USMLE/NBME can be cruel like that. I am sure you did just fine. What did you do total to prepare for the great Step 3 examination and in how much time did you study for it TruTrooper???[/QUM
My prep definitely was not ideal. If I had the chance to do it again, I would have studied at least an additional 3 weeks and read Crush Step 3 or something on top of that. Instead, I studied four 4 weeks about 3-4 hours in the evening while on service at the hospital. I mainly did USMLE qbank and CCS and only got through 70% of the questions in Qbank. I read a few random chapters in First Aid which I felt was not helpful since the topics covered were very skeleton.
I thought the exam was challenging since many questions were indeed vague and the exam should be taken seriously. One will do themselves a favor by ignoring all of "just bring a number 2 pencil" and "just spend a solid weekend or two preparing" suggestions. Those days are probably long gone.
I think it all depends on what your expectations for the exam are. If you are just looking to pass, and you did reasonably well on step1 and 2, then I do think the old "just bring a number 2 pencil" adage is spot-on (as long as you familiarize yourself with the CCS software). If you are looking to score highly, then I do think you should study something, although I honestly have a hard time believing that there is a good study source for this exam out there. Unlike step1, there just aren't a lot of great books for step 3 or step 2 for that matter.