Internal medicine shelf percentile

I was scoring like 50th percentile on the shelf exams until half way through the year. Once I started paying for the practice exams, I started getting 90th, 80th, and 85th percents. I would say for my OBGYN shelf, there were maybe 5-10 questions directly from the practice tests on the shelf exam. ... Internal Medicine & General Shelf/Board ...

Internal medicine shelf percentile. Data provided by the National Board of Medical Examiners, which administers the USMLE, indicate that the average score for Step 2 CK for U.S. medical graduates hovers just above 240. Generally, it’s been 242 to 243 over the past few years. The 25th percentile is around 232, while the 75th percentile is near 256.

May 28, 2018. #4. I got in the mid 80s on one NBME and in the 90s on the other. I scored in the 90 something percentile on the shelf (I took it back in November, so I don't remember specifics). I felt the NBMEs were very indicative of the actual shelf. I did have IM before FM, so not sure how much of a difference that made.

Both. MKSAP 3 is harder than 4. The real questions are closer to 4 or somewhere in between, but 3 is good for learning. Apr 24, 2010. #3. Agree 100% with pseudo. Do USMLE world + MKSAP 3. If you have time do MKSAP 4. For a book- I liked step up to medicine.UWorld IM: 74%. NBME CMS Form 1: did not score, used for extra practice questions. NBME CMS Form 2: did not score, used for extra practice questions. NBME CMS Form 3: 22 (79) NBME CMS Form 4: 26 (90) NBME CMS Form 5: 24 (85) NBME CMS Form 6: 25 (87) IM Shelf: 93 raw - 100th %ile.Medical Student Communities. Medical Students (MD) . UWorld percentage to IM shelf. Thread starter The ... 76% correct on uworld, got 99th percentile or 92 on the shelf. Reactions: 1 user bananafish94 Full Member. Verified Member. 7+ Year Member. Joined Oct 28, 2015 Messages 3,425 Reaction scoreInternational Foundations of Medicine Individual Registration (IFOM) Health & Wellness Coaching Exams. Administrators, Faculty & Program Directors. MyNBME℠ Services Portal Subject Examinations Customized Assessment Services (CAS) International Foundations of Medicine (IFOM)M.D./Ph.D. Student, Class of 2018, Icahn school of Medicine at Mount Sinai ... Class of 2019, Johns Hopkins University School of Medicine "Wanted you guys to know I scored the highest I have on any shelf thus far (95th percentile) by using your questions for Neurology. ... Internal Medicine Resident, ...

WEEK 5: Keep On Keep On Keeping On. Anki: Continue reviewing + adding new cards. If Internal Medicine -> UWorld (my experience: at this point, IM was like a dementor leaching out my life force heh heh… sigh) All other rotations -> Continue doing Other Book/QBank questions. WEEK 6: Master Has Given Dobby an NBME. Anki: Continue reviewing + adding new cards.. Consider adding topics that you ...The NBME Shelf Exams question banks have been specifically adapted for the Medical School Student Level. They include thousands of multiple choice questions (MCQ), vignettes, and long form questions for use during clerkship rotations. ... Pediatrics requires a score at the 11th percentile to pass; Internal Medicine requires a score at the 11th ...Percentile data are obtained from annual reports from the NBME for each of the six clerkship subject exams. For each new academic year, the last three years of complete annual data are collected, thus for academic year 2024-2025, the data utilized are from 2020-2021, 2021-2022 and 2022-23.Emergency Medicine . 110 2 hours, 45 minutes . Internal Medicine . 100 2 hours, 30 minutes . Comprehensive Examinations # of Items Exam Length . Comprehensive Basic Science (includes 15-minute optional break) 200 5 hours, 15 minutes . Comprehensive Clinical Science (includes 15-minute optional break) 200 5hours, 1 minutesStandard scores are set to have a mean of 100 and a standard deviation of 10 based on a representative sample of nationally normed data. Standard score scales are reviewed annually and may be re-established at the discretion of the NBOME. The COMAT Percentile Score Conversion Table converts standard scores into percentile scores.School of Medicine Clinical Training Student Manual ... The NBME Clinical Subject (Shelf) Exam must be ... Hospitals must excuse students one day before the ...The average amount of time a Cram Fighter user studies for the Internal Medicine Shelf is 58 days. "Internal Medicine was my last rotation, which was May/June," says Pavan. "In February/March, I started doing Internal Medicine flashcards and questions." The three most popular months for taking the Internal Medicine Shelf are April ...

