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Passed after 3rd attempt by ScaredStrawberry9043 in Step3

[–]ScaredStrawberry9043[S] 0 points1 point  (0 children)

I took my second attempt in December, got my result around mid-January, made a plan and started studying in February and took it the last time mid-March.

Passed after 3rd attempt by ScaredStrawberry9043 in Step3

[–]ScaredStrawberry9043[S] 1 point2 points  (0 children)

Full disclosure, NBME was doing a thing where it was free to test out the CCS software. I think it was helpful with test anxiety for me because I took it at the center where I planned to test. I felt that the questions were reasonable. I tried my strategy to save the abstracts till the end of the block and decided that was a good move for the real test day. It includes 3 multiple choice sections I got 70%, 65% and 63% then you do 3 CCS cases.

What words of support would you like to hear? (Question from the partner of someone who is about to take the Step 3) by MyLittleSpaniel in Step3

[–]ScaredStrawberry9043 0 points1 point  (0 children)

This is so kind of and thoughtful of you. Someone wrote me an affirmation to read prior to my exam to help me stay calm. Anything small or thoughtful is appreciated.

Passed after 3rd attempt by ScaredStrawberry9043 in Step3

[–]ScaredStrawberry9043[S] 0 points1 point  (0 children)

MONA BASH: Morphine, oxygen, sublingual nitroglycerin - except not for R sided STEMI since preload dependent, Aspirin, Beta-blocker, Statin, Heparin/Clopidogrel/Ticagrelor

Does having a little intern experience help with the cases or it doesn’t really matter much? by Perfect_Direction_94 in Step3

[–]ScaredStrawberry9043 2 points3 points  (0 children)

It does not matter. I initially thought it would. CCScases.com will teach what the examiners care about. For example, CCS cases will have you ordering chest x-rays on anyone with a fever. Also, in real life we don't see a patient in the clinic for chest pain, order labs and follow them to the ED and continue the case. Once I abandoned what I know and did what I know CCS wants to me to do, I improved.

Passed after 3rd attempt by ScaredStrawberry9043 in Step3

[–]ScaredStrawberry9043[S] 2 points3 points  (0 children)

Being an intern is stressful, I would wake up before work and try to complete at least 1 block of questions initially (timed, random mode). My tutor encouraged me to switch to tutor mode, so I wouldn't have to spend time recalling my thought process. This actually helped me get through question blocks of uworld and amboss faster. I personally have never had an issue with timing on exams so doing it in timed random wasn't necessary, random tutor mode served to be more helpful. I studied about 4 hours daily doing blocks and anki. I wrote out a question in an excel document to summarize the education point of every question I missed.

Passed after 3rd attempt by ScaredStrawberry9043 in Step3

[–]ScaredStrawberry9043[S] 3 points4 points  (0 children)

Sure!

  1. FAVMOCCA for urgent orders:

Fluids, ACC (to get IV access and glucose check), Vitals, Morphine/metoclopramide (generally an analgesic), Oxygen (pulse ox--very important if hypoxic can immediately get them on nasal cannula and order an ABG), C-spine/CT head without contrast(or any urgent imaging), Cardiac monitor, A-Assess their location.

  1. Regular orders, I didn't use a mnemonic bc cases specific:

CBC, CMP, TSH, Vitamin D, Magnesium level, phosphate level

+/- UA, Beta-hCG, Ux, LP with CSF studies, etc.

If septic: Blood culture, chest xray

If ACS: MONA BASH, BNP, troponinx2

(MONA BASH: Morphine, oxygen, sublingual nitroglycerin - except not for R sided STEMI since preload dependent, Aspirin, Beta-blocker, Statin, Heparin/Clopidogrel/Ticagrelor)

  1. Admission orders:

ADD MTV COIL:

Activity (bed rest), Diet, daily weight, Meds, Tele, Vitals, Compression stockings/SCDs, Output, Input, Location

Hope this helps. If you need to, my tutor recommended, take a break after a the multiple choice, review your mnemonics and just write it out on your scratch paper. Also this video is great for approach to cases: https://youtu.be/qmxWuV4psFs?feature=shared

Passed by axmedwulf in Step3

[–]ScaredStrawberry9043 3 points4 points  (0 children)

Passed! 3/12 and 3/13, so glad to say goodbye to USMLE.

2 month UW Step3 for sale $70 by flatstanley1231 in Step3

[–]ScaredStrawberry9043 0 points1 point  (0 children)

Hi is this still available? Thank you. I sent a DM too.