection were added to Adaptation and Resolve); Duvall's eight family life-cycle stages appear in order on one card; and the DOH role of leadership in health has its own card beside the enabler and administrator roles.

   • Fixed
     COPD clubbing note corrected against its source. more ▾less ▴

     The COPD erythropoietin card no longer says chronic low oxygen causes finger clubbing; clubbing is not a feature of COPD itself, and in a COPD client it prompts a search for lung cancer or bronchiectasis.

   Three delirium and paraphilia items checked against their sources

   FixedImproved

   • Fixed
     Delirium recovery taught consistently across a mock item and its practice cousin. more ▾less ▴

     A mock-board question about an older man whose confusion came from a treated infection used to promise, without qualification, that his thinking would return to normal. It now says that return is expected because the infection is treated and he had no dementia beforehand, and the option that called a permanent loss of sharpness the usual outcome is now wrong on the fact rather than on tone. Its practice-bank cousin, which teaches that an episode of delirium in hospital is linked to lasting trouble with thinking, now says that delirium is not only a passing state. Both are true; the difference is the setting and the patient.

   • Improved
     The paraphilic-disorder explanation now names the source's own criteria. more ▾less ▴

     The explanation for the paraphilic-disorder question now states, from the source, what separates it from an impulse-control disorder (the arousal pattern itself, not a failure to resist) and what turns an interest into a disorder (acting on it with someone who did not consent, or distress).

   • Fixed
     No question claims an elder-abuse reporting duty the law does not create. more ▾less ▴

     We read the Expanded Senior Citizens Act and its neighbouring laws in full: no Philippine law puts a duty on a nurse to report elder abuse, and no other question in the bank claims one. Elder-abuse questions now ask about safety, assessment and the older person's right to decide.

   Ten more flashcard decks read whole and sharpened

   ImprovedFixedNew

   • Improved
     Ten more flashcard decks read whole; fifty-seven cards sharpened. more ▾less ▴

     Every card in ten more decks was read against its practice question: Family Nursing Process, COPD, Pediatric Hematologic and Oncologic Disorders, Well-Child Care and Immunization, Immunologic and Connective Tissue Disorders, Fertilization and Genetics, Care of Families, the Philippine Health Care Delivery System, Hepatobiliary Disorders and Acute Kidney Injury. Fifty-seven cards were sharpened: look-alike pairs now name each other in the note under the answer (the FEV1/FVC ratio and DLCO, the two chronic-retainer blood gases, eco-map and genogram, skip-generation and extended families, Patau and Edwards), cards that printed their own answer now ask for it, and lists printed with one gap now ask for the whole set (the AEIOU dialysis indications, the Anthonisen criteria, the signs of cor pulmonale).

   • Fixed
     Three cards corrected against their sources. more ▾less ▴

     The Maglaya health-deficit card no longer says a diagnosis is required, since a developmental lag counts on its own; the vaccine contraindication card no longer calls anaphylaxis the only true contraindication, because live vaccines are also withheld in severe immunodeficiency; and the cirrhosis bleeding card now warns that ibuprofen is not a safe swap for aspirin.

   • New
     Two new flashcards on newborn screening and twin split timing. more ▾less ▴

     Two new cards in Fertilization, Genetics and Fertility: the five disorders on the newborn screening panel under RA 9288, and monozygotic twin split timing (which day of the split gives which placentas and sacs).

   • Improved
     Sixty flashcards linked to the right practice question. more ▾less ▴

     Sixty flashcards now link to the practice question that teaches their fact; they had no linked question before, or pointed at an unrelated one.

   Delirium, dementia and abuse questions cut to exam length

   ImprovedFixed

   • Improved
     All 41 cognitive and psychiatric disorder questions rewritten to board-exam length, answers unchanged. more ▾less ▴

     Every practice question on cognitive and other psychiatric disorders (delirium and how it differs from dementia, caring for a person with dementia, attention deficit hyperactivity disorder and its stimulant medicines, autism, Tourette disorder, separation anxiety, conduct and oppositional defiant disorder, intimate-partner violence, child abuse, elder abuse and neglect) was rewritten to the length and shape of the board exam, with tighter options and a clearer explanation. All 41 questions keep their answers.

   • Improved
     Twenty-eight questions now test ground no other question asked. more ▾less ▴

     Twenty-eight of those questions used to sit on facts the bank already tests many times over, such as telling delirium from dementia or reporting suspected abuse. They now test ground no other question asked: the two features a delirium screen must find, why the quiet form of delirium is the dangerous one, what a restraint may never be used for, the antipsychotic warning in dementia, the counting rules behind a diagnosis of attention deficit hyperactivity disorder, Tourette disorder or oppositional defiant disorder, which bruise sites and infant movements make an injury story implausible, and when a police referral is part of an abused woman's plan.

   • Fixed
     An elder-abuse question no longer cites a duty the senior-citizens law does not create; delirium's three forms taught. more ▾less ▴

     One elder-abuse question used to say the nurse must report under the law protecting senior citizens. We read that law in full and it creates no such duty, so the question now asks what an older adult who can still decide for herself may choose. Another question said delirium has two forms; it has three, and the third, in which a person swings between restless and drowsy within one day, is now taught.

   Ten flashcard decks read whole and sharpened

   ImprovedFixedNew

   • Improved
     Ten flashcard decks read whole; fifty-five cards sharpened. more ▾less ▴

     Every card in ten decks was read against its practice question: Trauma-Related Disorders, Diabetes Mellitus, Eye Anatomy and Refractive Disorders, the Maternal-Child and NCD-Environment Health Laws decks, Community Mental Health Program, Psychopharmacology, Nutrition Programs, Vulnerable Population Groups and Metabolic Bone Disorders. Fifty-five cards were sharpened: look-alike pairs now name each other in the note under the answer (sulfonylureas and meglitinides, myopia and hyperopia, the thiazide and NSAID lithium interactions, RA 8976 and RA 8172, RA 10754 and RA 7277, the three early-childhood laws), cards that printed their own answer now ask for it, and lists that were printed with one gap now ask for the whole set.

   • Fixed
     Three cards corrected against their sources. more ▾less ▴

     The mental-health confidentiality card no longer says records may be shared only to protect life, since the Mental Health Act names several situations; the Snellen card no longer prints its own answer inside the 20/40 example; and the tardive dyskinesia card now asks which drug class does not relieve it instead of repeating a card from the Schizophrenia deck.

   • New
     Four new flashcards in Trauma-Related Disorders and Health Laws. more ▾less ▴

     Four new cards: the PTSD arousal cluster (reckless behaviour), the four exposures that satisfy the PTSD stressor criterion, the drug class advised against in acute stress disorder and PTSD, and a contrast card telling RA 8980 from RA 11148.

   • Improved
     Pneumonia and Leprosy follow-ups settled from sources. more ▾less ▴

     Three cards from the Pneumonia and Leprosy decks were settled from their sources: the good-lung-down card is now a scenario question, the leprosy contact card asks for the priority action (examine the close household contacts), and the Legionella card was confirmed correct clue by clue.

   • Improved
     Grounding card reworked; new early-trauma-care card. more ▾less ▴

     The Trauma-Related Disorders grounding card now asks for the technique's name (grounding) from a scene a nurse would recognize, with the 5-4-3-2-1 sequence kept in the note, and a new card teaches that early trauma care avoids a single session built on a detailed retelling of the event.

   10 duplicate questions retired, 5 corrected

   ImprovedFixed

   • Improved
     Ten duplicate questions retired; every fact still carried by a kept question. more ▾less ▴

     Ten practice questions in child health promotion, child development and peripheral vascular disease were retired because another live question already tested the same fact with the same answer, and nearly everyone was getting them right. Nothing you can be tested on has gone: each fact is still carried by the question that stayed.

   • Fixed
     Second-year check-up question now respects the DOH monthly weighing. more ▾less ▴

     The question on how often a well one-year-old is seen through the second year no longer lists monthly visits as a wrong answer, because the Department of Health does weigh every child under two once a month. The wrong option is now a schedule that is wrong under every guideline, and the explanation names the monthly weighing.

   • Fixed
     Hospitalized-preschooler question no longer marks sound practice as wrong. more ▾less ▴

     A question about a four-year-old admitted for surgery used to list rooming-in and honest just-before explanations as wrong answers even though both are sound practice. Its wrong answers are now genuinely wrong: sneaking away while he is distracted, and explaining the operation in detail days ahead.

   • Fixed
     Nine-month vaccine questions now allow for the second polio injection. more ▾less ▴

     Two mock-board questions on the nine-month immunization visit now ask which vaccine the baby receives for the first time that day, because the second injectable polio dose is also given at nine months under the current schedule.

