I saw that there was a similar thread for 2011 that had plenty of useful info so I figured its best to start one for 2012. 👍
This post actually made me feel much better. I took mine yesterday and had a similar experience. 3 blocks of pure difficulty and 4 blocks of what I expected. I left the testing center feeling pretty discouraged. In truth I really don't remember most of the test, just the feelings I had during it. For the most part the questions felt too easy or too hard, not really much in between. Like others have mentioned lots of physiology up and down arrows that were for the most part pretty easy. I had more anatomy than I expected, nothing out of first aid. I had almost no embryo and biochem was almost non-existent. Unfortunately, I had several difficult to impossible micro questions as this was one of my stronger subjects. The rest of the system based questions were fair. I really struggled with some of the behavioral science questions, but I expected that since that is one of my weaker areas. Also there is lots of graph/chart interpretation.
Practice tests:
Uworld: 79% first pass timed random
cbssa: 255, 5 weeks out
NBME 7: 254, 3.5 weeks out
UWSA1: 264, 2.5 weeks out
NBME 12 259, 1.5 weeks out
I started with a goal of 240+, however, after leaving the testing center I think I would be happy with anything of 235. I used FA, Uworld and pathoma. I had an hour commute to and from school so I listened to Goljian audio probably about 7 times completely through. It is going to be a long month and a half.
Holy Heck, awesome score holyhek!!
Let me start by saying thanks for the great info everyone! I plan on posting after I take my test later this June.
My question is about lab values. First, how similar is the lab value drop down bar on the real test in comparison to UWORLD exams? Sometimes looking for a normal values can be tedious/stressful under time constraints. Second, should I just bite the bullet and memorize normals or would it be a waste of time?
Let me start by saying thanks for the great info everyone! I plan on posting after I take my test later this June.
My question is about lab values. First, how similar is the lab value drop down bar on the real test in comparison to UWORLD exams? Sometimes looking for a normal values can be tedious/stressful under time constraints. Second, should I just bite the bullet and memorize normals or would it be a waste of time?
thanks, i hope so. but if my score comes back a 175 i'll just lie and say its a 275, then leave the country.
for brs phys: only if you feel like you need it. some of the charts in there are real good (e.g. the CO/venous return graph, or the PTH tables). i hadn't seen a lot of the phys since the fall, so I chose to go back through brs phys. read a section carefully in about 2-3 hours as I went through the corresponding section in FA and just made a note of things that were new to me. i memorized the crap out of guyton in the fall, and I found stuff I still didnt know. Honestly in two weeks, if you don't have any other subjects that desperately need to be hit hard, you can fit that reading in.
one thing that esp helped was to map out on my whiteboard the different parameters that change w/ each of the diseases. like for instance all of the sex hormone disorders (LH, FSH, testosterone, estrogen, inhibin - if it was a male obv- etc.) or the conditions that affect the bone (i.e. ca levels, phosphate, alk phos, vitamin D, urine levels of substances, basically any parameter or condition I felt they could test me on - I even put Albright's hereditary osteodystrophy in there - which is actually laid out in BRS pretty well) as well as the anemias (i.e. ferritin, TIBC, % sat, etc. -- RR path has a good chart). for the last few days just erase and redo, erase and redo like 3-4 times. FA has decent charts, but they're not complete. For instance, in the repro section, the chart with the LH/testosterone levels, I made a chart w/ all the aforementioned parameters and listed any condition I could think of within which those parameters would change (i.e. including PCOS, menopause, 5-a reductase deficiency, Turner's, etc.) I even wrote out a chart for GFR, RPF, and FF w/ all the different parameters that could be changed and worked through that several times. Oh, and even all the hormones of metabolism too (insulin, glucagon, cortisol, GH, thyroid -- and their effects on glucose levels, lipid metbaolism, protein).
Having all that info consolidated into one chart for each of those topics was super helpful. drilling it several times gave me confidence in my knowledge of how things change in different situations. Helped me to truly understand the relationships between the different parameters. And being able to work through them all those charts on a whim, almost instinctively, helped me for my exam. Because as I said before, they won't always present the parameters and their respective arrows the way you're used to seeing them. But if you really understand the dynamics of the disease process and how each parameter relates to one another, you can at least pick out the best of the bad answer choices, haha.
