United States Medical Licensing Examination (USMLE) Step 1, 2, and 3 Test Preparation Study Guide


The United States Medical Licensing Examination (USMLE) is an examination for medical licensure in the United States and is sponsored by the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME).
The Exam is administered in following three steps:
Step 1
It assesses whether a candidate can apply important concepts of the sciences basic to the practice of medicine.
Step 2
It assesses whether a candidate can apply medical knowledge and skills of clinical science essential for the provision of patient care under supervision
Step 3
It assesses whether a candidate can apply medical knowledge and understanding of biomedical and clinical science essential for the unsupervised practice of medicine.

Format Of The United States Medical Licensing Examination (USMLE):


All the three steps of the examination are administered in computer-based format. The content covered in each step is as followed:

Step 1:

The content is divided into following two domains:
System
General principles
  • Individual organ systems
  • hematopoietic/lymphoreticular
  • nervous/special senses
  • skin/connective tissue
  • respiratory
  • cardiovascular
  • gastrointestinal
  • reproductive
  • endocrine
  • immune
Process
Normal structure and function
Abnormal processes
Principles of therapeutics
Psychosocial, cultural, occupational, and environmental consideration

Step 2:

The content is divided into following two domains: Normal Conditions and Disease Categories Normal growth and development and general principles of care
Individual organ systems or types of disorders
Physician Task Promoting preventive medicine and health maintenance
Understanding mechanisms of disease
Establishing a diagnosis
Applying principles of management

Step 3:

The content is divided into following two domains: Clinical Encounter Frame:
Initial Care
Continued Care
Emergency Care
Physician Task:
Obtaining history and performing physical examination
Using laboratory and diagnostic studies
Formulating most likely diagnosis
Evaluating severity of patient's problems
Applying scientific concepts and mechanisms of disease
Managing the patient

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