   • Fixed
     Kidney-injury and PhilPEN questions tightened. more ▾less ▴

     The hypertension question on evidence of kidney injury no longer hands over its answer through the word kidney, and the PhilPEN question now explains that every Filipino is automatically a PhilHealth member under the universal health care law, so a one-year limit on free medicines is not how the program works.

   Pneumonia and leprosy flashcards read as whole decks

   Improved

   • Improved
     VAP-bundle set card moved into the Pneumonia deck. more ▾less ▴

     The card that asks for the three ventilator-bundle protections against VAP now sits in the Pneumonia deck, beside the three cards that teach each protection on its own.

   • Improved
     Pneumonia deck read whole; eleven cards sharpened. more ▾less ▴

     All twenty-two Pneumonia cards were read against their practice questions: each organism card now names its look-alike in the note under the answer (Legionella against Mycoplasma, Klebsiella against pneumococcus, PCP against Mycoplasma with the CD4 cue), the two aspiration cards now tell silent microaspiration from overt aspiration pneumonia, the positioning card explains why the affected lung stays up, the head-of-bed card adds the tubing-condensate rule, and the sputum-culture card now says it is about pneumonia.

   • Improved
     Leprosy deck read whole; nine cards sharpened. more ▾less ▴

     All twenty-four Leprosy cards were read the same way: the clofazimine and rifampicin colour-change cards now tell each other apart by timing and site, the four tissues M. leprae invades are asked as one set, the incubation card asks for the number of years instead of the word long, the home-care card no longer prints its own answer, and the ENL, ulnar-nerve, madarosis and lagophthalmos cards carry the distinctions their sources teach.

   Child health-promotion questions rewritten to board-exam length

   ImprovedFixed

   • Improved
     All 54 child health-promotion questions rewritten to board-exam length, answers unchanged. more ▾less ▴

     Every practice question on health promotion and disease prevention for children (the immunization schedule and its true contraindications, the cold chain, catch-up doses, infant and toddler feeding, injury prevention at each age, growth monitoring, and the hospitalized child) has been rewritten to the length and shape of a real board item: shorter stems, options that no longer give the answer away, and rationales that explain the reasoning in plain words. All 54 answers are unchanged.

   • Improved
     Fifteen child health-promotion questions now test ground no other question asked. more ▾less ▴

     Fifteen of those questions used to sit on facts the bank already tests many times over, such as giving the hepatitis B dose within a day of birth or starting solid food at about six months. They now test ground no other question asked: why a sleep surface that tilts is unsafe even with the baby on his back, why a baby walker delays walking instead of helping it, when BCG is withheld from a baby exposed to HIV, the difference between a true contraindication and a precaution that only postpones a vaccine, when a dose given too early has to be repeated, how a preterm baby's growth chart is read, what makes a fall on the growth chart a warning sign, why a window screen will not stop a fall, and why measles itself drains the body's vitamin A.

   • Fixed
     A growth-chart scenario now matches the rule its answer teaches. more ▾less ▴

     One growth-chart question described a child whose weight had fallen across exactly two percentile lines while its answer required a fall of more than two. The scenario now matches the rule it teaches.

   Vascular and hypertension questions cut to exam length

   ImprovedFixed

   • Improved
     All 53 peripheral vascular and hypertension questions rewritten to board-exam length, answers unchanged. more ▾less ▴

     Every practice question on peripheral vascular disease and hypertension (deep vein thrombosis and anticoagulation, arterial versus venous disease, diagnosing high blood pressure and helping clients stay on treatment, hypertensive urgency versus emergency, target-organ damage, the PhilPEN program, antihypertensive drug rules, and abdominal aortic aneurysm) has been rewritten to the length and shape of a real board item: shorter stems, options that no longer give the answer away, and rationales that explain the reasoning in plain words. All 53 answers are unchanged.

   • Improved
     Eight peripheral vascular and hypertension questions now test ground no other question asked. more ▾less ▴

     Eight of those questions used to sit on facts the bank already tests many times over. They now test ground no other question asked: which drug classes interact with warfarin, why a hypertensive urgency is treated without admission, the two ways a limb suddenly loses its blood supply, when an anti-Xa level replaces the usual monitoring, why compression stockings are dangerous when the arteries are the problem, how the ankle-brachial index is read and when stiff arteries make it read falsely normal, why a nonselective beta-blocker is avoided in asthma, and what a small aortic aneurysm actually needs.

   • Fixed
     Tranexamic acid described correctly in one rationale. more ▾less ▴

     One question's explanation used to call tranexamic acid a clot-promoting drug. It is a drug that stops clots from breaking down, and the explanation now says so.

   Pregnancy-complication and heart-attack decks reviewed

   ImprovedNew

   • Improved
     Pregnancy Complications deck read whole; four cards sharpened. more ▾less ▴

     All twenty-seven Pregnancy Complications cards were read against their practice questions: the cervical-insufficiency and ectopic-pregnancy cards now describe the picture and ask for the name, the magnesium-toxicity card no longer mixes up the earliest sign with the most dangerous one, and the hyperemesis acid-base card no longer gives away half its answer.

   • New
     Two new gestational-diabetes screening cards. more ▾less ▴

     Two new Pregnancy Complications cards cover gestational-diabetes screening: when the glucose challenge is done (24 to 28 weeks) and which test confirms a positive screen (the 3-hour oral glucose tolerance test).

   • Improved
     Acute Coronary Syndrome deck read whole; five cards sharpened. more ▾less ▴

     All twenty-four Acute Coronary Syndrome cards were read the same way: the Prinzmetal angina card now describes the attack and asks for its name, the earliest-ECG-change card asks the question directly, the hold-when-hypotensive card names both drugs as a pair, the anterior-wall card lists the other wall lead groups in its note, and the troponin card no longer hands over its answer.

5. 10Sep · Thu

   Pregnancy-loss cards ask for the type; a stroke card retired

   FixedImproved

   • Fixed
     Threatened and inevitable abortion cards now ask for the type. more ▾less ▴

     The threatened-abortion card used to name the type on the front and ask only whether the cervix is open or closed. It now describes the picture (early bleeding, closed cervix, no tissue passed, pregnancy possibly still viable) and asks for the type, the same way its sibling cards do; the inevitable-abortion card was reshaped the same way.

   • Improved

     The stroke secondary-prevention card whose front named the two drugs, and so gave away both answers, was retired; the atrial-fibrillation and hypertension facts are still tested by their own cards.

   Stroke thrombolysis cards agree; a blood-pressure card added

   NewImproved

   • New
     New card: the blood pressure required before thrombolysis. more ▾less ▴

     A new Stroke card asks for the blood pressure that must be reached before the clot-busting drug is given (below 185/110), with the target for the first day after treatment in the note; the number was in a practice question but no card tested it.

   • Improved
     Both 4.5-hour window cards now say the same thing. more ▾less ▴

     The two Stroke cards that mention the 4.5-hour thrombolysis window now end the same way: beyond 4.5 hours the drug is not given on the clock alone and needs advanced imaging showing salvageable brain tissue, as the 2026 AHA/ASA guideline states.

   • Improved

     Two aspiration-precaution cards now answer with the single first action (stop the oral intake; sit fully upright) and keep the follow-on steps in the note, two concept cards have shorter line labels, and the family-at-risk card no longer hints at its own answer.

   Stroke deck reviewed; six why-cards now ask for a term

   ImprovedFixed

   • Improved
     Stroke deck read whole; eight cards sharpened. more ▾less ▴

     All thirty Stroke flashcards were read against their own practice questions and against each other: eight were sharpened, including the NIHSS card (it now asks for the scale's name instead of describing it), the last-known-well card (it now says the clock is not the time you were found or woke), and the hemorrhagic-stroke card, whose front used to give the answer away.

   • Improved
     Six why-cards now ask for a single term. more ▾less ▴

     Six why-cards whose answers were whole explanations now ask for the one thing to recall (primaquine, gravity drainage, anaerobic, antibody-dependent enhancement, adult mosquitoes, aspiration), with the explanation kept in the note under the answer.

   • Fixed

     The sucking chest wound card now asks for the nurse's first independent action, and its note explains why sealing the fourth edge or waiting for needle decompression is the wrong first move.

   Alcohol withdrawal and cannabis cards match the texts

   FixedImproved

   • Fixed
     Delirium tremens flashcard now teaches safety first, then the benzodiazepine. more ▾less ▴

     The flashcard on the first nursing action in delirium tremens used to answer only 'give the prescribed benzodiazepine'. It now puts the client's safety first (stay with the client, one-to-one supervision, hazards cleared) and then the benzodiazepine with continuous monitoring, which is what the three practice situations on the same scene already teach and what Saunders and StatPearls describe.

   • Fixed

     Two alcohol withdrawal timing flashcards now carry both readings your review texts and the current sources give: seizures are most likely at 6 to 48 hours, and withdrawal delirium usually begins at 48 to 72 hours but can start later, up to about three to five days. One of them had lumped seizures in with the delirium window.

