Official 2011 USMLE Step 1 Experiences and Scores Thread

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Hello everyone. I am a second year who will write the exam in June 2011. Meanwhile let this be a good thread where everyone share their study progress and recent trend of the exam.
 
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How can they have that many questions on something like the IGF-1. I can't even think of that many thinks about it...wow...I felt like I would go take test early because I felt confident but now you just scared me.
 
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RySerr21 said:
yea it keeps track of your total time in the day and you total break down. Any time you have left over from your block is added to your break time.
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This was one of the things that got me really hungup over in FA. In the intro section they claim the opposite. i.e that remaining block time will NOT be added to total break time. Weird mistake to make.
But then others also told me that it will. And I NEED that extra break time so bad.
 
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Does the real test have any of those two part questions? Where you cant go to the next question until you answer the one before it, like in UW. I hate those.
 
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Took the test this week. It wasn't the best, but it could have been a lot worse.

In general, I think that subjects were covered pretty evenly throughout the test. But I did have a lot of HIV pharm questions that I had to guess on because pharm was one of my weaker topics. My last block was a bit immuno heavy. There was one heart murmur audio question per block. I had only one set of sequential questions, which I totally bombed :bang:. It was about a drug that wasn't in First Aid but was on U-World. Also, had some vasculature/anatomy questions that were not covered in FA.

In contrast to U-World, there seemed to be a lot of question stems that were on the longer side. For most of them I had to read through the entire thing to be able to answer them. But even with the longer stems, there were only two blocks that I was cutting it close on time.

Outside of getting a better head-start with studying pharm (I should have done flashcards before my dedicated study time), I don't think that I would really change anything about how I studied for the test. I studied for five weeks, possibly could have done it in four weeks as I started to feel a bit burned out on my last few study days. I scored a 228 on the last practice test (NBME 12) that I took eight days before the real thing. Even though I'm hoping for a few points higher, I'd honestly be satisfied with a score in the high 220s.
 
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hyrule said:
Test was insane. I got destroyed. Way harder than UW or the NBMEs. I went in there feeling pretty good since I was doing well on the last few NBMEs, and I had heard 11 and 12 were a good representation. Man, I was wrong: the real deal made NBME 12 look like a joke. I would mark 6-7 questions per block on the NBMEs.

On the real deal: For 5 out of the 7 blocks, I marked 18-22 questions, basically half the block :/ Block 1 was the worst for me. I ended up marking questions 1-10 consecutively. Very very demoralizing. I was surprised by the lack of giveaways. There were maybe 2 questions/block that were considered "easy." No giveaways, no high yield topics. Question stems were twice as long. The answer choices were very very close. I think this was what stood out the most. With the NBMEs, very few questions had close answer choices. There were so many Qs where I had to narrow down the answer from 3 choices.. never had this happened before.

Content wise: good stuff first: barely any anatomy, easy embryo,easy pharm

Bad: Surprisingly, the hardest was Microbio on my test. The most random bugs: the little random details you wouldn't expect anyone to ask... bugs I'd never encountered on any other practice question. Lots of biochem: some was fine, some were tricky.There wasn't that much Immuno, but damn it was ridiculous. Random cytokines/Interleukins that were not in FA. The biggest problem I had with the test was that you couldn't get that far with "reasoning" ... you either knew it or you didn't. I got unlucky in some areas. For ex, endocrinology is probably my strongest subject. So I didn't spend much time studying random details that simply never really appeared on practice questions. I ended up having 5-6 questions on IGF-1, something I glanced at maybe once in my studying.

Overall hardest test I've ever taken. If I absolutely had to pick one source that was similar, I guess it'd have to be UWorld. Practice NBMEs were not very helpful for preparation for the test. The test was all details... the more you know, the longer you studied, the better you'd do I guess. You've gotta know everything. Score prediction: 20 points lower than practice tests.
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Oh am I glad I found someone who felt the same way as I did. Sorry that you had a difficult time also just like I did..

