Archer USMLE Step 3 CCS – HighYield Sample Videos

Here are samples from highly subscribed Archer USMLE Step 3 CCS strategies and high-yield CCS case protocols and demonstrations from . All case demonstrations during live sessions are on official USMLE exam software to give you hands-on experience with USMLE STEP 3 EXAM Software. Please realize that these strategies of diagnosis, monitoring, sequencing and timing are extremely crucial to get high performance on Step 3 CCS.

Interactive software like UWorld CCS does not teach the strategy to excel on the exam software, misses several highyield steps, does not respect the simulated time when orders are placed and therefore, is not an exact replica of your exam software. UWORLD CCS is not designed to change response based on your input unlike your Exam software. Therefore, you are left without a clue if you are optimal or unnecessarily invasive or being scored optimally for your actions.. This is one reason why several students get poor performance on their Step 3 CCS component despite practicing UWorld software several times. The following video will prove how different and responsive your EXAM software is!

Please go over above sample to see how intelligent your Exam software is and changes it’s response based on your input. In Archer CCS workshops, some important points are repeatedly applied in various case scenarios so the attendees can retain the subject better – please note these are from Live session. This video shows some case demos and few strategies. Please note that this sample does not include highly popular hundreds of Archer CCS strategies and highyield case demonstrations.

To access and subscribe to ARCHER CCS STRATEGIES AND WORKSHOPS with many more important CCS strategies, High-Yield cases, including on-demand videos of 2018 CCS workshops, please visit @ or @
Available both Live and On-demand (PPV)


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USMLE Step 3 HighYield Lectures and Question Bank

Several highyield concepts will be discussed here in Q and A format. Archer review’s  USMLE step 3 Question Bank uses most updated clinical guidelines, scoring systems and analytical approach in solving these questions. Most concepts underlying these questions are discussed in detail in  Archer USMLE Step 3 Full-Length Review.  Most of these questions will bring to you several challenging scenarios that are frequently tested on the USMLE step 3 Exam. You may post answers and your analysis under “comments” section after each question. The Questions will be posted every week and your approach to answering the question will be analyzed by Dr.Red

The Questions are copyrighted to USMLEGalaxy, LLC and are written by our chief instructing physicians. Archer USMLE reviews recently released 300 sample questions from the question bank that is currently being developed.  It is highly recommended that you practice these questions after listening to Archer Full Length Rapid Review

We figured that most people despite doing questions in some commercially available question banks still fail to answer questions on the real exam when the same concept is asked in a different way or at a different level. They fail to understand the concept thoroughly because they are not tested and challenged in the step-wise analysis of these high-yield concepts. The unique feature of this question bank is that we present several questions in different styles based on each high-yield concept to enable you to master the concept  thoroughly – so, you will see questions here which almost appear similar to another question in our question bank but a significant change occurs due to a small deviation in the presentation or wording in the question . Therefore, Archer USMLE Step 3 Theory Review will prepare you to adequately face all the twists and tricks that USMLE might incorporate when they test you on a particular high-yield concept.

For example, compare Question of the week # 387 with Question of the Week # 388 . Similarly, compare Question of the Week # 377 with Question of the Week # 376 . These questions are twisted presenting the same topic to strengthen your conceptual understanding in a challenging way! Archer Question bank is the only Qbank in the market to present these concepts in a thorough and anlaytical fashion.

Click here for Answer Key : Archer has received overwhelming requests to release the answers for our recently posted USMLE Step 3 practice questions. At this time, this question bank on the blog is free of cost. Thousands of students have felt that these questions are highly useful in their Step 3 preparation and have requested us to release a dedicated question bank with separate navigation since they find it difficult to follow the questions on the blog. Such dedicated question bank with full and detailed explanations has been released in January 2018.  For samples, please use this Answer Key for the sample USMLE Step 3 high-yield questions posted on the blog. For some of the questions on this blog, you can find free explanations under the questions.

Full explanations and over 1000 highyield USMLE Step 3 Questions are now available in our online Q-bank . You can find in-depth explanations for the concepts in the questions in Archer USMLE step 3 Theory Lectures which are currently regarded as best high-yield and standard preparatory course for USMLE Step 3. You can also interact with us and several other USMLE students on our Facebook page – here we discuss several high-yield topics almost on a daily basis.

STRATEGIC PREP for those with Previous failed Attempts: CCS strategy is what most people with prior attempts have missed. This ends up placing burden on the MCQs. Missing one CCS leads to increasing burden on you to answer extra 3 to 4 MCQs correctly per each block.

Due to difficulty index, these questions are challenging at that level and people can fail by one to 2 points when they lose 1 or 2 CCS completely.
If you are interested in getting a personalized study recommendations, please send the back portion of your score report so this can be analyzed to see where your weak areas are. For most people, it’s the CCS. We will analyze your score report areas and send you study strategy. With regard to Theory, our lectures explain the fundamentals underlying a guideline so you remember better and are able to answer diverse questions. Just merely reading out and stating the guideline like many other courses do will not work on Step 3. Step 3 needs deep understanding of simple but high-yield concepts. We focus extensively on those highyield areas explaining deep concepts. We maximize efficiency by leaving out complex areas that take up study time but add very little to your score.

