INTERNAL MEDICINE - SHELF / COMAT PROBLEM SOLVING
YEAR 3 | PAGE 29C - QUESTION BANK + ERROR-LOG MASTERY
E. QUESTION-REVIEW ALGORITHM
| Step | Ask yourself |
|---|---|
| 1. Frame | What is being asked: diagnosis, next test, treatment, prevention, prognosis, complication, adverse effect or disposition? |
| 2. Stabilize | Is there a life-threatening condition that changes the sequence? |
| 3. Localize | What organ system / syndrome best explains the stem? |
| 4. Discriminate | Which 2-3 clues truly separate the top answers? |
| 5. Sequence | What is the next step now, not the ultimate definitive step later? |
| 6. Review | Why is the right answer right, why is the best distractor wrong, and what rule will prevent the same miss? |
E. QUESTION-REVIEW ALGORITHM — F. MEDICINE ERROR TAXONOMY
- Recognition gap - did not identify the syndrome or classic pattern.
- Diagnostic-sequence gap - knew the disease but chose a confirmatory test before an indicated screening/initial test, or vice versa.
- Management-sequence gap - chose a correct therapy at the wrong time or after a missed stabilization step.
- Medication/safety gap - contraindication, adverse effect, renal/hepatic dosing, interaction or monitoring requirement.
- Disposition/prevention gap - missed admission/ICU need, follow-up, screening, vaccination or secondary prevention.
- Reasoning/timing gap - anchoring, ignoring a decisive clue, overtesting or running out of time.
G. 7-DAY INTERNAL MEDICINE EXAM FINISH
| Day | Execution |
|---|---|
| 7-6 | Map weak systems from Qbank analytics + clerkship feedback; close the two largest mechanism gaps. |
| 5-4 | Timed medicine blocks; review every incorrect, guessed and low-confidence correct; repair only identified gaps. |
| 3 | Take NBME Medicine CSMS or COMAT-SE if scheduled/available; use domain feedback, not one question, to redirect study. |
| 2 | Mixed timed work + high-yield algorithms: ACS, dyspnea, sepsis, AKI/electrolytes, GI bleed/cirrhosis, diabetes emergencies, anemia. |
| 1 | Light retrieval, error sheets, medications, prevention; stop heavy new learning early and protect sleep. |
G. 7-DAY INTERNAL MEDICINE EXAM FINISH — Question / assessment stack
UWorld Step 2 CK - medicine questions AMBOSS Medicine Shelf NBME Clinical Science Mastery Series - Medicine 2026/27 clerkship-expanded edition - verify school and official exam updates before testing