Phew! It is finally over! I took the exam on 1 hour of sleep and a body full of adrenaline! I got to the testing center early before all of my classmates and was actually allowed to start the exam 30 minutes before my start time before everyone else. As I sat down on the chair,I began having a small panic attack because I couldn't believe it was really happening. I skip the tutorial and start the exam. Reading the first question only made my heart go in even deeper frenzy that I wasted a good 5 minutes on the block just freaking out. Eventually I tried pushing through it, and the more questions I answered, the better I felt. By the end of the first block I was more calm, but knew I had gotten a lot of early questions wrong because of the panic attack. There was nothing I could do so I just tried brushing off and tried making up for it in the following blocks. Thankfully, as the blocks went on, I felt more and more comfortable that by the 4th block the WTF questions did not phase me as much.
Everyone has a different opinion but I actually found the exam to be a mix between USWA 1 and UWSA 2. As I was taking UWSA 1, I remember a lot of questions where I was going "WTF!" UWSA 2 balanced this by having a larger amount of easier questions on it (imo). My test had a good amount of straight up recall questions, which really surprised me. Sadly, these really easy questions were balanced by weird questions, full of answer choices with weird/complex wording and/or topics not even covered in first aid or uworld lol. I laughed at these questions and just guessed. In the end, the exam was a mix of answering questions you knew or bsing your way with best guesses to weird questions. I didn't leave the testing center thinking I failed. Even with the horrible first block, I left feeling like I passed. However, I don't know how well I did compared to my practice exams. My fate is up to the USMLE gods.
To those still yet to take the exam, my honest advice is to not let the exam psych you out. And get some zolpidem if you are having trouble sleeping. That's my biggest regret. I feel like I would've done better if I hadn't been so against taking sleeping pills and had slept better.