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NBME form 1 = easy cheesy???

Discussion in 'Step I' started by TacoGirl, May 7, 2007.

  1. TacoGirl

    TacoGirl Junior Member 5+ Year Member

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    Jun 22, 2004
    I just took from 1 from the NBME. I got a 254!!! I still have several weeks of studying left so I was not expecting this high of a score!

    I've heard this test is too easy and not representative of the real deal. Should I kick back and relax or not take this score too seriously?

    Anybody out there have an idea?:confused:
     
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  3. drguy22

    drguy22 1K Member 10+ Year Member

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    Jun 4, 2004
    u shouldnt kick back and relax...however, i do hear that they scale the test accordingly (ie u have to get more right to get a higher score) so u did great..

    congrats!
     
  4. pleaseletmepass

    pleaseletmepass 2+ Year Member

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    Dec 12, 2006
    However easy or difficult, all NBME scores are statistically scaled. Congrats on the awesome score.
     
  5. godschosenone

    godschosenone Never a bad joke 2+ Year Member

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    Aug 23, 2006
    I wish someone would have told me this: Don't be fooled. Take them all and average them out to see where you really stand. I scored 220+ on form 1 four days out, thought this ensured I was ready to at least pass, then the bottom fell out the actual day of the exam=182=Fail.
     
  6. GOGETA

    GOGETA SuperSaiyan 2+ Year Member

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    Feb 4, 2007
    a 500 on NBME 1 and fail the exam you just gave me the bejevus, I knew it was really easy and not good to predict the score, but I taiught that at least a 500 was a passing grade.

    thanks for sharing,
     
  7. TacoGirl

    TacoGirl Junior Member 5+ Year Member

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    Jun 22, 2004
    wow, man...that really sucks. I am sorry that happened to you. Why is form 1 even offered as an assessment then? It could mislead many people. And it is sad because we all pay money (hard to come by as a student!) to get these exams and somewhat expect them to be representative.

    Your 220 turned into 182 (-40 points) so that does that mean 250 is really 210? CRAZY! Anyway....back to the books!
     
  8. doctorp82

    doctorp82 Palpating preschoolers 2+ Year Member

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    Dec 22, 2006
    I took form 2 as a pre-prep assessment. Is it a better predictor?
     
  9. godschosenone

    godschosenone Never a bad joke 2+ Year Member

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    Aug 23, 2006
    Thanks. Sort of sucks, but I guess someone has to be the anomaly. I have a few solid excuses, but mostly, I have no idea what happened. I'll try to remember to post my form 2, 3, & 4 scores and retake step 1 score so that maybe someone can get something from it.
     
  10. barmay

    barmay 5+ Year Member

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    May 10, 2007
    The real thing is not that different from 1. I took it last week, and it was for the most part not that bad at all! it was much easier then Q-bank, which worries me because I made so many stupid mistakes. The exam didn't ask about mechanisms and drug interactions, well maybe 2 or 3 questions, but asked instead about applications. like you have this disease, what should you do? And it was only long if you read the whole question. The end of the question actually gives you the name of the disease and now all you have to do is figure out what the treatment is. I am kind of mad because I studied all wrong for this test, I shouldn't have focused on mechanisms. All you have to do is know concepts and how to apply them, which is a lot easier to do then memorize detailed stuff .
     
  11. TacoGirl

    TacoGirl Junior Member 5+ Year Member

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    Jun 22, 2004
    What do WE as second years know about treatment? Beyond what drugs to give what have we really learned in terms of managing disease. We first have to understand the disease itself, the science behind it, before we can think about treating it. That sounds more like step 2 material. I though this was a basic science exam?
     
  12. domer621

    domer621 MS4 5+ Year Member

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    Jul 24, 2004
    You didn't notice how the Step 1 has slowly been morphing into a Step 2 test over the past few years?
     
  13. Keberson

    Keberson Senior Member 5+ Year Member

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    Jun 2, 2004
    one minute people are saying the test is morphing into molecular bio (read cell bio high yield, ect, ect) and the next its morphing into step 2.

    which is it!!!!???
     
  14. godschosenone

    godschosenone Never a bad joke 2+ Year Member

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    Aug 23, 2006
    Might have been true for the exam you took, but the one I had was nothing like form 1. Nothing. So be forewarned: survey all the NBME forms to get a good idea of what it's like.
     
