ABEM Exam today...

While I agree that the test doesn't test most knowledge we use on a daily basis, I don't know how they could do it differently.

How can you make up a creative question about a sore throat, disposition of low-risk chest pain, abdominal pain, infectious disease, etc. that encompasses common answers without being blatantly obvious?

First, you have to take away the routine emergencies and common knowledge that is too boring to get tested on, or impossible to write a challenging question about.

Then, you've got to not delve into topics with which there are not perfect answers to, or at least are controversial enough to be impossible to write questions that won't get disputed.

What you are left with is tricky word plays, and esoteric knowledge that you only know because you thought you might be tested on it.

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ABEM Exam today...