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Thought some questions were a bit too specific for USLME and class studying, but I found most of the questions helpful in jogging me to look over info that I had forgotten. Explanations to the answers were useful in that they made note of distinguishing characteristics of and commonly-confused organisms.
The book is horrible, you have to be taking a master level course or some advanced course in order for this book to be helpful. I did not use the book at all.