Usmle Step 3

Usmle

Usmle Step 3

Usmle

Usmle Step 3

The objective of the USMLE Step 3 is to evaluate your knowledge and ability in treating patients in different medical scenarios and at different points through the management, assuming you as the sole responsible for the medical care. The exam includes questions regarding patient care at the following settings:

  • Emergency room
  • Outpatient, including long term follow up
  • Inpatient, including Intensive Care Unit

The main type of question is the clinical vignette: a description of a clinical case followed by a question regarding the appropriate step at the appropriate time in the management of the patient's condition.

Example: A 75-year-old male, presents to the emergency room presenting cough and fever with chills. These symptoms started 2 days ago, but is the third time in the last 2 months that he presents the same condition. He has a history of smoking 2 ppd for the last 35 years. What is the next best step in the management of this patient?

    A.- Order a chest X ray

    B.- Start IV antibiotics

    C.- Order a chest CT with contrast

    D.- Order a chest CT without contrast

    E.- Prescribe oral antibiotics and follow up in 1 week

The exam is composed with 2 one-day sessions (the exam lasts a total of 2 days). The first day consists on an eight-hour session, divided into seven blocks of 48 questions and 60 minutes to complete each block. The second day consists on an eight-hour session, divided into 4 blocks of 36 questions and 45 minutes to complete each block. Additionally, there are 9 computer-based clinical case simulations with 25 minutes to complete each case. On each day, you will count with 60 minutes for the exam tutorial and breaks between blocks. In order to apply for the USMLE Step 3, you must be a medical graduate with a MD, DO, or equivalent degree. You must have passed all previous USMLE steps before applying to the USMLE step 3, and if you are an IMG, an ECFMG certification is required. Also, there are specific requirements that must be fulfilled according to the State Medical Board that you applied through.

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