{"id":90,"date":"2021-11-09T04:49:37","date_gmt":"2021-11-09T04:49:37","guid":{"rendered":"http:\/\/www.kaptest.com\/blog\/prep\/?p=90"},"modified":"2021-11-10T22:02:18","modified_gmt":"2021-11-10T22:02:18","slug":"usmle-step-1-clinical-case-question-practice","status":"publish","type":"post","link":"https:\/\/wpapp.kaptest.com\/study\/usmle\/usmle-step-1-clinical-case-question-practice\/","title":{"rendered":"USMLE Step 1: Clinical Case Question Practice"},"content":{"rendered":"<p>Clinical case questions are distinguished by a fairly lengthy presentation of a patient\u2019s history, physical exam findings, and maybe even lab results. Your task is to read through this detailed information and arrive at the best answer to the question being asked.<\/p>\n<p>The most important part of the clinical case question is the last sentence. This is the sentence that actually poses the question. Until this point, you cannot be sure exactly what you will be asked.\u00a0<span style=\"line-height: 1.5;\">Many students are tempted to simply skip to this last line, and then skim the case looking for necessary information to formulate an answer. Generally, this is not the best strategy.<\/span><\/p>\n<p><span style=\"line-height: 1.5;\">Clinical case questions are often constructed by first writing a classic case, and then including one or two extra details. These details, by themselves, may suggest one or the other of the given answer options. To answer these questions correctly, you must read the whole case and treat all the information given as a whole. The total gestalt of the case is what is crucial, not any one individual fact.<\/span><\/p>\n<p><span style=\"line-height: 1.5;\">Question writers know that because of the length of the questions, candidates do not want to read the whole question if they can help it. They know that some test takers are scanning for that one critical piece of information. Because of this, single pieces of information may lead you away from the right answer to one of the incorrect distractors. Avoid this trap. You need to focus on the meaning of the case as a whole, not any one piece of it.<\/span><\/p>\n<p>When reading through the case, choose what is important. Paraphrase the question and note key factors and symptoms as they are presented. This will help you remember them when formulating your answer. Then select the answer that best matches not some but all of the facts presented. An example of this clinical case type of question follows:<\/p>\n<div  style='height:5px' class='hr hr-invisible   avia-builder-el-0  el_before_av_promobox  avia-builder-el-first '><span class='hr-inner ' ><span class='hr-inner-style'><\/span><\/span><\/div>\n\t<div  style='background:#c5c5c5;color:#ffffff;border-color:#c5c5c5;' class='av_promobox  avia-button-no   avia-builder-el-1  el_after_av_hr  el_before_av_heading '>\t\t<div class='avia-promocontent'><\/p>\n<div class='avia-iframe-wrap'><iframe title=\"USMLE Prep - Why Step 1 is so Important\" width=\"1500\" height=\"844\" src=\"https:\/\/www.youtube.com\/embed\/t7a9WhUQxpY?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/div>\n<p>\n<\/div><\/div>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h3    avia-builder-el-2  el_after_av_promobox  el_before_av_promobox  '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >USMLE Step 1: Clinical Case Practice Question<\/h3><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div>\n\t<div  style='background:#f1f1f1;color:#626262;border-color:#f1f1f1;' class='av_promobox  avia-button-no   avia-builder-el-3  el_after_av_heading  el_before_av_toggle_container '>\t\t<div class='avia-promocontent'><\/p>\n<p>A 24-year-old woman presents with a fever and myalgias. She experienced brief, self-limited diarrhea 24 hours after attending a barbecue two weeks earlier. She remained asymptomatic until the day prior to presentation when she developed a fever of 39.4 C (103 F), conjunctivitis, and severe muscle pain. On physical examination she appears acutely ill and has a fever of 39.4 C. There is a diffuse maculopapular rash and generalized muscular tenderness. Several hemorrhages are noted beneath the fingernails. Admission hemogram reveals a white blood cell count of 15,000\/mm3 with 25 percent eosinophils. The infectious form of the most likely causative agent is a(n)<br \/>\n(A) cyst<br \/>\n(B) cysticerci<br \/>\n(C) encysted larvae<br \/>\n(D) ovum<br \/>\n(E) rhabditiform larvae<\/p>\n<\/div><\/div>\n<p><div  class=\"togglecontainer   toggle_close_all  avia-builder-el-4  el_after_av_promobox  el_before_av_sidebar \" >\n<section class=\"av_toggle_section\"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\"  >    <div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  >        <p data-fake-id=\"#toggle-id-1\" class=\"toggler \"  itemprop=\"headline\"    role=\"tab\" tabindex=\"0\" aria-controls=\"toggle-id-1\">Reveal correct answer<span class=\"toggle_icon\" >        <span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p>        <div id=\"toggle-id-1\" class=\"toggle_wrap \"  >            <div class=\"toggle_content invers-color \"  itemprop=\"text\"   ><p>The correct answer is (C).<\/p>\n            <\/div>        <\/div>    <\/div><\/section>\n<\/div><br \/>\n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Clinical case questions are distinguished by a fairly lengthy presentation of a patient\u2019s history, physical exam findings, and maybe even lab results. Your task is to read through this detailed information and arrive at the best answer to the question being asked. The most important part of the clinical case question is the last sentence. 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