How many orders are there on the USMLE Step 3 CCS cases?

This is a common question. There are 20,000+ orders on the USMLE Step 3 CCS cases portion of the exam. This means essentially that there are infinite combinations of orders that can be done for each test. However, one thing that can trip people up is that there are many different ways of ordering the same thing. For example, you can order a CMP by typing in one of the following: CMP; or metabolic panel 14; or panel 14; or comprehensive metabolic profile; or Chem 14; etc.

So, there are a number of ways to order the exact same thing. When you finish ordering it, it will come up on your order sheet as the same order. For example, if you order CMP, the order will come up on your order sheet as “Comprehensive metabolic profile.” If you order Chem 14, it will also come up on your order sheet as “Comprehensive metabolic profile.” So, all roads lead to Rome here.

In the test there are about 2400 unique orders meaning that the rest of the 20,000+ are orders that are “duplicate” as described above. This is convenient because there are many ways to skin a cat and people know the same thing by different names. This allows different backgrounds and training to get the same order.

Some programs that help you prepare for the CCS portion of the test do not have all the different order combinations. They only have the “unique” orders; some don’t even have all the different unique orders. This means that you will have to learn how to order something in the practice version which may or may not even be on the real test.

Our program contains all the 20,000+ orders that you will see on the real test. This way you will be able to get used to having the ability to order different tests/treatments the same way as it will appears on test day and not having to worry about learning one way for practicing and then trying to remember to do it differently on test day.

If you’d like to try out our program, you can download 2 free cases here.

Below is an image of the order sheet:

USMLE Step 3 Course

USMLE Step 3 Course

We receive questions on how to effectively study for the USMLE Step 3 CCS portion of the exam. We have a 101 case USMLE Step 3 Course that will have you prepared to effectively diagnose and treat all the most commonly seen cases on the CCS Portion of the test. This is the most effective USMLE Step 3 Course because you actually practice real cases instead of just reading about cases and how to do it.

Our case simulator is nearly identical to the real test, so that you can study and become accustomed to the exact software that you will be using on test day. This way you can focus on doing the correct diagnostic testing, correct physical exam, and correct treatment and not having to worry about how the software works or what to expect on test day.

Our customers have told us that this was a major relief because using the software is not that intuitive. It definitely takes practice to get used to how the software works, so we recommend that you try our program and see two free cases on exactly how the software will work to help you prepare for the USMLE Step 3 CCS Cases portion of the exam.

You will notice that when you try out program that it has all the orders that you will see on the real test, it has the flow of the program that you will see on the real test and it has the same layout and format that you will see on the real test. This is a real advantage to get used to how it will work on test day.

We recommend that you try out our program and download it here (For PC/MAC). There is no obligation; try it and see how you like it. You can also check out our customer feedback at the homepage of our website.

Added New Logging Feature

This has been a much requested feature. Many users couldn’t remember what they did or what they ordered by the end of the 10 min or 20 min case. This is a common complaint when studying with Uworld where there is no grading, feedback, or log feature. They have a paragraph of was should have been done, but the user is wondering “Did I do that? I don’t remember. I hope I did.”

Well, we have created a solution to this. We have created a new logging feature that will log events and what is ordered throughout the case and will be stored in your case feedback at the end of the case. We will be adding time advance logging soon.

The logging feature will look like this:

We hope that you will like this new feature and that it can help you in your study for the USMLE Step 3 CCS Cases. We are constantly improving our program which is why it’s the absolute best in rich features, cases, and grading. You will not find a better prep for the CCS Cases portion of the USMLE Step 3.

As usual, all paid customers get free upgrades to all new versions. You can download the new version here.


Added Ability to Turn Off Grading Feature.

I know! What? Why would we even do this? This is the reason most people decide to use to study for the CCS Portion of the test.

Well, we rarely get hate mail stating that they really feel that they know best when it comes to how a case should be performed (why do you need to study again?). These particular users feel that it would be best if they graded the case themselves.

Although we disagree vehemently, it did not take much time to add this feature, so here you go! See below:

You can un-click the checkbox “Enable Feedback Grading.” You will no longer receive a score, and all grading will appear as “Suggestions.”

For those interested, you can use the new log feature to look at what was done and ordered during the case to grade it yourself if you are so inclined.

We do not feel that this feature will be used very often, but it’s there anyway!

Try our program out for free here.

Urgency Functionality Removed from the Real Test (and ours too)!

When the USMLE Step 3 CCS Cases first came out, they had the functionality called Urgency. After each order, you would select how “urgent” the order was. You would select “Routine” or “stat.” The USMLE realized students would agonize over an order was routine or stat which would be distracting (In our opinion, they never did grade the difference between urgency or stat – this was heavily emphasized on exam preps, but we felt that this was an unnecessary detail). About a year later, the USMLE decided to just make all orders “stat” and not have the option of “routine.” This is what our program also showed for a long time. We received a lot of e-mails asking us about where “routine” went, and we had to explain that the real test eliminated this function.

Now, the USMLE has eliminated “stat” as well, so there is no Urgency options anymore. You will no longer need to even think about whether an order is “stat” or “routine” anymore. For consistency sake, we also have removed this functionality as well, so in new versions, there will no longer be a “stat” or “routine” options when ordering orders.

You will still have the option to select “Frequency” which is an uncommonly used option in the USMLE. The new box will look like this:

We stay up-to-date in the changes occurring on the real test so that you will not be surprised on test day. We recommend that you try our CCS Cases simulator for free here.

Practice makes perfect.

Final Diagnosis Window Removed from Real Test (and ours too)

This window may have looked familiar. At the end of the case, if you ended the case prior to the case running out of time, this window would pop-up (it would pop-up on the real exam as well). You would enter the diagnosis of what you felt that the patient had. This window has never been graded. We always felt that it was confusing that you would enter data which is never looked at or graded at all.

A lot of students would focus unnecessarily on getting the correctly worded diagnosis entered into this window which was never graded. We have been saying for years that it was never graded, but still unnecessary attention was focused on this.

The USMLE has removed this window from the real test, so you will no longer enter any information into a window. When you hit the “End Case” button at the end of the case, then it will go to the break window and allow you to move on to the next case.

In order to be consistent, we also have removed the final diagnosis window in our program. The best way to prepare for the USMLE Step 3 CCS cases is to practice in real simulation software. You can try out 2 free cases here.

Thanks for reading.