Well for now all we can do is to :xf: and be positive. Maybe we should start watching the Secret. Who wants to do novena with me (i'm not kidding)

Just desperate 🙁
 
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haven't posted on SDN in a long time but i did find this thread useful... thanks to all who shared.

for what it's worth here's what i did:

took my exam on may 5th
results today: 238 / 99

2 weeks of intense study: uworld 3x (random, tutor, timed, 46Qs) and FA 3x... no RR or goljan audio... no NBME practice...

i did 10+ sets of 46Qs per day... (added more sets as the exam got closer)... built speed and stamina... i'll do the same for step 2

hindsight: another week would have been nice...

anyhow, good luck to future step 1 takers... hopefully someone will find something useful
 
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Boges said:
haven't posted on SDN in a long time but i did find this thread useful... thanks to all who shared.

for what it's worth here's what i did:

took my exam on may 5th
results today: 238 / 99

2 weeks of intense study: uworld 3x (random, tutor, timed, 46Qs) and FA 3x... no RR or goljan audio... no NBME practice...

i did 10+ sets of 46Qs per day... (added more sets as the exam got closer)... built speed and stamina... i'll do the same for step 2

hindsight: another week would have been nice...

anyhow, good luck to future step 1 takers... hopefully someone will find something useful
Click to expand...
WOW. 10 blocks a day? That's 10 hrs right there and THEN you had to review that. I'm amazed. What did you get on the UWSA's (if you took them)? And how were you scoring on Uworld blocks?
 
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well, if the curve for a "hard" exam is anything like UWSAs, a 75% correct can be a 250.. meaning you can miss 80 questions lolz
or atleast i'll keep telling myself that 😀
 
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pullandbear said:
WOW. 10 blocks a day? That's 10 hrs right there and THEN you had to review that. I'm amazed. What did you get on the UWSA's (if you took them)? And how were you scoring on Uworld blocks?
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yea, i turned into a study-bot for sure... i probably averaged an hour per set... so yea, the days were long considering i also made sure to get through a certain number of FA pages per day (if i understood it, i didn't spend much time on it)... i only read the uworld explanation if i got it wrong and didn't understand why it was wrong or if i guessed it right. i always finished with tons of time on the clock and in the real thing i usually had ~20 minutes left. i made it a point to practice building speed and focus.

i didn't take any of the uworld assessments...

my uworld subscription ran out so i can't look to give exact numbers but i think my average was 68% (not percentile) after the first pass... early sets were lower than later...

the score isn't off the charts but i thought i'd post my study method in case somebody only has a couple of weeks to prep. i think it panned out well enough... i did work very hard in basic sciences and feel like i had a solid foundation to work from.
 
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hyrule said:
Test was insane. I got destroyed. Way harder than UW or the NBMEs. I went in there feeling pretty good since I was doing well on the last few NBMEs, and I had heard 11 and 12 were a good representation. Man, I was wrong: the real deal made NBME 12 look like a joke. I would mark 6-7 questions per block on the NBMEs.

On the real deal: For 5 out of the 7 blocks, I marked 18-22 questions, basically half the block :/ Block 1 was the worst for me. I ended up marking questions 1-10 consecutively. Very very demoralizing. I was surprised by the lack of giveaways. There were maybe 2 questions/block that were considered "easy." No giveaways, no high yield topics. Question stems were twice as long. The answer choices were very very close. I think this was what stood out the most. With the NBMEs, very few questions had close answer choices. There were so many Qs where I had to narrow down the answer from 3 choices.. never had this happened before.

Content wise: good stuff first: barely any anatomy, easy embryo,easy pharm

Bad: Surprisingly, the hardest was Microbio on my test. The most random bugs: the little random details you wouldn't expect anyone to ask... bugs I'd never encountered on any other practice question. Lots of biochem: some was fine, some were tricky.There wasn't that much Immuno, but damn it was ridiculous. Random cytokines/Interleukins that were not in FA. The biggest problem I had with the test was that you couldn't get that far with "reasoning" ... you either knew it or you didn't. I got unlucky in some areas. For ex, endocrinology is probably my strongest subject. So I didn't spend much time studying random details that simply never really appeared on practice questions. I ended up having 5-6 questions on IGF-1, something I glanced at maybe once in my studying.

Overall hardest test I've ever taken. If I absolutely had to pick one source that was similar, I guess it'd have to be UWorld. Practice NBMEs were not very helpful for preparation for the test. The test was all details... the more you know, the longer you studied, the better you'd do I guess. You've gotta know everything. Score prediction: 20 points lower than practice tests.
Click to expand...

