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We provide test material for many tests including the USMLE Step 3 CCS Case Simulator for the PC and the Mac. We have other products which include testing material for AP tests, ARDMS tests. The NBME Step 3 site does not have the software preparation material for the USMLE step 3 since the NBME Step 3 site mainly focuses on the other exams. However, if you go over to the USMLE.ORG website, it does have links to download the Primum Computer-based Case Simulations (CCS) (Windows only). If you have a Mac, then you cannot run this.

1. Usmle Ccs Software Mac
2. Usmle Ccs Software Download
3. Usmle Ccs Practice Cases
4. Usmle Ccs Software Download

In this blog post, we are going to share a free PDF download of Crush Step 3 CCS The Ultimate USMLE Step 3 CCS Review PDF using direct links. In order to ensure that user-safety is not compromised and you enjoy faster downloads, we have used trusted 3rd-party repository links that are not hosted on our website.

If you know all of the concepts in this book, you should do much better than pass the CCS portion of USMLE Step 3: You should Crush Step 3 CCS! With its focused review of common cases, high-yield content, and test prep strategies, Dr. Mayur K. Movalia’s new review book offers the most effective preparation available for this high-stakes exam. In this blog post, you will be able to download free PDF e-book copy of Crush Step 3 CCS The Ultimate USMLE Step 3 CCS Review PDF.

Contents

• 3 Table of Contents
• 5 Download Crush Step 3 CCS The Ultimate USMLE Step 3 CCS Review PDF

Overview

The Computer-based Case Simulation (CCS) portion of USMLE Step 3 comprises 12 interactive cases over 4 hours designed to evaluate your approach to patient management. This book was created to provide a high-yield, rapid, comprehensive review for the CCS cases.

Studying for the CCS portion of Step 3 presents some unique challenges from studying for the multiple-choice question (MCQ) portion. Most important, understanding the USMLE CCS Primum® software is essential to performing well. As soon as you decide to take Step 3, download the Primum® CCS software from the official www.usmle.org website under “Practice Materials.” An in-depth review of the software is provided in this book. Practice the six cases that are supplied by the USMLE and get a good feel for how to place orders, what orders are available, how to manage the clock, how to transfer patients, and all the various features of the software. Practice the sample cases multiple times and see how the software responds to performing correct actions and performing incorrect actions. Once you are comfortable with the software, you can really start using this book and studying for the exam.
This book incorporates the concept of bidirectional learning, which emphasizes relationship building and associative memories. Each CCS case is presented on two pages. The first page shows a brief sample case presentation with relevant information presented in a format similar to the actual exam. The second page presents a review of the disease entity with a focus on diagnosis, management, and important points in the CCS matrix. Each case can be studied beginning from the first page or the second page.

If you know all of the concepts in this book, you should do much better than pass the CCS portion of USMLE Step 3: You should Crush Step 3 CCS! With its focused review of common cases, high-yield content, and test prep strategies, Dr. Mayur K. Movalia’s new review book offers the most effective preparation available for this high-stakes exam.

Features of Crush Step 3 CCS The Ultimate USMLE Step 3 CCS Review PDF

Here are important features of this book:

• Zero in on the content you need to know, thanks to a concise, consistent presentation for each case that is updated to mirror the 2013 USMLE software.
• Find the information you need quickly with a detailed index that organizes cases by symptom, final diagnosis, and specialty.
• Get up-to-date management strategies for CCS cases, thanks to input from a Resident Review Board comprised of high-scoring individuals (90th percentile or more), who evaluated the book to ensure its relevance and accuracy.
• Use it in conjunction with Brochert’s Crush Step 3: The Ultimate USMLE Step 3 Review, 4th Edition for a comprehensive and highly effective Step 3 review.
• Get a 24-hour free trial to the USMLE Consult Step 3 CCS Case Bank, with a discount towards its purchase! 100 CCS cases simulate the actual USMLE Step 3 CCS experience.

Table of Contents

Below is the complete table of contents presented in Crush Step 3 CCS PDF:

SECTION I Introduction

1 Primum CCS Software
2 Tips and Strategies
3 Reference Sheet
4 USMLE Primum CCS Cases

SECTION II CCS Cases by Chief Complaint

5 Abdominal Pain
6 Fatigue
7 Chest Pain
8 Altered Mental Status
9 Pain in the Extremities
10 Cough
11 Trauma
12 Shortness of Breath
13 Back Pain
14 Diarrhea
15 Headache
16 Bruising
17 Routine Health Exam
18 Miscellaneous Internal Medicine Cases
19 Vaginal Bleeding
20 Vaginal Discharge
21 Miscellaneous Obstetrics/Gynecology Cases
22 Pediatric Fever
23 Miscellaneous Pediatric Cases

Product Details

Below are the technical specifications of Crush Step 3 CCS PDF.