   • Improved

     The cannabis withdrawal question keeps its answer (heavy, long-term users can have withdrawal symptoms) and its explanation now names the disagreement openly: older review texts say no clinically significant withdrawal syndrome exists, while DSM-5, NIDA and current references describe one after heavy, prolonged use. Neither reading is punished.

   Parathyroid disorder questions rewritten to board-exam length

   ImprovedFixed

   • Improved
     All 49 parathyroid disorder questions rewritten to board-exam length, answers unchanged. more ▾less ▴

     Every practice question on parathyroid disorders (an overactive gland and high calcium, low calcium after thyroid or parathyroid surgery, tetany and the airway, intravenous calcium, calcitriol and the long-term regimen, and how parathyroid hormone moves calcium and phosphate) has been rewritten to the length and shape of a real board item: shorter stems, options that no longer give the answer away, and rationales that explain the reasoning in plain words. All 49 answers are unchanged.

   • Improved

     Seventeen of those questions used to sit on facts the bank already tests many times over, such as reading a positive cheek-tap or cuff sign as low calcium, or keeping intravenous calcium at the bedside after neck surgery. They now test ground no other question asked: the inherited high calcium that surgery does not cure, why an antacid habit can injure the kidneys, why the active form of vitamin D is prescribed, the drug that lowers calcium fastest while the slower one catches up, the option for a client who cannot have surgery, why the bones stay hungry after the glands come out, which bedside sign is the more reliable, and why cutting calcium out of the diet makes kidney stones more likely, not less.

   • Fixed

     One question used to tell a client with an overactive parathyroid gland to cut back on dairy. Current guidance keeps dietary calcium in the normal range and stops only the calcium tablets and calcium antacids the client buys on her own, because restricting food calcium pushes the hormone higher. The question now teaches that.

   Three flashcard notes gained a verified fact

   Improved

   • Improved
     Three flashcard notes now carry a checked fact from a named source. more ▾less ▴

     The last-known-well stroke card now explains that a wake-up stroke's clock starts at the last time the client was seen well, not at waking; the childhood growth-hormone card now describes the proportional short stature it causes (height below the 3rd percentile, bone age more than two years behind); and the malignant-hyperthermia inheritance card now says each child of an affected parent has a 50% chance of being susceptible.

   Two decks reviewed card by card, plus 11 hard cards

   ImprovedFixed

   • Improved
     Two decks read card by card: 28 kept, 13 improved. more ▾less ▴

     Every card in the Intra-operative Nursing & Anesthesia and Pituitary Gland Disorders decks, 41 in all, was read one by one against its own practice question; 28 were left alone as good hard content and 13 were improved.

   • Fixed
     Two pituitary cards corrected against their sources. more ▾less ▴

     Two pituitary cards taught something their own source contradicts: the acromegaly card now asks which body system carries the worst outlook instead of naming a single leading cause of death, and the CSF-leak card now says a glucose strip only raises suspicion while the beta-2 transferrin test confirms it.

   • Improved
     Three list cards now ask for the whole list. more ▾less ▴

     Three printed lists with one blank now ask for the whole list (the three surgical time-out checks, the five things to avoid after pituitary surgery, the two posterior-pituitary hormones), and the cabergoline card now carries its twice-weekly dosing and the urge-to-gamble warning.

   • Improved
     Six of the hardest low-view cards sharpened. more ▾less ▴

     Eleven cards that students miss most often but had seen only a few times were read too: six were sharpened, including the flaccid-arm positioning card (now a four-line set), the permissive-hypertension card (now asks for the term itself), and the heparin-induced thrombocytopenia card (now says 5 to 10 days and names type II).

   • Fixed

     Ten flashcards now link to a practice question that actually states their fact, so 'Show me the question' opens the right one.

   Substance use disorder questions rewritten to board-exam length

   ImprovedFixed

   • Improved
     All 58 substance use disorder questions rewritten to board-exam length, answers unchanged. more ▾less ▴

     Every practice question on substance use disorders (alcohol withdrawal and delirium tremens, thiamine and Wernicke's encephalopathy, opioid overdose and naloxone, methadone and buprenorphine, disulfiram, naltrexone and acamprosate, stimulant, PCP, LSD and inhalant toxicity, cannabis and nicotine withdrawal, enabling and codependency, and the Comprehensive Dangerous Drugs Act) was rewritten to board-exam length: shorter stems, four choices that all look defensible, and an explanation that names the runner-up and says where it falls short. All 58 questions, answers unchanged.

   • Improved

     Twenty-three of those questions used to sit on facts the bank already tests many times over, such as putting a confused, sweating client in a quiet room or naming withdrawal delirium as the emergency. They now test the ground behind substance use care: the eye finding that points to phencyclidine, why benzodiazepines cover alcohol withdrawal and which one is chosen when the liver is failing, why thiamine is given by injection, how late withdrawal delirium can still begin, how long naloxone lasts, why naltrexone needs an opioid-free interval and acamprosate a working kidney, how disulfiram works, what inhalants do to the heart, and who may apply for voluntary submission under the drug law.

   • Fixed

     Two questions on the timing of alcohol withdrawal had drifted apart: one placed the seizure risk in the first two days, the other read as if the danger ended there. They now say separately that seizures come early and that withdrawal delirium can still begin days later. One explanation had a mechanism backwards (it said alcohol suppresses the system benzodiazepines act on); it now says the drug calms the brain the way alcohol did.

   Heart anatomy and ECG basics questions rewritten to board-exam length

   Improved

   • Improved
     All 52 heart anatomy and ECG basics questions rewritten to board-exam length, answers unchanged. more ▾less ▴

     Every practice question on heart anatomy and ECG basics (the conduction pathway and the waves and intervals on a strip, sinus rhythms and the escape rhythms, the heart-block ladder, premature beats and their names, atrial fibrillation and flutter, SVT and adenosine, the rhythms with no pulse and when to shock, pacemakers, the four heart sounds and where to listen for them, and which coronary artery feeds which wall) was rewritten in one pass: the scenario cut to the point (median stem 76 to 33 words, none over the exam's own length), the four choices made genuinely close, and every explanation rebuilt to lead with the answer and say why the runner-up loses. All 52 questions, answers unchanged.

   • Improved

     Eighteen of those questions used to ask a fact the bank already tests elsewhere, such as which structure is the heart's pacemaker or which artery supplies the lateral wall. They now cover ground the bank had never asked: why the pause after a premature ventricular beat is full and the pause after an atrial one is not, why a blocked bundle branch widens the QRS, which drug class is started first for a fast atrial fibrillation, the weeks of blood thinner before and after a cardioversion, the paper grid and the two rate arithmetics, listening over the carotid before pressing on it, why the coronary arteries fill while the heart relaxes, magnesium as the first drug for torsades, how a rate above 100 separates multifocal atrial tachycardia from a wandering pacemaker, the moment in systole when every valve is shut, what holds the mitral leaflets closed, why a young athlete's rate swings with each breath, why Mobitz II sits below the node and needs a pacemaker, what speeds and slows the sinus node, why the second heart sound splits on breathing in, couplets and the gemin- prefixes, failure to capture against under-sensing, what a junctional rhythm looks like, and which antiarrhythmic order a nurse should question.

   Two flashcards retired, two set cards added from the cram sheets

   NewFixed

   • New
     New: the seven CAUTION signs card and the evaluation-step decisions card. more ▾less ▴

     A cancer card now asks for all seven CAUTION warning signs at once, exactly as the Non-Communicable Diseases cram sheet lists them, and a nursing-process card asks for the three decisions the evaluation step ends in (continue, modify or terminate the plan), as the Theoretical Foundations cram sheet teaches. Both replace cards whose blank could be read straight off the sentence.

   • Fixed

     Two flashcards that needed no recall were retired: one whose answer was the verb the sentence forced ('the nurse FIRST ______ the pain') and one whose only fact, the teach-back method, is already taught by the Health Education deck.

   40 flashcards now make you recall the answer

   ImprovedFixed

   • Improved
     168 easiest and hardest flashcards read by hand: 123 kept, 40 improved. more ▾less ▴

     A reader went through every flashcard that students almost never miss and every one they miss most, 168 cards in all, and left 123 alone as good hard content. Thirteen cards had the answer sitting in the question (the drug name's root word, the opposite of the answer printed beside it, two of Freud's three structures named so the third was free) and their fronts were rewritten so you have to know the fact.

   • Improved
     15 cards now test the memorable fact instead of a give-away word. more ▾less ▴

     Fifteen cards were rebuilt around the fact worth memorizing: which three grains a celiac diet removes, the serum osmolality ceiling that stops mannitol, the two requirements before restraining a child, which cranial nerve carries hearing and balance, a DNR order as a three-part concept card (what is withheld, what continues, who writes it), and the ECG changes of hyperkalemia in the order they appear.