There are several different Family Medicine Shelf Exam tutoring options available to students, so what makes Elite the best? When you sign up to work with an Elite Shelf Exam tutor, you are getting much more than access to our world class MD tutoring services. 24/7 email support, a student success team, organized custom curriculum, and our 100% …The shelf life for Naproxen tablets is three years from the manufacturing date. Ideal storage conditions include a dry, dark place at temperatures below 77 degrees Fahrenheit. Napr...Educators typically use the Clinical Science Subject Exams to assess third-year medical students’ knowledge in specific disciplines at the end of clerkships. NBME works with task forces made up of medical school faculty who review the content outline, write and review items, and adjust the exams’ blueprints based on updates to national ...4 min read. An internist is a doctor of internal medicine. They're doctors who specialize in the internal organs and systems of the body, but they are not limited to those areas. They can also ...The USMLE Step 2 CK tests your ability to apply medical knowledge during real-life examination scenarios. It is normally taken in the fourth year of medical school after you've completed your clerkships and NBME ® Shelf exams.. With over 3300+ Step 2 CK questions and corresponding Articles that encompass Neurology, Surgery, Internal Medicine, and other high-yield topics, AMBOSS is the final ...The internal medicine graduate medical education community finds value in many components of the new MSPE format, while recognizing there are further opportunities for improvement. J Grad Med Educ . 2019 Aug;11(4):475-478. doi: 10.4300/JGME-D-19-00089.1.

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Version 4 alleviates some of this by grouping these specific topics into organ systems (ie, nephrology), so at least you review the material by thinking a little more broadly. But for test taking purposes, the closest you can get to doing the shelf, IMHO, is going thru random questions & review answers.Her temperature is 37°C (98.6°F), pulse is 82/min and regular, respirations are 14/min, and blood pressure is 130/74 mm Hg. There are numerous freckles over the entire body. Examination of the right breast shows a 0.6-cm, flat, brown lesion; the lesion is mottled with deep purple and black areas and has an irregular border.Multiple studies looking at NBME shelf examination scores across different specialties (internal medicine, pediatrics, and surgery) have found that shelf scores tend to increase over the academic year. 4, 5, 6 Our data are also supportive of this observation, as demonstrated by an increase in average NBME scores progressively over the academic ...Hi! I have exclusively used AMBOSS for shelf exams (IM & surgery) due to the cost. I found their platform to be user-friendly with succinct explanations with links to associated material. I scored in the 93rd percentile for medicine and 90th percentile for surgery.

The Shelf Review feature is handy, especially for students on rotations such as Family Medicine, where they are expected to understand a wide breadth of knowledge that spans internal medicine, pediatrics, OBGYN, surgery, etc. With such a large volume of concepts, it can seem impossible to find relevant practice questions to study for the shelf.Summary for Emergency Medicine Residency Applications: A strong EM application needs passing Step 1, 240+ on Step 2, strong SLOE, and a good EM rotation grade. Emergency medicine is slightly more difficult to apply into as an international grad, but this does not need to be a prohibitive barrier! We only recommend that you do your research to ...To answer the original poster's question, you get a 2 digit score back from the folks at NBME. According to gossip/legend, a score of 59 is something like 3rd percentile, and >80 is 95+ percentile. Apparently it's a pretty narrow distribution. I'm not sure how it correlates with the fraction of correct answers on the exam.And ACE inhibitors cause a transient creatinine increase. If it's less than a 30% increase in their baseline creatinine, just continue the ACEi. In SIADH, you have too much ADH so kidneys pull water back, but RAAS system is intact so you can urinate off as much isotonic plasma as you want.A failing score on Step 3 falls somewhere between the 2nd and 3rd percentiles. Although the USMLE is not entirely transparent with its scoring algorithm, a passing score correlates with about 60% correct. The mean score, 228, is much lower than the mean scores for step 1 (232) and step 2 (246), which speaks to the fact that these tests are ...The Internal Medicine Shelf Exam questions are selected from the Cleveland Clinic Internal Medicine Review Series and additional questions are written by Internal Medicine faculty. The National Board of Medical Examiners (NBME) administers Subject Exams, or "shelf exams" as they are colloquially referred to. Choose your plan.Step 1 Calendar Year Mean (SD) 2020 235 (18) 2021 231 (19) 2022 Exam reported as pass-fail only. Step 2 Clinical Knowledge Academic Year Mean (SD)I’m pulling it off the top of my head, but I think my first-pass percentage was about 12% lower than my raw score for the shelf. Uworld correct % was 56% on first pass, got 80 on the IM shelf. IM was my first shelf. UWorld percentage was around 45-50% I believe, and I scored an 85% on the IM shelf.