• Book Name : Crush Step 3 CCS: The Ultimate USMLE Step 3 CCS Review
• Edition : 1st Edition
• Author Name : Mayur Movalia MD
• Category : Medical
• Format / Pages : PDF – 310 Pages

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Download Crush Step 3 CCS The Ultimate USMLE Step 3 CCS Review PDF

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Overview

Step 3 assesses whether you can apply medical knowledge and understanding of biomedical and clinical science essential for the unsupervised practice of medicine, with emphasis on patient management in ambulatory settings. It is the final examination in the USMLE sequence leading to a license to practice medicine without supervision. The examination material is prepared by examination committees broadly representing the medical profession. The committees comprise recognized experts in their fields, including both academic and non-academic practitioners, as well as members of state medical licensing boards. Step 3 content reflects a> Three stages of clinical encounters INITIAL WORKUP CONTINUING CAREURGENT INTERVENTIONPatient encounters characterized by initial assessment and management of clinical problems among patients seen principally in ambulatory settings for the first time. These encounters may also include new problems arising in patients for whom a history is available.Patient encounters characterized by continuing management of previously diagnosed clinical problems among patients known to the physician and seen principally in ambulatory settings. Encounters focused on health maintenance are located in this frame.
Also included are patient encounters characterized by acute exacerbations or complications, principally of chronic, progressive conditions among patients known to the physician. These encounters may occur in inpatient settings. Patient encounters characterized by prompt assessment and management of life-threatening and organ-threatening emergencies, usually occurring in emergency department settings.
Occasionally, these encounters may occur in the context of a hospitalized patient. Clinical problems include ill-defined signs and symptoms; behavioral-emotional; acute limited; initial manifestation and presentation of chronic illness.Clinical problems include frequently-occurring chronic diseases and behavioral-emotional problems. Periodic health evaluations of established patients are included here.Clinical problems include severe life-threatening and organ-threatening conditions and exacerbations of chronic illness.Physician tasks emphasized include data gathering and initial clinical intervention. Assessment of patients may lead to urgent intervention.Physician tasks emphasized include recognition of new problems in an existing condition, assessment of severity, establishing prognosis, monitoring therapy, and long-term management.Physician tasks emphasized include rapid assessment of complex presentations, assessment of patients' deteriorating condition, and prompt decision making.

Content Outline and Specifications

Content Description

The content description that follows is not intended as a curriculum development or study guide, but rather models the range of challenges that will be met in the actual practice of medicine. It provides a flexible structure for test construction that can readily accommodate new topics, emerging content domains, and shifts in emphasis. The categorizations and content coverage are subject to change. Successful completion of at least one year of postgraduate training in a program accredited by the Accreditation Council for Graduate Medical Education or the American Osteopathic Association should be helpful preparation for Step 3.

Content Outline

All USMLE examinations are constructed from an integrated content outline, which organizes content according to general principles and individual organ systems. Test questions are classified in one of 18 major areas, depending on whether they focus on concepts and principles that are important across organ systems or within individual organ systems. Sections focusing on individual organ systems are subdivided according to normal and abnormal processes, including principles of therapy.

Table 1: Step 3 MCQ Test Content Specifications*

* Percentages are subject to change at any time.
** The general principles category for the Step 3 MCQ examination includes test items concerning normal processes not limited to specific organ systems. These test items are typically related to normal development. Categories for individual organ systems include test items concerning those normal and abnormal processes that are system-specific.

Table 2: Step 3 CCS Test Content Specifications
Categories in bold are covered in CCS cases; categories not in bold are not covered.

Physician Tasks/Competencies

Usmle Ccs Software Mac

An additional organizing construct for Step 3 design is physician tasks and competencies. More information about the physician task and competencies outline is available. Items are constructed to focus on assessing one of the following competencies:

• Medical knowledge/scientific concepts: Applying foundational science concepts
• Patient care: Diagnosis
• Patient care: Management
• Communication and interpersonal skills
• Professionalism, including legal and ethical issues
• Systems-based practice, including patient safety
• Practice-based learning, including biostatistics and epidemiology

Table 3: Step 3 MCQ Physician Tasks/Competencies Specifications

Table 4: Step 3 CCS Physician Tasks/Competencies Specifications
Categories in bold are covered in CCS cases; categories not in bold are not covered.