   • Improved
     Three list cards now ask for the whole list. more ▾less ▴

     Three printed lists with one slot open now ask for the whole list: the four physical-examination techniques in order, the two shockable arrest rhythms, and the three things ready at the bedside under seizure precautions.

   • Improved
     Look-alike cards now name each other; seven notes gained their source's teaching. more ▾less ▴

     The three water-supply level cards, the chest-tube disconnection card and the digoxin hold-rate card now name their look-alikes in the note under the answer (Level I, II and III each point at the other two; a tube pulled out of the chest gets a three-sided dressing, not sterile water; an infant's digoxin hold line is 90 to 110, not 60). Seven other cards gained the teaching their source explanation already carried, such as the Weil-Felix test beside the Widal test and the lead groups beside the inferior-wall leads.

   • Fixed

     Seven flashcards now link to a practice question that actually states their fact, so 'Show me the question' opens the right one.

   Fifty-four pediatric heart questions now read like the board exam

   ImprovedFixed

   • Improved
     All 54 pediatric heart questions rewritten to board-exam length, with sharper choices and clearer explanations. more ▾less ▴

     Every practice question on pediatric cardiovascular disorders (the congenital heart defects and where their blood goes, tetralogy spells and the knee-chest position, heart failure in a baby who tires at the breast, digoxin and diuretic care, Kawasaki disease, rheumatic fever and the years of prophylaxis after it) was rewritten in one pass: the scenario cut to the point (median stem 62 to 29 words, none over the exam's own length), the four choices made genuinely close, and every explanation rebuilt to lead with the answer and say why the runner-up loses.

   • Improved

     Twenty-three of those questions used to ask a fact the bank already tests many times over, such as sweating at feeds as the sign of heart failure or knee-chest first for a spell. They now cover ground the bank had never asked: the balloon septostomy that keeps a baby with transposition alive, the injection schedule and the number of years rheumatic prophylaxis runs, which heart conditions the American Heart Association list actually names for antibiotics before dental work, how the newborn pulse-oximetry screen is done, why a murmur that goes quiet during a spell means the spell is deepening, and what the nurse checks after a cardiac catheterization.

   • Fixed

     Two questions that gave the infant digoxin hold rate as 90 to 100 beats per minute now say 90 to 110, the figure the review texts and the Sick Child A cram sheet use, so the bank no longer disagrees with itself. The questions that ask you to hold and report the dose now leave the exact number to the prescriber's order, as the exam does.

   • Fixed

     One question about antibiotics before dental work had a wrong choice that was actually correct under the American Heart Association list. It now asks which history makes the antibiotic necessary.

   One sentence corrected on the Sick Child A cram sheet

   Fixed

   • Fixed

     The endocarditis box on page 9 now says which heart conditions are on the American Heart Association list for antibiotics before dental work, and that rheumatic valve damage is not on that list but is still covered by the guidelines rheumatic countries such as the Philippines follow. If you had marks on the sheet, they are kept on the previous edition behind the clock icon in the viewer.

   Forty-three eating disorder questions now read like the board exam

   ImprovedFixed

   • Improved
     All 43 eating disorder questions rewritten to board-exam length, with sharper choices and clearer explanations. more ▾less ▴

     Every practice question on eating disorders (anorexia nervosa, bulimia nervosa and binge-eating disorder, the medical dangers of starvation and purging, refeeding, supervised meals, and how the nurse answers a client's fear of gaining weight) was rewritten to board-exam length: shorter stems, four choices that all look defensible, and an explanation that names the runner-up and says where it falls short. All 43 questions, answers unchanged.

   • Improved

     Twenty of those questions used to sit on two facts the bank already tests many times over: that a slow pulse with a drop in standing blood pressure is the finding to report, and that the nurse reflects the client's feeling and invites her to say more. They now test the ground behind eating disorder care: why the pulse slows and why the heart rhythm changes, when refeeding syndrome appears and how often the electrolytes are checked, what laxatives actually do, which medicine is approved for bulimia and which one is contraindicated, and what family-based treatment asks of parents.

   • Fixed

     One dental-care question said stomach acid erodes the enamel especially on the tongue side of the teeth, which its own source does not support; it now teaches the instruction that matters after vomiting (rinse with water or a fluoride rinse and wait about half an hour before brushing). Another question treated compulsive exercise as not a reason for admission at all, when the source lists it as one factor that is not enough on its own; the question now asks which finding on its own calls for admission.

   Two corrections on the Psychopathology B cram sheet

   Fixed

   • Fixed

     On the borderline personality disorder page, the suicide figure now matches current sources (about 6 in 100 die by suicide, with the older "up to 10 percent" noted), and the care line no longer recommends a signed no-self-harm agreement, which has no protective value of its own; it now names a collaborative safety plan, the same instrument the practice questions and the psychopharmacology sheet already teach. Your highlights and notes stay on the page you made them.

   Forty-nine personality disorder questions now read like the board exam

   ImprovedFixed

   • Improved
     All 49 personality disorder questions rewritten to board-exam length, with sharper choices and clearer explanations. more ▾less ▴

     Every practice question on personality disorders (the three clusters and their ten disorders, borderline splitting and self-harm, antisocial manipulation and limits, narcissistic rage, and the responses that fit each pattern) was rewritten in one pass: the scenario cut to the point (median stem 54 to 30 words, none over the exam's own length), the four choices made equally plausible so the answer has to be reasoned rather than spotted, and every explanation rewritten in short plain sentences that name the runner-up and say where the line falls. No answer key changed.

   • Improved

     Thirty-three of those questions used to sit on one of three facts the bank already tests many times over: that the whole team holds the same limits, that the nurse asks directly about suicide, and that the client is moved to a quieter space. They now cover ground the bank had never asked: what the guidelines say a nurse does at the first contact in a borderline crisis and how a crisis medicine is prescribed, that no medicine is approved for the disorder itself, the age rules for the antisocial diagnosis, how long a borderline mood swing lasts, what separates self-harm from a suicide attempt, why asking about suicide does not plant the idea, how common the disorder is in hospital, what the course looks like over the years, which co-occurring conditions are referred out of a borderline program, and the other structured therapies beside dialectical behavior therapy.

   • Fixed

     Three explanations were corrected against their sources: the antisocial age criterion now reads as the diagnostic manual states it (the pattern runs since age 15, with conduct disorder before 15), the suicide figure for borderline personality disorder is now the one current sources give (about 6 in 100, against about 1 in 100 for the other personality disorders), and dialectical behavior therapy is taught as one of several structured therapies rather than the only one.

   44 fertility and genetics questions read like the exam

   ImprovedFixed

   • Improved
     All 44 fertilization and genetics questions rewritten to board-exam length, with sharper choices and clearer explanations. more ▾less ▴

     Every practice question on fertilization, genetics and fertility (how conception and the first week of development happen, how chromosomal and inherited conditions pass through a family, what prenatal and newborn screening can and cannot tell you, and how an infertility work-up runs) was rewritten in one pass: the scenario cut to the point (median stem 57 to 25 words, none over the exam's own length), the four choices made equally plausible so the answer has to be reasoned rather than spotted, and every explanation rewritten in short plain sentences. No answer key changed.

   • Improved

     Twenty-six of those questions used to ask a fact the bank already tests elsewhere, such as the one-in-two and one-in-four inheritance odds or that a screening test is not a diagnosis. They now cover ground the bank had never asked: the four substances the quad screen measures and when it is drawn, the week windows for chorionic villus sampling, amniocentesis and cell-free DNA testing, why a carrier mother can have mild symptoms herself, why Huntington disease can begin younger in each generation, how the day a twin embryo splits decides whether the twins share a placenta, what sperm must go through before they can fertilize, how an early embryo hatches before it can implant, that breastfeeding stays safe in phenylketonuria alongside the special formula, how a semen sample is collected, and when in the cycle the tubal dye test is booked.

   • Fixed

     One question about a quad screen result had two choices that were both correct, and another let the phenylketonuria question's answer appear as a wrong choice in a neighbouring question. Both are fixed.

6. 9Sep · Wed

   200 flagged flashcards reviewed, 40 improved

   ImprovedFixed

   • Improved
     Eight flashcards stopped giving away their own answer. more ▾less ▴

     Eight cards no longer hand you the answer: the three levels-of-prevention cards stopped printing each level's own definition beside the blank, two traction cards stopped explaining the rule they were asking, and three cards fixed an 'a' that gave away the first letter of the answer.

   • Improved

     Nineteen cards teach more without changing their answer: the note under the answer now says what the nurse does at the value (hold the phenytoin dose and notify, hold warfarin at a high INR, keep calcium gluconate at hand, run saline through new tubing in a transfusion reaction, and more).

