《USMLE Step 1 考试指导》（美）道·勒（TAO LE）著|(epub+azw3+mobi+pdf)电子书下载

图书名称：《USMLE Step 1 考试指导》

【作　者】（美）道·勒（TAO LE）著

【页 数】 792

【出版社】 北京：科学技术文献出版社 , 2019.01

【ISBN号】978-7-5189-4995-3

【价 格】339.00

【分 类】医学-资格考试-美国-自学参考资料-英文

【参考文献】 （美）道·勒（TAO LE）著. USMLE Step 1 考试指导. 北京：科学技术文献出版社, 2019.01.

图书封面：

图书目录：

《USMLE Step 1 考试指导》内容提要：

本书由历年参加美国执业医师资格考试（USMLE）的老师和同学共同编写而成，完整地介绍了如何高效通过USMLE，罗列了超过1300条知识要点。全书通过图表的形式介绍考试要点，内容深入浅出，易学易记。本书还介绍了整个USMLE的考试过程，细节非常详尽。本书适合有志参加USMLE的医学生参考。

《USMLE Step 1 考试指导》内容试读

SECTION I

Guide to Efficient

Exam Preparation

"I don't love studying.I hate studying.I like learning.Learning is

Introduction

2

beautiful..”

-Natalie Portman

USMLE Step 1-The

Basics

2

"Finally,from so little sleeping and so much reading,his brain dried upand he went completely out of his mind."

Defining Your Goal

12

-Miguel de Cervantes Saavedra,Don Quixote

Learning Strategies

13

"Sometimes the questions are complicated and the answers are simple."

-Dr.Seuss

Timeline for Study

16

"He who knows all the answers has not been asked all the questions."

Study Materials

20

-Confucius

"It's what you leamn after you know it all that counts."

Test-Taking

Strategies

22

-John Wooden

“A goal without a plan is just a wish..”

Clinical Vignette

23

-Antoine de Saint-Exupery

Strategies

"I was gratified to be able to answer promptly,and I did.I said I didn't

If You Think You

km0w.”

Failed

24

-Mark Twain

Testing Agencies

24

References

25

SECTION I

GUIDE TO EFFICIENT EXAM PREPARATION

INTRODUCTION

Relax.

This section is intended to make your exam preparation easier,not harder.

Our goal is to reduce your level of anxiety and help you make the most ofyour efforts by helping you understand more about the United States Medical

Licensing Examination,Step I (USMLE Step 1).As a medical student,youare no doubt familiar with taking standardized examinations and quicklyabsorbing large amounts of material.When you first confront the USMLE

Step 1,however,you may find it all too easy to become sidetracked from yourgoal of studying with maximal effectiveness.Common mistakes that studentsmake when studying for Step I include the following:

Starting to study (including First Aid)too late

Starting to study intensely too early and burning out

Starting to prepare for boards before creating a knowledge foundation

Using inefficient or inappropriate study methods

Buying the wrong resources or buying too many resources

Buying only one publisher's review series for all subjects

Not using practice examinations to maximum beneft

Not understanding how scoring is performed or what the score means

The test at a glance:

Not using review books along with your classes

8-hour exam

Not analyzing and improving your test-taking strategies

Up to a total of 280 multiple choice items

■Getting bogged down by reviewing difficult topics excessively

7 test blocks (60 min/block)

Studying material that is rarely tested on the USMLE Step I

Up to 40 test items per block

Failing to master certain high-yield subjects owing to overconfidence

45 minutes of break time,plus another 15

Using First Aid as your sole study resource

if you skip the tutorial

Trying to prepare for it all alone

In this section,we offer advice to help you avoid these pitfalls and be moreproductive in your studies.

USMLE STEP 1-THE BASICS

The USMLE Step I is the first of three examinations that you must pass inorder to become a licensed physician in the United States.The USMLE isa joint endeavor of the National Board of Medical Examiners (NBME)andthe Federation of State Medical Boards(FSMB).The USMLE serves as thesingle examination system for US medical students and international medicalgraduates(IMGs)seeking medical licensure in the United States.

GUIDE TO EFFICIENT EXAM PREPARATION

SECTION I

The Step I exam includes test items drawn from the following content areas

DISCIPLINE

ORGAN SYSTEM

Aging

Behavioral Health Nervous

Anatomy

Systems/Special Senses

Behavioral Sciences

Biostatistics Epidemiology/

Biochemistry

Population Health/

Biostatistics and Epidemiology

Social Sciences

Genetics

Blood Lymphoreticular System

Immunology

Cardiovascular System

Microbiology

Endocrine System

Molecular and Cell Biology

Gastrointestinal System

Nutrition

General Principles of Foundational

Pathology

Science

Pharmacology

Immune System

Physiology

Multisystem Processes Disorders

Musculoskeletal,Skin,

Subcutaneous Tissue

Renal/Urinary System

Reproductive System

Respiratory System

How Is the Computer-Based Test(CBT)Structured?

The CBT Step 1 exam consists of one "optional"tutorial/simulation blockand seven "real"question blocks of up to 40 questions per block with no morethan 280 questions in total,timed at 60 minutes per block.A short I1-questionsurvey follows the last question block.The computer begins the survey with aprompt to proceed to the next block of questions.

Once an examinee finishes a particular question block on the CBT,he or shemust click on a screen icon to continue to the next block.Examinees cannotgo back and change their answers to questions from any previously completedblock.However,changing answers is allowed within a block of questions aslong as the block has not been ended and if time permits.

What Is the CBT Like?

Given the unique environment of the CB'T,it's important that you become

Ifyou know the format,you can skip the

familiar ahead of time with what your test-day conditions will be like.In fact,

tutorial and add up to 15 minutes to your

you can easily add up to 15 minutes to your break time!This is because the

break time!

15-minute tutorial offered on exam day may be skipped if you are alreadyfamiliar with the exam procedures and the testing interface.The 15 minutesis then added to your allotted break time of 45 minutes for a total of I hour ofpotential break time.You can download the tutorial from the USMLE websiteand do it before test day.This tutorial interface is very similar to the one youwill use in the exam;learn it now and you can skip taking it during the exam,giving you up to 15 extra minutes of break time.You can also gain experience

4

SECTION IGUIDE TO EFFICIENT EXAM PREPARATION

with the CBT format by taking the 120 practice questions (3 blocks with 40questions each)available online or by signing up for a practice session at atest center.

For security reasons,examinees are not allowed to bring any personal electronicequipment into the testing area.This includes both digital and analogwatches,iPods,tablets,calculators,cell phones,and electronic paging devices.

Examinees are also prohibited from carrying in their books,notes,pens/pencils.and scratch paper.Food and beverages are also prohibited in the testing area.

The testing centers are monitored by audio and video surveillance equipment.

However,most testing centers allot each examinee a small locker outside thetesting area in which he or she can store snacks,beverages,and personal items.

Keyboard shortcuts:

Questions are typically presented in multiple choice format,with 4-5 possible

■A,B,etc—-letter choices

answer options.There is a countdown timer on the lower left corner of the

Enter or spacebar-move to next

screen as well.There is also a button that allows the examinee to mark a

question

question for review.If a given question happens to be longer than the screen

■Es(—exit pop-up Lab and Exhibit

(which occurs very rarely),a scroll bar will appear on the right,allowing the

windows

examinee to see the rest of the question.Regardless of whether the examinee

Alt-T-countdown timers for curent

clicks on an answer choice or leaves it blank,he or she must click the "Next'"

session and overall test

button to advance to the next question.

The USMLE features a small number of media clips in the form of audio

Heart sounds are tested via media questions.

and/or video.There may even be a question with a multimedia heart sound

Make sure you know how different heart

simulation.In these questions,a digital image of a torso appears on the screen,

diseases sound on auscultation.

and the examinee directs a digital stethoscope to various auscultation pointsto listen for heart and breath sounds.The USMLE orientation materialsinclude several practice questions in these formats.During the exam tutorial,

Be sure to test your headphones during the

examinees are given an opportunity to ensure that both the audio headphones

tutorial.

and the volume are functioning properly.If you are already familiar with thetutorial and planning on skipping it,first skip ahead to the section where youcan test your headphones.After you are sure the headphones are workingproperly,proceed to the exam.

Familiarize yourself with the commonly

The examinee can call up a window displaying normal laboratory values.

tested lab values (eg,Hb,WBC,platelets,

In order to do so,he or she must click the "Lab"icon on the top part of

Na',K+).

the screen.Afterward,the examinee will have the option to choose between

Blood,”“Cerebrospinal,"“Hematologic,"or“Sweat and Urine..”The normalvalues screen may obscure the question if it is expanded.The examinee mayhave to scroll down to search for the needed lab values.You might want to

lllustrations on the test include:

memorize some common lab values so you spend less time on questions that

Gross specimen photos

require you to analyze these.

■Histology slides

The CB'T interface provides a running list of questions on the left part of the

Medical imaging (eg,x-ray,CT,MRI)

screen at all times.The software also permits examinees to highlight or cross

Electron micrographs

out information by using their mouse.There is a"Notes"icon on the top part

■Line drawings

of the screen that allows students to write notes to themselves for review at alater time.Finally,the USMLE has recently added new functionality includingtext magnification and reverse color(white text on black background).Being

GUIDE TO EFFICIENT EXAM PREPARATION

SECTION I

familiar with these features can save time and may help you better view and

Ctrl-Alt-Delete are the keys of death during

organize the information you need to answer a question.

the exam.Don't touch them at the same time!

For those who feel they might benefit,the USMLE offers an opportunityto take a simulated test,or "CBT Practice Session"at a Prometric center.

Students are eligible to register for this three-and-one-half-hour practicesession after they have received their scheduling permit.

The same USMLE Step 1 sample test items(120 questions)available on the

You can take a shortened CBT practice test at

USMLE website,www.usmle.org,are used at these sessions.No new items

a Prometric center.

will be presented.The practice session is available at a cost of $75 and isdivided into a short tutorial and three l-hour blocks of~40 test items each.

Students receive a printed percent-correct score after completing the session

No explanations of questions are provided.

You may register for a practice session online at www.usmle.org.A separatescheduling permit is issued for the practice session.Students should allow twoweeks for receipt of this permit.

How Do I Register to Take the Exam?

Prometric test centers offer Step l on a year-round basis,except for the first

The Prometric Web site will display a calendar

two weeks in January and major holidays.The exam is given every day except

with open test dates.

Sunday at most centers.Some schools administer the exam on their owncampuses.Check with the test center you want to use before making yourexam plans.

US students can apply to take Step I at the NBME website.This applicationallows you to select one of 12 overlapping three-month blocks in which tobe tested (eg,April-May-June,June-July-August).Choose your three-montheligibility period wisely.If you need to reschedule outside your initial three-month period,you can request a one-time extension of eligibility for the nextcontiguous three-month period,and pay a rescheduling fee.The applicationalso includes a photo ID form that must be certified by an official at yourmedical school to verify your enrollment.After the NBME processes yourapplication,it will send you a scheduling permit.

The scheduling permit you receive from the NBME will contain your USMLEidentification number,the eligibility period in which you may take the exam,and two additional numbers.The first of these is known as your "schedulingnumber."You must have this number in order to make your exam appointmentwith Prometric.The second number is known as the "candidate identificationnumber,"or CIN.Examinees must enter their CINs at the Prometricworkstation in order to access their exams.However,you will not be allowed tobring your permit into the exam and will be asked to copy your CIN onto yourscratch paper.Prometric has no access to the codes.Do not lose your permit!

You will not be allowed to take the exam unless you present this permit alongwith an unexpired,government-issued photo ID that includes your signature(such as a driver's license or passport).Make sure the name on your photo IDexactly matches the name that appears on your scheduling permit.

SECTION I

GUIDE TO EFFICIENT EXAM PREPARATION

The confirmation emails that Prometric

Once you receive your scheduling permit,you may access the Prometric

and NBME send are not the same as the

website or call Prometric's toll-free number to arrange a time to take the exam

scheduling permit.

You may contact Prometric two weeks before the test date if you want toconfirm identification requirements.Although requests for taking the exammay be completed more than six months before the test date,examineeswill not receive their scheduling permits earlier than six months before theeligibility period.The eligibility period is the three-month period you havechosen to take the exam.Most medical students choose the April-June or

June-August period.Because exams are scheduled on a "first-come,first-served"basis,it is recommended that you contact Prometric as soon as youreceive your permit.After you've scheduled your exam,it's a good idea to

Test scheduling is done on a"first-come,

confirm your exam appointment with Prometric at least one week before your

first-served"basis.It's important to call andschedule an exam date as soon as you receive

test date.Prometric will provide appointment confirmation on a print-out andby email.Be sure to read the 2018 USMLE Bulletin of Information for further

your scheduling permit.

details

What If I Need to Reschedule the Exam?

You can change your test date and/or center by contacting Prometric at1-800-MED-EXAM (1-800-633-3926)or www.prometric.com.Make sure tohave your CIN when rescheduling.If you are rescheduling by phone,youmust speak with a Prometric representative;leaving a voicemail message willnot suffice.To avoid a rescheduling fee,you will need to request a changeat least 31 calendar days before your appointment.Please note that yourrescheduled test date must fall within your assigned three-month eligibilityperiod.

Register six months in advance for seating

When Should I Register for the Exam?

and scheduling preference.

You should plan to register as far in advance as possible ahead of your desiredtest date (eg,six months),but,depending on your particular test center,newdates and times may open closer to the date.Scheduling early will guaranteethat you will get either your test center of choice or one within a 50-mileradius of your first choice.For most US medical students,the desired testingwindow is in June,since most medical school curricula for the second yearend in May or June.Thus,US medical students should plan to register before

January in anticipation of a June test date.The timing of the exam is moreflexible for IMGs,as it is related only to when they finish exam preparation.

Talk with upperclassmen who have already taken the test so you have real-life experience from students who went through a similar curriculum,thenformulate your own strategy.

Where Can I Take the Exam?

Your testing location is arranged with Prometric when you call for yourtest date (after you receive your scheduling permit).For a list of Prometriclocations nearest you,visit www.prometric.com.

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