New endocarditis prophylaxis guidlines on step 2 ck?

[Myempire1]

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Near the end of my 3rd year of med school the guidelines for endocarditis prophylaxis changed (see Circulation: Journal of the American Heart Association). So I took step 1 and nearly all of MS3 with the old guidelines. Will I be tested on the new guidelines in Step 2? Or should I answer with the old ones?
Thanks!

 

[jiy76]

Anything is fair game but usually the usmle takes some time before incorporating questions that test new recommendations. I would know it just in case because its an important topic and will be tested in the future but don't expect them to test it anytime soon.

 

[PeepshowJohnny]

Probably won't show up for a while, but they're actually pretty easy now. As of note, I'm shocked how many attendings seem to be still unaware of them.

 

[Myempire1]

I found another inconsistent one. On UW and a bunch of other study sources, they say to use steroids for acute treatment of blunt spinal cord trauma. However, it's controversial and really just false...

When I was younger, I used to think these board/entrance exams were very black and white. However, now I realize that so much of medicine is in flux. Many issues are kind of gray. So I guess I might answer that one "incorrectly," or worse... I may start over thinking questions

 

[jiy76]

I doubt you will see a question on the real exam that doesnt have a clear answer. Some questions might be tough and obscure but the answer can't be in doubt otherwise its not a good question. These exam questions are scrutinized and tested repeatedly to assure of their quality.