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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.
Official 2011 USMLE Step 1 Experiences and Scores Thread
- Thread starter ProtossCarrier
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Anatomy wasn't that bad, but you will definitely see quite CTs and angiograms. I had one embryo/anatomy question that used a CT. I had a few falls, one stabbing, one related to birth trauma, and 3 or so innervations.
Repro was one of my best subjects throughout UW because we have a great pathophys teacher, and it was part our last organ system we went over. Most of the repro was in FA. I imagine you could answer about 85% of the repro questions just from FA, but I think the question writers make it this way on purpose because it seemed like they would give away most of the knowledge you already knew from FA in the stem and then ask for something beyond it. Heme onc is really easy if you have listened to audio and read the Goljan RR chapters. That said, only 2 questions on leukemia, and one of a lymphoma. I did have 2 coagulopathy questions too.
Mostly from first aid, but I do remember one question regarding inheritability I got right from UW. I only memorized the X-linked and AD ones and figured everything else fell into AR. The Be Wise Foolss GOLD Heeds False Hope was used more than once in my exam. Its hard to imagine, but EVERY sentence if FA is testable. I think I recall one of them same that it had like pleitropy or whatever, can't remember the question now, but I smiled because I remember reading that sentence in FA.
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Bingo. Lol.
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I will write a more thorough writeup later, but I had a ton of behavioral. I never feel that confident w/ them, but I did well on my NBMEs in that category. I think the first 20 pages of FA was 10% of my exam.
I had a lot of random Anatomy on my exam. There was absolutely no way to prepare for it.
Not much GI here either like the previous poster.
I had a lot of Repro as well. I was taken aback by it.
I am too tired to write more 🙄
I had a lot of random Anatomy on my exam. There was absolutely no way to prepare for it.
Not much GI here either like the previous poster.
I had a lot of Repro as well. I was taken aback by it.
I am too tired to write more 🙄
Random question for anyone who has taken the test... Did you have many questions dealing with nerves/muscles of the arms or legs and what happens with injuries to the shoulder/brachial plexus/hip, etc.?
I had trouble with this topic for a while and have been trying to improve but just wondering if they gave many questions on it. Thanks.
I had trouble with this topic for a while and have been trying to improve but just wondering if they gave many questions on it. Thanks.
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Finally done!
Prep method:
http://forums.studentdoctor.net/showpost.php?p=11090232&postcount=2544
Lots of questions were small deviations of things I've seen in uworld or nbme. FA is gold and I think goljan is slightly less useful in that theres just too much stuff in it. Go to goljan if you want to understand stuff for the first time quickly but use FA for all out memorization if you've seen the gist of it before.
However, there were a few questions that seemed like the test writers specifically wanted to test you on the one thing that wasn't in FA or the things that FA glazed over. Goljan will help you with these types of questions but you need to memorize it in a depth that I can barely fathom. I studied harder for this test than anything I've ever done in my life and I don't know how I could have known some of the facts that were asked for short of reading all of NEJM, Robbins, and even the NYT. There were some things that I got right only because I read MKSAP in preparation for 3rd year... and that is mostly clinical stuff!
Theres a huge amount of randomness in the topics that the step 1 draws from. As I posted elsewhere, for about 10% of the questions, you just either have seen it somewhere in your overall knowledge for med school or you're going to have to guess. There were maybe 2 questions more that I could have gotten right if I had memorized FA better; both of these facts that I got wrong were on details I had previously deemed too detailed to have to know... boy was I wrong! Everything else is just stuff that is way out there.
I came to enjoy doing the problems that described an experimental setup because its very possible to think your way through them and get them all right. Same thing for statistics and genetics. I hated it when they'd throw you a pharmacology or molecular bio one-liner and you either knew it or you didn't.
My test had a pretty good mix of things and there weren't many things that stood out to me as being overweighed. I had slightly more immuno and microbes but other people I talked to who took at the same time had the opposite mix. I think it is truly possible that it is a randomly generated test and by chance some things will appear more often than others, its only 322 questions! Also the perception is biased by what you found difficult. The general opinion of this thread that some current developments in medicine show up on the step 1 is true. Not going to provide any precise details. Additionally, know your pharmacology cold... but I think anybody could have told you that.
