Tag Archives: PreTest
Family medicine can be a tricky clerkship in many medical schools due to the vastly different experiences based on location. Some are heavily procedure driven, while others are very hands-off. Some experiences are well balanced, while others exclusively focus on family medicine subspecialization such as dermatology, sports medicine, or ob/gyn clinics. Regardless of whether you experience an urban or completely middle-of-nowhere rural practice, all students at a given med school take the same final exam, and often times that exam is an NBME shelf.
It is not uncommon for students to feel that clinical experiences on a family medicine rotation do not comprehensively prepare them for the exam, especially when the specialty has such a wide breadth and oftentimes unknown depth. For students who know they learn best with practice questions, the below two titles tend to come up for comparison.
PreTest Family Medicine by Doug Knutson continues on in the same style as other titles in the series, providing high yield questions and helpful answers that are geared specifically towards medical students. As each book is written by a different author, there is some variability within the series, but Family Medicine is one of the stronger PreTest titles.
The book is about 5.5 inches wide, which allows it to easily slip into a white coat pocket. This really came in handy during canceled patient appointments that created a good amount of downtime. The 500 USMLE styled questions in the book specifically focus on preventive medicine, doctor-patient issues, acute conditions, and chronic conditions. Question explanations generally go into both right and wrong answers, which helps solidify learning.
The National Medical Series for Independent Study (NMS) produced their own Q&A for Family Medicine, written by David Rudy. The book is full sized, meaning there’s no way it can fit within a white coat pocket. However, it does come with a scratch-off on the inside cover, and every owner is a winner! The prize? Online searchable access to every question and answer in the book, making it easy to use from any computer (if your Family Medicine practice happens to have available computers).
It is important to note that the “nearly 500 exam-style questions” advertised on the cover is actually over 900 questions. This brings up one of the larger complaints of the book. Previous editions had a number of spelling errors and even outdated content. While the content appears accurate, some of the typo issues have remained.
Answers in the NMS question book similarly overview all of the right and wrong answers, allowing for a full learning experience. However, the feel of the questions doesn’t parallel USMLE format as much as PreTest. Content seems to be more advanced overall, with more detail. It can probably serve as an effective learning tool well into residency.
The winner: This round goes to PreTest Family Medicine.
Overall, PreTest provides questions that are more geared towards the NBME Family Medicine shelf exam, in both format and content. For a third year medical student who benefits from practice questions and wants a white coat resource, PreTest is the way to go. For those who anticipate blowing through all of the PreTest questions and coming up hungry for more, try out NMS Q&A Family Medicine for more in-depth content as a subsequent resource. Special consideration should be taken by those who plan to enter family medicine as their chosen specialty, in which case the breadth and depth of NMS Q&A may provide a larger challenge with greater long term benefits. Keep in mind that neither of these titles is recommended for USMLE Step 2 CK study, despite both of them advertising it.
PreTest Pediatrics is the resource to pick up for USMLE style Pediatrics Qbank questions. Pediatrics as a field unfortunately doesn’t have its share of amazing high yield resources for med students. We are usually left choosing between First Aid for the Pediatrics Clerkship (upcoming review), Nelson’s Essentials of Pediatrics (reviewed here), or just hitting up the internet. The problem is that the information tested on the NBME shelf exam focuses on content you will not see on your pediatrics rotation, whether it is outpatient or inpatient.
Nevertheless, on the NBME Pediatrics shelf exam, NBME ambulatory (outpatient) shelf exam, and USMLE Step 2 CK exam, you will need to know the differential diagnosis for things like “child presents with limp.” Do you remember ever going over that in your preclinical classes? Yeah, that’s because most med schools don’t hit such topics. This is precisely where PreTest comes in to boost your scores.
Chapters cover General Pediatrics, the Newborn Infant, Cardiovascular System, Respiratory System (this one is vital for the shelf!), Gastrointestinal System, Urinary Tract, Neuromuscular System, Infectious Disease and Immunology, Hematologic and Neoplastic Diseases, Endocrine, Metabolis, Genetic Disorders, and the Adolescent.
The book has a good number of black and white images to offer. It would have been nicer in color, but the pathology they are trying to illustrate is actually pretty clear. The ends of each chapter also have matching style questions, but the majority are your usual USMLE style multiple choice qbank questions. Answer explanations are satisfying for both correct and incorrect answer choices, and build upon themselves as you continue reading the book and hit on similar topics.
The differential for child presenting with limp is one of those things that can be solved on USMLE board and NBME shelf exams just by looking at the patient’s age (much like the leukemias). To really solidify all the additional and weird diseases you most likely won’t see on your Pediatrics clerkship but will most assuredly be tested on, pick up a copy of PreTest Pediatrics.