+1. I averaged ~250s on my practice test and ended up marking 15-20 questions per section. I came out feeling horrible and I really have no idea how I did. I feel like a select few of us are getting abnormally hard exams.
 
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CardioGuy1 said:
+1. I averaged ~250s on my practice test and ended up marking 15-20 questions per section. I came out feeling horrible and I really have no idea how I did. I feel like a select few of us are getting abnormally hard exams.
Click to expand...

I hope I do not get this exam the rest of you guys got. The curve should even it out because they curved based on each test they give right?
 
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I took it on the 23rd and also felt the difficulty was close to Uworld. I did well on practice tests before (247 nbme 7, 261 and 258 and uworld sim exams) and I still marked probably 15 questions per section. I'm just gonna try not to think about it since there isn't anything I can change about it. I just hate that the wait is so long!
 
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Sheldor said:
My gut says it is! It seems like everyone who took it after the 17th is saying similar things, as in, "It was a lot harder than I thought." Maybe they added in a bunch of tough questions so that the curve is a little wider?
Click to expand...

May the NBME Gods have mercy on our souls.
 
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michigator04 said:
Just got mine. 230/99.

A little lower than predicted by the standard methods, but I am happy with it.
Click to expand...

I took my test around the same time as you and received a similar score. I thought my exam was pretty tough and was curious how other people who took the test around May 5th on this site performed? I'm open to PM's if people don't want to discuss their scores publicly.
 
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pullandbear said:
I didn't think they were adding a whole new question pool....just maybe adding a little more immunology. Anyone know which one it is?
Click to expand...

well they said immuno was expanded on and they need to adjust the question pool but I don't think they specifically said only immuno would be changed... maybe I'm wrong but I'm too lazy to check
 
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I have a fear of these types of questions. I tend to get the tables in Goljan RR a little confused. Are these questions on the real thing as bad as some of those tables or is it pretty doable?
 
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As another update on current events:

http://cardiobrief.org/2011/05/26/nhlbi-stops-the-aim-high-trial-of-niacin/

Apparently niacin + statins works no better than statins alone in preventing cardiovascular incidents. The trial was stopped but the official paper hasn't come out yet.

Very very unlikely to show up on our step 1 but still interesting that we may see a large fall in niacin use soon.
 
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RapplixGmed said:
As another update on current events:

http://cardiobrief.org/2011/05/26/nhlbi-stops-the-aim-high-trial-of-niacin/

Apparently niacin + statins works no better than statins alone in preventing cardiovascular incidents. The trial was stopped but the official paper hasn't come out yet.

Very very unlikely to show up on our step 1 but still interesting that we may see a large fall in niacin use soon.
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As you noted, you're so unlikely to get questions on efficacy of these medications that it's not worth even looking into. Just understand indication, MOA, interactions, and side effects.

Treating an HDL number has long been known to be ineffective at preventing "harder" endpoints. Recent data for Ezetia shows equally poor efficacy (ie. none) at preventing MI and death.
 
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pullandbear said:
WOW. 10 blocks a day? That's 10 hrs right there and THEN you had to review that. I'm amazed. What did you get on the UWSA's (if you took them)? And how were you scoring on Uworld blocks?
Click to expand...

Ditto. 10.25hrs/day in just TAKING UW exams, not to mention review, tutor, and the two passes through FA. o_0 Difficult to comprehend.
 
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raynor123456 said:
What do you mean by "harder" endpoints?
Click to expand...
soft = lab values, measurements, most composite endpoints, subjective ratings
hard = events such as death, MI, stroke

Not very step 1 relevant. In third year when you review studies for your team/attending, just keep in mind that only evidence with a reduction in important events should change practice.
 
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ScubaStarved said:
soft = lab values, measurements, most composite endpoints, subjective ratings
hard = events such as death, MI, stroke

Not very step 1 relevant. In third year when you review studies for your team/attending, just keep in mind that only evidence with a reduction in important events should change practice.
Click to expand...
Gotcha, thx. Good to know.
 
