Don't be insane.
[NOTE: none of this post contains words/quotes that showed up in UWORLD, NBME, or the Real USMLE. I reworded things]
The real exam is phrased like a combination of Uworld and NBMEs.
You know when they ask things on UW like:
1.) Johnny comes in with 4 days of unremitting fever, full body rash, red eyes that didn't get better with ibuprofen and used amoxicillin two weeks prior. Physical exam revealed swelling, edematous hands/feet, mild unilateral neck lymph nodes and observation of mucosa was negative besides marked redness and dry lips etc. etc. Vitals are 120/70, 85, 37.9, etc. etc. Labs were negative for ASO, monospot, and there was AST of 99 and ALT of 121....
The case presentation may be obviousm, but then the MC choices are like:
A) Drug Hypersensitivity Reaction
B) Systemic Vasculitis
C) Childhood Exanthem
D) EBV
E) Inflammation of the Glomerular Basement Membrane
Those phrases like "Inflammation of Glomerular Basement membrane", "small or medium sized arteriolar inflammation" etc. SHOW UP ON THE REAL DEAL so if you read and do Uworld, you're familiarizing urself with the vocab that Uworld uses to disguise answer choices like Acute Glomerulonephritis or Kawasaki's.