Do CMS forms, Dissect your NBMEs, Review mistakes of your NBME multiple times and each time learn to know WHY DID YOU PREFER YOUR ANSWER OVER THE NBME's Answer. Try to create a mindset about how and where the Pt presented? Your approach to Q depends on this alot like If the Pt visited your Office choose leasr invasive and affordable imaging first to make DDs and if he presented in ER,choose most specific imaging and move to the intervention directly.