I have received mixed messages on whether/when I should take USMLE step II CK and I was hoping for some advice. I am a 3rd yr DO student interested in either EM/IM/Critical Care-still trying to decide. My step I score was a 254 and Level I score was a 742. Should I take step II CK? I would like to do an ACGME residency. My concern would be if my step II score goes down would that be worse than not taking the exam at all? Rotations are keeping me very occupied and this is one of the reasons I am concerned for the possible drop in score. Thanks for reading!