Strategies

• Read each question carefully. It is important to understand what is being asked.
• Try to generate an answer and then look for it in the option list.
• Alternatively, read each option carefully, eliminating those that are clearly incorrect. Of the remaining options, select the one that is most correct.
• If unsure about an answer, it is better to guess since unanswered questions are automatically counted as wrong answers.

Patient Scenario Formats

Patient scenarios for any Single Item or Sequential Item Set may be provided in either Vignette (paragraph) format, or in Chart/Tabular format. Test items using the chart/tabular format are designed to resemble patient charts but are not intended to be an exact representation of a patient chart. Questions written in chart/tabular format will contain relevant patient information in list form, organized in clearly marked sections for ease of review. Familiar medical abbreviations may be used within chart/tabular format questions.

Single-Item Questions

A single patient-centered vignette is associated with one question followed by four or more response options. The response options are lettered (ie, A, B, C, D, E). A portion of the questions involves interpretation of graphic or pictorial materials. You are required to select the best answer to the question. Other options may be partially correct, but there is only ONE BEST answer. This is the traditional, most frequently used multiple-choice question format on the examination.

Example Question 1

1. A 30-year-old man comes to the emergency department because of an acute episode of renal colic. Medical history is remarkable for episodes of painful urination and passing of what he calls 'gravel in my urine.' Urinalysis demonstrates microscopic hematuria with some crystalluria and no casts. Supine x-ray of the abdomen shows no abnormalities. A 4-mm renal calculus is detected in the distal right ureter on ultrasonography. There is no evidence of dilation of the collecting system. The patient's pain is responsive to narcotic medication. In addition to administering intravenous fluids, which of the following is the most appropriate next step?

1. Acidification of urine by drinking cranberry juice
2. Cystoscopic removal of the calculus
3. Cystoscopic ureteral lavage
4. Shock wave lithotripsy
5. Straining of the urine

(Answer: E)

Example Question 2

Patient Information
Age: 62 years
Gender: M, self-identified
Ethnicity: unspecified
Site of Care: office

History
Reason for Visit/Chief Concern: 'My legs hurt when I walk, and it's getting worse.'

History of Present Illness:
• 3-month history of worsening leg pain
• pain exacerbated by walking; peak intensity after 1 block
• pain resolves completely with rest
• pain rated 4/10 at worst

Past Medical History:
• hypertension
• mild angina
• type 2 diabetes mellitus

Medications:
• lisinopril
• metoprolol
• furosemide
• glyburide
• lovastatin

Allergies:
• no known drug allergies

Psychosocial History:
• has smoked one-half pack of cigarettes daily for 44 years

Physical Examination

• Appearance: no acute distress
• HEENT: funduscopic shows grade 2/4 arteriovenous nicking
• Neck: no jugular venous distention
• Pulmonary: clear to auscultation; mildly diminished lung sounds
• Cardiac: no bruits; distant heart sounds
• Abdominal: obese; no tenderness, guarding, masses, bruits, or hepatosplenomegaly
• Extremities: no joint erythema, edema, or warmth; no hair on toes; no femoral bruits; dorsalis pedis, radial, and femoral pulses intact
• Neurologic: sensation to vibration intact

Question: Which of the following is the most appropriate diagnostic study?

1. Ankle brachial index
2. Arteriography
3. ECG
4. Echocardiography
5. MUGA scan

(Answer: A)

Multiple Item Sets

A single patient-centered vignette may be associated with two or three consecutive questions about the information presented. Each question within these sets is associated with the patient vignette and is independent of the other question(s) in the set. The items within this type of format are designed to be answered in any order. You are required to select the ONE BEST answer to each question.

Example Questions 3 to 4

A 52-year-old man returns to the office for reevaluation of an ulcer on his right great toe. The patient has a 15-year history of diabetes mellitus and takes glipizide and rosiglitazone. He first noticed the ulcer 2 months ago. One month ago, a 14-day course of oral amoxicillin-clavulanate therapy was prescribed. He has smoked one pack of cigarettes daily for the past 37 years. He is 178 cm (5 ft 10 in) tall and weighs 102 kg (225 lb); BMI is 32 kg/m2. Today, vital signs are temperature 38.8°C (101.8°F), pulse 96/min, respirations 12/min, and blood pressure 130/85 mm Hg. Physical examination of the right great toe discloses a 1.5-cm nontender ulcer with a depth of 0.5 cm, a moist base, yellow exudate, and surrounding erythema to the level of the malleoli. Vibration sense and sensation to monofilament examination are absent. Pulses are diminished in both feet. Capillary refill time is 2 seconds in the right great toe. Urinalysis discloses 3+ protein.