  15. bjackrian

    bjackrian Senior Member Physician Faculty 10+ Year Member

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    Apr 16, 2004
    Denver, CO
    For some reason, the title of this thread makes me smile every time I open SDN. Thank you. :thumbup: :)
     
  16. GOGETA

    GOGETA SuperSaiyan 2+ Year Member

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    Feb 4, 2007
    IF THATS the case lets keep it alive so you can maintain your happiness
     
  17. TacoGirl

    TacoGirl Junior Member 5+ Year Member

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    Jun 22, 2004
    Just took form 2 and got a 247. My score (from 254) did drop even after a week of intense studying.

    I guess this goes to show that form 1 = easy cheesy compared to other exams. Its depressing to see a drop after studying for a week though.

    Does anybody out there know if this is a normal drop or if I should alter my study methods now with two and 1/2 weeks till test?
     
  18. TX_Longhorn

    TX_Longhorn OU sucks 5+ Year Member

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    Apr 18, 2004
    Austin, TX
    depressed with a 247, ya...i can understand. lol, i love sdn
     
  19. barmay

    barmay 5+ Year Member

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    May 10, 2007
    dude, I hope you are kidding. Unless you are aiming for that dermatology spot in harvard, then you're screwed!
     
  20. SeventhSon

    SeventhSon SIMMER DOWN 7+ Year Member

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    Aug 23, 2005
    San Diego
    MDApps:
    they're within the same confidence interval anyway with so few questions :\
     
  21. soeagerun2or

    soeagerun2or Banned Banned 2+ Year Member

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    Sep 27, 2006
    So if I have form 1 and 3 and am <4 weeks out which should I take now?
     
  22. soeagerun2or

    soeagerun2or Banned Banned 2+ Year Member

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    Sep 27, 2006
    Any suggestions? I want to take one tomorrow and have to choose between 3 and 1.
     
  23. guitarguy09

    guitarguy09 Member 7+ Year Member

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    Apr 23, 2004
    Northeast
    Form 3.
     
  24. nasdr

    nasdr Member 7+ Year Member

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    Jul 25, 2003
    i wouldn't use the words 'easy cheesy' but i did think the questions were quite a bit easier than UW or Kaplan's Qbank (score 640/247). i had a fair number of one-step reasoning questions on this form, which i don't think exist on UW questions. actually, i heard they dont even exist on the step 1 test, so i was surprised to see so many of them on here. i dunno how much this helps, but i'll post my form 2 score and let u know if it drops.
     
  25. genX

    genX 2+ Year Member

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    Nov 28, 2006
    Took form 1 one week into studying and got 450,206. Thought the questions were not that difficult however they were really short and you either knew it or you didn't, not much reasoning. Took NBME 2 today 10 days after form 1, got 580,236. Form 2 requires more reasoning and secondary questions, which not sure how they are on form 3/4, but definetly a different kind of difficulty compared to form 1.
     
  26. doctorp82

    doctorp82 Palpating preschoolers 2+ Year Member

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    Dec 22, 2006
    When I took the USMLE released items, I thought there were a number of straightforward, one-step questions. And those are previous exam questions, some of which people have said they've seen on their own Step 1 in the past. I don't think they're the norm, but I think there are some questions that are straightforward.
     
  27. PreMedAdAG

    PreMedAdAG I am so smart. S-M-R-T :) 10+ Year Member

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    May 16, 2002
    CA
    I'm 2 weeks in and just took form 1 today - Um - HI!! I got a frieking 440 --> 204 - ACK! Granted I just want a damn 220 - what is going on? I'm super nervous that passing is the problem at this point. Advice from any average students?
     
  28. mesoderm

    mesoderm Junior Member 5+ Year Member

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    Aug 12, 2004
    I was talking to someone recently, an educator, that took a test-writing course once. He told me that 'experimental' questions are eventually administered as scored items after about 2-3 years. The inclusion criteria involved having 60% or more of test takers choosing the same answer choice for each experimental question. Now whether or not this is the case with USMLE, I don't know, but seems plausible. Could exlpain why the forms 3&4 are tougher than the first 2.
     
  29. TacoGirl

    TacoGirl Junior Member 5+ Year Member

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    Jun 22, 2004
    Just took form 3 after TWO weeks of studying....245. Let's recap:

    Form 1 two weeks ago: 254
    Form 2 one week ago: 247
    Form 3 today: 245

    WTF!!!!!!