I think what helped me the most was doing lots of questions in my prep. The step 1 questions that I was unsure about were the ones that I had not ever seen practice questions on in my prep.
I know I got at least 6 problems wrong on the exam. Unsure about 4 more and can't find decent answers anywhere. Can't think of any more that I remember but don't care much anymore.
We'll see what pops out for my score on July 13th. Good luck everyone!
Prep method:
http://forums.studentdoctor.net/showpost.php?p=11090232&postcount=2544
Lots of questions were small deviations of things I've seen in uworld or nbme. FA is gold and I think goljan is slightly less useful in that theres just too much stuff in it. Go to goljan if you want to understand stuff for the first time quickly but use FA for all out memorization if you've seen the gist of it before.
However, there were a few questions that seemed like the test writers specifically wanted to test you on the one thing that wasn't in FA or the things that FA glazed over. Goljan will help you with these types of questions but you need to memorize it in a depth that I can barely fathom. I studied harder for this test than anything I've ever done in my life and I don't know how I could have known some of the facts that were asked for short of reading all of NEJM, Robbins, and even the NYT. There were some things that I got right only because I read MKSAP in preparation for 3rd year... and that is mostly clinical stuff!
Theres a huge amount of randomness in the topics that the step 1 draws from. As I posted elsewhere, for about 10% of the questions, you just either have seen it somewhere in your overall knowledge for med school or you're going to have to guess. There were maybe 2 questions more that I could have gotten right if I had memorized FA better; both of these facts that I got wrong were on details I had previously deemed too detailed to have to know... boy was I wrong! Everything else is just stuff that is way out there.
I came to enjoy doing the problems that described an experimental setup because its very possible to think your way through them and get them all right. Same thing for statistics and genetics. I hated it when they'd throw you a pharmacology or molecular bio one-liner and you either knew it or you didn't.
My test had a pretty good mix of things and there weren't many things that stood out to me as being overweighed. I had slightly more immuno and microbes but other people I talked to who took at the same time had the opposite mix. I think it is truly possible that it is a randomly generated test and by chance some things will appear more often than others, its only 322 questions! Also the perception is biased by what you found difficult. The general opinion of this thread that some current developments in medicine show up on the step 1 is true. Not going to provide any precise details. Additionally, know your pharmacology cold... but I think anybody could have told you that.
I think what helped me the most was doing lots of questions in my prep. The step 1 questions that I was unsure about were the ones that I had not ever seen practice questions on in my prep.
I know I got at least 6 problems wrong on the exam. Unsure about 4 more and can't find decent answers anywhere. Can't think of any more that I remember but don't care much anymore.
We'll see what pops out for my score on July 13th. Good luck everyone!
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Congratulations on those who have taken the test. Take a break, you gals and guys definitely deserve it!
Anyway, speaking of anatomy... there wasn't any straight up...
(arrow on CT pointing to a certain structure) "What is this?"
or "Where does this attach?" or "What innervates this?" or something less common like say.. the vastus lateralis... was there?
Anyway, speaking of anatomy... there wasn't any straight up...
(arrow on CT pointing to a certain structure) "What is this?"
or "Where does this attach?" or "What innervates this?" or something less common like say.. the vastus lateralis... was there?
I didn't have any attachments but I definitely had the other two. I mean, it was phrased prettier, but that's what they wanted to know and there wasn't exactly helpful information. Doesn't matter if it's in a 62-year-old man or a 5-year-old girl, innervation's probably still the same. And there were definitely arrows pointing to CTs and angiograms.
Took the test today, thoughts:
1) I missed some easy questions, especially towards the end, I don't know if I was tired (probably) or what, but it is incredibly frustrating, looking back there is one that was just sooooooooo stupid to miss. I knew I would miss some (obviously) but man, to make stupid mistakes, good grief, worse part was they were at the end and so walking out before I even checked I already knew that I missed them and knew exactly what the right answer was (matter of fact on both of them I had checked the right answer and then gone back and changed it, why? I don't know, self-sabotage? Possibly my sub-conscious refusing to go into derm? ugh...not a good way to end it)
Ok well enough of the venting
2) It seemed my sections varied immensely. Blocks 1,2,3,5,6 went smooth (as smooth as things can go I suppose). Blocks 4 and 7 were beasts (7 because I decided to make it that way). I used my entire amount of time and for blocks 4 and 7 did not have enough time to check back over my marked questions.
