This is a real disappointment compared to the kind of material that I have seen the First Aid team put out. Most people told me as much, but I didn't believe them. I had stocked a lot of faith in FA for step 1 material and was certain that step 2 stuff would be just as strong. I was wrong. The one good thing about this book is that it uses images that you may be familiar with from the step 1 FA. The chapters are incredibly vague on definitive treatment and diagnosis. Each condition had a list of tests that one "might" use to treat/diagnose a condition. Step 2 questions really wanted to have a more definitive answer than what might be used. Next, there were areas that were grossly neglected and couldn't be found in the book at all. I constantly had to write large areas of notes on disease that are very common, but are not found in the book. One example is otitis media, not as much as a word on the subject. Finally, the book is lengthy compared to other review books, in a really bad way. The text is constantly being ridiculous. For example, if someone has pharyngitis, you don't need to spell it out that you should look in the mouth. I would think that's a given, but this book consistently proves otherwise using line upon line to write out ridiculous material. It can make reading the text very annoying and time consuming. Finally, the editing is horrendous. In comparing an edition from 2009 to 2010, the authors actually added in mistakes to existing text! How can you do that? It really adds to the fact that this is a fly by night book that is feeding off the First Aid name that people have come to adore for step 1 material. In the end, this book wasn't good enough for anything more than a quick read through. As an alternative, I would suggest step up to step 2, which is shorter in length and gets to the point.