I disagree. The surgery shelf is also a medicine shelf. If you only studied pure surgery sources like Pestana it'd be hard to get a high percentile until you've already had family medicine or internal medicine rotations. Something like UWorld IM questions or Step Up would help a lot early on in 3rd year.

In this grading system example, the conjunctive scoring model requires a shelf exam score of at least 80 to qualify for an overall clerkship grade of honors. The compensatory …Percentile data are obtained from annual reports from the NBME for each of the six clerkship subject exams. For each new academic year, the last three years of complete annual data are collected, thus for academic year 2024-2025, the data utilized are from 2020-2021, 2021-2022 and 2022-23. Percentile data from each quarter for these three years ...Shelf exams come from the NBME with a mean score of 70 and a standard deviation of 8. Period. Every subject. Every test. What your school does with the score is up to them (ie. adding points to it to curve it up, setting cutoffs for honors, whatever). There is really no ambiguity about the scoring from the NBME's end though.How do you interpret scores on nbme self assessments for shelf exams? There are two columns on the score report : “Self Assessment Score” and “Approximate Subject Examination Score”. For example, for psych, “self assessment score” of 20 is “approximate subject examination score” of 76. Do you use the “approximate subject ...... Shelf/NBME section of their grade if they obtain a “passing score.” Our passing score is based on the national 10th percentile on ... clinical question (PICO = ...May 3, 2023 ... HOW TO ACE INTERNAL MEDICINE ROTATIONS | Best Study Resources, Routine, Honor Third Year Clerkships. Adnan A•23K views · 11:12. Go to channel ...Unbiased** Percentile Ranks Reliability* Estimated 95% Confidence of Confidence Test Coefficient Score Interval Intervals Composite score .87 410 340-480 6-39 Internal medicine .70 430 320-540 4-66 Surgery .34 470 310-630 4-90 Obstetrics .53 450 310-590 4-82 Community medicine .41 460 310-610 4-87Take the clinical science mastery one for the medicine shelf. The comprehensive clinical medicine exam is supposed to be practice for step 3 according to the nbme website. The step 2 practice exam is the comprehensive clinical science exam. Dec 19, 2012. #815.The USMLE Step 1 passing score is 194, and the national average score is approximately 232. The USMLE Step 2 passing score is 209, with an average score of 245. These two exams are considered the most important exams a medical student will complete as they advance through their medical career. Among medical professionals in training, …

