This was my first NBME (I really wish I had taken one sooner), but I am aiming for a 220 and up. I have noticed that the areas that I am weak on are the areas that tripped me on the test (things that I haven't really reviewed in weeks), i.e. Pharm, Micro, Biostats, CV, Heme/oncology and Neuro. These are the areas that I am planning on hitting really hard for the next week. Any advice? I really just want a 220 and up.