How you felt immediately after Step 1: failed?

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ThisSucks

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Hey guys and girls! I'm curious as to how people felt after taking Step 1. I mean everything you felt within the following 24 hours of the exam. I'm not wanting to read about the test strategies of students finding ways to tell everyone they got a 250+. I want to know what you felt like BEFORE receiving your score, and if how you felt after the exam reflected your ultimate score (no need to post numbers). I just took mine yesterday morning, and am very worried about what my results will show. Basically I'm looking for hope that I didn't invest $200,000 in school and the majority of my prime life for nothing.

I studied for the average 4-5 weeks (albeit not as thoroughly as some because I was in the middle of moving...3 times, and had a lot of other issues on my chest to deal with).

I made detailed note cards on everything while reading FA and studied those flashcards instead of reading FA multiples times (because reading a book repeatedly seems ineffecient to me). I felt I knew first aid decently enough to pass. My first NBME form equated to aroud 214 (form 7), and my second one (form 5), was around a 224. I did both on timed not tutorial (because the real test doesn't give you 20 hours for a few hundred questions). Using formulas I found online, my cumulative qbank estimated my score to be between 219-226. My last 7 quizzes estimated it to be 226-232 (all qbank was done on timed mode and only once, because once again I don't see the point in doing otherwise). So my nbme scores and my average (60%-65%) on first time qbank puts me a lot lower than the posters on here who talk about getting 80-90% correct and going through FA and Qbank 4-5 times. Every qbank quiz, I was confident in my answers or knew the subject fairly well. According to their values, my quizzes were always above their calculated averages. I thought qbank was relatively direct, despite hearing that it was more difficult than the step. Because of this, I was confident that I'd definitely pass the exam.

That being said, I took my exam. I am weak in renal. I studied it the hardest the day before my exam to have it fresh. The first block of 46 questions had 35+ renal questions that all started with a generic "person X has dysuria/polyuria and here are 145 lab results. Which of the following 15 diseases is it?". Occasionally there was a picture of something that could point to 5-6 diseases. Half the renal questions included a history of an array of 4-5 various nephrotoxic drugs that cause different types of renal disease. I panicked, I don't even know 35 renal diseases. I marked 26-30 questions on block one (I mark somewhat leniently). More than 25-30 questions on each block were renal for the first 6 blocks. The rest was artery anatomy and ethics. I don't know vague artery anatomy. I thought the exam was a very very poor representation of medicine. Entire core subjects were not on the exam at all. I almost got up and left.

I also was very very rushed, to the point that if an answer looked too time-costly, I just clicked something and marked it in hopes of using that time to answer a question I was confident about. I find it hard to believe that most of these posters bragged about having 15-20 minutes left to review. In the last 5 seconds, I counted all my lenient markings and they totalled around 130. Which is 40% of the test. since most of those questions were 4-5 multiple choice answers, pure guessing would give me back around 30 questions. I went back through FA, and found around 25 of those questions (17 I think I answered correctly). The other 300 questions I wouldn't even know how to Google an answer, and half of them were not remotely covered in first aid. They had too much extemporaneous labs and details, that it made me question whether or not basic stuff pertained to the question. It was a huge waste of time looking up obscure lab values to see whether or not they signified disease ( most of the labs ended up normal). There were a lot of "what's the greatest risk" or "what's the most likely..." questions that I think are as useless in real medicine as memorizing 100000 path words like "pallasading nuclei" before being taught that the disease might present with purple skin and 16 eyeballs.

I know some people take a test leaving confident because they knew so little that they couldn't understand how another answer could be right, and others leave in utter hopelessness because they know too much that all answers can be explained. I don't think I'm either. I hear that 10-20% of questions are "experimental" but am not sure where people are getting that information. Overall worst-case scenario I feel like I didn't know 40-50% of the exam. Most posts I find are arguments on what the passing percent score is, a lot of people throw out 70-80% correct. But I find that very hard to believe since qbank average is a 58% and that includes people who spent 4 hours on each quiz. Is this test supposed to make you think you failed? Medical students refuse to acknowledge to other med students that they felt like failing anything, so I figured a more anonymous site like this would give me realistic answers.
 
So after I left my test, I had no idea how I had done. I came home and decided to watch a movie and relax. Throughout the movie and since then, I had these mini panic attacks and a sense of impending doom.

Got an email 3 days ago saying my score was ready to be viewed online. I was so ****ing scared that I put off viewing my score until now because everytime I loaded the page, my heart started racing and I convinced myself that I had failed and probably shouldn't check my score now and throw myself into depression.

Anyway, I finally just chugged some vodka and retrieved my score. 241! I am so ****ing happy 😀
 
Hey,

So i took the test the day after you did. I felt EXACTLY the same way you did. On the day of the test, I had my boyfriend come with me for moral support, chugged a 5 hour energy and started. Unfortunately after block 4, i was starting to get tired, and blocks 5/6/7 were kind of a blur.

The further along I was in, the more tired I got. Time was also a HUGE factor for me, and I definitely remember panicking a couple of times bc I marked quite a few questions and never had a chance to go back and definitively pick an answer.

Anyway, as far as how I feel now, I'm a good 60% confident that I did ok, and the other 40% is full of doubt. I'm rootin for us both! Hopefully our results come in soon!
 