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First, Step 2 CK scores are significantly higher than Step 1 scores. So a 240 on Step 1 is the 60th percentile. However, it would be below the median for Step 2 CK (31st percentile). One reminder: med students are excellent test-takers. For example, the average MCAT score is roughly 500, with a standard deviation of 10.5. However, the average ...The average is a 222 with a standard deviation of 15 or so. Mean score of the shelf is 70 with a std deviation of 8. They could re-scale it so a mean was a 20 or a 120. So you were around the 70-80th percentile. How that equates to your rotation's grade is entirely up to your school. Sep 27, 2012. #3.NBME SHELF EXAMS. The NBME provides both a percentage correct score and a percentile score for each exam. The percentage correct score is utilized for overall grade calculations. The percentile score is used to determine if the student passed. Clerkships require the students score meet a minimum percentile score for passing.Dec 29, 2018 · MEDICINE SHELF 4/26/18: 74 = 44%ile; Shelf #2 - “Ambulatory Medicine”-We have a four-week primary care clerkship that comes after eight weeks of medicine. We take the Ambulatory Medicine shelf, NOT the Family Medicine shelf. Study strategy for me was to just take the test. Didn’t study at all specifically. I believe that passing threshold is set by your school, not by NBME. But ~60% is likely. 6. Hippo-Crates • MD • 7 yr. ago. 5th percentile for my school. 2. jhawk24 • MD-PGY5 • 7 yr. ago. The medicine video/slides are well worth your time if you haven't looked through them yet. Even if you have, flip through them again - they're good ...OME: Followed the family medicine outline found here as an initial overview. Case Files: Only took the major points from each chapter. It was nice to have a textbook (e.g., to read about patients before the next day and know what to ask for the next day), but I doubt it helped much for the shelf. USPTF Guidelines: Used this deck with minor ...COMATS are the DO version of shelf exams, graded with an average of 100, and visually show how you did in each sub-topic in the score report. NBOME says a score below 93 is poor, a score between 93 and 107 is average, and a score above 107 is good or above average. This may change, so be sure to check before you take your COMAT.The Internal Medicine Shelf exam is a crucial milestone for medical students pursuing a career in internal medicine. This comprehensive exam assesses their knowledge and understanding of core concepts in internal medicine. ... The exact scoring system may vary depending on the institution or examination board. A higher percentile …Hey all - my IM shelf is in four weeks. I have been studying for the NBME for the past month and I got the equivalent of a 63 on the NBME practice exam (which is like the 15th percentile). I need to get at least an 80 to honor this clerkship.NBME SHELF EXAMS. The NBME provides both a percentage correct score and a percentile score for each exam. The percentage correct score is utilized for overall grade calculations. The percentile score is used to determine if the student passed. Clerkships require the students score meet a minimum percentile score for passing.INTERNAL MEDICINE CARDIOVASCULAR Angina Pectoris • MOA: Insufficient oxygen supply to cardiac muscle, most commonly caused by atherosclerotic narrowing and less commonly by constriction of coronary arteries; CAD = MC cause • Stable angina: syndrome of precordial discomfort of pressure from transient myocardial ischemia à PREDICTABLE!HOSA Pharmacology. 1,578 terms. gvmedex. Preview. Study with Quizlet and memorize flashcards containing terms like Progressive Prolongation of PR interval followed by a dropped beat, Cannon A Waves on Exam Regular P-P interval and regular R-R interval, Varying PR interval with 3 or more morphologically distinct P waves in the same lead (Old ... ….

