Straining of the urine (Answer: E) Multiple Item Sets A single patient-centered vignette may be associated with two or three consecutive questions about the information presented. Acidification of urine by drinking cranberry juice B. In addition to administering intravenous fluids, which of the following is the most appropriate next step? A. The patient's pain is responsive to narcotic medication. There is no evidence of dilation of the collecting system. A 4-mm renal calculus is detected in the distal right ureter on ultrasonography. Supine x-ray of the abdomen shows no abnormalities. Medical history is remarkable for episodes of painful urination and passing of what he calls 'gravel in my urine.' Urinalysis demonstrates microscopic hematuria with some crystalluria and no casts. A 30-year-old man comes to the emergency department because of an acute episode of renal colic. This is the traditional, most frequently used multiple-choice question format on the examination. Other options may be partially correct, but there is only ONE BEST answer. You are required to select the best answer to the question. The response options for all questions are lettered (ie, A, B, C, D, E). Single Item Questions A single patient-centered vignette is associated with one question followed by four or more response options. If unsure about an answer, it is better to guess since unanswered questions are automatically counted as wrong answers.Of the remaining options, select the one that is most correct. Alternatively, read each option carefully, eliminating those that are clearly incorrect.Try to generate an answer and then look for it in the option list.It is important to understand what is being asked. Read each patient vignette and question carefully.USMLE Step 3 Multiple Choice Test Question Formats The following are strategies for answering one-best-answer questions (eg, Single Items, Multiple Item Sets, and Sequential Item Sets): The United States Medical Licensing Examination (USMLE®) is a joint program of the FSMB and (FSMB), and the National Board of Medical Examiners® (NBME®). United States, Inc., and the National Board of Medical Examiners®Ĭopyright © 2017 by the Federation of State Medical Boards of the United States, Inc. A Joint Program of the Federation of State Medical Boards of the We also recommend taking a look at the practice material for the CCS test here. Go ahead and take a look and download our Step 3 CCS Practice Material here. You don’t have to wonder if you performed well like in the Uworld CCS Cases you’ll be given a percentage score and then the grading breakdown. The beautiful thing about the Step 3 CCS Practice is that you can learn from your mistakes prior to exam day with our grading and feedback. It is as close to the real practice test than actually taking the test. Yes, the practicing on the 7 foot hoop is probably better than nothing, but you need to make serious adjustments on game day.ĬCS Cases Step 3 CCS Practice has the entire order set (over 20,000 orders), it has grading, it has feedback, it has cases that you will see on the real day. That’s like practicing on a 7 foot basketball hoop, then playing on the real day with a 10 foot basketball hoop. Seriously, why practice with a program like Uworld which is different than the real test? This doesn’t make sense. The program is nearly identical to the real day. It’s like shooting the ball for the big game day which is the USMLE Step 3. Our Step 3 CCS Practice program is just that. To give an analogy, if you’re a basketball player, and you are worried about performing well on a game, do you watch videos of professional athletes playing basketball? Do you read about the best techniques for making free throws? No, you get out there and start shooting the ball. People learn by doing and not by just reading. Our Step 3 CCS Practice program includes 140 cases you can practice with. Like we’ve said on other posts, the best way to prepare for the step 3 test is not to read about cases, it’s about practicing cases. Step 3 CCS Practice – Practice with a simulator almost identical to the real test
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