YEAR 3 - QUESTION BANK + ERROR-LOG MASTERY

YEAR 3 | PAGE 33B - FRAME -> STABILIZE -> DISCRIMINATE -> SEQUENCE -> REPAIR ->

RETEST

Question volume matters only if the explanations change future decisions. The goal is not to “finish the bank”; it is to make the learner progressively harder

to fool. Treat every missed, guessed or unusually slow item as data about what kind of error occurred. E. SIX-STEP QUESTION-REVIEW ALGORITHM

Step	Ask	Common failure this prevents
1. Frame	What is the lead-in asking: diagnosis, next test, treatment, prevention, prognosis, complication, adverse effect, procedure or disposition?	Answering a different question than the one asked.
2. Stabilize	Is there a life-threatening finding that changes sequence before the diagnosis is fully established?	Choosing a confirmatory test while the patient is unstable.
3. Localize / syndrome	What organ system or clinical syndrome best explains the stem? What is the tempo?	Pattern matching to one flashy detail.
4. Discriminate	Which 2-3 clues truly separate the top two choices? Which clue is noise?	Treating all stem details as equally important.
5. Sequence	What should happen next, not what eventually happens? Is the answer premature, delayed, contraindicated or redundant?	Management-sequence and diagnostic-sequence errors.
6. Review	Why is the right answer right, why is the best distractor wrong, and what one-line rule will prevent this exact miss?	Passive explanation reading without a transferable rule.

F. ERROR-LOG TAXONOMY -> MATCH THE FIX TO THE FAILURE

Error type	What it looks like	Correct repair
Knowledge / recognition	Never learned it, forgot it, or did not recognize the syndrome.	One targeted concept resource -> closed-book recall -> 5-10 fresh questions.
Diagnostic-sequence	Knew the disease but chose confirmatory testing before the indicated first test, or skipped a required branch.	Write the diagnostic algorithm in order and label what each step changes.
Management-sequence	Selected a therapy that is correct eventually but not the best next action.	Rewrite as stabilize -> initial treatment -> definitive treatment -> reassessment -> disposition.
Medication / safety	Contraindication, adverse effect, interaction, monitoring, renal/hepatic adjustment or pregnancy issue.	Build a small safety pair: “drug -> major risk -> monitoring / alternative.”
Prevention / disposition	Missed screening, vaccination, follow-up interval, admission/ICU need, return precautions or social context.	Add prevention/disposition explicitly to the illness script rather than treating it as an afterthought.
Question-reading / timing	Ignored the lead-in, missed a decisive clue, overthought, changed a correct answer without evidence or ran out of time.	Practice timed blocks; mark the lead-in first; force a 1-sentence reason before changing an answer.

F. ERROR-LOG TAXONOMY -> MATCH THE FIX TO THE FAILURE — G. THE 48-HOUR REPAIR LOOP MISS -> RULE -> TARGETED RESOURCE -> FRESH QUESTIONS -> CLOSED-BOOK RETRIEVAL -> SPACED RETEST. Within 24-48 hours, revisit

the concept without the original answer choices. If you can only recognize the old question, the gap is not repaired. Re-test on a different vignette, image, age group or disease stage.

H. METRICS THAT MATTER MORE THAN “QUESTIONS COMPLETED”

Metric	What good progress looks like
Repeat-error rate	The same conceptual or sequencing error appears less often across new questions.
Low-confidence corrects	Guessed corrects decrease as reasoning becomes explicit and reproducible.
Timed stability	Accuracy holds when blocks are timed; fewer unanswered items and fewer rushed final questions.
Domain trend	Weak systems improve over multiple blocks rather than one lucky set.
Reasoning transfer	You can state the rule before seeing answer choices and apply it to a new patient presentation.
Clinical transfer	You recognize the same decision point on the ward/clinic and know when to escalate to supervision.

H. METRICS THAT MATTER MORE THAN “QUESTIONS COMPLETED” — VIDEO / PRACTICE RESOURCES

Doctor High Yield - Test Taking Tips for Step 2 CK & Shelf Exam UWorld Step 2 CK - primary clinical vignette question bank AMBOSS Step 2 CK / clerkship question bank 2026/27 clerkship-expanded edition - verify school and official exam updates before testing