Know the cutoff values for the treatment of common conditions (e.g., at what numbers do you treat hypertension, diabetes, and hypercholesterolemia below what CD4 count should you institute chemoprophylaxis in HIV patients).ģ. Always get more history when it is an option, unless the patient is unstable and you think immediate action is needed.Ģ.
Here are some general tips to keep you focused while studying for and taking the test:ġ. If a patient presented with chest pain, what would you do? What kinds of questions would you ask him or her? Which tests would you order? How would you select medications or treatments?
Overall, though, Step 2 has a different focus, and that focus is clinical. Cardiac physiology and pathophysiology and behavioral science are also retested and are high yield. Epidemiology and biostatistics, pharmacology, and microbiology are all tested with a slightly more clinical slant. Some information from Step 1 is still relevant and high yield for Step 2. Treatable emergency conditions are also tested, because you will soon be asked to take care of patients in the middle of the night, some of whom may require heroic measures if they are to survive until morning rounds. The exam tests not just theory but practice-in other words, what you should do next. Knowing how to recognize, diagnose, manage, and treat common conditions is stressed. Though Step 2 is the same level of difficulty as Step 1, the focus is more clinical and the questions are more relevant to the everyday practice of medicine. If you understand the concepts in this book, you should do much better than pass: you should Crush Step 2! Though the format of the exam is constantly changing, many of the basic concepts you need to know to be a successful house officer have not changed in decades. Their input and suggestions have been invaluable in helping this book reflect the content and structure of the recent USMLE Step 2 exams. For this edition, we have created a student review board composed of recent students who each scored in the 99th percentile on Step 2.
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