   • Improved

     Eleven cards were rebuilt so the thing you recall is a clean unit: the trauma primary survey now asks for the five steps in order instead of the letters ABCDE, the population-pyramid card asks for the term, and several answers that were buried in a long parenthesis are now one word with the teaching moved under the answer.

   • Improved

     Two crammed cards became lists you can actually learn: RA 10121 (its short title, national council and local offices) and the three ventilator-bundle protections against VAP.

   • Fixed

     Eleven cards now link to a practice question that actually states their fact, so 'Show me the question' opens the right one.

   • Fixed

     The newborn-screening timing card now states the window exactly as RA 9288 does (after 24 hours of life, not later than 3 days, with the intensive-care exemption to 7 days), and a second card that asked the same window word for word has been retired.

   • Fixed

     NPH insulin's peak now reads 4 to 12 hours everywhere: one flashcard and two practice-question explanations that said six to twelve hours were aligned with the rest of the bank.

   Forty-nine pituitary gland questions now read like the board exam

   ImprovedFixed

   • Improved
     All 49 pituitary gland questions rewritten to board-exam length, with sharper choices and clearer explanations. more ▾less ▴

     Every practice question on pituitary gland disorders (hypopituitarism and lifelong replacement, acromegaly and growth hormone, prolactinoma and its medicines, care after surgery through the nose, Sheehan syndrome, pituitary apoplexy, and the visual field loss a tumor causes) was rewritten in one pass: the scenario cut to the point (average stem 46 to 26 words, none over the exam's own length), the four choices made equally plausible so the answer has to be reasoned rather than spotted, and every explanation rewritten in short plain sentences. No answer key changed.

   • Improved

     Twenty-nine of those questions used to sit on a fact the bank already tests many times over, such as not blowing the nose after pituitary surgery or taking replacement hormones for life. They now cover ground the bank had never asked: how a thyroid dose is followed once the pituitary is the damaged organ, why IGF-1 is the screening test for acromegaly, why prolactin rises when the pituitary stalk is injured, the three-phase water pattern after pituitary surgery and when it needs a medicine, why a postpartum hemorrhage can starve the gland but spare its back lobe, what a spinal fluid leak actually threatens, and which test confirms that a nasal drip is spinal fluid.

   • Fixed

     Four explanations were corrected against their sources: the drug for prolactinoma is no longer said to commonly lower blood pressure (the label's own figure is four percent), heart disease is no longer called the single leading cause of death in acromegaly, a growth hormone question now teaches when treatment stops instead of an unsourced claim about growth plates, and the bedside glucose strip for a nasal drip is now taught as a suspicion cue rather than proof, with beta-2 transferrin named as the confirming test.

   7 repeated flashcards retired

   ImprovedFixed

   • Improved
     Seven exact-repeat flashcards retired after a source check; the keeper card stays. more ▾less ▴

     Seven cards asked exactly what another card already asks, with no second fact left to teach (two more heparin antidote cards, a second status epilepticus definition, a second daily-weight card, a second Individual Treatment Record card, a second senior citizen discount law card, and a smoking cessation card that repeated its twin word for word). Each fact was checked against its source before the copy was removed, and the card that keeps it stays in the deck that owns the topic.

   • Fixed

     Two cards now link to a practice question that actually states their fact: the PTSD one-month threshold card and the card on estrogen driving the first half of the menstrual cycle.

   Twenty flashcards that repeated another card now teach something new

   ImprovedFixed

   • Improved
     Cards that repeated another card now ask a different fact on the same topic. more ▾less ▴

     A scan of the whole flashcard bank found cards that asked for the same answer as another card, sometimes in the same deck and sometimes word for word across two decks (the tension pneumothorax card existed three times, the heparin antidote four times). Twenty of them now test a different fact on the same topic, such as where the decompression needle goes, which four clotting factors warfarin blocks, or how long after flumazenil the sedation can return, so you are no longer graded twice on one fact.

   • Improved

     Cards that share an answer on purpose (two dialysis cards that both answer heparin, two brain-pressure cards that both answer metabolic demand) now name their twin in the note under the answer, so you can tell which one is being asked.

   • Improved

     Seven cards that printed a whole list and blanked only its last item (the Glasgow Coma Scale responses, the opioid overdose triad, the four oncologic emergencies, the nursing process steps) now ask you to name the whole set, with each item on its own line.

   • Fixed

     The nitrates card that asked for a vague blank now asks directly which drug class must not be combined with them, with one short answer to remember.

   48 trauma and stress questions read like the exam

   ImprovedFixed

   • Improved
     All 48 trauma and stress disorder questions rewritten to board-exam length, with sharper choices and clearer explanations. more ▾less ▴

     Every practice question on trauma-related disorders (acute stress disorder, PTSD, adjustment and dissociative disorders, how a nurse responds during a flashback, and the Philippine protection laws around abuse and assault) was rewritten in one pass: the scenario cut to the point (average stem 50 to 28 words, none over the exam's own length), the four choices made equally plausible so the answer has to be reasoned rather than spotted, and every explanation rewritten in short plain sentences. No answer key changed.

   • Improved

     Twenty-eight of those questions used to sit on a fact the bank already tests many times over, such as the one-month line between acute stress disorder and PTSD or the idea that the client sets the pace. They now cover ground the bank had never asked: what counts as a traumatic exposure, PTSD with delayed expression, the adjustment-disorder calendar, the subtypes of dissociative amnesia, why benzodiazepines are advised against, why the first dose of prazosin is taken at night, which bruises point to abuse in a child, and what a barangay protection order is and how long it lasts.

   • Fixed

     One PTSD question had lost its startle symptom in the trimming; it is restored. A rationale that said a woman sent to the barangay council would lose days waiting for a session was corrected, since the Anti-VAWC law lets a barangay official act at once.

   Forty-four ostomy care questions now read like the board exam

   Improved

   • Improved
     All 44 ostomy care questions rewritten to board-exam length, with sharper choices and clearer explanations. more ▾less ▴

     Every practice question on ostomy care (colostomy, ileostomy and urostomy) was rewritten in one pass: the scenario cut to the point (average stem 60 to 25 words, none over the exam's own length), the four choices made equally plausible so the answer has to be reasoned rather than spotted, and every explanation rewritten in short plain sentences. No answer key changed.

   • Improved

     Twenty-seven of those questions used to test a fact another question already covers, such as when to empty the pouch or why a dusky stoma is reported. They now test ground the bank had left out: a parastomal hernia, a stoma that narrows, what counts as high output from an ileostomy, why plain water is not enough to rehydrate, extended-release tablets that pass into the pouch whole, the crusting technique for weeping skin, a convex barrier for a stoma that sits flush, how the irrigation bag is hung, bathing and swimming with the pouch on, and the practical side of intimacy after surgery.

   Two more hard decks reviewed card by card

   ImprovedNewFixed

   • Improved
     Two more hard flashcard decks read card by card; 26 cards improved, 16 confirmed as simply hard. more ▾less ▴

     Two flashcard decks that students miss more often than the rest of the bank were read card by card: School and Occupational Health Nursing and Pediatric Skin and Musculoskeletal Disorders. Of their 42 cards, 16 are correct and simply hard, so they were left alone. 26 were improved: 11 now ask a different question (clubfoot and growth-plate fractures became labelled concept cards, the scabies burrow and the Gowers sign now test the idea rather than a word, and the workers' compensation card now shows who covers, who decides, and who pays), and 15 gained a fuller note under the answer.

   • New
     Four new flashcards: the five hazard classes, two missing control levels, and brittle bones versus inflicted injury. more ▾less ▴

     Four new flashcards fill gaps the readers found: the five classes of workplace hazards named together, the two missing rungs of the hierarchy of controls (administrative controls and personal protective equipment), and a side-by-side card that separates brittle-bone disease from inflicted injury in an infant with multiple fractures.

   • Improved

     Look-alike cards in both decks now name each other in the note under the answer: each hazard-class card lists all five classes, elimination points to substitution, osteogenesis imperfecta and non-accidental trauma each name the other, and the Galeazzi sign card now tells Ortolani and Trendelenburg apart.

   • Improved
     Seventy-five flashcards now answer with a term, number, or short list instead of a loose phrase. more ▾less ▴

     Seventy-five flashcards whose answer was a loose phrase (for example "a simple, low-cost indicator of weight status linked to NCD risk") now give an answer you can actually recall: a term, a number, a drug class, a short list, or a labelled concept card, with the explanation moved to the note under the answer. Another 160 cards flagged by the same check were read and confirmed as already fine.

   • Fixed

     Ten flashcards that an earlier pass had turned into phrase answers are back to blanking the term being studied (the cumulative health record, saddle nose, Gowers sign, flu-like interferon reaction, low starting levothyroxine dose, glomerular filtration pressure), and two school-health cards became one card that asks for the four components of the school health program.

