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Everyone has their own study style. What I have written here is what I believe and what I did for my own preparation.

Four important steps to keep in mind when you start your preparation for USMLE:

  1. Good review books [Princeton, Kaplan, BRS, Premier, Falcon, Lange, Lippincott, Rapid review; All are good]
  2. Make sure you have understood and remember the concept [Group Discussion or Self Discussion]
  3. Q-banks [Apply your knowledge and learn how they present concepts on the exam]
  4. Quick Review [7-10 days before your exam]

Those who have more reading time (3-4 months):

  • Go through any one of review books first. It takes around 2 months to complete your first review. Do some free
    questions in between to get an idea about how they ask question on the exam. It is very important to get that idea.
    Once you have an idea about how they ask question on the exam, it will become so easy for you about how to do
    your second review.
  • Your second review is nothing but making sure that you have understood and remember the concept. Group
    discussion is the best way. I studied alone for all three exams. When I was doing my second review, I questioned
    myself and answered them myself! Check how much information you have remembered in Microbiology,
    Immunology and Pharmacology by clicking on following link. FREE SELF DISCUSSION QUESTIONS.
  • If you are going to buy my Quick Review Notes, start using them once you finish your first review. Go
    through these notes at least two times for the best final result.   
  • When will you start Q-bank? It is very important to remember concepts first. Do not waste your questions without
    finishing your second review. USMLE world, Kaplan, Rx USMLE, Score 95, Student consults; All are good Q-
    banks. The main purpose of Q-bank is to apply your knowledge and learn how they present concepts on
    the exam. When you do Q-bank, do it in time mode and select questions from all subjects. I started Q-bank one
    month before my exam but I finished Q-bank in less than three weeks. I did questions in the morning and quick
    subject review through my own notes in the evening. When you do qbank, review all explanations to get an idea
    about why right answer is right and why wrong answer is wrong. After you finish more than 500 questions, take
    one NBME to know your weakness. Then continue your qbank and review these notes again, and take one more
    NBME. After that do only q-bank until 7-10 days before your exam.
  • The last week review is very important. It will help you remember small straight forward points very well for the
    exam for example physiology & pharmacology graph and calculations, etc. I found last minutes review was
    extremely helpful. This is the reason why I made these notes. I reviewed my weak subjects in little bit more detail
    during last week.. Relax on the day before your exam. I didn't do anything the night before the exam. Go with
    confidence and write your exam. If you follow above schedule, I am sure that you will definitely do well on the
    exam.

Those who have less reading time (3-4 weeks):

  • As you know, you have less time for reading, you must already had started q-bank. You must already get an idea
    about how they present question on the exam so just go through quick review notes (if you have bought these
    notes) and take NBME. There are only few pages in these quick review notes so you can go through them quickly.
    Go through these notes at least two times for the best final result. It is so important to know your weakness so
    you can improve it before your exam. If you want to get score above 95, you have to give weight to all subjects.
    Getting few questions wrong from any subject will drop your score down to 90. After NBME, review subjects in
    which you are weak and do some q-bank questions. Then take one more NBME. After that do only q-bank until 5-
    7 days before your exam. The last week review is very important. It will help you remember small straight forward
    points very well for the exam for example physiology & pharmacology graph and calculations, etc. I found last
    minutes review was extremely helpful. This is the reason why I made these notes. I reviewed my weak subjects in
    little bit more detail during last week.. Relax on the day before your exam. I didn't do anything the night before the
    exam. Go with confidence and write your exam. If you follow above schedule, I am sure that you will definitely do
    well on the exam.


