NBME exams

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how do these work? Do they come with answers and explanations? Are these questions from real step 1s from the past?
You do not get any answers or explanations. You just receive a 'profile' saying which areas are strengths and weaknesses (weaker performance in anatomy, stronger in pharmacology etc.). It also gives you a 'guestimate' score which most people find to be pretty accurate. I felt that the retired NBME questions were nothing like Step 1 when I took it two years ago. Step 1 has evolved so much in recent years.
 
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