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Old 07-26-2014
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Default step 3,score 223 ,exam prep and exam exp

"In the name of Allah, Most Gracious, Most Merciful"

hi everyone i am silent observer on this forum and decided to write my step 3 experience because i believe there are not a alot of resources out there or maybe i didnt look them up during my preparation and was very disturbed after i took my exam.
well the key is CCS CCS AND CCS.prep time was 2 months , exam prep for

1,MCQS:did uworld twice ,try writing down imp points from your explanations during your first go.that includes explanations from mcqs and ccs cases,you will be surprised the amount of information you will find in those cases that will come in handy for mcqs.I Literally had the same concepts and sometimes same stems out of uworld for the mcqs.fill in your mtb 3 with annotations from uworld mcqs and ccs case explanataion.its always better to do ccs cases along with your mcqs ,try to not to do only one at a time.i also used conrad fischer new book on ccs and i would recommend it if you have the time,it makes you look at your mtb from a ccs based perspective,its small and handy ,i would do a case from there and read the theory from mtb 3 ,i believe he has broken mtb 3 into cases in his new book so it makes mtb 3 more interesting and easy to digest.also the book on its own can be done in 3-4 days.i tried mtb 2 with mtb3 but it seemed like i was just running around in bottom line is uworld+mtb 3 for the mcq section ,conrad ccs will defintely help

2,CCS: I started listening to archer one lecture everyday with ccs software right in the beginning of my preparation along with mcqs.and did ccs offline with my study partner ,got it ptinted,we would read a presentation and discuss the next imp steps ,i believe this really helped me .dont underestimate offline uworld ,they might not so well sequenced but their explanations are very good and maybe thats what their purpose is because you can always check your sequencing by ccs online.try to finish you first round of mcqs and ccs in the first month.also on the exam day the ccs software was a bit different than uworld so download the ccs software from usmle org practise materials and try practising offline cases on those to see which command go through for example my amphetamine toxi case ,i could not do "illicit drug"counselling because usmle software only accepts "illegal drug use" so i never got to counsel my patient .so you just need to know which commands will go thrugh instead of fumbling with words on the exam day.i only realized this later because i could never do the real usmle software, maybe i got lucky on the exam day


MCQS : really all your hardwork throughout your life ,your med school ,step1 2 and 3 prep will help you.questions were doable and most of them were 3-4 lines ,did derma images from archer website and those helped ,your mcq performance will be very close to uworld

1PID : WENT FINE,did not do hiv screening
2pyelonephritis :went well
3anaphylaxis :went well
4uterine fibroid :case ended when i put in gynae consult
5diabtes new diagnosis :forgot urinary microglobulin!! i kept hoping after the exam that i had done lipid profile + statin
6PAD: ABI was 0.4 ,what am was i supposed to do ,grey area for running an angio,pt had no skin changes on follow ups ,i did initial mx ie clopi,statin,exercise programme patient was already on lisinopril ,kept complaining of 3/10 pain till the end and case ended
7legionairres :was able to diagnose but blanked out in erythromycin ,luckily put pt on cipro in the end ,sat was 60% with normal abg ,case ended abruptly
8jittery baby: was the buzz word,did the iodm work up with regular acc checks ,did well
9dementia with afib and fall brought in my daughter: found epidural hematoma on ct ,was able to cancel warfarin and do pt/inr monitoring and give vit ka and ffps,think bombed the case ,never did head elevation,never checked for other ass injuried or even elderly abuse
10 amphet toxicity and htn :found high spec gravity on ua and decided to run cpk ,came high! ,never got to do other electorlyred for rhabdomyolisis,case ended after sod bicarb
11,kid with midiastinum mass:has b/l pleural effusion ,never did thoracocentesis ,did bx after scanning! case endded with onc consult,bombed it

dont remember last case right now .cases willl end abruptly so try to jam in all the necassarys NEXT steps ,you will have more than enough time so create your log at the begining of your case ,address pain,nausea,fever ,manage unstable vitals right at the beginning ,keep checking on you pt because u wont be getting feedbacks like we do on uworld ccs ,try to manage medically and put in consult only when necassary ,but we do have to use them .some patients will have two ongoing case
felt TERRIBLE AFTER CCS AND Kept thinking that i had failed tilll the end ,kept dwelling on my ccs mistakes afterwards

now when i look back i believe that this exam is very doable and i am glad i didnt drag it ,uwsa one week before the exam 229 and real deal was 223 ALHAMDULILLAH ,I AM VERY GRATEFUL TO ALLAH AS I WAS EXPECTING FAIL,HE HELPED ME AND GUIDED ME AND GAVE ME THIS SCORE,THANKFUL TO ALL MY FRIENDS AND FAMILY AND MY STUDY PARTENERS



Last edited by aiman; 07-26-2014 at 10:45 AM.
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Old 07-28-2014
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Congratulations on your score brother, I was wondering to ask , I just finished CK and wondering if its applicable to do step 3 and upon your experience how long does it need to prepare and any extra advice would be appreciated

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Old 07-29-2014
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Congrats on your score and your final achievement!
Did you have any pictures or heart sounds in your exam?
How did you manage your spare time during 1st day? I think about doing the first two blocks all in a breath but it seems very stressful and energy wasting. What do you suggest?
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