   • New

     A new card lays out which disaster risk reduction council leads under RA 10121 as a disaster spreads from one barangay to two or more provinces.

   • Fixed
     Eight flashcards corrected after a source check, including the STEMI oxygen rule and the PhilPEN risk chart inputs. more ▾less ▴

     Eight flashcards were corrected after a source check: the STEMI first-action card now says oxygen is for a low saturation (below 90%), not for every chest pain; the PhilPEN risk card names diabetes status as the fifth chart input and notes the cholesterol version; the maternal mortality card carries WHO's exact national ceiling; the spinal cord injury card says abdominal, not gastric, distension; the variceal bleed card now teaches what is specific to varices (an IV vasopressin analog) instead of repeating the general upper-GI first step; and two communication cards, two bleeding cards, and two traction and triage cards now point at the practice questions that actually test them.

   • Fixed

     Two flashcards that asked nothing you could memorize (why a "Why...?" reply is non-therapeutic, and the general stance toward a delusion) were removed; the ideas stay in the practice questions that teach them.

   Forty-nine reproductive system questions now read like the board exam

   ImprovedFixed

   • Improved
     All 49 reproductive system questions rewritten to board-exam length, with sharper choices and clearer explanations. more ▾less ▴

     Every practice question on the female and male reproductive systems (the anatomy, the hormones and the menstrual cycle, menstrual and scrotal disorders, the prostate and the breast) was rewritten in one pass: the scenario cut to the point (average stem 54 to 24 words, none over the exam's own length), the four choices made equally plausible so the answer has to be reasoned rather than spotted, and every explanation rewritten in short plain sentences. No answer key changed.

   • Improved

     Twenty-four of those questions used to sit on a hormone, a structure or a condition name that other questions already test. They now cover ground the bank had never asked: what the bulbourethral and Bartholin glands do, how the Sertoli cells support sperm, why a varicocele is almost always on the left, how long a twisted testis can wait, why the vagina is acidic, what a normal cycle length really is, which tumor markers are drawn before an orchiectomy, and when a late first period actually needs evaluation.

   • Fixed

     The menorrhagia and metrorrhagia question keeps the terms the board exam still uses, and its explanation now also gives the current FIGO names, heavy menstrual bleeding and intermenstrual bleeding, so either vocabulary is covered. The testicular self-examination question keeps the technique the review texts teach, checked against the American Cancer Society's own description.

   35 questions corrected in a consistency review

   Fixed

   • Fixed
     Thirty-three questions corrected for consistency across the bank. No answer key changed. more ▾less ▴

     Thirty-three practice questions across labor and delivery, pediatrics, community health, pharmacology and health laws were corrected so that no two questions teach opposite facts: the sodium correction ceiling is now given as the range the sources give, the Philippine malaria vector is named correctly, the two rabies signs (hydrophobia and aerophobia) are kept apart, the measles schedule no longer uses a retired vaccine name, and a burial question now turns on registration rather than the signature. No answer key changed.

   • Fixed

     Two questions students reported this week were rewritten: the palatoplasty explanation now says plainly which statement is the misconception, and the placental-bleeding explanation now says why the uterine muscle, not clotting, is the first mechanism that stops the bleeding.

   • Fixed

     The missed combined-pill question now asks about three missed tablets, the case every authority handles the same way, because the 2025 WHO recommendations no longer require backup after two missed tablets of a 30 to 35 microgram pill. The rationale names both the WHO and the CDC rule. The rabies law question now lists statute numbers only, so it can no longer be answered by spotting the word rabies.

   • Fixed

     One house flashcard on the Food Fortification Act no longer bundles the voluntary Sangkap Pinoy seal with the mandatory fortification of the four staples. A note for students who built their own law decks: Act No. 3753 (civil registry) and Act No. 3573 (notifiable diseases) are Acts of the Philippine Legislature, not Republic Acts.

   58 growth and development questions read like the exam

   ImprovedFixed

   • Improved
     All 58 growth and development theory questions rewritten to board-exam length, with sharper choices and clearer explanations. more ▾less ▴

     Every practice question on the theories of growth and development (Erikson, Freud, Piaget, Kohlberg, attachment, Bandura and Vygotsky) was rewritten in one pass: the scenario cut to the point (average stem 63 to 29 words, none over the exam's own length), the four choices made equally plausible so the answer has to be reasoned rather than spotted, and every explanation rewritten in short plain sentences. No answer key changed.

   • Improved

     Twenty-five of those questions used to ask for a stage name that other questions already test. They now test how the theories actually work: when the superego forms, what a secure base is for, why a poor start in an early stage is not final, what the strength of a stage means, how rare principled moral reasoning is, the two edges of Vygotsky's zone, and the difference between a child's temperament and how well the caregiving fits it.

   • Fixed

     One Kohlberg question had treated an eleven-year-old's reason that returning a wallet keeps society working as the highest level of moral reasoning. The source places that reasoning at the conventional level, and the question now asks which statement about the two children requires correction. The answer key did not change.

7. 8Sep · Tue

   Often-missed flashcards reviewed again, with history

   ImprovedNew

   • Improved
     133 stubborn flashcards re-read with their history; 59 rebuilt, 72 confirmed as simply hard. more ▾less ▴

     133 flashcards that students kept missing on first sight were read a second time by a fresh reviewer who could see each card's earlier wording and how the miss rate moved. 72 were left alone as correct hard content. 59 were rebuilt: printed lists with one blank now hide the whole list, a few label-only blanks now ask for the idea behind the label (why a growth-plate fracture is treated so carefully, what destroys the nasal bridge in leprosy), and look-alike pairs now name each other, such as the four courses of multiple sclerosis and a hip fracture versus a dislocated hip prosthesis.

   • New
     Eight new flashcards split facts that were crammed into one card. more ▾less ▴

     Eight new cards split facts that had been crammed together: the post-heart-attack complication timeline, the free versus total phenytoin ranges, why an LVAD patient has no pulse, why methotrexate and NSAIDs do not mix, what to do when traction weights touch the floor, moving a client with a brain drain, Mallory-Weiss tear versus Boerhaave rupture, and three stool and bowel-sound terms.

   69 labor-complication questions read like the exam

   Improved

   • Improved
     All 69 complications-during-labor questions rewritten to board-exam length, with sharper choices and clearer explanations. more ▾less ▴

     Every practice question in the complications during labor topic (cord prolapse, supine hypotension, oxytocin overstimulation, arrest of labor, breech and other malpresentations, shoulder dystocia, uterine rupture and inversion, amniotic fluid embolism, infection in labor, preterm labor, and the emergency cesarean) was rewritten in one pass: the scenario cut to the point (average stem 70 to 29 words; 68 of the 69 had been over the exam's own length and every one was over 35 words), the four choices made equally plausible with one defensible runner-up, and the explanation rewritten to open with the answer and teach the rule that decides it, with every fact the rewrite introduced checked against a primary source. Answer keys unchanged.

   • Improved

     Fifty of those questions repeated an emergency action already tested elsewhere (turn her onto her left side six times, lift the cord off the presenting part six times, stop or reduce the oxytocin seven times, massage the fundus, notify and prepare for cesarean) and now test ground the bank had never covered: the definition of tachysystole, the three breech types, external cephalic version, the Category III tracing, amnioinfusion, the vasopressor step in spinal hypotension, Bandl's ring, the four degrees of uterine inversion, bimanual compression, how tranexamic acid works, the fever criteria for infection in labor, the decision-to-incision interval, internal podalic version for a second twin, the aftercoming head, sodium citrate before an unplanned cesarean, and the antenatal steroid schedule.

   • Improved
     Arrest of labor now keys the current six-centimeter, four-to-six-hour standard, with the older rule named as older. more ▾less ▴

     The arrest-of-labor question now teaches the current standard (six centimeters or more, then four hours without change on adequate contractions or six hours on inadequate ones) and names the older two-hour rule as the older teaching; the scenario is written so the answer holds under either rule.

   79 mouth, esophagus and stomach questions reworked

   ImprovedFixed

   • Improved
     All 79 oral, esophageal and gastric questions rewritten to board-exam length, with sharper choices and clearer explanations. more ▾less ▴

     Every practice question in the oral, esophageal and gastric disorders topic (mouth and dental care, GERD and hiatal hernia, peptic ulcer disease and its bleeding, gastric surgery and dumping syndrome, gastritis, and tube feeding) was rewritten in one pass: the scenario cut to the point (average stem 49 to 28 words), the four choices made equally plausible with one defensible runner-up, and the explanation rewritten to open with the answer and teach the rule that decides it, with every fact the rewrite introduced checked against a primary source. Answer keys unchanged.

