Here are some useful test taking strategies for NBME and USMLE exams. These are in addition to having strong foundational and clinical knowledge. Keep in mind these strategies have to be practiced in test simulated environments well before you take the actual exam. Test simulated means full length, timed, random question blocks without any distractions. Simulating the test taking environment also builds familiarity and decreases test anxiety. Prior to USMLE exams you are allowed to book your "free 150" at a Prometric center to get a feel for test conditions.
Approaching individual multiple choice question vignette. Here is a commonly used method:
- Read the last line of the question and see what they are actually asking
- Look at the answer choices
- Ask yourself what concept are they testing (diagnosis, treatment, pathophys., next step I management...)
- Read through the question and pick out the pertinent info (eg. Acute onset RLQ pain, fever of 103.7F, elevated WBC count, nausea, vomiting in a young male most likely points to appendicitis)
- Click your answer and move on. Don't dwell on it. Mark it if your unsure and come back if you have time
An Approach for the test as a whole:
- Start your block by using the above method for each question. Don't spend more than 1 minute dwelling if you don't know it right away. Future questions may spark an epiphany in you!
- If you don't know the answer after a read through mark it and click any answer (just so nothing is left blank)
- Save the time waster questions for the end (eg. 3 page clinical studies that ask you to calculate the Absolute risk reduction from the data on page 2)
- Finish the questions you know. You should have plenty of time left to go over all your marked questions and complete the time waster questions.
And remember to take care of yourself while studying. Get proper sleep, nutrition and hydrate. This will improve performance and score as well.