Step II Enzyme deficiencies

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How important is knowing the actual enzymes messed up v. recognizing the disorder?

For Step 2 I actually never had an enzyme deficiency question. it was always the disorder. Now, this was a while ago, but I am almost 100% certain they are a waste of time. Especially for payoff rewards. You could spend hours learning enzyme names and deficiencies, and then only get one question on the test. Not worth it, in my book.

Anyone who took it recently want to chime in?
 
I had zero on my test. From what I understand, if there actually WAS a question it would be on something that's very very common, immediately life threatening or easily treatable and important to ID quickly. Examples are galactosemia and PKU. Maybe something like Von Gierkes. I would spend <30 min studying these though.