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JDWflash44

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http://www.usmle.org/general_information/announcements.html

FYI:

Step 1 to Include Media Clips Starting in May 2008
A small number of multiple-choice items with associated audio and/or video clips will be introduced into the USMLE Step 1 Examination beginning in May 2008.

Posted April 14, 2008

A small number of multiple-choice items with associated audio and/or video clips will be introduced into the USMLE Step 1 Examination beginning in mid- to late May 2008. No more than 5 items with associated media clips will appear in a single examination. The 2008 USMLE Orientation Materials include a small number of multiple-choice items that contain exhibits involving audio and/or video clips. Instructions for practicing with items with associated media clips on Step 1, Step 2 CK, and Step 3 are provided in the Tutorials for each Step examination in the orientation materials.

Items with associated media were introduced into Step 2 CK in 2007, and into Step 3 in March of 2008. As of May 2008 all three multiple-choice question components of the USMLE examination will include items with associated audio and/or video.
 

RussianJoo

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good thing i am taking my exam tomorrow...

But then again i bet since they're just starting with these audio/video clips they'll be really easy questions. Also when i did the practice block with the audio/video q's there was more than double the time from regular q's.. i wonder if they'll extend the time on blocks that included video/audio clips.
 

Jonathan13180

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http://www.usmle.org/general_information/announcements.html

FYI:

Step 1 to Include Media Clips Starting in May 2008
A small number of multiple-choice items with associated audio and/or video clips will be introduced into the USMLE Step 1 Examination beginning in May 2008.

Posted April 14, 2008

A small number of multiple-choice items with associated audio and/or video clips will be introduced into the USMLE Step 1 Examination beginning in mid- to late May 2008. No more than 5 items with associated media clips will appear in a single examination. The 2008 USMLE Orientation Materials include a small number of multiple-choice items that contain exhibits involving audio and/or video clips. Instructions for practicing with items with associated media clips on Step 1, Step 2 CK, and Step 3 are provided in the Tutorials for each Step examination in the orientation materials.

Items with associated media were introduced into Step 2 CK in 2007, and into Step 3 in March of 2008. As of May 2008 all three multiple-choice question components of the USMLE examination will include items with associated audio and/or video.

No surprise...The comlex is starting something very similar...video clips with patients where a list of physical symptoms will be given and using the mouse, we need to point to where in the body the lesion/problem is occurring. Right now its experimental, obviously, but its coming...
 

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"Ooooh yeah....OHHHHH BAAAABY... GGIIIIVE IT TO ME...THERE IS DEFINITELY NO WORKING OUT GOING ON IN HERE...ooooooooh gooooooood"


Sex or working out?
 
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I dunno if it's true, but I've heard that the question writers have to submit a source for where they get their questions ie. a certain textbook, etc. I wonder what sources these multimedia clips could come from? How do you go about prepping for this, or can you?
 

Arsenic

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they phased in the AV questions into step 2 CK last year. heart sounds were on my exam as part of a clinical vignette so its definitely something the USMLE is using or considers fair game for step exams.
 
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gouda

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My predictions: heart sounds, testing of some CN gone bad (ie - MS and the MLF syndrome), and a general respiratory concept
 

DragonWell

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good thing i am taking my exam tomorrow...

But then again i bet since they're just starting with these audio/video clips they'll be really easy questions. Also when i did the practice block with the audio/video q's there was more than double the time from regular q's.. i wonder if they'll extend the time on blocks that included video/audio clips.

Which practice block was that?
 

hasha100

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I did the tutorial online and one of the videos was a pt with Parkinson's (they show the pill rolling tremor) and the other was an interactive section where u placed the stethoscope on the chest and listened to the heart sound (APT M 2245). For the heart sound, I'm not very good at those, but it sounded like a blowing murmur so I think it was mitral regurgitation, but let me know what you guys think it was.
 

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Anybody knows of a good resource to learn heart sounds? Even Robbins does not discuss heart sounds very much. By the way, I have no intention of becoming a cardiologist.
 

DragonWell

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Anybody knows of a good resource to learn heart sounds? Even Robbins does not discuss heart sounds very much. By the way, I have no intention of becoming a cardiologist.

I just looked at the multimedia part of the tutorial, and noticed that the heart sounds demo looks an awful lot like some of the stuff at http://www.blaufuss.org/

Couple other questions if anyone cares to answer them:

Just curious how much time (if any) people are planning to spend preparing for these questions and if so, what resources you plan to use.

Any advice from Step II vets about approaching these questions? Any "high-yield" findings? Do they usually set up the question with a history?

Hopefully someone who's testing next week will let us know a little bit about what to expect with these questions.
 

agranulocytosis

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I just looked at the multimedia part of the tutorial, and noticed that the heart sounds demo looks an awful lot like some of the stuff at http://www.blaufuss.org/

Couple other questions if anyone cares to answer them:

Just curious how much time (if any) people are planning to spend preparing for these questions and if so, what resources you plan to use.

Any advice from Step II vets about approaching these questions? Any "high-yield" findings? Do they usually set up the question with a history?

Hopefully someone who's testing next week will let us know a little bit about what to expect with these questions.

I'm not going to prepare any differently, however I'm just going to sample them on the USMLE website so I have an idea as to how the questions can be asked. I'm usually pretty good at Jeopardy and their multimedia-type answers so I doubt it's going to be any different, except for the responses starting out with "What is...?"
 

DragonWell

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I'm scared of these A/V questions!

+1; Luckily there won't be too many. Listening to the heart sounds reminds me of looking at an EKG during PBL; everyone is sure they see some different significant pathology - RBBB, ST elevation, etc. and then the report comes...normal sinus. Looking at those answer choices while listening to the heart sounds I can hear a lot of things...
 

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yeaaa, don't know what to expect from these clips but the parkinson dude wasnt soo bad. since i mix up a bunch of the neuro diseases, i went to youtube and looked up a bunch of clips of parkinsons, huntingtons, etc and i think it actually helped me learn the material better. ehhh, prolly just me tho. who knows, maybe people will eventually start incorporating youtube into their study plan just like they use wikipedia (ahem, *eventually*)
 

Cashew

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+1; Luckily there won't be too many. Listening to the heart sounds reminds me of looking at an EKG during PBL; everyone is sure they see some different significant pathology - RBBB, ST elevation, etc. and then the report comes...normal sinus. Looking at those answer choices while listening to the heart sounds I can hear a lot of things...

same. I just tried out the tutor on that http://www.blaufuss.org/ and thought half of what I was hearing was something other than what they said it was.

Please please please make these mostly experimental. It sure would stink if my friends who took the exam a week before me and had none of these did that much better than I did just b/c I missed all these!
 
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