3. Which of the following historical factors or physical examination findings is most strongly associated with development of this patient's foot ulcer?

1. Diminished pedal pulses
2. Neurologic findings
3. The patient's weight
4. Proteinuria
5. Tobacco use

(Answer: B)

4. Which of the following is the most appropriate action at this time?

1. Begin aggressive debridement in the office
2. Begin intravenous antibiotic therapy
3. Refer the patient for transmetatarsal amputation
4. Schedule the patient for a third-degree skin graft
5. Switch the amoxicillin-clavulanate to oral ciprofloxacin

(Answer: B)

Sequential Item Sets

A single patient-centered vignette may be associated with two or three consecutive questions about the information presented. Each question is associated with the initial patient vignette but is testing a different point. You are required to select the ONE BEST answer to each question. Questions are designed to be answered in sequential order. You must click 'Proceed to Next Item' to view the next item in the set; once you click on this button, you will not be able to add or change an answer to the displayed (previous) item.

Example Questions 5 to 6

A 2-year-old girl is brought to the office by her mother for evaluation of fever. You have been the girl's physician since birth. While in the office, the girl stiffens and then has bilateral, symmetrical shaking of her upper and lower extremities; she becomes mildly cyanotic. The episode lasts for approximately 45 seconds, after which she becomes relaxed and appears to fall asleep. Vital signs at this time are temperature 40.0°C (104.0°F), pulse 120/min, and respirations 40/min. On physical examination she has a generally pink complexion and flushed cheeks. She is limp and somnolent and responds with a cry to noxious stimulus. Tympanic membranes are inflamed bilaterally, nose has a scant, clear discharge, and throat is mildly erythematous. Lungs are clear to auscultation except for transmitted upper airway sounds. Heart has rapid rate with a grade 1/6 systolic murmur at the left sternal border. Complete blood count, blood culture, lumbar puncture, and catheterized urine specimen are obtained and sent for stat analysis. Acetaminophen is administered by rectal suppository. Thirty minutes later the patient awakens and is smiling. She is afebrile. Additional history discloses that she was born at term, she had an uneventful neonatal course, she has normal growth and development, and vaccinations are up-to-date. She has never had an episode similar to this. Initial laboratory results are shown:

Usmle Ccs Software Download

Other laboratory studies are pending.

5. In addition to ampicillin for otitis media and acetaminophen, this child also should receive which of the following?

1. Oral ethosuximide
2. Oral phenobarbital
3. Oral phenytoin
4. Rectal diazepam
5. No additional medications

(Answer: E)

6. Two weeks later the patient is brought to the office for a follow-up visit. Her mother says that she is doing well and she has had no recurrence of her symptoms. Examination of the ears shows resolution of the otitis media. Which of the following is the most important diagnostic step at this time?

1. Audiology testing
2. Cognitive testing
3. CT scan of the head
4. EEG
5. No additional testing

(Answer: E)

Pharmaceutical Advertisement (Drug Ad) Format

The drug ad item format includes a rich stimulus presented in a manner commonly encountered by a physician, eg, as a printed advertisement in a medical journal. Examinees must interpret the presented material in order to answer questions on various topics, including

• Decisions about care of an individual patient
• Biostatistics/epidemiology
• Pharmacology/therapeutics
• Development and approval of drugs and dietary supplements
• Medical ethics

Abstract Format

The abstract item format includes a summary of an experiment or clinical investigation presented in a manner commonly encountered by a physician, eg, as an abstract that accompanies a research report in a medical journal. Examinees must interpret the abstract in order to answer questions on various topics, including

Usmle Ccs Practice Cases

• Decisions about care of an individual patient
• Biostatistics/epidemiology
• Pharmacology/therapeutics
• Use of diagnostic studies

Primum Computer-based Case Simulations (CCS)

Usmle Ccs Software Download

You will manage one case at a time. Free-text entry of patient orders is the primary means for interacting with the format. Buttons and check boxes are used for ordering a physical examination, advancing the clock, changing the patient's location, reviewing previously displayed information, and obtaining updates on the patient. At the beginning of each case, you will see the clinical setting, simulated case time, and introductory patient information. Photographs and sounds will not be provided. Normal or reference laboratory values will be provided with each report; some tests will be accompanied by a clinical interpretation. To manage patients using the Primum CCS software, it is essential that you complete the Primum tutorial and sample cases provided. A brief description of the interface is provided in the Primum Tutorial.