    Does anybody else have these kind of drops or is it just me? I have to admit that it gets a little frustrating to see the drops every week. I'm shooting for the 250 mark but with all these slipping numbers I just don't know.

    i'm not taking form 4...but I will post my eventual grade for the Step (in two weeks).
     
  30. domer621

    domer621 MS4 5+ Year Member

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    Jul 24, 2004
    lol, if you keep complaining about those high scores you're going to make a lot of people depressed! :scared:
     
  31. TacoGirl

    TacoGirl Junior Member 5+ Year Member

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    Jun 22, 2004
    i'm sorry..I just wanted to know if its normal to see my score drop 9 points after studying for two weeks.

    I apologize if it discourages anyone.
     
  32. domer621

    domer621 MS4 5+ Year Member

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    Jul 24, 2004
    Did your score breakdown change at all?

    Maybe since forms 2 and 3 have more molecular questions than form 1?
     
  33. GOGETA

    GOGETA SuperSaiyan 2+ Year Member

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    Feb 4, 2007
    I have a 370 on NBME 3, will you like to trade your grade:D

    Dont worry you dont discourage nobody, Im the abnormal one on the site, and Im not discourage at all;)
     
  34. godschosenone

    godschosenone Never a bad joke 2+ Year Member

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    Aug 23, 2006
    Consistency is a definite indicator that you are well within your desired range. My friend scored 20 points above his form 1 score, and he scored around a 215 on form 1. Obviously, the higher the score, the more progressively difficult it gets point for point. So for you to hit 250, my guess would be, based upon the myriad of threads I've read, it will take a strong performance on test day and also an element of luck. I think you are well within range, and you are certainly consistent across what appears to be very different forms. Plug away!
     
  35. getunconcsious

    getunconcsious Very tired PGY1 7+ Year Member

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    Nov 4, 2004
    Cloud 8

    Hi there, since no one has pointed this out I just wanted to say you may be simply experiencing regression to the mean. You did so well the first time that you most likely had some element of luck (i.e. they just happened to ask you the things you knew). I don't think you are getting "dumber" by any means. The thing is that when you get these sorts of stratospheric scores there is often luck involved and thus it's very hard to duplicate or beat the score later. Does that make sense? For example, in high school I made a 1480 on the SAT, 800 V and 680 M. My mother wanted me to re-take so I could break 700 on math, but I refused because my verbal score would have almost certainly been impossible to duplicate because of regression to the mean; I simply had an element of luck the first time.

    As far as the theory that there is significant difference between the various NBME forms (usually the theory is that form 1 is the easiest and form 3 the hardest), I have not found this to be the case. I've been taking one a week to guage my performance, and took form 1, then 2 then 3. My scores followed a more predictable trajectory, going from 230 to 240 to 253. Since I DIDN'T start off with an extremely high score like you did, it was much easier to go up. I will take form 4 this weekend but I won't be dissapointed if it goes down a bit--I'll just chalk it up to regression to the mean since 253 is a very high score (You still managed to beat me by one point w/ your initial score though, congrats)

    Hope this helps. Obviously no one "knows" for sure what the predictive value difference between forms is but in my experience they all felt about the same. Hope this helps or reassures at least one person here! :)
     
  36. getunconcsious

    getunconcsious Very tired PGY1 7+ Year Member

    1,094
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    Nov 4, 2004
    Cloud 8
  37. AF88

    AF88 Junior Member 5+ Year Member

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    Jul 28, 2004
    just took form 1 with a 590/238. was pretty happy with it since i have not studied pathology, anatomy, behavorial sciences or embryology yet. how much more difficult do the forms get from here? advice appreciated!
     
  38. nasdr

    nasdr Member 7+ Year Member

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    Jul 25, 2003
    tacogirl, my scores are on the decline too, after 10-12 hrs of studying per day (although i didnt start as high as you did).

    Form 1 (3 days of Biochem review): 247
    Form 2 (finished review of all MS1 material): 244
    Form 3 (finished review of half of organ systems): 240

    any advice? what r u doing to break the trend/


     
  39. GOGETA

    GOGETA SuperSaiyan 2+ Year Member

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    Feb 4, 2007
    very interesting some one that I know gt the same score on NBME1, and he took it 1 week before the test.

