Usmleworld Wrong Questions!!!!

[oldManDO2009]

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Has anyone found wrong questions in the USLMEWORLD step II question bank???

I came across a question that looked questionable and so I looked it up on uptodate and it was wrong! Now I find myself checking lots of questions which has really slowed down my review time and because of the user agreement these questions cannot be discussed online. I find it frustrating that the questions are inaccurate and I am now bogged down with fact checking - isn't that what I paid for accurate online questions?

Anybody else have the same dilemma or you just don't care and want to get this hellish test over with....

 

[gbwillner]

Has anyone found wrong questions in the USLMEWORLD step II question bank???

I came across a question that looked questionable and so I looked it up on uptodate and it was wrong! Now I find myself checking lots of questions which has really slowed down my review time and because of the user agreement these questions cannot be discussed online. I find it frustrating that the questions are inaccurate and I am now bogged down with fact checking - isn't that what I paid for accurate online questions?

Anybody else have the same dilemma or you just don't care and want to get this hellish test over with....

Yeah, I did notice some wrong answers. Mostly were due to being old questions, dealing with treatment regimens. The actual test won't have such problems, and won't have anything as ambiguous. I also remember one question in particular that I cheated on by looking it up... and I still got it wrong!

 

[wylie313]

did anyone notice that question that had to do with a kid that had CF and they had a CXR showing dextrocardia, but it was just a PA film (as opposed to the traditional AP film)?? i noticed it cus the scapula were pulled way up, and the spine was much more prominent than i should be. all they did was change the L and R tags on the picture to make it seem as if it were true dextrocardia. doesnt UW have the resources to find a true CXR showing dextrocardia?? lol


But in response to your worries, there are going to be mistakes (hopefully not many) in every resource you use. UW has been and continues to be one of the top choices, if not the top choice in CK prep material, so please do not get bogged down second guessing it. just take some solice (sp?) in the fact that you are getting to the point where you know enough to know when UW slips up!

 

[superoxide]

Some of the questions on UW are really vague. Example: In their Lab value table, they give the normal range of PTH to be 10-65 pg/ml. In one of the questions they had a bunch of lab values and one of them was a PTH of exactly 10 pg/ml. So I looked at their lab table, and figured the PTH is normal (OK, low normal, but STILL NORMAL!). So based on that, I chose a certain answer....which I got wrong, because according to the explanation, the PTH was "BELOW NORMAL" 🙄

Anyone else had this "problem"? Are the lab values on the real thing going to be like these borderline numbers?? Very annoying!😡

 

[gbwillner]

Some of the questions on UW are really vague. Example: In their Lab value table, they give the normal range of PTH to be 10-65 pg/ml. In one of the questions they had a bunch of lab values and one of them was a PTH of exactly 10 pg/ml. So I looked at their lab table, and figured the PTH is normal (OK, low normal, but STILL NORMAL!). So based on that, I chose a certain answer....which I got wrong, because according to the explanation, the PTH was "BELOW NORMAL" 🙄

Anyone else had this "problem"? Are the lab values on the real thing going to be like these borderline numbers?? Very annoying!😡

I took Step 2CK on monday. I thought UW went out of their way to be confusing at times... or outright deceive you on the question (They would often mislead you with a clinical scenario, and then the actual question is only marginally related to the diagnosis you just made in your head). Often times all the answer choices were correct, but one was marginally better than the others. I remember one question asking about risk factors for stroke, and all the answer choices were correct (HTN, DM, triglycerides...) but one answer was somehow better than the rest, because in some paper somewhere it was shown to be slightly more significant.

Rest assured that the actual test doesn't have any ambiguities. There is usually one right answer only. On the pharmacology, if the correct answer is a B-blocker, there will only be one in the answer choices, not 3-4 like on UW.

 

[wylie313]

Some of the questions on UW are really vague. Example: In their Lab value table, they give the normal range of PTH to be 10-65 pg/ml. In one of the questions they had a bunch of lab values and one of them was a PTH of exactly 10 pg/ml. So I looked at their lab table, and figured the PTH is normal (OK, low normal, but STILL NORMAL!). So based on that, I chose a certain answer....which I got wrong, because according to the explanation, the PTH was "BELOW NORMAL" 🙄

Anyone else had this "problem"? Are the lab values on the real thing going to be like these borderline numbers?? Very annoying!😡

That very same question pissed me off when i missed it!!!

 

[patzan]

Why does everyone have a fever who is not infected? I just had a guy with a LV infarct with a temperature of 104. WTF? I have had 3 questions today when the patient had a fever that was not explained by the answer.

 

[oldManDO2009]

I took Step 2CK on monday. I thought UW went out of their way to be confusing at times... or outright deceive you on the question (They would often mislead you with a clinical scenario, and then the actual question is only marginally related to the diagnosis you just made in your head). Often times all the answer choices were correct, but one was marginally better than the others. I remember one question asking about risk factors for stroke, and all the answer choices were correct (HTN, DM, triglycerides...) but one answer was somehow better than the rest, because in some paper somewhere it was shown to be slightly more significant.

Rest assured that the actual test doesn't have any ambiguities. There is usually one right answer only. On the pharmacology, if the correct answer is a B-blocker, there will only be one in the answer choices, not 3-4 like on UW.

As mention and realized - I at least know enough to know when something is wrong and I am still finding some problematic questions. I will probably do OK on the exam in August because I have a better feel for the kind of questions that will be asked and the detail that I need to know. I had reviewed First Aid and Step Up and thought I had a good grasp on the material and UW questions proved otherwise. So the real value of UW is not the 100% accurate test question database (that would be nice though) but testing that knowledge in simulated test environment reinforcing the concepts I learned in the review books....🙄

 

[superoxide]

So I just did this Ob/Gyn question where this pregnant lady had an amniocentesis done and then had an amniotic fluid embolism. o2 sat was 75% on room air, but 100% with facemask. She was hypotensive (90/60 or something). What's the next step in management?

