Took the exam today I felt pretty prepared for exam. Over all its what I expected based on other users experiences on SDN. ALOT of repro, micro, and OMM. There were only pictures (bad quality unfortunately with the majority of pictures), no audio or video questions. I had about 10-15 minutes remaining at the end of each 50 questions. Finished the test feeling comfortable with my performance and amount of time I spent reviewing material during my prep. If I had one more day to study I would review limbs, more repro, MSK, and behavioral science.
Exam breakdown
Repro: PROSTATE was HUGE on my exam, breast tumors, ovarian tumors, repro endocrine, endometriosis, PCOS, Normals, OMM contraindications.
Micro: First Aid would cover everything; I had a lot of staph, salmonella, Hib, pseudomonas, a couple viruses, and a few fungi. MOA of drugs was big
OMM: limbs, muscle involved in respiration, VSR, and positioning for techniques
Biochem: not much here; G6PD, chromosome matching questions
Pharm: Micro drugs, and Psych drugs; know side effects.
Path: few pictures mainly written descriptions of HY diseases. Rheumatoid, TB, Dermatomyositis
Immuno: hypersensitivies like woah
Embryo: Meckels
Cardio: murmurs and PV loops, pericardial effusion
Neuro: probably a higher hit system during my exam; hematomas, brainstem lesions, dementias, concussion
MSK: arterial anatomy, avulsion fx of psoas, and some x-rays of shoulder that i had no clue what they were looking for, review insertions for at femur (greater trochanter, lesser trochanter etc)
Renal: I had matching section based on renal failure, CHF, and nephrotic syndrome
Endocrine: thyroid, thyroid, thyroid, know FA diagram on steroid synthesis and congenital adrenal hyperplasia
GI: Chrons, IBS, UC, Celiac, gastritis, and VSR associated
Resp: Obstructive vs Restrictive was a favorite, asthma, and MOA of drugs
Psych: pretty straight forward, know criteria from FA and you'll get em
Hemonc: lymphomas and anemia
My Breakdown
COMBANK 86%
UWorld 77%
NBME 7: 234
NBME 12: 247
COMSAE C: 634
Overall I felt COMBANK and COMSAE were the closest thing that could have prepared me but the test had nothing COMBANK questioned. I feel like the any COMLEX step 1 is more like a crap shoot but it seems consistently to emphasize repro, micro, and side effects of drugs based on other experiences.
Good luck to anyone still studying and getting ready to take the test. I'll post my scores when they come back.