Sponsored Links
Results 1 to 3 of 3
  1. #1
    Asclepius1's Avatar
    Asclepius1 is offline Ultimate Member 537 points
    Join Date
    Feb 2006
    Posts
    5,087
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts

    I PASSED!!! DID VERY WELL!!!! Here is how to do it....

    Advertisements



    Hello everyone... I am writing this to let everyone know that I passed... I did very well on the exam... I studied hardcore for about 3-4 weeks... I am not saying this to brag.. I am just stating this to show how to approach this exam and to do well....

    Books:
    Q-Book
    Blueprints OB/GYN
    USMLE World
    Crush Step 3

    First of all let me tell you, this is by far the dumbest test you will ever take in your medical career...Step 1 and 2 at least tested your knowledge. My driver's license exam in the US was better worded than this test. The questions are poorly written, usually has nothing to do with the answers and usually has nothing to do with your medical knowledge.. By the last statement, I mean, you really, really cannot study for this exam like you did for Step 1 and Step 2. Rather, the way you read your books has to be more in the sense of how you are going to approach a particular situation. For example, if you get a patient with chest pain, study how you would approach the differential diagnosis, how you would order tests to rule out the differentials and what you would do with each of the results... Because that is how the test comes at you. One of my questions was a very long question about someone with chest pain with EKG changes and positive troponins and distress... After a page and a half of this, it tells in the last line that his urine is positive for cocaine and what drug would you not start??

    I went through Q-book once... I am an internal medicine resident and I am pretty confident about that portion. So all I focused on was the rest of the book... Pay particular attention to the OB and the Peds... For your info, there is almost as much Pediatrics in this administration of the test as there is Internal Medicine. It used to be OB/GYN.. I would say, I had a lot of IM, PEDS, GYN, OB, Psych, Surgery (very, very little)..Do NOT do this book thinking that anything on the exam will be like the book. It doesn't. Rather, use it to fine tune your knowledge base.

    There is a big push in the US for outpatient medicine.. So, the test has 5-6 sections of Outpatient Clinic medicine... So, think outpatient medicine when you study..

    Now, having said that here are the areas of emphasis:

    IM:
    Cardiology: HTN, Hyperlipidemia, Primary preventions, Secondary preventions, MI (2-3 questions)
    Endocrine: Know Diabetes inside out (when to start insulin, oral hypoglycemics, retinopathy, neuropathy etc.(common outpatient issues), DKA.), hypo and hyperthyroidism
    Neurology: KNOW HEADACHES inside and out (again common outpatient issue), one or two meningitis
    Respiratory: Asthma, COPD (outpatient managements), paraneoplastic syndromes
    Rheumatology: Gout, Pseudogout, Osteoarthritis
    ID: Pneumonea, Meningitis, Cellulitis
    GI: PUD, Diarrhea, Hepatitis

    PEDS:
    ONLY ONE ADVICE: COLD MEMORIZE THE PEDS SECTION OF CRUSH THE BOARDS. This is about the only section that is very useful in Crush. The exam is almost word for word out of this section. EVERY blue highlight in this chapter was asked in some form of a question. EVERY table has a useful piece of info... DO NOT SIT for this exam without knowing this chapter inside and out. MEMORIZE IT HARD!!! (do I need to say it again??)

    GYN:
    Blueprints was the best resource of this. Again think outpatient medicine:
    STD (a lot of questions), Contraception, Amenorrhea, Malignancy (when to do biopsy etc... )

    OB:
    Pregnancy visits, Bleeds (a lot of questions about abruptio, previa, abortions etc..), complications of pregnancy (ECLAMPSIA, Pre-Eclampsia, Diabetes, infections - Hepatitis, TORCH, CHLAMYDIA and their congenital complications)
    Very little about labor itself... Almost nothing about fetal tracings etc...

    Psych:
    Again think outpatient issues - Depression, Dementia (Alzheimer's was asked alot). Think of add on treatments such as incontinence, sleep disorders etc...

    Surgery:
    Almost nothing.. Most of the questions has to do with when you would operate on someone. For example, Carotid disease, AAA, thoracic aneurysms, osteoarthritis, bowel obstructions, appendicitis

  2. #2
    Asclepius1's Avatar
    Asclepius1 is offline Ultimate Member 537 points
    Join Date
    Feb 2006
    Posts
    5,087
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts

    I PASSED!!! DID VERY WELL!!!! Here is how to do it..Pt 2

    One of the best advices I got on this site is to register to take this exam on a Saturday so that the second part is on a Monday...This is the smartest way to do it...Let me tell you that after the first day your brain is soo fried that it takes almost 24 hours to recover...

