You took a real history, and you’re a little proud of it. Then your senior cuts you off: does she have appendicitis or not? Why the surgical presentation is a different animal, and how to lead with the part that actually drives the decision.

It’s 10:45 at night and you still don’t know what to study. The problem isn’t that you haven’t read enough — it’s that “what do I study” is really three questions wearing one mask, and the night you answer all three at once is the night you answer none.