3) I had a lot, I'm guessing 7ish, questions related directly to secondary pathways and probably 5 more you had to know the secondary pathway to get the answer right. There was a post on here a couple days ago saying that was heavily tested on their tests and USMLE World Q Bank had a question stating at the end that this was tested a lot. Well it was and they were fairly simple questions for the most part (except 1) but you either knew it or you did not, so know those. First Aid covers them plenty well, imo.
4) Anatomy - my test was not heavy on anatomy. I did not go to in depth studying anatomy, I looked at first aid and skimmed 3 chapters of HYGA. I think I did ok on it, I suppose I could have gotten a couple more right had I put more effort into it, but really its such a broad topic it seems time is best spent covering the high points and not getting bogged down in the details, this seemed to work fine for my test.
4) Behavioral - Meh, some were easy, some where you have to decide what to tell them were difficult. Along those lines the psych questions (not psych pharm) were straight forward.
5) Immuno - Wow. So I guess maybe this was my most "WTH?" area. CD markers that I saw and did not even realize we had to count that high in medicine (I jest, but just barely). I'd say 40% of my immuno questions were not in first aid, I'm not sure quiet where the hell they were, but definitely not first aid. I am hoping some of these were the "test" test questions with the new exams...knowing my luck, doubtful.
6) Micro - not bad, pretty much straight from first aid
7) Respiratory - not many questions, the ones I had were the questions where you had to chose between all the answer choices with up and down arrows, those suck, I answered accordingly.
8) Pharm - pretty straight forward unless you are me and sit there and second guess yourself (which I suppose means I did not know it well enough...fair enough). But really it was straight forward and if you know the main First Aid drugs you would have done fine.
9) Cardio - Don't remember much, must not have been that bad. The audio ones were great quality, unlike the USMLEW audio question, imo.
10) Endocrine/GI - straight forward, again, you got to know the secondary pathways.
11) Heme/Onc - lots of onc questions it seemed, and not the easy ones like carcinoma X = tX:X, no it was ridiculous questions of paragraph long descriptions of what a tumor and its cells looks like with out the actual picture...great...I guess there were probably three of them, I straight up guessed on 2. On the positive side Onc pharm I nailed, granted there were only a few questions on it, but if you know first aid onc pharm you would have done fine, they were not difficult. Heme pharm was more difficult and there was one question where there had to be two answers, still there were only a few heme pharm.
12) Repo/Embryo - straight forward
13) Renal - for some reason I sort of freaked out when I saw most renal questions (and there were quiet a few come to think of it). Renal always slows me down because I have to really think it through in order to get it right, the test questions were no different, they were thinkers (at least for me). So I would sit there and think and look at the clock and panic and think more while panicking and chose a wrong answer and think about why I chose that wrong answer but how I did not have enough time to think it through and be sure I get the right answer...viscous cycle of panic and poor decision making on my part. Come to think of it now, I am pretty sure blocks 4 and 7 were heavy on renal questions, hence my trouble with time. They were not hard renal questions, if I had all day I would have gotten each of them right, with the time constraints I did not.
14) Biochem - heavy on molecular and inherited diseases, not so much pathways at all, though many times you did need to know the BASIC biochem behind the disease.
Hmmmmm....I guess that about covers it...Cliff Notes Version:
1) Immuno was a beast and first aid did not save me (I knew first aid immuno)
2) Renal easy questions but ones that took time and made you think
3) Heavy on secondary pathways and secondary pathway molecules
I had been in the 230s on my last couple of NBMEs, and ended the last 10 blocks of Uworld questions averaging just over 70%. If I had to guess what I got I would go low (HOPEFULLY?????🙁) and call a 210, thanks to just stupid, careless mistakes.
Best of luck to the rest of you!