My school gives us a sheet with the raw score and percentile for each shelf, and it says the overall average is around a 74. Most of the shelves are 70, but med and peds have a national average of 74 for the class of '08. ... May have failed internal medicine shelf...again. grindtillgrave; May 20, 2023; Replies 3 Views 3K. May 27, 2023 ...Serious. Hello all, Just wondering what resources some of you have used for preparing for your shelf exams during your rotations. Feeling a little lost as studying doesn't seem as clear-cut as it did for Step 1. And rotation experience doesn't correlate in the least to shelf scores. Currently doing just UWorld and Tru-learn questions.Summary for Internal Medicine Applicants. You should aim for a Step 2 score of 235+ for Internal Medicine, with 230 being a minimum. IMGs and DO candidates may have a better shot in Internal Medicine residency than many other programs. Expect interview invites between October and early November. If you have not heard from a program you are very ...Following are a few other "deep-dive" total-compensation figures from MGMA's 2014 report, for physicians in these three specialties less than two years: Cardiology (noninvasive): mean — $383,117; 25th percentile — $320,000; and 75th percentile — $457,309. Family medicine: mean — $190,693; 25th percentile — $159,672; and 75th ...The mean shelf percentile score by the medical students was 48.1 ± 31.4 (range, 1st to 98th percentile). ... A previous study examining an internal medicine clerkship showed that resident teaching ratings did not have an impact on student performance on the internal medicine shelf examination. 4 No such study has been performed to evaluate the ...-Designed to be a more comprehensive but HY medicine shelf review.-Make sure you do all 4 practice NBMEs for the medicine shelf. If a topic is completely new to you, spend about 10 mins studying that topic as something similar may be tested on the shelf.-The medicine shelf is surprisingly not a huge departure from a lot of the materialConversion Table for NBME Shelf Exam Percentile to Clerkship Score Points . AY 2022-2023 ... Pass Cutoff (5th Percentile) 15th. Percentile : Ambulatory Care 59 65 Medicine 58 65 Neurology 67 73 OB/GYN 64 69 Pediatrics 63 69 Psychiatry 73 77 Surgery 59 65 : REVISED 6/24/2022:Total Equated Percent Correct Score: 69% The chart below represents the performance of a v }vo }Z} }( µ v ( }u> D r ] u ] o Z}}o XHigh Yield Internal Medicine Shelf Exam Review Emma Holliday Ramahi Cardiology A patient comes in with chest pain… • Best 1st test = EKG • If 2mm ST elevation or new LBBB (wide, flat QRS) STEMI • ST elevation immediately, T wave inversion 6hrs- years, Q waves last forever Anterior LAD V1-V4 Lateral Circumflex I, avL, V4-V6 Inferior RCA II, III and aVF R ventricular RCA V4 on R-sided ... Internal medicine shelf percentile, 15+ mm. Everyone. Tx of latent TB5. 9 months INH + pyridoxine (vitamin B6) - The USMLE Steps 1 and 2CK assess this as the answer. 4 months rifampin. 3 months INH + rifapentine + pyridoxine. Vitamin B6 must be given with INH to prevent vitamin B6 deficiency. 6. Tx of active TB7., A shelf registration is the filing with the SEC for a security offering that is released to the public market incrementally over a period of time. A shelf registration is the filin..., The assessment questions on NBME® Shelf exams are developed by a panel of experts and are intended to mimic those found on the USMLE® Step 1 and 2 exams. Generally speaking, the questions are presented as multiple-choice, and examinees are expected to select a single best answer. The assessment is given under timed, …, Know that internal medicine, family medicine, general surgery, and pediatrics are the most intense shelf exams because they cover so much ground. Neurology, as ..., NBME Pediatrics Form 2 - Answers & Explanations. Updated: Feb 25, 2020. 1) Determination of bone age. • Constitutional growth delay is possible (father was short until senior year) and is characterized by delayed growth spurt, delayed puberty, and delayed bone age. • If bone age < chronological age, then this child has room to catchup., Hi there, I wanted to know basically how bad my issues will be during the match process. In internal medicine clerkship got a CP ( conditional pass), because of well, basically I fought hard against some of the powers that be, and won somewhat. However I got an H in my elective and a good..., May 28, 2018. #4. I got in the mid 80s on one NBME and in the 90s on the other. I scored in the 90 something percentile on the shelf (I took it back in November, so I don't remember specifics). I felt the NBMEs were very indicative of the actual shelf. I did have IM before FM, so not sure how much of a difference that made., The USMLE Step 2 CK tests your ability to apply medical knowledge during real-life examination scenarios. It is normally taken in the fourth year of medical school after you've completed your clerkships and NBME ® Shelf exams.. With over 3300+ Step 2 CK questions and corresponding Articles that encompass Neurology, Surgery, Internal Medicine, and other high-yield topics, AMBOSS is the final ..., Scientists are worried that the rest of the ice on and around the continent is at risk of coming loose. Welp. Since January of this year, a massive, 2,200 square-mile (5,698 square..., Both. MKSAP 3 is harder than 4. The real questions are closer to 4 or somewhere in between, but 3 is good for learning. Apr 24, 2010. #3. Agree 100% with pseudo. Do USMLE world + MKSAP 3. If you have time do MKSAP 4. For a book- I liked step up to medicine., Internal Medicine Shelf. 280 terms. sonia_replansky. Internal Medicine Shelf. 338 terms. npanda. internal medicine shelf study. 169 terms. kariiforseth. Other sets by this creator. Inservice Exam. 265 terms. sonia_replansky. Step 2 final stretch. 135 terms. sonia_replansky. Step 2 newest set (7.15) 83 terms. sonia_replansky., Step 2 scores were available for only 59.0 percent of U.S. DO seniors who gave consent to research. Overall, U.S. DO seniors who matched to their preferred specialty had mean USMLE Step 2 CK scores of 241.1 (s.d. = 13.6) well above the 2022 minimum passing score of 209.”