ok.. day one finished.
Swanson's is actually a pretty reasonable approximation of the questions i was getting. my blocks were predominately comprised of outpatient medicine, and almost all the topics in swanson are in that style. the surgery, OB, peds, etc are all either follow-up visits or early symptoms requiring diagnosis prior to referral, etc.
i had 5 blocks of outpatient scenario, one ED, one inpatient block. the ED scenario was by far the worst, because some of the options were just vague... as someone else said in a different thread you can be staring at options A-E thinking.. well i'd do F - the correct answer - if it were listed.
i hope tomorrow is even easier than today, because when the smoke settled, today was easier than Step 2, in my opinion. Not quite "bring a #2 pencil" like the old adage proclaims, but not a real migraine-inducing "here are some obscure diseases from every discipline... go!" scene like Step 2.
my advice - review the Epidemiology section in Swanson if only to memorize the sensitivity/specificity equations (easy gimmes on any of these exams). review the IM sections, maybe the peds/OB too.
good luck