   • Improved

     Forty-six of those questions repeated a fact already tested elsewhere and now test ground the bank had never covered: dental calculus, trench mouth, denture stomatitis, fluoride, Virchow's node, Zollinger-Ellison syndrome, checking a feeding tube before use, bile reflux gastritis, iron after gastrectomy, laryngopharyngeal reflux, an ulcer penetrating the pancreas, how sucralfate works, and stress ulcers.

   • Fixed
     A GI bleeding question no longer marks correct actions wrong. more ▾less ▴

     An upper gastrointestinal bleeding question had scored three correct actions as wrong. It now asks for the one inappropriate action, so only one answer fits. Answer letters did not change, so past attempts keep their score.

   53 antidiuretic hormone questions read like the exam

   Improved

   • Improved
     All 53 SIADH and diabetes insipidus questions rewritten to board-exam length, with sharper choices and clearer explanations. more ▾less ▴

     Every practice question on the antidiuretic hormone disorders (SIADH and diabetes insipidus) was rewritten in one pass: the scenario cut to the point (average stem 53 to 28 words, none over the exam's own length), the four choices made equally plausible with one defensible runner-up, and the explanation rewritten to open with the answer and explain every wrong option, with every fact the rewrite introduced checked against a primary source. Answer keys unchanged.

   • Improved

     Twenty-two of those questions repeated a fact already tested elsewhere and now test ground the bank had never covered: the desmopressin challenge, the triphasic pattern after pituitary surgery, why the second-line SIADH drugs are second line, what polyuria actually means, and how 3% saline is given.

   Four hard decks: the confusing cards rebuilt

   ImprovedFixed

   • Improved
     The four hardest flashcard decks were read card by card; 28 cards rebuilt, 4 added, the rest left as correct hard content. more ▾less ▴

     Four flashcard decks were being missed far more often than the rest of the bank on first sight: Altered Tissue Perfusion, Health Education in CHN, Health Laws on Financing and Insurance, and Spinal Cord Injuries. Every one of their 87 cards was read. 59 are correct and simply hard, so they were left alone. 28 were rebuilt or given a better note under the answer, and 4 new cards were added.

   • Fixed
     Four flashcards that contradicted their own source question now match it. more ▾less ▴

     Four cards said something their own source question did not: the Health Belief Model card that described a cost barrier but asked for self-efficacy, the low-literacy teaching-material card that made the flip chart the only right answer, the PhilHealth card that put every informal worker in the subsidized group, and the asystole and PEA note that said PEA has no electrical activity. Each now matches its source.

   • Improved
     Look-alike flashcards now name each other, and three new side-by-side concept cards were added. more ▾less ▴

     Cards that have a near-twin now name it under the answer: the four incomplete spinal cord syndromes, the three PRECEDE-PROCEED factor types, the two Stages of Change cards, and the LMNOP bundle beside the true first action in pulmonary edema. New concept cards show the cord syndromes, the PRECEDE-PROCEED factors, and teaching method by learning domain side by side.

   Second-stage limits labelled; rebreathing remedy retired

   Fixed

   • Fixed
     The Intrapartum sheet now labels the classic second-stage limits and names the current ones beside them. more ▾less ▴

     The Intrapartum sheet gave the second stage of labor a flat upper limit of 2 hours for a first birth and 1 hour after that (an hour more with an epidural) while a practice question on the same topic used the current ACOG and SMFM figures of 3 and 2 hours. Page 10 and page 28 now label the 2 and 1 as the classic teaching, which is what the board keys, and name the 2014 figures beside them, so a student who meets either version knows which is which. Nothing else on the sheet moved, and your marks stay where you drew them.

   • Fixed
     Two questions no longer present cupped-hands or paper-bag rebreathing as the remedy. more ▾less ▴

     One labor question still told you the remedy for a mother's hyperventilation was to re-breathe into cupped hands, and one acid-base question described paper-bag rebreathing as a treatment for respiratory alkalosis. Both now say what the rest of the bank and the corrected cram sheets say: coach her to slow her breathing, and the cupped hands or paper bag is the older teaching that is no longer advised. Answer letters did not change.

   Flashcards that no longer cram three blanks into one sentence

   Improved

   • Improved
     Twenty-nine flashcards no longer cram three blanks into one sentence: each fact now sits on its own line. more ▾less ▴

     Twenty-nine flashcards used to pack three or four blanks into a single sentence (for example 'The three drugs of WHO multidrug therapy for leprosy are ______, ______, and ______'), which wraps badly on a phone and lets a printed item give the rest away. Thirteen of them now list each item on its own line with a label and reveal every answer together (Family APGAR score bands, Maglaya's criterion weights, tetanus toxoid protection, the anthropometric indices, micronutrient deficiencies, levels of prevention, TNM staging, carcinogen classes, transplant rejection timing, the purposes of cancer surgery, DASH), and fourteen now ask for the whole set and reveal it one item per line (leprosy multidrug therapy, Psychological First Aid, time-distance-shielding, the FHSIS data flow, the PPE donning order, the hyperkalemia steps, active management of the third stage of labor, acute DVT care, the school screening battery, and more).

   • Improved

     Two record-keeping cards (ITR versus TCL, and FHSIS versus PIDSR) are back to asking how the two differ, with an answer that teaches both sides instead of a fill-in-the-blank.

   78 labor and delivery questions read like the exam

   ImprovedFixed

   • Improved
     All 78 normal labor and delivery questions rewritten to board-exam length, with sharper choices and clearer explanations. more ▾less ▴

     Every practice question in the normal labor and delivery topic (true and false labor, the stages and phases, Leopold's maneuvers and fetal position, contraction assessment, the fetal heart rate, pushing, the cardinal movements, the placenta and the first hours after birth, and immediate newborn care) was rewritten in one pass: the scenario cut to the point (average stem 62 to 27 words; 62 of the 78 had been over the exam's own length and every one was over 35 words), the four choices made equally plausible with one defensible runner-up, and the explanation rewritten to open with the answer and teach the rule that decides it, with every fact the rewrite introduced checked against a primary source. Answer keys unchanged.

   • Improved

     Forty-seven of those questions repeated a fact already tested elsewhere (supine hypotension four times, external rotation twice, engagement twice, contraction intensity twice, the true-labor signs three times, and the caput, molding and cephalohematoma differential three times) and now test ground the bank had never covered: the station scale in centimeters, internal rotation, Montevideo units, the Bishop score, synclitism, Schultze and Duncan, the diagonal and obstetric conjugates, how the fetal heart baseline is read, moderate variability, the sinusoidal pattern, listening intervals for a low-risk labor, telling the mother's pulse from the baby's, the prolonged latent phase, the second-stage time limits, how long the third stage may take, what a complete placenta looks like, the warm chain, the newborn's first period of reactivity, vernix and milia, when the first bath happens, hydrotherapy, effleurage, eating and drinking in labor, and when to come in.

   • Fixed
     A fetal head diameter question no longer offers two choices with the same measurement. more ▾less ▴

     One question on the fetal head's diameters offered the submentobregmatic diameter as a wrong answer, but it measures the same 9.5 centimeters as the correct suboccipitobregmatic one. That choice is now the suboccipitofrontal diameter (10 centimeters), so only one answer fits. Answer letters did not change, so past attempts keep their score.

   Flashcards that ask for the whole list

   FixedNew

   • Fixed
     Twenty-two list flashcards now ask for the whole list instead of its last word. more ▾less ▴

     Twenty-two flashcards used to print a list and blank only its last item (for example "duty, breach of duty, causation, and ______"), so you could answer without knowing the list. They now ask for the whole set and reveal every item together: the 5 P's and 6 P's, the Aldrete score, Virchow's triad, the Jones criteria, tetralogy of Fallot, tumor lysis electrolytes, fat embolism, phenytoin toxicity, the Belmont principles, the elements of malpractice and informed consent, and more.

   • New

     The 5 P's and 6 P's now also have a card that tells them apart, and Piaget's concrete operational stage is two cards: the age span, and the four abilities.

   Flashcards that test the facts, not the rhyme

   FixedNew

   • Fixed
     Toxidrome and mnemonic cards now test the findings, with the rhyme as a note underneath. more ▾less ▴

     A student pointed out that the anticholinergic toxidrome card printed every finding and asked you only for the last word of the rhyme. It now opens as a heading with the five findings blanked by body system (skin, pupils, temperature, bladder and bowel, mental status), all revealed together, with the rhyme kept underneath as the memory aid. The hyperparathyroidism stones-bones-groans-moans card was rebuilt the same way, and the multiple myeloma and Parkinson cards now ask for the four findings instead of the mnemonic's name.

   • New

     Three new toxidrome cards in High-Acuity: the cholinergic (organophosphate) picture by body system, anticholinergic versus stimulant poisoning by skin moisture, and which poisonings dilate the pupils versus pinpoint them.