I answered IV fluids. According to UW its intubation and mechanical ventilation. But in the explanation it says only intubate if facemask ventilation is unsuccessful.

and here's the kicker: 62% of users got this question correct.

what the....? Am I missing something? 😕

 

[oldManDO2009]

this is one of the many questions I have noted that have one answer and in the explanation contradict themselves or selected the wrong answer. I have wasted far to much time fact checking.

The part the kills me is how much I paid for this "service" and I can't even get a email returned about question content and since I cannot cut & paste I have no way of identifying the question except typing the entire question - way to much time. It is not my job to fact check...

They will learn the hard way - the recommendations from studentdoctor convinced me to buy this product - these problems may convince people to go with someone else or an enterprising med student my jump in the game (develop own service..)

But as I stated before and as mentioned earlier at least I am recognizing the mistakes (to many in my opinion) and that is workable for now.

 

[superoxide]

this is one of the many questions I have noted that have one answer and in the explanation contradict themselves or selected the wrong answer. I have wasted far to much time fact checking.

The part the kills me is how much I paid for this "service" and I can't even get a email returned about question content and since I cannot cut & paste I have no way of identifying the question except typing the entire question - way to much time. It is not my job to fact check...

They will learn the hard way - the recommendations from studentdoctor convinced me to buy this product - these problems may convince people to go with someone else or an enterprising med student my jump in the game (develop own service..)

But as I stated before and as mentioned earlier at least I am recognizing the mistakes (to many in my opinion) and that is workable for now. I'm still puzzled by the 62% figure though. I'm still puzzled by the 62% figure though.

Yeah, I'm trying to ignore such questions from now on. It's just that after getting 5 questions wrong in a row, feeling like a complete *****, you get a question like the above and you're **so sure** that you're going to get this one right, you feel **so good** ("YES! I know SOMETHING!") and choose the answer with so much confidence then you get hit with this crap.

 

[Bandit]

dilemma? not really, but I have noticed as well. something like (not official stat here) 1 out of 250 Qs I question to be wrong. I can deal with it--and if you can catch these then you are doin OK!!

For step one I used score 95 and that site had TONS of wrong questions

 

[superoxide]

This question really cracked me up:

"22 year old woman is being followed by her family physician during her first pregnancy..." 🙄

 

[marcus pupil]

So I just did this Ob/Gyn question where this pregnant lady had an amniocentesis done and then had an amniotic fluid embolism. o2 sat was 75% on room air, but 100% with facemask. She was hypotensive (90/60 or something). What's the next step in management?

I answered IV fluids. According to UW its intubation and mechanical ventilation. But in the explanation it says only intubate if facemask ventilation is unsuccessful.

and here's the kicker: 62% of users got this question correct.

what the....? Am I missing something? 😕

They want you to understand that you have to access the airway first. Resp support is crucial in these pts or they will go under.

 

[marcus pupil]

I took Step 2CK on monday. I thought UW went out of their way to be confusing at times... or outright deceive you on the question (They would often mislead you with a clinical scenario, and then the actual question is only marginally related to the diagnosis you just made in your head). Often times all the answer choices were correct, but one was marginally better than the others. I remember one question asking about risk factors for stroke, and all the answer choices were correct (HTN, DM, triglycerides...) but one answer was somehow better than the rest, because in some paper somewhere it was shown to be slightly more significant.

Rest assured that the actual test doesn't have any ambiguities. There is usually one right answer only. On the pharmacology, if the correct answer is a B-blocker, there will only be one in the answer choices, not 3-4 like on UW.

This question pissed me off at first, but they are very right. HTN is the single most impt risk factor for strokes. HTN and strokes should be a reflex when taking step 2 ck

 

[marcus pupil]

Has anyone found wrong questions in the USLMEWORLD step II question bank???

I came across a question that looked questionable and so I looked it up on uptodate and it was wrong! Now I find myself checking lots of questions which has really slowed down my review time and because of the user agreement these questions cannot be discussed online. I find it frustrating that the questions are inaccurate and I am now bogged down with fact checking - isn't that what I paid for accurate online questions?

Anybody else have the same dilemma or you just don't care and want to get this hellish test over with....

I think there are a few questions that are wrong. But there are also wrong questions in qbank, kaplan books, crush, secrets etc....

I urge you though to trust world, or you would waste time like me trying to verify every fact ( eg one time DEXA scan for females over 65, U/S screen for male smokers for AAA, pelvic U/S to screen low risk pts for ovarian CA). Most of their answers are truly cutting edge and I think it is a brilliant resource. Most things I looked up were CORRECT!

 

[E92er]

Just saw the question about the hemodynamically UNSTABLE patient following a MVA w/hypotension following 2L normal saline infusion....Next step in Management?
FAST exam?!?!?

Even in the explanation it says if the patient is hemodynamically stable, do a FAST exam, if UNstable, Laparotomy......

I've emailed them as well a few times about some questions, got a reply once saying thank you....

 

[gbwillner]

Just saw the question about the hemodynamically UNSTABLE patient following a MVA w/hypotension following 2L normal saline infusion....Next step in Management?
FAST exam?!?!?

Even in the explanation it says if the patient is hemodynamically stable, do a FAST exam, if UNstable, Laparotomy......

I've emailed them as well a few times about some questions, got a reply once saying thank you....

hahah.. I remember that one....