1) I missed some easy questions, especially towards the end, I don't know if I was tired (probably) or what, but it is incredibly frustrating, looking back there is one that was just sooooooooo stupid to miss. I knew I would miss some (obviously) but man, to make stupid mistakes, good grief, worse part was they were at the end and so walking out before I even checked I already knew that I missed them and knew exactly what the right answer was (matter of fact on both of them I had checked the right answer and then gone back and changed it, why? I don't know, self-sabotage? Possibly my sub-conscious refusing to go into derm? ugh...not a good way to end it)
Ok well enough of the venting
2) It seemed my sections varied immensely. Blocks 1,2,3,5,6 went smooth (as smooth as things can go I suppose). Blocks 4 and 7 were beasts (7 because I decided to make it that way). I used my entire amount of time and for blocks 4 and 7 did not have enough time to check back over my marked questions.
3) I had a lot, I'm guessing 7ish, questions related directly to secondary pathways and probably 5 more you had to know the secondary pathway to get the answer right. There was a post on here a couple days ago saying that was heavily tested on their tests and USMLE World Q Bank had a question stating at the end that this was tested a lot. Well it was and they were fairly simple questions for the most part (except 1) but you either knew it or you did not, so know those. First Aid covers them plenty well, imo.
4) Anatomy - my test was not heavy on anatomy. I did not go to in depth studying anatomy, I looked at first aid and skimmed 3 chapters of HYGA. I think I did ok on it, I suppose I could have gotten a couple more right had I put more effort into it, but really its such a broad topic it seems time is best spent covering the high points and not getting bogged down in the details, this seemed to work fine for my test.
4) Behavioral - Meh, some were easy, some where you have to decide what to tell them were difficult. Along those lines the psych questions (not psych pharm) were straight forward.
5) Immuno - Wow. So I guess maybe this was my most "WTH?" area. CD markers that I saw and did not even realize we had to count that high in medicine (I jest, but just barely). I'd say 40% of my immuno questions were not in first aid, I'm not sure quiet where the hell they were, but definitely not first aid. I am hoping some of these were the "test" test questions with the new exams...knowing my luck, doubtful.
6) Micro - not bad, pretty much straight from first aid
7) Respiratory - not many questions, the ones I had were the questions where you had to chose between all the answer choices with up and down arrows, those suck, I answered accordingly.
8) Pharm - pretty straight forward unless you are me and sit there and second guess yourself (which I suppose means I did not know it well enough...fair enough). But really it was straight forward and if you know the main First Aid drugs you would have done fine.
9) Cardio - Don't remember much, must not have been that bad. The audio ones were great quality, unlike the USMLEW audio question, imo.
10) Endocrine/GI - straight forward, again, you got to know the secondary pathways.
11) Heme/Onc - lots of onc questions it seemed, and not the easy ones like carcinoma X = tX:X, no it was ridiculous questions of paragraph long descriptions of what a tumor and its cells looks like with out the actual picture...great...I guess there were probably three of them, I straight up guessed on 2. On the positive side Onc pharm I nailed, granted there were only a few questions on it, but if you know first aid onc pharm you would have done fine, they were not difficult. Heme pharm was more difficult and there was one question where there had to be two answers, still there were only a few heme pharm.
12) Repo/Embryo - straight forward
13) Renal - for some reason I sort of freaked out when I saw most renal questions (and there were quiet a few come to think of it). Renal always slows me down because I have to really think it through in order to get it right, the test questions were no different, they were thinkers (at least for me). So I would sit there and think and look at the clock and panic and think more while panicking and chose a wrong answer and think about why I chose that wrong answer but how I did not have enough time to think it through and be sure I get the right answer...viscous cycle of panic and poor decision making on my part. Come to think of it now, I am pretty sure blocks 4 and 7 were heavy on renal questions, hence my trouble with time. They were not hard renal questions, if I had all day I would have gotten each of them right, with the time constraints I did not.
14) Biochem - heavy on molecular and inherited diseases, not so much pathways at all, though many times you did need to know the BASIC biochem behind the disease.