    And I got a 450 YUPI YUPI YUPI :biglove::banana:


    wao
     
  40. doctorp82

    doctorp82 Palpating preschoolers 2+ Year Member

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    Dec 22, 2006
    Maybe you should stop taking NBME forms and just take the real thing before you lose more brain cells.
     
  41. TacoGirl

    TacoGirl Junior Member 5+ Year Member

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    Jun 22, 2004


    Well, I caved....I took form 4. And finally the sorrow is gone!

    Drumroll.....256!!! YAY! :D

    Now if only I can pull that off next week! I think I'm just going to read first aid now and not learn a single new thing for the next week.
     
  42. PhatGtDmB

    PhatGtDmB Member 7+ Year Member

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    Dec 16, 2002
    one of the more intelligent posts i've read in a while.
     
  43. Spectaculine

    Spectaculine

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    May 8, 2007
    Hi, Can someone please point me to where I can find these forms and take them? Thanks!
     
  44. nasdr

    nasdr Member 7+ Year Member

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    Jul 25, 2003
    go to www.nbme.org
    click on services for medical students and graduates
    click on self assessment services
    create an account
    purchase a CBSSA exam
    etc
     
  45. Spectaculine

    Spectaculine

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    May 8, 2007
    Thanks nasdr!
     
  46. 71263

    71263 Guest 7+ Year Member

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    Jun 2, 2005
    I have 11 days and counting. Ive been doing qbank consistently, and did the free NBME exam. Ill be taking form 2 and possibly one other before the exam. Ill let yall know how it turns out.

    Update: Form 2: 20 points lower than the free NBME. Still not bad tho...
     
  47. mules05

    mules05 Member 5+ Year Member

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    Jul 17, 2005
    Did it seem to anyone else that the distribution of questions across subjects varies among the NBME tests? I took form 1 a little over a week ago and thought it was pretty heavy on biochem and immunology compared to form 2 (which I took today). I went up 15 points from one to the other, but I don't know whether to chalk it up to studying or to a heavier focus on path/micro, which are my stronger subjects. Thoughts?
     
  48. Roy7

    Roy7 Senior Member 10+ Year Member

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    Feb 1, 2004
    Washington DC
    The tests are the exact same, but the block order changes from person to person.
     
  49. PreMedAdAG

    PreMedAdAG I am so smart. S-M-R-T :) 10+ Year Member

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    May 16, 2002
    CA
    So - a little update

    Took Form 1, 2 weeks after studying and got a 440 --> 204
    Took Form 2, after 5 weeks of studying and got a 550 --> 230

    Hopefully on an upward trend? I have a little under two weeks to get it done -

    I hear form 3 is tough - so we'll see
     
  50. wild0ne

    wild0ne Junior Member 7+ Year Member

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    Mar 2, 2005
    Down Under

    That's about where I am too: NBME1=209, 2=226. I'm also dreading the fact that 3 and 4 are "harder". But, I've been focusing on my weak areas, so hopefully that'll offset. My impression is that the NBMEs don't seem to distribute the various subjects very evenly. For example, I've only taken 2 exams, but I haven't noticed much anatomy on either.

    But, I don't really get this "hard" and "easy" thing. I mean, these tests are curved...so, all that should already be taken into account. I've kind of resolved to use the NBMEs to

    1) find my weaknesses
    2) approximate my usmle score by +- 10, using my average score on the NBME, with equal weight being given to each one.
     
  51. godschosenone

    godschosenone Never a bad joke 2+ Year Member

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    Aug 23, 2006
    Not everyone is lucky enough to see Step 1 twice, but I did today. All I can is that there is EXTREME differences in these "same" exams. The first one I took--after scoring 220+ on NBME Form 1--was INCREDIBLY difficult compared to the one I took today. I counted the questions that I believed I had correct on my 2nd round exam today--finally tally=248/350. Not perfect, but a helluva lot more than I am certain that I had last time (after scoring 182). I'm not sure how the questions are weighted and divvied up, but there surely is a significant disparity. I took the first one a few mos ago, put a bit of time into studying again, and maybe I just studied smarter this time, but there was a world of difference in how I felt coming out of the 1st exam versus today's 2nd chance Step 1 exam. Just thought I'd share my experience. Feel free to pose any questions that you might have.
     

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