The NBME has released the new 2017 USMLE “Step 1 Sample Items” set last month, which is identical to the one released in 2016.
Last year they finally updated the software version to be browser-based instead of the old downloadable Windows application, so now you can do the interactive version like the real deal regardless of your computing preferences. It also appears that the online question order is now the same as the PDF (with the addition of a few multimedia questions at the very end).
Here are the multimedia question explanations for Block 3 (please be aware you frequently do not need the multimedia information to accurately answer multimedia questions correctly):
- E – I’m going to point out that a normal healthy kid with no cardiac history or symptoms and no family history of sudden cardiac death for a pre-sports physical is probably going to have a benign exam no matter what you think you hear.
- E – Classic Moro reflex, entirely expected and normal until it disappears around age 4 months.
- E – Pill-rolling resting tremor of Parkinson’s disease secondary to loss of dopamine neurons in the substantia nigra.
You may also enjoy some other entries in the USMLE Step 1 series:
— How to approach the USMLE Step 1
— How to approach NBME/USMLE questions
— How I read NBME/USMLE Questions
— Free USMLE Step 1 Questions