![]() Visualize the patient being described in the vignette. Also apply your basic medical common sense when you must make sense out of a question that you don't immediately understand. In general my advice is to boil down questions into simple concepts in plain language. I found that a broad shallow knowledge helped me narrow down answer choices, and that test-taking skills like identifying the objective of the question, or trying the get into the question writer's head got me right answers on those. The last thing was tackling the 1/4 of "wtf" questions, where it asks for a drug which my courses didn't cover, or a disease process that is beyond the scope of an M2. But then there were like 1/4 questions where it was describing a disease process that I hadn't learned but, based on my knowledge, could work out given enough time - UWorld prepped me for these. Where can I get sample test materials to practice taking a test Tutorials that illustrate the USMLE Step 1, Step 2 CK, and Step 3 multiple-choice question and Step 3 computer-based case simulation (Primum CCS) software, sample multiple-choice test questions for each Step, and sample Step 3 CCS cases are available under Prepare for Your Exam. First Aid and my coursework prepped me for these. Notice that the conversions are approximate, and differ slightly from the real distribution of scores reported in the USMLE’s interpretation guidelines. In other words, to pass USMLE Step 2 CK, you only need to answer around 57 of items correctly. Each block had 1/2 questions I just knee-jerked right like "a fat, snoring, alcoholic person who is tired all day has sleep apnea, why?", or "this worm came out of a person's butt, here is a picture, what is it?". Approximate conversion between raw score and three digit score for USMLE Step 2 CK. The content, however, at times felt like "we never covered this", but it was quite similar to the free 120, or the NBME's. Stems were long like UWorld, and easier to identify the disease or concept being tested. USMLE was like a hybrid of these two things. I think the NBME's were a good predictor of the content of the USMLE that I took, not so much the style of questions. Your step1 score DOES NOT correlate to your level of intelligence, nor does it represent anything about you as a soon to be doctor, academic, or human being. Beside the basic "know it or you don't" questions, I found that broad & shallow knowledge of topics got me right answers. ![]() NBME's have very short question stems that seem to, usually, only test general concepts and not those nit-picky details (there were still odd-ball questions, I'm looking at you NFkB-I subunit). My scores in UWorld went up when I learned to not be intimidated, and to translate their dressed-up question into a simple concept. Furthermore, they would ask intimidating questions at times. UWorld often had long enough prompts for me to figure out what the question was testing me on - and I would know the concept at large pretty well, but they would ask some tiny detail about it that I wouldn't know so I'd be forced to make a guess. I can't speak to your specific situation, but I can share my thoughts on the differences between NBME, UWorld, and STEP1.
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