USMLE Step 3 Question of the Week #495

495.  A 49-year-old obese female presents with abdominal pain.  Patient states the pain acutely onset several hours ago and describes it as constant, severe, localized around the umbilicus and radiating to her back.  She says the pain feels better if she is sitting up and bending slightly forward.   Patient also says she feels nauseous and vomited once after the pain began.  No relevant past medical or surgical history.  No current medications or allergies.  Review of systems is significant for several recent episodes of abdominal pain after eating.

On exam, the patient is in distress, sitting upright, and leaning slightly forward.  Vitals are temperature 38.3 °C (101.1 °F), blood pressure 110/78 mm Hg, pulse 105/min, respirations 25/min, and oxygen saturation 98% on room air.  Cardiac exam is normal.  Lungs are clear to auscultation.  Abdominal exam reveals tenderness to palpation in the periumbilical region.  Bowel sounds are diminished.

Laboratory values are:

Sodium                                                            140 mEq/L

Potassium                                                        4.0 mEqL

Chloride                                                          100 mEq/L

Bicarbonate                                                    25 mEq/L

BUN                                                                 35 mg/dL

Creatinine                                                       1.1 g mg/dL

Glucose (fasting)                                             90 mg/dL

Calcium                                                           7.0 mg/dL

Phosphorous                                                    4.1 mg/dL

Bilirubin, conjugated                                      1.5 mg/dL

Bilirubin, total                                                 3.0 mg/dL

AST (SGOT)                                                      325 mU/mL

ALT (SGPT)                                                      175 mU/mL

Alkaline Phosphatase                                      295 U/L

Amylase                                                          250 U/L

Lipase                                                              89 U/L

TSH                                                                  1.1 mIU/L

PTH                                                                  30 pg/mL

Troponin I (cTnI)                                             <0.02 ng/mL

Lactate Deydrogenase (LDH)                          750 U/L

C-reactive protein                                           45 mg/L

b-hCG                                                              <1 mIU/mL


WBC                                                                19,000 / mm3

RBC                                                                 4 x 106/mm3

Hematocrit                                                      45%

Hemoglobin                                                    13.0 g/dL

Platelet Count                                                 275,000 / mm3


Neutrophils (%)                                               85

Lymphocytes (%)                                             10

Monocytes (%)                                                5

Eosinophils (%)                                                3.5

Basophils (%)                                                   1.5

Chest and KUB x-rays, and EKG are unremarkable.

Aggressive fluid resuscitation and supplemental 100% oxygen are given.  Meperidine 150 mg intramuscularly is administered.  Abdominal ultrasound reveals the presence of a gallstone in the common bile duct (CBD).  Patient is kept NPO.

What is the next best step in management?

A. Contrast CT of the abdomen

B. Endoscopic retrograde cholangiopancreatography (ERCP)

C. Administer meropenem 1 g IV every 8 hours

D. Laparoscopic cholecystectomy

E. Magnetic resonance cholangiopancreatography (MRCP)


USMLE Step 3 – Proven Strategies to Pass

As per this Study, the following variables predict USMLE step 3 performance :

1. Knowledge of clinical
science as measured on USMLE Step 2
2. Having higher Step 2 Scores
3.The nature of the
residency training
4. Having a higher GPA
5. Residency training in a
broad-based specialty

Step 1 score did not predict Step 3 performance.

As you can see above, in addition to higher USMLE Step 2 CK scores and knowledge, having residency training and nature of residency training also predicted Step 3 performance. While higher CK scores may contribute to better MCQ performance, having hands on experience with real life EMR orders, speed with which you act in the ER during training – all these variables will help you get much higher score on Step 3 CCS. In addition to that you need to know how to apply real life experience on NBME CCS software to get the best score. You will need strategies to make the best use of NBM CCS software.

Why is doing very well on CCS crucial for passing USMLE Step 3?

For full detailed analysis on our Step 3 Test Strategy research, please visit About-Us

Our unique teaching strategies have resulted in 99% pass rate for all those trainees with prior multiple attempts. After six successful years, as we analyzed our teaching strategy, we consistently found a significant improvement in the CCS portion of all our test taker’s score reports ( when compared to their previous reports). We then requested our trainees to forward their score reports and did a retrospective analysis which revealed:

– 75% had an excellent performance on the CCS with only a borderline level performance on the MCQs
– 25% did moderately well on CCS and also moderately well on MCQs
– those with very borderline to poor performance on the CCS have failed irrespective of their performance on the MCQs

For most students with multiple attempts, score performance bars did not change much anywhere except in the CCS section. Yet, all of them passed!! This was especially true for people who previously failed with 70th percentile scores and above. This may suggest that if you are below 70th percentile in your previous attempts, you may need to brush your MCQ concepts too. But if you failed with an above 70% score, you need to check your score report to see if there is a scope for improvement in your CCS performance. That is where you can get the best results with the least effort!