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CardioGuy1 said:
Raynor,

When are you supposed to get your results? It sounds like we had very identical test experiences.
Click to expand...
I think next Wed, but I'm not positive. And, while I guess there are probably some parallels between our experiences, I didn't get a chance to do any NBME's (too much to do in too little time for me) so I have no idea where I may end up o_0 I just know that I was doing better than average on UW with random, timed blocks. Right now, I think I'll be relieved to break 200. lol.

I'm sure that EVEN IF you had a bad day, averaging in the 250's for the NBME's pretty much guarantees you'll do fine. ^_^
 
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raynor123456 said:
I think next Wed, but I'm not positive. And, while I guess there are probably some parallels between our experiences, I didn't get a chance to do any NBME's (too much to do in too little time for me) so I have no idea where I may end up o_0 I just know that I was doing better than average on UW with random, timed blocks. Right now, I think I'll be relieved to break 200. lol.

I'm sure that EVEN IF you had a bad day, averaging in the 250's for the NBME's pretty much guarantees you'll do fine. ^_^
Click to expand...


I know how you feel. Hopefully you can get a sigh of relief on Wednesday when you get a 240+. I think I have to wait until July because I missed the cutoff for the earlier release. Killer.
 
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Does anyoen have a good recommendtaion on how to study pelvic anaomty? There is jsut so much information for it and i dont know where to start.
 
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JPanda said:
Does anyoen have a good recommendtaion on how to study pelvic anaomty? There is jsut so much information for it and i dont know where to start.
Click to expand...

Start with Kaplan anatomy lectures, they will give you good background, and later you can look at CT scans, they are most important, and remember several important vessels, like uterine artery, internal iliac.
 
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Hey guys, i have about week before I take the exam and was wondering which NBME to take. I already took form 6 and was wondering if I should take form 7 next or take the either form 11 or 12?
 
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redswiss said:
Hey guys, i have about week before I take the exam and was wondering which NBME to take. I already took form 6 and was wondering if I should take form 7 next or take the either form 11 or 12?
Click to expand...

Take 11 or 12 unless you're dead-set on taking two NBMEs in the week before the real thing, which I wouldn't think you'd want to do.
 
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Been creeping this thread for a long time, so time to give my donation to the SDN data pool.

Background: US Allo student with slightly above average grades for first 2 years (I generally score a few points above my class mean)

Prep:
Had about 3 weeks of finals at the end of April that kind of doubled as Step prep...took the Pharm, Path, and ICD shelf exams and got >93rd percentile on all of them. Then had 3 weeks of dedicated study time, which I spent on thoroughly pounding UWorld (3 blocks/day) and reviewing FA for the 3rd time + miscellaneous supplements. Spent about 11-12 hrs a day, tried to focus on my weak spots. Wanted to get through RR Path again (I had already done it for the Path shelf), but ran out of time.

Stats:
Kaplan Qbank: worked on it throughout 2nd yr; 96% complete, average 68% at the end
UWorld: random, timed blocks 3 weeks before, 100% complete, 69% avg; translates to 243 FWIW
5/08: UWSA1 - 234 (pre-dedicated study)
5/15: UWSA2 - 252
5/20: NBME11 - 231
5/23: NBME7 - 245
5/26: Free150 - 92% (medfriends puts that at 264!)
5/27: the real deal...??

The Exam:
Overall it felt almost exactly as I expected. Not sure about these people that have have the wicked hard forms since May 17th, but mine was an exact blend of UWorld & NBME. Lots of gimmes, lots of thinking-type, only 2 or 3 "what the heck is THAT?" kinda q's.

Fortunately for me, it was heavy on path (my strong point) and pathophys, moderate amounts of micro & pharm (my other strong point). Biostats was 1/2 straightforward, 1/2 out of left field. Light on biochem (my weak point). Fair amount of immuno-esque stuff, but not too crazy. Tons of "arrow" questions that I had never seen before, and not just physio ones...apparently you can apply those question types to biostats as well?

There was one question ripped straight out of NBME7, but it was an easy one anyway and wouldn't justify spending the money on an NBME just to see it ahead of time. A few others looked very familiar but I couldn't place them.

I'm hoping for a 245, but I'm a little worried that I got an easier form and that the curve will be super harsh. Ah well, I don't care anymore...heading out to eat with the wife! Good luck to everyone taking it soon.
 
