SDN Members don't see this ad. (About Ads) I've heard of people walking out of Step 1 and feeling like they failed. But, I really think I did. Quick Background: Studied for 6 weeks. Was pretty weak at the beginning (First NBME 210), but was averaging between 235-245 the last 2 weeks on 3 NBME exams so I felt OK about things. My goal was 240 with the idea that I'd be fine if I at least got a 230. Actual Exam: Just got really, incredibly nervous. Really long passages with a lot of images. Heavy neuro focus which is my weakpoint (one section had maybe 25 neuro questions alone). I usually had 30 minutes on the NBME to check over answers and go over tricky questions. On many of these I had less than 8 minutes. The physiology was all really tricky and I had a lot of material that wasn't really in First Aid (some of it rote regurgitation of obscure facts where elimination of wrong answers wasn't really possible). I was expecting it to be harder than the NBMEs and I was expecting not to know a lot of questions. There were maybe 5 on each section that I had to flat-out guess on. Everyone has this problem, I understand- I'm fine getting tricky questions wrong, because I know everyone else who was scoring 235-245 on NBME's has similar prep to me. My main worry is, I was so nervous from the whole event that I know I ended up mis-reading passages (caught myself a few times), getting things confused I normally wouldn't, and forgetting easy facts and missing a ton of questions that might have even been considered "gimmees". I've already made a list and can identify maybe 40 questions on the exam I'm pretty confident I got wrong (+ the bajillion other ones that you can't remember afterwards). I sometimes made silly mistakes like this on the NBME, but I get the feeling that my actual exam was 10x worse. Anyway, I'm terrified I failed the exam. And, even if I didn't fail, facing a score in the upper 190s/ low 200s where my residency options will be so few. This is especially embarrassing, as I go to a Top 10 school where everyone seems to do really well on this exam and exudes confidence on everything. Not sure what to do, just was curious as to how other people felt after their exam? And, if I'm over-reacting or if I should really just prepare for the worst?