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[Music] hello everyone hope youre doing well welcome to this video in this video im going to be talking about how to approach the arrow questions on the usmle now these questions can be really confusing right because youre going to have up arrows down arrows sometimes no change and this strategy will allow you to get these questions correct and also spend less time during your block so lets get into the first step the first step i say is predict your response prior to going into your answer choices as you can see on many of these questions theres just going to be a sea of arrows in the answer choices right so before you attack a b c d think in your mind what do you expect to go up what do you expect to go down so prediction is going to be very helpful the second step is going to be starting with the arrow that you know the most for example if i give you a up down arrow question about heart failure well in heart failure you know that cardiac output is going to be low so start with