

This is what I hope to help my students learn to do at. You have to know that you thought it through completely. There is an answer that looks right if you took it to “X” level, “Y” level, and “Z” level. COMLEX classically offers answers for different levels of thinking. Everybody should know the basic high-yield facts from First Aid, but not everybody is able to recognize when they are to call on the higher level of thinking. I believe that focusing on these types of details and thorough but efficient analysis of questions are what set high scorers apart from average scorers. One of them actually thought that the question writers wouldn’t have been that crazy about the details. I may have discussed some aspects with my friends after the exam, and they were fooled by the question. I actually had a very similar question on my COMLEX Level 1 exam. Do you know the difference between sensitivity and specificity? One answer might be the sensitive test, but the right one is the specific test. The student who understands the details of the disease will look another level further and know that there is a different antibody in the diffuse form of the disease and choose C. Many students would recognize these symptoms in the stem and assume CREST syndrome and thus scleroderma is the answer, leading them to choose A as the answer. Students should learn to recognize the Calcinosis, Raynauds, Esophageal dysmotility, Sclerodactyly, and Telangiectasia. CREST syndrome is very commonly asked about on boards. What sets them apart in this question is the involvement of the lungs. Anti-centromere is seen in the limited cutaneous form of systemic sclerosis. The antibody most specific of these choices is C, Anti-Scl-70. The disease is diffuse systemic sclerosis. Which of the following antibodies would be most specific for her disease? As part of your workup, you decide to draw blood and run labs. Imaging of the chest suggests interstitial lung disease. On cardiac exam, there is a normal S1 and S2. She has a family history of hypothyroidism in her mother and pernicious anemia in her sister. She also has a history of heartburn for which she takes OTC omeprazole, and she states that her fingers turn blue when she goes out in the cold. Let’s look at this hypothetical question stem:Ī 37 year old female presents to you with shortness of breath on exertion and a dry cough that have been getting worse for the past 6 months. You have to be smarter than the question writer. Some questions are trickier than they appear, and it is important not to “under-think”- run through a complete analysis of the question even if it seems easy. When I read a test question, the first thing I am looking at is, What are they really asking me? Which parts of this question stem are distractors, and which parts are sneaky inserts of key information? Which answer is close to being correct but not quite the right one? Some questions and answers are straightforward, and it is important not to overthink. Step 1 to Approaching a USMLE and COMLEX Questions
USMLE STEP 1 EXAMPLE QUESTIONS HOW TO
You should utilize USMLE question banks to help you get familiar with how to read and understand boards questions. USMLE and COMLEX Questions require a special way of thinking about then.

Utilize USMLE question banks to get familiar with how to read and respond to boards questions.
