USMLE Dropped 20 points on latest NBME exam and my test is this week....to take it or not?

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

M2inneedofhelp

New Member
7+ Year Member
Joined
Jun 7, 2015
Messages
5
Reaction score
8
Hey guys,

So I’m not sure if this was a smart move or not, but I took NBME 12 this afternoon with my test scheduled within a week, and as Murphy’s Law would have it, I scored 20+ points lower on it than my other NBMEs. On my three other NBMEs, I scored in the 210s, and on this one I got a barely passing mid-190s score----so I’m having a little bit of a freak out about whether or not to delay my test (for my career purposes, a score in the 210s or 220s is fine).

I’ve worked completely through UWorld, and my last 5-10 random timed blocks I was scoring around 65%. Like I said, my other three NBME exams were in the 210s- also, my most recent score prior to today’s debacle was a 213 on NBME 17.

Going through my test afterward, there seemed like there were a ton (probably 10-15) questions where I knew the answer, I just didn’t fully read the question stem or the answer options and gave a knee-jerk answer that ended up being wrong. For example, I think one question was talking about a lady who came in with colicky abdominal pain and I just went ahead and put whatever answer mentioned the gallbladder---and imagine how my stomach sank when I looked at it after the test and saw the phrase “left lower quadrant” in the stem and realized that the answer was diverticulitis on the spot. And there were at least ten other questions where I made similar careless mistakes that I don't make 95% of the time.

I'm a US MD student and don’t want to go into any super-competitive specialties at super-competitive institutions so a score in the 210s or 220s is perfectly OK....I just want to pass and get on with life. At this point (regarding Step 1), I feel like I have three options- delay my test based on today’s NBME score, take another NBME tomorrow or Tuesday and base my decision on that, or go ahead and take my test on Thursday. Right now, I am leaning toward going ahead and taking the exam, based on the fact that my other 3 NBMEs were in the range I wanted (and not anywhere close to failing) and that I was posting decent-ish scores on my last UWorld blocks (on random, timed, unused)....am I crazy for taking the position of just taking my exam?

Thanks!

Members don't see this ad.
 
Last edited:
If you think it was a fluke, take another NBME. You don't want to delay your test unless you have to. Just my two cents.
 
Yeah; I've got 2 that I haven't taken yet. I'm a bit concerned though that if I take another one and decide to delay, that I'll start to run out of questions to do (considering that I've already finished all of UWorld).
 
Members don't see this ad :)
Sounds like this one was a fluke. I would take another and then if you still want to push your test back, then you can use the UWSAs as a new pool of questions or just subscribe to a new qbank like Rx for a month (prob less than $100).
 
I would count this one as a fluke...the most important thing is that you identified the behavior that is losing you points and can easily correct it. To be honest, with such little time left you are probably better off not taking any more NBMEs because they consume a lot of time and you dont get a whole lot out of them. Id suggest just focusing on doing random question blocks to work on content, timing and stamina as well as review of the crammable material -biochem, biostats, bugs, drugs, etc. Good luck!
 
Dude same exact thing happened. I took an NBME 11 on May 12, scored a 410/209 (Step 1) & took NBME 12 today and scored a 350/196 (Step 1). My exam is in 10 days. What am I doing wrong?
 
12 is old too. Why not take 15,16 or 17 if you haven't yet. NBME 15 matched my uworld converted usmle score exactly
 
12 is old too. Why not take 15,16 or 17 if you haven't yet. NBME 15 matched my uworld converted usmle score exactly

Right; I got a 213 on 17 a few days ago, and since that's more in line with my UWorld percentages, that's why I'm thinking that 12 was somewhat of a fluke. Looking back on it, I think I just went too fast through NBME 12 (something I can easily fix on Thursday).
 
Try not to stress too much about one nbme. I was averaging 210 on nbmes when I took nbme 17 two weeks before the test and dropped to a 202. I took 12 a few days later and got a 222. Real deal was 220. Try averaging your nbme scores and use that number to decide if you're ready.
 
Dude same exact thing happened. I took an NBME 11 on May 12, scored a 410/209 (Step 1) & took NBME 12 today and scored a 350/196 (Step 1). My exam is in 10 days. What am I doing wrong?

i see that you u went from 209 on NBME 11 to a 196 on nbme 12 but how did you mange to come back up from this drop because that just happened to me. i dropped for a 200 on NBME 15 to a 194 on NBME 16. how did you come back up
 
Top