This book was originally written because I believed there was not a good, comprehensive, high-yield review book for the USMLE Step 2.
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This third edition attempts to incorporate the many changes that have occurred in medicine and the exam since 2003, as well as suggestions from readers based on material they encountered on their exams. 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. If you understand the concepts in this book, you should do much better than pass: You should Crush Step 2!
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. Knowing how to recognize, diagnose, manage, and treat common conditions is stressed. The exam tests not just theory but practice—in other words, what you should do next. 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.
Some information from Step 1 is still relevant and high yield for Step 2. Epidemiology and biostatistics, pharmacology, and microbiology are all tested with a slightly more clinical slant. Cardiac physiology and pathophysiology and behavioral science are also retested and are high yield. Overall, though, Step 2 has a different focus, and that focus is clinical. 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? Here are five general tips to keep you focused while studying for and taking the test:
USMLE Step 2: Crush Step 2: The Ultimate USMLE Step 2 Review 3rd Edition