   Two maternity cram sheets corrected on hyperventilation

   Fixed

   • Fixed
     Intrapartum and Antepartum sheets no longer teach the paper-bag remedy as a DO. more ▾less ▴

     The Intrapartum sheet (page 18) and the Antepartum sheet (page 8) both told you to have a hyperventilating mother breathe into cupped hands or a paper bag, while six practice questions marked that same remedy as no longer advised. Both pages now teach the current answer, slow her breathing, and name the paper bag as the older teaching that is no longer advised because it lowers her oxygen and can hide another cause. The mechanism (respiratory alkalosis with tingling fingers and lips) is unchanged. Your marks on the previous edition stay where you drew them, behind the History toggle.

   Fifty-eight normal-postpartum questions now read like the board exam

   ImprovedFixed

   • Improved
     All 58 normal-postpartum questions rewritten to board-exam length, with sharper choices and clearer explanations. more ▾less ▴

     Every practice question in the normal puerperium topic (involution and the fundus, lochia, the bladder, perineal care, breast changes and breastfeeding, Rubin's phases, attachment, and the mother's own recovery) was rewritten in one pass: the scenario cut to the point (average stem 58 to 25 words; 43 of the 58 had been over the exam's own length and every one was over 35 words), the four choices made equally plausible with one defensible runner-up, and the explanation rewritten to open with the answer and teach the rule that decides it, with every fact the rewrite introduced checked against a primary source. Answer keys unchanged.

   • Improved

     Thirty-five of those questions repeated a fact already tested elsewhere (four questions on drying up the milk, three on the bladder pushing the uterus aside, two identical latch questions, two on sibling regression, two on the fluid the body sheds after birth, and danger signs that three other topics already key) and now test normal-postpartum ground the bank had never covered: witch hazel pads for hemorrhoids, weighing pads to measure blood loss, midline versus mediolateral episiotomy, how often the nurse checks in the first two hours, vaginal dryness while breastfeeding, how long expressed milk keeps, finding the pelvic floor muscles, the newborn's tiny stomach, the shaking chill after birth, letting the baby finish the first breast, expressing by hand, when intercourse can resume, postpartum hair loss, how a mother's touch progresses, the WHO follow-up schedule, how much bleeding counts as hemorrhage, what a fourth-degree repair rules out, gas pain after a cesarean, rousing a sleepy newborn, the newborn's early weight loss, diastasis recti, what not to do with the knees when clots are a risk, synchrony between mother and baby, the three stages of the puerperium, matching the baby's band to the mother's, and when the womb lining has grown back.

   • Fixed
     Three postpartum facts corrected: comfort expression, when the womb lining is back, and the timing of the first follow-up. more ▾less ▴

     Three facts were corrected on the way. The question on drying up the milk no longer treats expressing a little for comfort as wrong, since guidelines allow it; its wrong answer is now expressing on a regular schedule, which keeps the milk coming. The question on the womb lining no longer says the whole lining is back by the sixteenth day; the spot where the placenta sat takes about six weeks. And the follow-up question now sends a mother going home on her second day for a check the next day or so, matching the WHO contact at two to three days, instead of three days later. Answer letters did not change, so past attempts keep their score.

   Fifty-eight anxiety-disorder questions now read like the board exam

   Improved

   • Improved
     All 58 anxiety-disorder questions rewritten to board-exam length, with sharper choices and clearer explanations. more ▾less ▴

     Every practice question in the anxiety and anxiety-related disorders topic (the four levels of anxiety, panic attacks, phobias, obsessive-compulsive disorder, somatic symptom and conversion disorders, and the benzodiazepine, buspirone and beta-blocker teaching) was rewritten in one pass: the scenario cut to the point (average stem 54 to 33 words; 28 of the 58 had been over the exam's own length), the four choices made equally plausible with one defensible runner-up, and the explanation rewritten to open with the answer and teach the rule that decides it, with every fact the rewrite introduced checked against a primary source. Answer keys unchanged, so every result you have already recorded still stands.

   • Improved

     Twenty-eight of those questions repeated a question elsewhere in the bank (the stay-with-the-client panic action was tested seven times here and eight more times in this topic's own multi-answer questions; benzodiazepine teaching, buspirone facts and the validating reply were each keyed in several places) and now test ground the bank had never covered: the nurse's own composure during a panic attack, the positive criterion for somatic symptom disorder, interoceptive exposure, why a paper bag is unsafe for hyperventilation, safety behaviors in health anxiety, deferring teaching at severe anxiety, hydroxyzine, alcohol use in social anxiety, mental compulsions, habit reversal training, the duration thresholds for generalized anxiety disorder and OCD, clomipramine, excluding a physical cause first, paradoxical reactions to benzodiazepines, blood-injection-injury phobia, anxiety versus fear, conversion versus malingering, anticipatory anxiety, never sharing a prescribed benzodiazepine, family accommodation in OCD, the exposure hierarchy, tracking anxiety with a rating scale, and what a panic attack does not mean.

   Your study plan comes back to every topic, and you can steer it

   NewImproved

   • New
     Every topic now gets a second, spaced session when your daily time allows. more ▾less ▴

     Your study plan now revisits every topic. Until today each topic got exactly one session, so on a long timeline a day often held a single topic while the daily time you set sat mostly unused. Whenever a day has room, each topic now comes back about two weeks after its first session (one week for a focus section) as a Revisit set of fresh questions from that topic. A day with no room stays as it was, and a plan that already filled its days is unchanged.

   • New
     Tell your plan which exam sections to focus on. more ▾less ▴

     A Focus chip on your plan lets you tell it which exam sections need more attention. A focused section gets longer sessions, comes first, and is revisited sooner. Leave it on none and your diagnostic decides, as before. Sections only, not single topics, so nothing you still need gets trimmed.

   • New
     Add a practice session on any topic to any day of your plan. more ▾less ▴

     Tap the + on any day of your plan to add a practice session on a topic you choose. It is a real chip: it opens the questions, counts toward your plan when finished, stays where you put it through a rebalance, and you can remove it.

   • Improved
     Your plan page says what you can change and how full your days are. more ▾less ▴

     The plan page now says in one line what you can change at any time: dates, exam sections, focus, daily time and rest days, plus moving a task or adding your own entry. If your plan needs much less than the daily time you set aside, it tells you so and points to what fills the rest.

   • Improved
     Reminders now show today's task, your streak and a daily line, and stay until your plan is done. more ▾less ▴

     Study reminders are harder to miss and stay until you are done. The notification now names today's first task, shows your day count and your streak, and opens with a short line of encouragement that changes daily. It stays in your notifications until today's plan is finished, then clears itself. Before, answering a single question was enough to silence it. A new day's reminder now buzzes even when yesterday's is still sitting there, and the reminder control on Profile is a proper card instead of a line of small text.

   Three student reports and one ticket, four questions repaired

   FixedImproved

   • Fixed
     The child-abuse reporting question now has one wrong statement and teaches the 48-hour reporting duty. more ▾less ▴

     A child-abuse reporting question asked which statement needed correcting first while two of its statements were wrong, and its own explanation admitted it; fewer than one in five picked the intended answer. The stem no longer ranks them, the second wrong statement now reads as the true rule that a nurse who reports in good faith is protected under the Child and Youth Welfare Code and the child-abuse reporting rules, and the explanation teaches the 48-hour reporting duty. Answer letters did not change, so past attempts keep their score.

   • Fixed
     The primary-survey question now tells its scenario in survey order and states the coma score. more ▾less ▴

     An emergency-room question about the primary survey gave the coma findings first and only then said the airway was open and breathing supported, so most students read that as an airway already rechecked and moved on; fewer than one in four picked the intended answer. The scenario now runs in the order the survey runs, airway, breathing and circulation first and then the disability findings with the Glasgow Coma Scale total stated, and the explanation says why a score of 8 or less sends the nurse back to the airway even when it is open at that moment.

   • Fixed
     The mannitol monitoring question no longer describes a wrong choice in its own wording. more ▾less ▴

     A mannitol question asked the nurse to plan the bedside monitoring, and that word described one of the wrong choices; a third of students followed it. The scenario now says the provider ordered the dose held when one laboratory value crosses a ceiling and asks which monitoring set tracks the drug's specific risks, and the explanation adds that drawing the samples, tracking the results and holding the dose are the nurse's job even though the laboratory runs the test.

   • Improved
     The prostate cancer cord-compression explanation now shows how the cancer reaches the spine. more ▾less ▴

     A student asked how prostate cancer can compress the spinal cord when the cord ends well above the pelvis. Fair question, and the explanation never said. It now explains that the cancer spreads through the veins to the bones of the spine, and a tumour growing out of a vertebra, or a vertebra collapsing under it, presses on the cord at that level, most often in the chest region, or on the nerve bundle below where the cord ends. No answer key moved on any of the three questions, so every result you have already recorded still stands.