    Now for the CCS. The way this section is done, you really have to have done some practice in the US. Almost everything reflects common practice in the outpatient clinics and ER... If you have this under your belt, this portion is a piece of cake...

    However, I do understand that some of you might not have this... You guys need to study for this section almost from day one... I mean do not think that you can study for this one or two weeks before the exam... You can't... Set aside the time right from the beginning. Remember, this section is almost 25% of the exam.... Technically, you can do well on the Q&A portion and bomb this section and fail the test... In fact, I am almost very sure that a lot of people (myself included) might have lose points because of this portion.

    All the questions I was asked was from the pool of questions I gathered from USMLE world and this website. HOWEVER, DO NOT TRY TO MEMORIZE THEM... Unless you are some sort of psychotic freak of nature (you know who you are), you will not be able to memorize these. I am happy to say that I am NOT a freak of nature and so realized my own limitations.. There is wayyyy to many things to memorize... So, as I was racking my brain on how to study for this portion, something dawned on me and this saved my life....

    When you apply for this test, you get a CD-ROM with practice tests, including CCS questions: Do those several times... Then load up a question and get to the part where you are told you need to enter orders and Stop there:

    Take the USMLE world and other cases you have gathered: Mark of the portions that are orders to do on the exam... Then enter these in sequence on the computer.... This serves several purposes: One, you get an idea of the order in which things are done in day to day practice..Second, as you repeat this over and over again you learn how to order this on the actual test itself and how to use the options that the program gives you to your advantage.... Three, as the computer gives you option screens, you realize what other order choices there are that you can make for other scenarious... Last, you learn the cases themselves....

    In the end this was actually the most fun part of the test.... I laughed during the test at the thought that my stupid idea actually worked...

    One thing to keep in mind, is that in the actual test, once you have successfully treated a patient, the scenario ends very quickly... It will say, `Patient feels better.... you have 5 minutes'...It doesn't give you the time to add some of the extra nonsense that USMLE world tells you.. This is actually frustrating....

    Remember, you also lose points for doing unnecessary things... For example, someone comes to you with fatigue and weakness, doing a COMPLETE physical exam causes you lose points (especially if you did not do a rectal).. However, a focused history and physical is looked favorably on...

    Thats about it... Please don't take all this to mean that I am trying to brag or sound like a know it all... I am in residency and so did all this between 3-4 weeks... I can't devote any more time... This site helped a lot and gives you a lot of confidence as you do the questions that are posted here.. I devoted an hour every night to doing these questions over and over again... I am trying to give something back.. Don't take it as anything else....

  3. #3
    Asclepius1's Avatar
    Asclepius1 is offline Ultimate Member 537 points
    Join Date
    Feb 2006
    Posts
    5,087
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts

    I PASSED!!! DID VERY WELL!!!! Here is how to do it.... FINAL

    One final bit of advice on Q-book... When you do the questions in this book, get into the habit of ALWAYS, and I MEAN ALWAYS narrowing the answers to 2 choices and then figuring out the better of the two... Talk your way through it.... You will find that 9 times out of 10 you will pick the right choice...

    The reason is that on the actual test, I was able to do this for pretty much every question.. I think this was what enabled me to do as well as I surprisingly did...

    GOOD LUCK!!! MY SINCEREST THANKS TO ALL WHO HAVE POSTED QUESTIONS AND ANSWERS... I am testimony to the fact that this site definitely makes a difference.....

Similar Threads

  1. Passed Step 1 with a 205/85, Not the best score, but thank GOD I passed!
    By sasmd22 in forum USMLE Step 1 Exam Experiences
    Replies: 12
    Last Post: 05-18-2012, 11:38 AM
  2. 3 Step 1 failures, passed ck 1st time, passed CS 2nd time....
    By citizenimg in forum Residency Match Forum
    Replies: 149
    Last Post: 04-05-2012, 04:59 PM
  3. wooo hooo I PASSED I PASSED!!!
    By jj_hope in forum USMLE Step 1 Exam Experiences
    Replies: 21
    Last Post: 11-24-2009, 03:45 PM
  4. Passed!
    By marge in forum USMLE STEP 3 Forum
    Replies: 3
    Last Post: 11-10-2006, 07:03 AM
  5. Passed it ...!!!
    By Asclepius1 in forum USMLE Step 1 Forum
    Replies: 17
    Last Post: 02-09-2005, 08:59 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •