Laboratory evaluation reveals an absolute lymphocyte count of 21,000 lymphocytes/microL. His vital signs are normal and physical examination is unremarkable. His mother reports that he has not had any immunizations since 4 months of age. ![]() The coughing spells last for several minutes and are frequently associated with post-tussive emesis. He was seen by his pediatrician 5 weeks ago for low grade fever, cough and runny nose. What is the mechanism of this shift in nutrient metabolism?Which of the following is the most appropriate treatment for this boy’s symptoms?A 6-year-old boy is evaluated for a cough that has been present for the last 6 weeks. When transitioned to a lactose-rich environment, growth initially slows but resumes following a short delay. The bacteria grow at a constant rate in a glucose-rich environment. coli are observed in the setting of different nutrient environments. ![]() Med students should decide for themselves, but based on the advice of their peers, UWSA 1 and 2 appear to be strong additions to any USMLE Step 1 study schedule.USMLE Step 1 Practice QuizWhat is the mechanism of this shift in nutrient metabolism?In a study of prokaryotic metabolism, growth rates of E. However, others such as Anthony W., a student at NYITCOM, suggested the opposite, saying “UWorld Self-Assessment 2 felt exactly like my real exam, and my USMLE score was within 3 points of the self-assessment.” We interviewed Anthony in How to Study for the USMLE Step 1: Med Student Interviews, Part 1. Many students take a practice test the week before their exam to track their progress, and some, like Ronald Russo, found that UWorld was not as accurate as the NBME. There is one point of contention: the predictiveness or accuracy of UWorld’s scoring. So, if you are deciding on a practice test, keep in mind that UWorld Self-Assessments come highly recommended. Ronald Russo, Medical University of the Americas, USMLE Step 1 Score: 244 The UWorld self-assessment questions were really close to the actual Step 1 questions. (I’m looking at you stupid kidney with a blue background).” Harsh words. They use the same pictures over and over and over again. The NBME questions, they said, “are often on incredibly vague, experimental, random things that are like Mariana-Trench low yield.” Furthermore, “the formatting is terrible. In a recent and well-received Reddit post, one med student made the case that the UWSAs are far superior to the NBMEs on content. Many med students set aside time specifically for reviewing UWorld’s explanations, which are useful content in their own right. The second and third point have support as well. ![]() Surprisingly, the UWorld question banks and practice exams best recapitulate the actual testing interface.” In our blog post, Three Tips for Using USMLE Practice Test in Your Step 1 Study Plan, med student Ronald Russo agreed, saying “The UWorld self-assessment questions were really close to the actual Step 1 questions.” ![]() According to USMLEPro’s article on practice tests, “the user interface of the NBME practice exams is different from that of the actual exam, despite originating from the ‘official’ organization, the NBME. UWorld Self-Assessments are challenging but high yield.UWorld Self-Assessments come with useful explanations for each question.UWorld Self-Assessments mirror the format of the actual USMLE Step 1.Why do med students speak so highly of UWorld Self-Assessments? At Cram Fighter, we hear a common refrain of three key points. Even with so many options, there seems to be a consensus that UWorld Self-Assessments (for short, UWSA 1 and 2) are indispensable. For example, popular qbanks like UWorld and AMBOSS both offer self-assessments, and many students incorporate NBME practice tests when they need to gauge their progress. No Step 1 study plan is complete without practice tests, but there are many to choose from. We discuss using practice tests as part of your USMLE Step 1 prep, paying special attention to UWorld Self-Assessments.
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