Guide Passing the USMLE: Clinical Knowledge

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The Step 2 CS has no numerical score. You earn a "pass" or a "fail" based on your ability to gather data, communicate with the patient and write an effective report.

USMLE Step 2 Clinical Knowledge - Wikipedia

On all other parts of the test, the number of correct answers you earn is converted into two numerical scores, one on a three—digit scale and the other on a two—digit scale. These are simply two ways of reporting the same result to schools. You must earn a 75 on the two—digit scale to pass. While your medical school education will give you many of the skills and much of the knowledge necessary to pass the USMLE, you are still likely to log a substantial amount of time reviewing and preparing for each stage of the test.

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Section 3: MD Requirements and Procedures

All Rights Reserved. A year-old woman with type 1 diabetes mellitus has had progressive renal failure over the past 2 years. She is not yet on dialysis.


  1. All the Basics About the USMLE Step 2 CK.
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  3. Passing the USMLE: Clinical Knowledge - PDF Free Download!

Examination shows no abnormalities. A blood smear shows normochromic, normocytic cells. Which of the following is the most likely cause? A single patient-centered vignette may be associated with two or three consecutive questions about the information presented. Each question is associated with the initial patient vignette but is testing a different point. Questions are designed to be answered in sequential order. Abstract Format The abstract item format includes a summary of an experiment or clinical investigation presented in a manner commonly encountered by a physician, eg, as an abstract that accompanies a research report in a medical journal.

Examinees must interpret the abstract in order to answer questions on various topics, including. All rights reserved.

United States Medical Licensing Examination. Step 2 CK Announcements. You must run the web-based Tutorial and Practice Test Items to become familiar with the test software prior to your test date. The web-based Tutorial and Practice Test Items on USMLE website include single multiple-choice questions, a sequential set of multiple-choice questions, a scientific abstract a summary of an experiment or clinical investigation, accompanied by two or more questions , and items with audio or video findings.

Strategies Read each question carefully. It is important to understand what is being asked.

Try to generate an answer and then look for it in the response option list. This random ordering of items presents you with a unique challenge. You must switch from thinking about one subject, such as surgery, to another, such as obstetrics, without skipping a beat. In total, you will have minutes of "break" time depending on whether you choose to complete the minute tutorial at the start.

You can "add" to your break time by finishing a block early. Please note, however, that finishing blocks early does not add to your total "test time," which remains constant at 8 hours. That means that you can't add time to one block by finishing another block ahead of time.

What is the USMLE?

For both formats, there are 3 to 26 answer choices for the one best answer format, there are typically 5. Most items describe a patient and ask you to identify the underlying mechanism of the disease, propose a diagnosis, order diagnostic studies, or initiate treatment. Questions that incorporate graphic, tabular, and pictorial material are also included.


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With the new computer exam, you should receive your score back within 2 weeks of your test date.