Study guide for USMLE Step 2 CK:

  • USMLE step 2 CK is a clinical exam. They want to know how you will establish the diagnosis and how you take
    further steps in the management of the patient. In USMLE step 2 CK, we get few different kind of questions like
    which of the following is the best initial test? Which of the following is the most accurate test? Which of the
    following is the best initial treatment? Which of the following is the most accurate treatment? Which of the
    following is the best next step in the management of this patient? Which of the following is the first step in the
    management of this patient?
  • To give answer to this kind of questions, understand following concepts. Test with good sensitivity is the best
    initial test. For example, EKG has good sensitivity to diagnose and differentiate chest pain so it will be the best
    initial test for patient with chest pain. Test with good specificity is the best accurate test. For example, barium
    esophagus is the best initial test to diagnose and differentiate dysphagia due to obstruction or motility disorder
    but esophageal manometry is the most accurate test to diagnose dysphagia due to motility disorder. Other
    important points in choosing test are cost effectiveness and safety of test.
  • Same way in the treatment, look at the cost effectiveness and safety of the treatment. For example, atropine
    and pace maker, both are good to start heart in first degree heart block but we use pace maker as a last resort
    because atropine is more safe and as effective as pace maker and very easy to use (just give IV).
  • The most difficult question is the next best step in the management of this patient. It depends on the
    condition of the patient when patient arrives at the hospital / clinic or patient leaving the hospital / clinic
    [Stable, Unstable or discharging time]. For example, patient with chest pain admitted to the hospital and
    treated with Aspirin, Clopidogrel, Morphine and Angioplasty, now its time to discharge, which of the following is
    the best next step in the management of this patient? Choices are Stress test, Metoprolol, Captopril, and
    Furosemide. Answer is Metoprolol. Studies have shown that beta blockers have improved mortality rate in patient
    with recent MI so adding Metoprolol to patient’s regimen will be the best next step in the management of this
    patient. Another example, patient with upper GI bleed comes to ER, BP – 90/60, which of the following is the
    best next step in the management of this patient? Choices are Upper GI endoscopy, IV normal saline, fresh blood
    and Barium Esophagus. Answer is IV normal saline. First we need to stabilize the patient then we can order
    imaging studies. Fresh blood comes with its disadvantages like infectious diseases so not a good idea!
  • I hope you’ve got a better idea by now about how to give an answer to the step 2 CK questions. I have written
    best initial test, most accurate test, best initial treatment, most accurate treatment, next best step and
    first step in parenthesis in my notes so it will be easy for you to recognize and remember everything.
  • These notes are for exam purpose only so I have written them in a way they ask question on the real exam. In the
    real life, patient can present with many different ways and we deal them accordingly but always remember
    standard recommendation and current modification / new in the management.  

My Philosophy:

  • "Whatever you know, you know" - No one will remove that things from your mind so why worry about things
    you know
  • "Whatever you don't know, you don't know" - Try to read and understand new things at last minute (within last
    2-3 days) will only increase your anxiety. This is the reason why I didn't read anything last night before my exam.
    So just relax on the day before your exam. I didn't mean that you should not read subjects in which you are weak.
    My weaknesses were physiology graphs, pharmacology calculations, behavior science mainly biostatistics and
    cell biology. I did go through these subjects one week before my exam but I didn't go and find new books to read
    them. I just read them from review books I had. Most of these points I covered in my quick review notes so I just
    referred my own review notes during last week. I spent more time with Pathology, Microbiology and
    Pharmacology. You will get more than 75% of questions from these three subjects so why waste more time with
    less high yield subject. You also need to keep one thing in mind that you are writing a medical exam, not a
    mathematics or Biochemistry (Ph.D.) or Cell Biology (Ph.D.) exam so you will not get more vague questions
    about these subjects. Just pay little bit more attention to questions related to these subjects when you do qbank.
  • Another important thing about what I believe regarding using different books is all books are same. Concepts
    are same in all different books. It is the matter of presenting them in an easy to understand way. Instead of using
    different books for review, I sticked with single review material for my first review. Then I made these notes and
    stick with them. Currently I have changed my all notes. I have changed everything. Basically I have written these
    notes again from the beginning to the end and covered more topics than what I wrote for my own preparation. I
    have written these high yield notes with "CLUES" in the "BOLD". All concepts have written in an easy
    to remember way in these new notes. Wikipedia is a free encyclopedia and cover every topics in details so I
    used wikipedia for my reference during recent modification. My suggestion for you is to use single review
    material for your first review and then only use quick review notes then after. Remember one thing that you are
    writing standardize test so no matter which review material you use, concept and answer will remain same in all
    books. They also care about prestige of their books!  


                                                         Good Luck
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