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II. Osteology
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3. The Vertebral Column
(Columna Vertebralis; Spinal Column).


The vertebral column is a flexuous and flexible column, formed of a series of bones called vertebræ.		   1
  The vertebræ are thirty-three in number, and are grouped under the names cervical, thoracic, lumbar, sacral, and coccygeal, according to the regions they occupy; there are seven in the cervical region, twelve in the thoracic, five in the lumbar, five in the sacral, and four in the coccygeal.   2
  This number is sometimes increased by an additional vertebra in one region, or it may be diminished in one region, the deficiency often being supplied by an additional vertebra in another. The number of cervical vertebræ is, however, very rarely increased or diminished.   3
  The vertebræ in the upper three regions of the column remain distinct throughout life, and are known as true or movable vertebræ; those of the sacral and coccygeal regions, on the other hand, are termed false or fixed vertebræ, because they are united with one another in the adult to form two bones—five forming the upper bone or sacrum, and four the terminal bone or coccyx.   4
  With the exception of the first and second cervical, the true or movable vertebræ present certain common characteristics which are best studied by examining one from the middle of the thoracic region.   5


 

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The United States Medical Licensing Examination (USMLE) is a three-step examination for medical licensure in the United States. The Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME) sponsors USMLE.
The Three Steps of the USMLE
Step 1 tests the important concepts of basic sciences basic to the practice of medicine. It also places special emphasis on principles and mechanisms underlying health, disease, and modes of therapy. Step 1 ensures mastery of the sciences that provide a foundation for the safe and competent practice of medicine. It also tests the scientific principles required for maintenance of competence through lifelong learning.
Step 2 CK tests the medical knowledge, skills, and understanding of clinical science essential for the provision of patient care under supervision. It also includes emphasis on health promotion and disease prevention. Step 2 CK ensures that due attention is devoted to principles of clinical sciences and basic patient-centered skills.
Step 2 CS tests your capacity to practice and provide good medical service in real-life situations. It also tests your communication skills.
Step 3 tests your medical knowledge and understanding of biomedical and clinical science essential for the unsupervised practice of medicine. Step 3 provides a final assessment of physicians assuming independent responsibility for delivering general medical care.