The beast (at least the first beast this week) has been slain.
It really wasn't that bad. It wasn't easy by any stretch of the imagination, but it wasn't that bad. I had a predicted 215-220 from my NBME, so if you are hoping for higher than that, I guess you should take my advice with a grain of salt.
Doing UW helped me a lot, I think...mostly just in getting fast at getting to the bottom of endless stems and being able to cross off answer choices based on what they give you in the stem.
I did a LOT of that today. There were a lot of q's that I just eliminated all the wrong choices based on what they gave me in the stem, even if I didn't know the answer right off the bat. I don't remember being able to do that so much on step I.
Anyhoo, boatloads of swollen joints and dyspnea on exertion, murmurs out the wazoo, not nearly as much OBGYN and Peds as I expected.
Lots of what's the mechanism Q's. Lots of distractors. The bastids LOVE to throw in murmurs that sound really important because they describe how they sound from EVERY auscultatory point of the freaking chest, but that are essentially irrelevant to the disorder. Or they'll tell you all about how somebody's EBV IgG is elevated to make you think it has something to do with their problem when it was really just some idiot ordering every test imaginable.
In general I thought it was fair, though. But I swear those guys must sit around doing shots in their ivory tower and trying to outdo each other at writing vague questions...