. You can see below how that compares to, say, Plastic Surgery, which ..., May 3, 2023 ... HOW TO ACE INTERNAL MEDICINE ROTATIONS | Best Study Resources, Routine, Honor Third Year Clerkships. Adnan A•23K views · 11:12. Go to channel ..., Total Equated Percent Correct Score: 69% The chart below represents the performance of a v }vo }Z} }( µ v ( }u> D r ] u ] o Z}}o X, If you’re worried do one of the online NBME 50 question practice tests. 76% correct on uworld, got 99th percentile or 92 on the shelf. I did all the IM questions and generally hovered around average to slightly above average for each block (random, tutor)., Everyone I've asked there seems so happy. 8K subscribers in the ResidencyMatch2022 community. US Match 2022 announcements and discussion, including step exams, OET, USCE, research…., Summary for Internal Medicine Applicants. You should aim for a Step 2 score of 235+ for Internal Medicine, with 230 being a minimum. IMGs and DO candidates may have a better shot in Internal Medicine residency than many other programs. Expect interview invites between October and early November. If you have not heard from a program you are …, The Medicine Shelf exam is formatted as an online test consisting of 110 questions which must be answered in 165 minutes. It shares the same interface as the USMLE Step exams, with each question presented as a hypothetical clinical scenario. The exam is graded on a national average, though whether or not you pass your entire clerkship will ..., Internal Medicine Anki Deck (Help, I'm so confused) I want to use anki to study for my internal medicine shelf. I don't understand the difference between zanki and anking. I will add cards from my UW incorrects but I also want a premade deck to go off of. I am so confused and don't know how to start., The Surgery shelf exam is probably the most difficult of all the shelf exams out there. The Surgery exam is actually pretty much an Internal Medicine shelf exam in disguise (60-70% of the exam) because it involves figuring out the medical management of surgical patients (i.e. does this patient need medical management only cuz they stable, or do ..., 2022 Obstetrics & Gynecology. 2022 Psychiatry. Faculty interested in following NBME's grading guidelines should consider both recommended scores and ranges before making a final decision. In addition, performance on Subject Exams should always be used in conjunction with other indicators of examinee performance in determination of grades. , Among 114 Internal Medicine MD residents included in the study, ... However, in 1999, the percentile-based system was eliminated in favor of a three-digit and two-digit scaled scoring system. USMLE removed the two-digit score from the score report in April 2013. USMLE exam scores range anywhere from 1 to 300, and most examinees score between ..., Data provided by the National Board of Medical Examiners, which administers the USMLE, indicate that the average score for Step 2 CK for U.S. medical graduates hovers just above 240. Generally, it's been 242 to 243 over the past few years. The 25th percentile is around 232, while the 75th percentile is near 256., Serious. Hello all, Just wondering what resources some of you have used for preparing for your shelf exams during your rotations. Feeling a little lost as studying doesn't seem as clear-cut as it did for Step 1. And rotation experience doesn't correlate in the least to shelf scores. Currently doing just UWorld and Tru-learn questions., Total Equated Percent Correct Score: 69% The chart below represents the performance of a v }vo }Z} }( µ v ( }u> D r ] u ] o Z}}o X, In other words, since a 260 is the 80th percentile for Step 2, did you tend to score in the high 70s or low 80s for shelf score percentiles? Edit: I forgot to mention: I've tried the spreadsheet from Reddit that tried to estimate your score from your shelf's. ... Shelf exams: Internal Medicine: 87 Psychiatry: 88 Neurology: 90 Pediatrics: 86 ..., UWorld is much more valuable than Step Up for the internal medicine shelf. Step Up is a good place to start, but if you're strapped for time, it doesn't get detailed enough. UWorld covers more information, and especially if you do missed again at the end, nets you better recall. 6., I just took the first NBME for the Internal Medicine shelf and had a question that I couldn't find the answer to that I was hoping someone might know the answer to. 1. 82 year old man who has fatigue for 2 months. Weight loss and decreased appetite. BMI is 21. BP is 90/50. Lungs and heart normal., For medicine, it is absolutely indispensable. In general, I find that the questions are easier than those on the shelf exams, but the explanations are pure gold and helped me to answer shelf questions correctly on a number of occasions. I recommend buying the bank early and doing the appropriate questions during each clerkship., Highest Yield — The best internal medicine book for medical school Step up to Medicine — Agabegi & Agabegi. For Internal Medicine, Step Up to Medicine is a no-brainer.It breaks concepts down in an easy-to-read outline based format (breaks most pathology down into "General Characteristics, Clinical features, Diagnosis, and Treatment) and has high yield points, called "Quick Hits" on the ..., Serious. Hello all, Just wondering what resources some of you have used for preparing for your shelf exams during your rotations. Feeling a little lost as studying doesn't seem as clear-cut as it did for Step 1. And rotation experience doesn't correlate in the least to shelf scores. Currently doing just UWorld and Tru-learn questions., The University of Tennessee Health Science Center (UTHSC), A 6-year-old girl, who had been camping in Vermont the week prior, is admitted from the ED after 5 days of fever, headache, and myalgias. On the day of admission, she developed a widespread maculopapular rash on her torso and extremities, including the palms and soles. Physical exam reveals an ill-appearing girl with intermittent confusion and ...