I took Step II yesterday. It was the usual hot mess.
Overall, I felt less angry/upset/depressed at the end, but I believe that is because I have taken Step 1 and knew how vague the questions would be this time. I'd believe it if I failed, and I'd believe it if I did well...so arbitrary.
Content was hit or miss. 20% really, really easy. 20% wtf. 60% narrow it down to two choices and make an educated guess. Picture quality was mildly improved from Step 1, but not by much. The EKGs I had were much better (i.e. 12 leads instead of 2 inches of a rhythm strip).
My exam seemed very heavy in OBGYN, weird Peds, Psych, Epi, neuroanatomy and very peculiar OMM (like weird cranial I wouldn't even know where to look up to check my guesses). Overall, I felt a little better about this test compared to last year, but that is mainly because my Step 1 was full of urology and vascular anatomy, two things I loathe. I have to stress, though, only a little bit better.
I took Comase B and C. I felt like B was a little more random than C. I didn't feel like either test represented my Comlex very well. I scored an unrealistic 709 on B and a slightly more realistic 614 on C (with OMM as my lowest bar, hah). I'm not a psycho gunner or anything, but I'll be interested to see if my real score is even vaguely represented by the Comsaes.
The new strikeout/highlight feature is insanely annoying. I didn't use it at all.
I do think I prepared as well as I could this year. Last year I pretty much blew it off. On average, I studied about 6 hours/day for 4 weeks (this was broken up by required school things and mental health breaks). My system:
1. Finish the entire Combank and read all answers (1920 questions) while compiling a study guide of useful info.
2. Split up systems-based, high-yield study guides with my study partner (covering all IM topics)
3. Edit the partner's guides and add in info (as she did with mine, we each used some resources unique to us but got the benefit of all)
4. Rounds of studying through the various guides up until test day (went through the systems guides about three times each and the massive Combank based guide about five times total)
5. Supplemented with Step Up to Step 2 (Peds, OBGYN, Epi), Savarese and MKSAP (I personally find questions more useful than anything else)
6. Day before, made a quick hit 8.5"x11" sheet with toxicities and antidotes, formulas, etc, and then watched movies the rest of the day
The test took me about 4.5 hours, but I never take the breaks and also test fast. I either know it or I don't. I felt like my study plan was broad based enough that I at least had a mild clue about all the questions. There were only a few where I didn't know the answer even though it was in the material I compiled (nerve roots come to mind). Most of the ones I didn't know were not in any material I have ever seen, so it made no difference.
Best of luck to everyone this summer. It sucked.