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Hello guys today I am going to share USMLE step 3 recalls for free before that lets know about the USMLE step 3 exam.
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About the Step 3 Exam
The USMLE
Step 3 is the last in a series of 3 USMLE examinations that all physicians
applying for a license to practice medicine in the United States are required
to pass. After successfully completing the 3 steps of the USMLE, a physician is
eligible to practice medicine in an independent, unsupervised setting (some
period of U.S. postgraduate training is also required).
This test is
not merely a more advanced and detailed version of the Step 2 CK or CS exams.
Understanding this concept is key to this challenging exam. Step 3 tests
whether a physician not only can assimilate data and diagnose clinical
conditions but also has acquired the ability to make clinical decisions about
patient management in a way that ensures appropriate management in an
unsupervised setting. In addition, Step 3 will test your understanding of basic
science correlations.
How can the Step 3 test all first-year interns if they are working in such varied subspecialty settings? The same concepts that medicine house-officers learn about managing a diabetic with heart failure can be equally applied to the postsurgical patient with heart failure.
Step 3 Examination Structure
The USMLE
Step 3 is a 2-day computerized examination. The first day and a half tests your
knowledge with a total of 413 traditional multiple-choice questions, which are
arranged in blocks organized by one of the 3 clinical settings. Within a block,
you may answer the items in any order, review responses, and change answers.
However, after exiting a block, you can no longer review questions or change
answers within that block. A link to view standard lab values, as well as
access a calculator, is available at any time within the block of questions.
Day 1
includes 233 multiple-choice items divided into six 60-minute blocks of 38–40
items. A total of 60 minutes is allowed for completing each block of questions,
for a maximum of 7 hours of testing. A minimum of 45 minutes of break time and
an optional 5-minute tutorial complete the 8-hour day. Extra break time can be
gained by completing question blocks or the tutorial before the allocated time.
Day 2 includes 180 items divided into 6 blocks of 30 questions. You will have 45 minutes to complete each of these blocks. The time allotted for these blocks is 3 hours. The second day also includes 13 clinical case simulations (CCS), preceded by a 5-minute tutorial. CCS cases vary from 10 to 20 minutes in duration. As with the first day, a minimum of 45 minutes of break time is allocated for the day. Traditional multiple-choice questions may either be single-item questions, multiple-item sets, or cases. The examination will also be given on 2 test days; however, examinees will be able to schedule the 2 test days on non-consecutive days.
SINGLE ITEMS
These
questions are the traditional, multiple-choice format that you encountered in
Step 1 and Step 2 CK. These items include a patient vignette followed by four
or five response options. Other options may be partially correct, but there is
only one best answer.
MULTIPLE ITEM SETS
A single
patient-centered vignette may be associated with 2 or 3 consecutive questions
that are linked to the initial patient vignette but test different points.
Questions are designed to be answered independently of each other. You are
required to select the one best answer for each question. As with single items,
any of the options may be partially correct, but there is only one best answer.
CASES
A
single-patient or family-centered vignette may ask 2 or 3 questions, each
related to the initial opening vignette. The difference in these case sets is
that additional information is added as the case unfolds. Always answer the
questions in the order presented. You may find your response to earlier
questions is altered by the additional information in subsequent questions;
however, resist the urge to change your prior answers. If you do skip
questions, be sure to answer earlier questions with only the information
presented to that point in the case. Each question is intended to be answered
independently.
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