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Took the beast today. I did about 60% of Kaplan qbank over spring semester, and got through Uworld once during the month before the exam. I'll save my projected scores and all that until I have my score in hand for comparison. I will say that I don't think there's any way Medfriends' estimate for the free 150 questions can be valid. It projected me for 261 and there's no way I pulled that off.

The questions themselves were pretty much like Uworld. I did NBME 12 and don't remember any repeats from that. I did think a few questions looked familiar from Uworld, but given there are 2000 questions on Uworld, that shouldn't be surprising. There were some off-the-wall cell & molecular bio questions, but even those you could at least narrow down the choices once you figured out what they were getting at.

I feel like I overstudied interleukins, CD markers, and "which chromosome is gene X on" stuff. I had one immuno question about what IL's relating to granulomas, but that's the only question like that I can remember. I guess I did have another one on translocations in a particular leukemia, but that's a question everybody should be expecting.

There was only one question where I couldn't figure out what they were getting at, and I can't remember what it asked. I had a really, really weird/funny question in my 2nd to last block about the mechanism of a drug reaction to an illicit substance that was just amazing, and at that point I forgot all the other weird questions I'd made a note of from earlier blocks. This question was so unexpected, that after I stopped laughing, I sat there staring at the screen for a minute thinking, "Bravo, test writers. Bravo." So it's true that no matter how much you study, they'll throw you a curveball.

I will say, Uworld + first aid remains a solid combo for test prep. I used Goljan audio and his book during the year, but once it got close, I just skimmed through tables and his photos. Gunner Training was great for micro, and solid in immuno (ironically it helped me remember all those chromosomes and interleukins that weren't on my exam), but it ended up being too time-consuming to get through FA, and Uworld, and GT. If I'd had another week, maybe I could've done more. We'll see how it turned out when mid-July rolls around.

/rant
 
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Altruist said:
Took the beast today. I did about 60% of Kaplan qbank over spring semester, and got through Uworld once during the month before the exam. I'll save my projected scores and all that until I have my score in hand for comparison. I will say that I don't think there's any way Medfriends' estimate for the free 150 questions can be valid. It projected me for 261 and there's no way I pulled that off.

The questions themselves were pretty much like Uworld. I did NBME 12 and don't remember any repeats from that. I did think a few questions looked familiar from Uworld, but given there are 2000 questions on Uworld, that shouldn't be surprising. There were some off-the-wall cell & molecular bio questions, but even those you could at least narrow down the choices once you figured out what they were getting at.

I feel like I overstudied interleukins, CD markers, and "which chromosome is gene X on" stuff. I had one immuno question about what IL's relating to granulomas, but that's the only question like that I can remember. I guess I did have another one on translocations in a particular leukemia, but that's a question everybody should be expecting.

There was only one question where I couldn't figure out what they were getting at, and I can't remember what it asked. I had a really, really weird/funny question in my 2nd to last block about the mechanism of a drug reaction to an illicit substance that was just amazing, and at that point I forgot all the other weird questions I'd made a note of from earlier blocks. This question was so unexpected, that after I stopped laughing, I sat there staring at the screen for a minute thinking, "Bravo, test writers. Bravo." So it's true that no matter how much you study, they'll throw you a curveball.

I will say, Uworld + first aid remains a solid combo for test prep. I used Goljan audio and his book during the year, but once it got close, I just skimmed through tables and his photos. Gunner Training was great for micro, and solid in immuno (ironically it helped me remember all those chromosomes and interleukins that weren't on my exam), but it ended up being too time-consuming to get through FA, and Uworld, and GT. If I'd had another week, maybe I could've done more. We'll see how it turned out when mid-July rolls around.

/rant
Click to expand...

Nice. Thanks for the write up! So you felt that FA and UW had all the info you were tested on? (except for the curveballs)
 
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pullandbear said:
Nice. Thanks for the write up! So you felt that FA and UW had all the info you were tested on? (except for the curveballs)
Click to expand...

I remember thinking a lot, with ones I wasn't sure of, that I'd seen the material on Uworld, and if i could just recall it a little better, I'd nail the question. That's what I mean. They will get you through the majority of the questions you'll see.

