Annual Report - National Board of Medical Examiners
The NBME (National Board of Medical Examiners) practice exams are an excellent resource for preparing for the USMLE Step 2 Clinical Knowledge (CK) exam. And this document has a comprehensive guide on how to approach your review
● Duration: The Step 2 CK is a one-day exam divided into multiple blocks, each lasting
60 minutes.
● Questions: Typically, each block has about 40 questions, and the total number of
questions on the exam does not exceed 318.
Key Areas to Focus On
1. Internal Medicine: Cardiology, Pulmonology, Gastroenterology, Nephrology,
Rheumatology, and Infectious Diseases.
2. Paediatrics: Growth and development, common paediatric illnesses, congenital
disorders.
3. Obstetrics and Gynecology: Pregnancy management, prenatal care, gynecologic
cancers, reproductive endocrinology.
4. Surgery: Pre-operative and post-operative care, common surgical conditions.
5. Psychiatry: Mood disorders, psychotic disorders, anxiety disorders, substance use
disorders.
6. Preventive Medicine: Screening guidelines, vaccination schedules, lifestyle
modifications.
Study Strategies
1. Practice Exams:
○ Regularly take NBME practice exams to familiarise yourself with the format
and question style.
○ Review each question thoroughly, focusing on both correct and incorrect
answers.
○ Utilise NBME score reports to identify weak areas.
2. Resources:
○ UWorld: The most widely recommended question bank for Step 2 CK. Make
sure to go through all questions, read explanations, and review associated
materials.
○ First Aid for the USMLE Step 2 CK: A comprehensive resource that covers
high-yield topics.
○ OnlineMedEd: Great for video lectures and notes.
○ Step-Up to Medicine: Particularly useful for internal medicine.
3. Active Learning:
○ Create flashcards for key concepts and review them regularly (Anki is a
popular tool).
○ Form study groups to discuss difficult topics and quiz each other.
○ Teach back material to a peer or even to yourself; teaching is a great way to
solidify knowledge.
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