Maybe it'll help you.
Dman, been on here for like an horu and a half. I've paid my dues. Haha.
It shouldn't be bad if you do GT and all the qbanks.Took it yesterday too, wasn't bad. Wouldn't say it was easy, but nothing "unfair". The pictures were all high yield except one and I had one completely out of left field question, but i expected that after reading other people's experience - still can't figure out what the right answer was even after looking it up - then i just gave up and had a great day in the city.
Physio questions had arrows but none of them were completely weird. I did all the qbanks and I felt that helped me the most along with GT. Keeping my fingers crossed.
It shouldn't be bad if you do GT and all the qbanks.
A kid in my class took the test today. He wrote a detailed summary but to sum it up: 70% integrated path, no pure physiology (physio was only tied in with other stuff) and not nearly as hard as UWorld. He said UWorld was great practice BUT a horrible predictor of Step 1-like questions. He said Step 1 questions are just like the NBME #3 (Yes #3, not 13 - our school makes us take #3 1-week before our test. He probably didn't take any other NBMEs.)
He said everything you need to know is in First Aid. And that Pathoma will get 60% of the questions, then you just need to supplement stats/psych/behavioral science/anatomy/msk/neuro for the last 40%.
Oh and I would probably consider this guy to be one of the main gunners of the class haha.
1 - I would NOT bank on this, he may have gotten lucky. There are a bunch of gimme questions for sure, but those are not the majority of the questions. I found the test to be quite similar to UWorld with gimme questions mixed in here and there (which you don't really get with World) and then on mine >30% weird ass **** that was not covered in UWorld or FA. I think that the general consensus among most folks who have taken the real thing is that it is pretty similar to World in terms of difficulty with more 1 step reasoning questions than World has (some easy but also often on some weird facts that you might not know).
2. No way. He probably does not realize how much he knows that is not covered in FA. If I were a betting woman, I would guess that best case scenario 90% of the test will be stuff covered in FA. For most people it is probably somewhere around 75%-80% covered by FA *on some level* (ie - maybe covered in FA but then the q they ask you about that topic might not be in there because they are a** holes)
3. Yeah, that 😛
I'm really not trying to scare people but just know that you might walk into a test that is not so bad or you might walk into a cluster f*ck or something in between- you just gotta be ready to roll whichever way it goes.![]()
...I like USMLE weapon a lot...
I'm gonna go with what that guy said...at least consider his advice more than yours haha. Obviously your advice is not accurate considering you said you thought you did terrible and then got a 251. 😉 Some ppl just worry a bit too much...haha
Do you have a camera / scanner? Could you upload the chart you came up with (unless it was originally on a whiteboard, then obviously that wouldn't be possible)?
there's nothing wrong w/ worrying, haha. my problem in the past is that I didn't worry enough - and my undergrad transcripts are solid proof of that. worrying is definitely what kept me motivated these past 6 months.
i had a buddy who took his exam 1 week before mine tell me that his exam was easier than the nbme's, and that I shouldn't worry - in fact, that I should take a couple of days off and relax because I was more than prepared. I believed him that his was easier, but I forced myself to continue studying -- and I'm glad that I did. Had i settled for what I knew then, what my "solid" nbme/uwsa scores supposedly indicated that I knew, i wouldn't have netted the ~20 questions i got by studying that last week before my exam.
I can agree that in terms of my exam, that most of the answers could be deduced from what was in FA/Pathoma/Uworld in some way, shape, or form. But I agree w/ the miss, in the sense that, you shouldn't take one person's experience as the standard.
Best thing you can do is to be prepared for the worst. According to you, your buddy only took one NBME, so he only had one NBME to base his experience off of. The consensus is that from most peoples' experience, the newer NBME's are closer to the real deal.
Don't get me wrong, I don't discount what he says. definitely take his experience into consideration, and make it a part of your study tactics, if thats what you want. But be careful to not at least make note of what others have said, otherwise you might end up hurting yourself. Not everybody's exam is the same and I don't think that anybody who's reported their experience on here is trying to convince anybody that their experience is going to be exactly like what you experience on your usmle.
