thanks! my NBME's were usually 247-252, then the one right before the exam was a 261. I only did NBME practices, never a full length. the exam was more clinical than i was expecting (my school does rotations before step 1), so that certainly helped. not nearly as much micro or biochem as i expected based on how much I studied those topics, and not as many "multi-step" questions as kaplan says you will see (there were a lot more 'what is the diagnosis'). but, every test is so different and i wouldn't recommend changing anything because of that. i did a pretty equal mix of reading and practice questions, with a heavy emphasis on practice questions in the last week. test very similar to USMLEworld.