This really helped me in 3rd year. I have this big ass spreadsheet with questions that came up on the wards and during my studying. I had a column for the topic like IM, Surg, etc., a column with the question, and a column with the answer. I used this a central database of high yield facts that I encountered and would update it daily. I also kept a copy on my PDA. Just doing this helped solidify facts and I rarely had to go review since whenever I did I found that the process of typing it in forced me to remember it...
Also, I concur that B&W is great. Read it early and often. If you've gone through it completely x1 by the time you start step 2 studying you're set.
Here's a sample of my spreadsheet:
Topic Question Answer
Renal Type I RTA Distal defect in H+ gradient, pH > 5.5
Renal Type II RTA Proximal defect in HCO- reabsorption, pH < 5.5
Renal Type IV RTA Hypoaldosteronism >> hyperkalemia, hyperchloremia, pH < 5.5
Renal Types of lupus nephritis? I=none; II=mesangial disease; III=focal proliferative; IV=diffuse proliferative; V=membranous
Pulm Anterior mediastinal mass? Thymoma, thyroid tumor, teratoma, terrible lymphoma
Pulm Middle mediastinal mass? Pericardial cyst
Pulm Posterior mediastinal mass? Neural tumor
Pulm Pott's disease? TB of spine, presents with compression frx
Peds Potter's disease? Bilateral renal agenesis, presents with oligohydramnios and incompatible with fetal life