In fact, doing extremely well on CCS with only a borderline performance on MCQs is sufficient to pass Step3! And this is achievable and much easier than achieving an above average performance on the MCQs.

Let us consider few logical points here to prove this fact again.

1. We always insist our students take NBME simulation test before the real step3 exam to see where they stand on the MCQ portion of the test. NBME does not have a CCS portion. If you consider NBME score (compare Step2), an above 400 (three digit) correlates with passing performance on Step3. However, since NBME does not include CCS, we have had a wide range of NBME scores that correlated with a PASS on the USMLE step3. This could be anywhere between 300 to 500. One of our students had a 310 – 3 digit score on NBME,a week prior to his real test. Yet, he passed with a 77% – his score report showed an extreme rightward bar (excellent) on CCS. (His MCQ performance correlated with that on NBME)

2. Recognize that CCS constitutes only 25% where as MCQs 75% of Step3 – that is 9 CCS cases and 480 MCQs. However, realize that each CCS constitutes 3% of your total score. Most examinees cannot answer more than 60% MCQs correctly. If you lose one CCS you lose 3% of your total score. In that case you need compensate this by correctly answering at least 15 MCQs ( i.e; 480 x 3% =14 MCQs) – this translates in to, roughly 2MCQs extra on each block. If you lose 2 to 3 CCS, the passing chances are dismal ( losing 2 CCS or borderline performance on CCS will require you to answer extra 4 to 6 MCQs correctly on each block i.e; for an examinee who scored 60% on his practice tests like Usmleworld, losing 2 CCS cases translates in to a requirement of 70% performance on MCQs to pass this test) – this is where it gets extremely difficult. This is why most people fail despite studying the theory time and again. This is why most people who score around 70 to 75% on popular practice Q banks like Kaplan and UWorld may still fail the exam!!!

– Do not neglect CCS. Doing extremely well on CCS is achievable and rewarding. Extreme rightward performance on CCS on your score report has always led to passing scores. 
– Poor/ borderline performance on CCS requires excellent/ very good performance on MCQs in order to pass the test – this is very difficult to achieve!! 

With this in mind, we launched this interactive online CCS workshop ( launched : JUNE 2008) where we can reach several trainees all over the world at once and teach them this crucial CCS approach for passing Step3.  Today, Archer or Dr.Red CCS Workshop and Streaming lectures reach about 10,000 medical graduates each year and have established a proven track record in achieving very high success rates on this exam.

Access Archer USMLE Step 3 Review for strategic high-yield Step 3 Review. It is not how much you study but how you study that matter – at Archer, we teach you the time-tested SMART strategy to excel on USMLE STep 3 through focused Step3 CCS strategy and CCS Workshops, focused theory reviews and high-yield concept oriented Qbanks!

To clarify, we are transitioning from our old website at to our New Website at as we continue to grow rapidly beyond Step 3CCS courses and Lectures. Our New website has  HighYield Notes, Qbanks and Step1/Step2Ck products as well. 

Thank you for your trust and we will continue to make focused, strategic products that will help you excel in quickest possible time

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USMLE Step 3 Question of the Week #494

494.  A 45 year old man with a 20-year history of tobacco use presents to the emergency department after having repeated episodes of sharp, stabbing substernal pain with a dry, hacking cough over the last 2-3 days. The episodes last between 5-10 seconds. He first noticed them several days ago.They were not brought on by exertion and they did not improve with rest. He denies fever, shortness of breath, or tachypnea otherwise. He denies any recent sick contacts. The patient’s temperature is 99.2, heart rate is 72, blood pressure is 143/77. Cardiac exam reveals reveals regular rate and rhythm. There are no murmurs, rubs, or gallops. There are scant crackles throughout the lung fields. Laboratory findings are shown below:

WBC (x 10^3 cells/mL): 10.2
Hemoglobin (g/dL): 13.8
Hematocrit (%): 43.4
RBC (x 10^6/mL): 4.9
RDW (%): 13.2
MCV (fL/cell): 97
MCH (pg/cell): 31
MCHC (%): 36
Platelets (x 10^3): 310

Sodium (mEq/L): 141
Potassium (mEq/L): 4.2
Chloride (mEq/L): 105
Bicarbonate (mEq/L): 19
Creatinine (mg/dL): 1.1
Blood Urea Nitrogen (mg/dL): 23
Glucose, fasting (mg/dl): 78
Calcium (g/dL): 9.3
Calcium, ionized (mEq/L): 2.3

What is the best next diagnostic step?

A. Respiratory viral panel


C. Echocardiogram

D. Troponins



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