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USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


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Old 04-29-2013
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Question Which is the best way to study?

I've gust started my preparation for usmle step 1, so things are
are a little bit not enough clear for me.
I study outside the US, and currently I'm a full time student.

My biggest question is- How to integrate the material in the most beneficial way? My next rounds, for example, will be Neurology, Endocrinology, Rheumatology.
How do you think I should correlate subjects from USNLE step 1 with
These rounds?

Thanks!
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Old 04-30-2013
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no one?
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Old 04-30-2013
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Pick one of the specific USMLE Comprehensive Review Books and read the relevant topics as you go for those rotations.

Also start doing questions as early as you can.

Also check the Student-Prep tag link at the bottom of this thread.

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Old 04-30-2013
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Thanks very much! The reason I was asking, is mainly because the reference book for these rounds is actually Harrison (not exactly a usmle 1 high yield) ,
Can you please emphases the difference between usmle 1 and usmle 2 system questions? can I expect usmle 1 questions in Neurology, for example, to be very "clinically oriented"?
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Old 04-30-2013
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Step 1 is about basic medical sciences (anatomy, physiology, pathology, pharmacology, microbiology, biochemistry). They'll ask you questions that are clinically oriented.
For example, patient with constipation, cold intolerance, delayed reflexes, and depression. You need to suspect hypothyroidism (pathology) and you need to know why should test for TSH (physiology) and you need to know that T4 is lipid-soluble (biochemistry) and that it act on intracellular receptors (cell biology) and you need to know the half-life of T4 treatment (pharmacology) and you need to know if this patient needs thyroidectomy then which artery must be ligated (anatomy) ...etc
That was an example of Step 1 Question.

Step 2 CK, is about clinical knowledge. So the same example above of the hypothyroid patient but this time you need to know that it might be an evidence of an autoimmune process and you need to look for other organs affected for example the adrenals, so they will give a vague complex clinical scenario and you have to come up with the diagnosis and/or treatment.

Step 1 and Step 2 CK are inter-related and many questions in Step 1 are using clinical info and many questions in Step 2 CK requires pathophysiology knowledge.

Now, since you are going for clinical rotation then you might want to grab Step 2 CK books to accompany your rotations.

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