Took my exam on 8/28. I walked into the exam feeling pretty confident in that I had prepared all I could for this exam. Scored in the range of 245-252 on NBMEs 7,11,12,13 so I was expecting somewhere in the 240s & maybe squeeze out a 250 if I got really lucky with some questions. My exam felt pretty balanced as far as subjects, but it just felt much harder than any of the NBMEs and slightly harder than UWorld. On NBMEs and UWorld, there are some "far-fetched / WTF" type questions here & there dispersed throughout, but I just felt like on my real exam there were much more WTF questions compared to the practice exam. Also I found myself making a lot more "educated guesses" compared to any practice exam I've taken. I just couldn't be 100% sure of my answers on a lot more questions on the real exam compared to the practice exams I took.

I'm reading people's experiences about how their exam was much easier than UWorld and more similar to NBMEs & my score in my head is dropping each day. That's the worst part lol. Plus I know I made a few stupid mistakes here & there on questions I should have gotten right, but then again pretty much everyone makes these kinda mistakes.

After reading over all these experiences from different people, I really think there are very few people that walk out of this exam feeling good. Seems like the majority of people walk out feeling they scored lower on the real thing than any of their practice exams. I think part of the reason behind this could be that 10-20% of the exam is in fact experimental (according to FA) and these questions really throw people off when they try to recall how they did on the exam after it's done. On practice exams, there are no experimental questions so you have to keep that in mind.

Looks like I'll be getting my score on the 19th, I'm just praying I land in my practice score range.
 
One month before I took the test, I scored a 195 on NBME 7. Obviously freaked out as I only had 4 weeks to study. That test seemed like a fluke when all my other tests (UWSA 1&2, NBME 11, 12, and 13) were between 233 and 245.

I basically felt terrible during and after my test. I had flashbacks to questions that I got wrong for days afterwards! I've never felt that way about a test before... It was terrible. I thought the same thing must have happened as on NBME 7! Usually I'm really good at judging my performance, but not this time. Got a 240, which was my target. So I'm pretty happy! It'll all be okay. I think most people who take lots of practice tests in a semi-real environment end up scoring in that range.
 
I took mine on the 14th of September. I just hope I didn't fail. But the good thing is that my feelings have no effect on the outcome. Absolutely none!!
 
Took mine on 12/9. NBME scores were 221, 233, 233 and 240 in that order. 221 was just under a month before my date and my last NBME (240) was a few days before. Came out of the real thing not knowing how to feel tbh, definitely didn't feel good though. Bucket loads of what appeared to be completely random questions.. waay beyond the number I had anticipated as 'experimental'. That said, I do remember 1 or 2 gimmes as well.

If anything gives me a bit of hope however.. it's that the worse i've felt after doing an NBME, the higher I ended up scoring. Can't do anything about it now, good luck everyone to everyone waiting! Will update with my score.
 
Took mine this past June. My score range was kind of all over the place ranging from 225-240 on the Uworld assessments and NMBE forms. I had to lower my expectations to anything over a 230 and was just hoping for the best during test time. After I took it, I honestly wouldn't have been surprised if I failed it or actually hit my target. During my breaks there were a few pharm questions that were really bothering me so I quickly looked them up and ended up getting them all wrong haha but the whole thing is such a haze now. Anyway I ended up getting an even 250 and believe me, I was shocked beyond belief. I downloaded my score report three times to make it it wasn't a mistake before I finally accepted that I did as well as I did. I think I honestly just lucked out and had them test things I was more comfortable with. FYI I did average in my first years and really am nothing above normal intelligence. Just need motivation and the drive to plow through those despairing 5-6 weeks.
 
took mine on sept 13

i can remember about 135 qs, 24 which i got wrong or not sure of (half of which I made blunders) and 107 which i got right

the wait is killing me!!!!
 
Took mine this past June. My score range was kind of all over the place ranging from 225-240 on the Uworld assessments and NMBE forms. I had to lower my expectations to anything over a 230 and was just hoping for the best during test time. After I took it, I honestly wouldn't have been surprised if I failed it or actually hit my target. During my breaks there were a few pharm questions that were really bothering me so I quickly looked them up and ended up getting them all wrong haha but the whole thing is such a haze now. Anyway I ended up getting an even 250 and believe me, I was shocked beyond belief. I downloaded my score report three times to make it it wasn't a mistake before I finally accepted that I did as well as I did. I think I honestly just lucked out and had them test things I was more comfortable with. FYI I did average in my first years and really am nothing above normal intelligence. Just need motivation and the drive to plow through those despairing 5-6 weeks.

Solid outcome. That's reassuring.

I had read somewhere (I believe one of UWorld's side-info articles) that studies have been routinely conducted using ungraded questions (i.e. the experimentals) on the 2CK exam, where Step1 material is re-introduced, in order to see which topics are most easily forgotten over time (I believe biochemistry went down the most, anatomy was about the same, and behavioral increased).

That being said, my theory is that quite a few of the experimental questions on Step1 aren't necessarily just obscure molecular biology ones, but instead treatment or "what would be the next best test to order?"-type questions, which are in fact 2CK material. Perhaps even some surgical or paeds questions show up, where people think they get an insanely hard exam, but those questions were never going to be counted to begin with.
 
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