For some of the questions, though, it does seem to turn into how good you are at puzzling things out, and how good you are at multiple choice exams, for better or worse. I just looked up the answer to a question I remembered... the question asked one detail past what's in first aid. I looked it up on wikipedia (for what that's worth), and the detail was almost there... you still would've had to connect a few dots on your own to pick the right answer choice, though. The best you're likely to do for some of these ones is narrow down the choices, guess, and soldier on.

These are the nitpicky, low yield questions that will throw you off if you let them, and I'm not sure how to tell you to prepare for them. Hopefully there's some value in knowing that there will definitely be a few like that on your test, so you're not caught off guard.
 
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For those who have taken the exam / practice nbme's.... on the cardio valve defect questions that show changes in oxygen saturation, when the change in % occurs do you assume the defect is at that chamber or happened in the chamber before it? For example: if there is a ASD, on the exam would the right answer show a Step Up in saturation in the R atria or will it show it in the R Ventricle after it equalibriates?
 
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Step1Hash said:
For those who have taken the exam / practice nbme's.... on the cardio valve defect questions that show changes in oxygen saturation, when the change in % occurs do you assume the defect is at that chamber or happened in the chamber before it? For example: if there is a ASD, on the exam would the right answer show a Step Up in saturation in the R atria or will it show it in the R Ventricle after it equalibriates?
Click to expand...

Right atrium.
 
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CardioGuy1 said:
I know how you feel. Hopefully you can get a sigh of relief on Wednesday when you get a 240+. I think I have to wait until July because I missed the cutoff for the earlier release. Killer.
Click to expand...
I 'highly' doubt I got anywhere near that score. I left there thinking to myself: "I can't believe anybody who went through 2yrs of medical school could have done so poorly."

JPanda said:
Does anyoen have a good recommendtaion on how to study pelvic anaomty? There is jsut so much information for it and i dont know where to start.
Click to expand...

Just focus on the nerves, vasculature, and lymph nodes. That should be enoguh.
 
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So I just finished up with USMLE Step 1 earlier today (thank goodness thats over with, now I need to finish up with the COMLEX). I felt really good walking out of the exam with knowing that there were only a couple I absolutely had no clue. There were plenty of questions where educated guessing was my best weapon. I had maybe 3-4 audio questions that were pretty much murmurs (no bowel sounds) most of the pictures were recognizable tumors, auer rods, and holoprosencephaly. The test was pretty much split down the middle between systems, i had very few micro and pharm questions.

If you have any questions just ask me, its late and I can't remember all 8x46 questions.
 
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Cochan said:
So I just finished up with USMLE Step 1 earlier today (thank goodness thats over with, now I need to finish up with the COMLEX). I felt really good walking out of the exam with knowing that there were only a couple I absolutely had no clue. There were plenty of questions where educated guessing was my best weapon. I had maybe 3-4 audio questions that were pretty much murmurs (no bowel sounds) most of the pictures were recognizable tumors, auer rods, and holoprosencephaly. The test was pretty much split down the middle between systems, i had very few micro and pharm questions.

If you have any questions just ask me, its late and I can't remember all 8x46 questions.
Click to expand...

I hope you mean 7x46 lol.. unless I missed a whole section
 
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Does the labs stay open when you switch questions?
Can you use arrows to switch questions, and letters to select answers?
 
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For anyone who has taken the actual test - do you know if you can make the font bigger? I am seriously a little worried I'm losing my vision (or my mind, maybe)...I keep having to squint to see the questions and I'm making strange mistakes that I've never made before (e.g. I knew rhinovirus was the answer, I looked for it among the answer choices, thought it wasn't there & picked something else...and then when I checked it over again, rhinovirus WAS there...and it was the right answer).
 
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quepatho said:
For anyone who has taken the actual test - do you know if you can make the font bigger? I am seriously a little worried I'm losing my vision (or my mind, maybe)...I keep having to squint to see the questions and I'm making strange mistakes that I've never made before (e.g. I knew rhinovirus was the answer, I looked for it among the answer choices, thought it wasn't there & picked something else...and then when I checked it over again, rhinovirus WAS there...and it was the right answer).
Click to expand...
why dont you call up the prometric center you are going to. Im sure they could find some way to accomodate you.
 
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