I'm glad I frequented student doctor (and scared myself on occasion by reading some of the ridiculous things people wrote -- got my as- in gear, haha) and spoke w/ multiple people about their exam experiences, otherwise I may just have become complacent after my buddy's experience last week. Where would that have put me after my exam? I would've been pissed that I didn't keep studying. Another thing, several people had recommended webpath for images, so the past couple of weeks I started using webpath -- lo and behold, 2 images from there showed up on my exam. Go figure.
Just my two cents. Just trying to help. 🙂
lol i've since then erased them. but go check out the heme section in RR path, that should get you started on the type of thing I put together for heme. All I did was I add hemachromatosis & pregnancy to that chart.
Also check out the PTH section in BRS, that'll give you an idea of the parameters I used for all of the bone stuff.
FA in the repro section - the LH/Testosterone parameters. I basically jsut expanded upon that and added FSH, estrogen, GnRH, and inhibin. Anything that was not a factor in a particular disease I just inputted a "-" for. E.g. for osteoporosis (i.e. endocrine) - all parameters (PTH, alk phos, Ca, phosphate, 1,25 vitamin D, etc) were marked as "-". Beneath that, Paget's dz, everything "-" except alk phos (arrow up, of course). And so on and so forth.
Oh, I forgot to say that I used most of DIT as well - and their workbook had a good expanded version of the GFR / RPF / FF section that you see in the renal section of FA. I.e. how things would change w/ NSAIDs, ACE-I. Easy concepts for the most part, but knowing how things changed w/o even have to blink an eye saved me a lot of time. Especially on some of those endocrine/repro questions.
Hope that clears that up a bit for you.
You can check my post history, im definitely not trolling. For me personally U weapon really was a decent qbank or at least it felt like the real exam. I did DIT and had finished world/rx/kaplan, so there was nothing else to do. I was suprised by weapon, at first i thought it was a little all over the place but actually i felt i learned to do better guessing with their questions and felt the real thing was close enough to their questions that it made it worth it. I also got a random gene that i wouldn't have known unless i had done the question r/t a certain cancer.
I'm not saying anyone needs to do u weapon but i think that it is a decent option for those who have already done uworld/rx.. i would probably put it ahead of kaplan in terms of the real thing. I like RX like others have said to really hammer FA into my brain (of course along with GT) - without a strong base with FA i don't think i would have gotten as much out of DIT as i did just because of the way the course is set up.
I just took NBME 13 and got a pathetic score. Do people really think this reflects the actual test? I thought it was way easier than UWorld.
That said, I'm facing sub 220 but I won't give up. 250 was the goal and I've finally figured out what works for me to study for this. I'm envious of the kids with study skills who know how to absorb lots of info quickly.
I have 10 days to boost my scores. "Fortunately" it seems like I'm missing on lots of the gimme stuff that can be memorized. Heavy pharm, micro biochem and genetics this next week.
How much of UWorld have you completed and have you taken UWSA 1 or 2? I just took form 1 and thought it was pretty stinkin' hard. It was much harder than NBME 11 (but I actually got a little bit higher score). I'm planning on taking either NBME 12 or 13 next, but just can't decide on what the best predictor is. I have ~2 weeks left.
I ran all of UWorld by systems in tutor mode through finals and at the start of my dedicated 4 weeks. A huge mistake, but that's another post.
On the UWorld assessments I got 200 on #1 three weeks out and 220 on #2 two weeks out. Today's NBME 13 that I thought felt much easier than UWorld resulted in a lower score. I'll probably run NBME 11 or 12 next Sunday since many people here seem to do those.
I ran all of UWorld by systems in tutor mode through finals and at the start of my dedicated 4 weeks. A huge mistake, but that's another post.
Yeah why was this such a mistake? I've been doing the entire thing on untimed/tutor by system as well, but it seems to have worked out pretty well for me.