Hmmmmm....I guess that about covers it...Cliff Notes Version:
1) Immuno was a beast and first aid did not save me (I knew first aid immuno)
2) Renal easy questions but ones that took time and made you think
3) Heavy on secondary pathways and secondary pathway molecules
I had been in the 230s on my last couple of NBMEs, and ended the last 10 blocks of Uworld questions averaging just over 70%. If I had to guess what I got I would go low (HOPEFULLY?????🙁) and call a 210, thanks to just stupid, careless mistakes.
Best of luck to the rest of you!
Does anyone want to take a stab at guessing how many they got right/wrong? I mean, I'm willing to put my 75% right out there. I'm probably overestimating a bit, but I figure I got at least a quarter of the questions I marked correct.
Were you marking 10 questions per block? 15? 23? So many you lost count?
My goal going in was to mark no more than half of the block (otherwise I would get nervous). And I was successful on that particular front!
(I know, my standards aren't that high these days, unfortunately I needed more time to have higher standards, haha.)
I don't know why I'm so curious, exactly, I just am. SDN is where neurotic curiosity comes to thrive. 😉
Were you marking 10 questions per block? 15? 23? So many you lost count?
My goal going in was to mark no more than half of the block (otherwise I would get nervous). And I was successful on that particular front!
(I know, my standards aren't that high these days, unfortunately I needed more time to have higher standards, haha.)
I don't know why I'm so curious, exactly, I just am. SDN is where neurotic curiosity comes to thrive. 😉
Thanks for the great post! Congrats on being done!
I was wondering what you meant by secondary pathway questions. It may be a dumb question, but I've been studying so long today I probably couldn't spell my own name correctly. Thanks in advance.
So I have a sheet of notebook paper in front of me and am jotting down little one word reminders of every single question I can remember and looking to see if I got it wrong or right...so far 44right 12 wrong...neurotic eat your heart out..(btw I am sure I am repressing some bad memories there, of which I am not consciously aware of course 🙂)
I am referring to are on FA pages:
98,236, and 294, that kind of stuff...Its not a dumb question, as those are probably not even called secondary pathways, I think I mistyped. I think perhaps secondary messenger systems would be a more correct? I don't know. I really knew those and also wikipediad (sp?) many of them to really understand them, that helped but I think you can get the answer with out doing that.
This is what i meant. I'm so neurotic. I kept track of exactly how many questions I marked for the entire exam. Haha.
I figure I probably got about a quarter of them right. Which would get me to 75%.
Yes I am neurottttiiiicccc....
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Ugh I know what you mean. I had that with a lot of questions I got wrong. Uworld told me I switch more questions from wrong to right than the other way around though so I just have to trust that these questions were sacrificed for the greater good.
I usually marked about 10-25 questions per block. How I do checked questions is I check them over at least twice more while I only check the unmarked ones once more before timeup. I'm going to guess that I got 90% of the questions right. It was harder than any of the nbmes but easier than most of the uworld blocks. I finished that exam with about the same amount of confidence as I had after finishing nbmes where I scored >90%.
I had a weird fluctuating pattern of difficulty. Block 1 was daresay extremely easy but my second block was like a completely different test and was hard as hell. This was followed by a easy block and then a harder block. Eventually it stabilized to where the blocks were about the same difficulty.
Makes me think that the test might be dynamically generated at least from block to block.
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Thanks guys for sharing your experiences. You guys are awesome.
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Yes, there were a number of questions that seem ripped straight out of these tests.
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Game time! At the center. Let's do this!
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good luck everyone who is taking the test today!
Random: You know what I noticed after I got into the test center? Some guy was taking Step 3 there and the computer interface was EXACTLY the same for his test as it was for mine.
So this morning while I'm up, I'm just thinking of how many years of that UWorld interface I have to look forward to...🙄
So this morning while I'm up, I'm just thinking of how many years of that UWorld interface I have to look forward to...🙄
everyone taking it right now!- Joined
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Very nice write up! THanks for your input and insight into the test maker's mentality. I hope you get what you are hoping to get and then some.
Goodluck for all those taking it today and over the weekend! And thanks to everyone for sharing their experiences.
To recent test takers: anything you guys/gals would've done different the day of? Routine? Snacks/food? 4 more days, I'm actually excited to get this finished (that and the fact that I'm on vacation the following day...).
