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Old 01-19-2016
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Fire Thread New Step 3 pattern

So the step 3 pattern has changed since yesterday, Jan 18th.

Has anyone given the exam in new format so far? I know there are supposed to be fewer questions, but don't know the difficulty level and length of the new questions.
IMG, YOG [2011] , Step-1 [242], Step-2CK [237], CS [PASS], Step-3 [not yet]. 2015 Match
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Old 01-22-2016
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Okay so just to answer my own question, I found out that the total questions for the first day are decreased to 233, averaging about 38 questions per block.

And the passing score is increased from 190 to 196.
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Old 01-28-2016
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Default Step 3 2016

I just had the exam.

The first day "Foundations of Independent Practice":
- resembled Step 2 CK questions, maybe a little harder.
- about 10-20% were biostatistics, ethics (where to report when a schoolgirl with h/o leukemia says many people at school have leukemia? A/ school safety board B/ OSHA C/ CDC D/...), and basic science (agonist at which receptor causes increased venous return? alpha, beta1, beta2, M1, M2, or M3?)
- there were about 38-40 q per block

The second day: Advanced Clinical Medicine - this was way harder for me.
Questions: what's next step? Which is the most important immediate treatment? (list of 4 things I would order in CCS at once). Most relevant factor when deciding to start/not to start a treatment? Which of he following factors makes the patient's long term prognosis favourable / unfavourable? A newly diagnosed T1DM young girl is at increased risk for schornic pancreatitis, pancreatis cancer, celieac disease or [sth else]? The patient is at increased risk for which of following? The patient should be counseled about increased risk of which of the following? OK, some were simple, like obese patient want to decrease risk of T2DM, what apart from diet will most help? - exercise.
CCS: I should have practiced more. The CCS cases from UW seemed much easier than the actual test. If anything chaged, then I believe CCS got harder. 1/ A patient 3 weeks post MI has fatique. CBC reveals normocytic anemia. Iron studies are normal. EKG shows stable post-MI changes. No signs of pericarditis (or I did not do MRI, but she did not have fever). This was 10 minute case, I don't know the right answer
2/ A child with 5d fever, rash after ampicilin, crusted lips. Kawasaki disease?
3/ shoulder pain after a fall in a smoker. Chest x ray shows 1.5cm mass
4/ A patient 3d after knee surgery is anxious and have palpitations and shaky hands and sweating. EKG: AFib. D-dimers negative, saturation 100% (no PE). Denied alcohol abuse, LFTs normal (alcohol withdrawal umprobable). TSH is low...
I had really trouble making it in time. I didnt practice all 50 CCS cases in UW and I should!
Also, what helped me, was making notes on the board of things in history or lab results ("smoker" -> counseling, chest x ray, )

It's not a two week test... (at least for me, not doing emergency medicine or family medicine...)

Good luck guys!
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