In my case I spent too much time on problems and not enough time reading and reviewing so my knowledge of topic areas I was weak in has turned out to be pretty spotty. If I could do it over I would save UWorld for a few weeks and really hit my weak points hard beforehand. The UWorld questions would have had more benefit that way.
Untraditional, do you mean you spent too much time doing uworld questions early on and wish you would have done them later on in your study period?
How much of UWorld have you completed and have you taken UWSA 1 or 2? I just took form 1 and thought it was pretty stinkin' hard. It was much harder than NBME 11 (but I actually got a little bit higher score). I'm planning on taking either NBME 12 or 13 next, but just can't decide on what the best predictor is. I have ~2 weeks left.
People are saying that the question stems are a lot longer on the real deal. How are they compared to nbme 7? I thought those were decently long (i.e. 3-4 sentences with lots of lab values)
Even with GT, you preferred Rx over Qbank?
I figured you weren't trolling based on your post count 🙂
Interesting though, I've heard nothing but negative things about UWeapon so far, so it's interesting to hear something positive about it. Also am interested in hearing why you feel Rx is superior to Qbank... I've tried both Qbank and Rx.. and found Rx a bit easier, but Qbank had much more detailed/multi-step questionsm (Haven't finished either yet though). Where do you think UWeap falls? Did you find many errors/poor questions while going through it?
Took it this morning. No idea what people are talking about with gigantic question stems and multiple pages of images/graphs and physio questions with answers from A to ZZ and 30% stuff not being in First Aid.
Mine seemed just like 7 blocks of UWorld with some gimme questions sprinkled in. Nothing too crazy, 98% of the stuff was in FA in some form or fashion.
I may do a full write-up when I get my score back, but for people freaking out about the exam, it's not different from UWorld/NBMEs.
Took it this morning. No idea what people are talking about with gigantic question stems and multiple pages of images/graphs and physio questions with answers from A to ZZ and 30% stuff not being in First Aid.
Mine seemed just like 7 blocks of UWorld with some gimme questions sprinkled in. Nothing too crazy, 98% of the stuff was in FA in some form or fashion.
I may do a full write-up when I get my score back, but for people freaking out about the exam, it's not different from UWorld/NBMEs.
I am taking it tomorrow and this has calmed my nerves so much! I hope I have the same experience. 👍👍
Took it this morning. No idea what people are talking about with gigantic question stems and multiple pages of images/graphs and physio questions with answers from A to ZZ and 30% stuff not being in First Aid.
Mine seemed just like 7 blocks of UWorld with some gimme questions sprinkled in. Nothing too crazy, 98% of the stuff was in FA in some form or fashion.
I may do a full write-up when I get my score back, but for people freaking out about the exam, it's not different from UWorld/NBMEs.
Took it this morning. No idea what people are talking about with gigantic question stems and multiple pages of images/graphs and physio questions with answers from A to ZZ and 30% stuff not being in First Aid.
Mine seemed just like 7 blocks of UWorld with some gimme questions sprinkled in. Nothing too crazy, 98% of the stuff was in FA in some form or fashion.
I may do a full write-up when I get my score back, but for people freaking out about the exam, it's not different from UWorld/NBMEs.
1 - I would NOT bank on this, he may have gotten lucky. There are a bunch of gimme questions for sure, but those are not the majority of the questions. I found the test to be quite similar to UWorld with gimme questions mixed in here and there (which you don't really get with World) and then on mine >30% weird ass **** that was not covered in UWorld or FA. I think that the general consensus among most folks who have taken the real thing is that it is pretty similar to World in terms of difficulty with more 1 step reasoning questions than World has (some easy but also often on some weird facts that you might not know).
2. No way. He probably does not realize how much he knows that is not covered in FA. If I were a betting woman, I would guess that best case scenario 90% of the test will be stuff covered in FA. For most people it is probably somewhere around 75%-80% covered by FA *on some level* (ie - maybe covered in FA but then the q they ask you about that topic might not be in there because they are a** holes)
3. Yeah, that 😛
I'm really not trying to scare people but just know that you might walk into a test that is not so bad or you might walk into a cluster f*ck or something in between- you just gotta be ready to roll whichever way it goes.![]()