To recent test takers: anything you guys/gals would've done different the day of? Routine? Snacks/food? 4 more days, I'm actually excited to get this finished (that and the fact that I'm on vacation the following day...).
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Hi, thanks for the write-up.
If you don't mind my asking, is there any reason why you purchased a new subscription to Uworld vs. just extending your old one?
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Hey you guys, congrats on being done.
Did any of you use Gunner training? I'm just wondering, 'cuz there's not a lot of talk about if from the post-test crowd.
So far in my studying, I'm finding it a lot more useful than UWorld, even. Just wondering if my perception is on point or way off?
Did any of you use Gunner training? I'm just wondering, 'cuz there's not a lot of talk about if from the post-test crowd.
So far in my studying, I'm finding it a lot more useful than UWorld, even. Just wondering if my perception is on point or way off?
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Are the days of FA numbered?
Nope, I took a break after every section and had 15 minutes of break time left at the end of the entire exam. I packed an egg salad sandwich, cherry tomatoes, and a brownie (which i didn't eat). Periodically took some coffee and after one block I took some aleve. I went to the bathroom after 2 or 3 of the sessions (prophylactically, didn't want to find myself in an emergency ;-))
The day before, I took the evening off from 7pm onwards and I'm not sorry I did.
I was pretty relaxed because it just felt like doing a block of UWorld. It was identical.
I personally though FA was pretty helpful for what I needed for the exam. ymmv.
Hey! In answering a previous question as to why I purchased a "new" subscription...
After I went through uw once with my 1st subscription, I tried creating tests with "all" questions. About 3 tests in, I realized that UW-makers were smart and that those 3 tests consisted of circulating most of the same questions. Thus, I don't think I was getting a fair spread of questions derived from the whole qbank. I think they probably do that to increase profit, but what do I know. I think if you are planning on going through all your "incorrects" as opposed to seeing "all" questions again, you could probably get away with using your old subscription. But if you're like me and you want to do the whole thing again, you will quickly realize why this isn't possible with your old subscription! Unless of course you purchase a 6mo+ and can reset (not in my case). Hope that's helpful!
Re: FA.....yep, looks like sole FA memorization just ain't gonna cut it anymore these days. Lol...
After I went through uw once with my 1st subscription, I tried creating tests with "all" questions. About 3 tests in, I realized that UW-makers were smart and that those 3 tests consisted of circulating most of the same questions. Thus, I don't think I was getting a fair spread of questions derived from the whole qbank. I think they probably do that to increase profit, but what do I know. I think if you are planning on going through all your "incorrects" as opposed to seeing "all" questions again, you could probably get away with using your old subscription. But if you're like me and you want to do the whole thing again, you will quickly realize why this isn't possible with your old subscription! Unless of course you purchase a 6mo+ and can reset (not in my case). Hope that's helpful!
Re: FA.....yep, looks like sole FA memorization just ain't gonna cut it anymore these days. Lol...
If you mark each question as you go the first time around, you can create questions from your 'marked' pool and redo all of them. They remove them from the marked pool as you redo them. I did UW twice plus my incorrects. Can you give an example of what wasn't in FA, because that is the only thing apart from UW I am studying from?
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Too much to give an example! It's not that the topic isn't in FA, just that the detail you need to answer the question isn't in there, haha
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Thanks Q. What does ymmv mean?
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I wish I understood what this means lol.
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I think this is what he meant: even if you memorized every word of the relevant block in FA, you still wouldn't get it right because they ask about a fact or pathway or pathophys that wasn't in FA and that you had to look up if you were extra curious about the disease during studying. Same thing happened to me a few times on my test.
Again, it wouldn't be fair to give a specific example. You just have to know more than everything.
RR and GT were my pre-studying stuff. When I tell my first year friends, I usually recommend those two in tandem to really destroy this thing. Unfortunately, I had to switch to lite mode during my 4 weeks of intensive studying just due to 200-250 questions per day in comprehensive. Overall, it really really helped me just because I suck at reading FA and didn't have to make notecards myself. I'll let you know on Wednesday (assuming I get on a computer after the test...).
