Official 2014 Step 1 Experiences and Scores Thread

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Physiology questions are hard in that they ask about things not commonly discussed in lecture/books. For example, they can give you a peculiar or familiar case, then ask about 2 hormones/signals/events you may know about in reference to that case, 1-2 that you think you can reason through, and 1-2 other hormones/signals/events where you really have no clue. The problem is, the ones you have no clue make you start questioning your reasoning for the other 1-2, throwing everything off. That's how it feels.
 
I took my exam on June 7th. I feel like I made a LOT of mistakes, and waiting for my score is horrible. I looked up some questions after the test, and I think I found 20+ I got wrong. Is that normal or is that way too many wrong questions?? Also, is the score emailed to us? Does anyone know when I'd probably get my score? Is June 25th too early to get it?
 
I took my exam on June 7th. I feel like I made a LOT of mistakes, and waiting for my score is horrible. I looked up some questions after the test, and I think I found 20+ I got wrong. Is that normal or is that way too many wrong questions?? Also, is the score emailed to us? Does anyone know when I'd probably get my score? Is June 25th too early to get it?

According to their announcements, it'll probably be no earlier than July 9th.

http://www.usmle.org/announcements/?ContentId=132
 
Well, here's my scores and i take it tomorrow:

4.5 weeks out nbme (provided by school): 188
uworld 59% first pass
nbme 7 2 weeks out: 232
USMLE practice test 1 10 days out: 242
USMLE practice test 2 10 days out: 236
nbme 15 8 days out: 228
nbme 16 3 days out: 224 :wtf:
free 150 day before: 86.6% (translates to 253 on medfriends.org when rounded to 87%)
real thing: tomorrow, who knows.
goals:
245+=throw a party
240+=high fives all around
235+=fist pump
230+=pat myself on the back
225+=still alright
220+=could have done worse
<220=well, i guess i will have to improve my CV somehow

can I trade my free 150 score? :prof:
 
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I wonder if this means the people taking their exam in mid-late June will also get their scores on July 9th, too good to be true?

Haha, we shall wait and see... I take it on June 16, so July 9th is when I'd normally expect my score anyways. Any longer and I'd probably start going crazy.
 
Anybody else take it today? I thought that test was damn hard and about 80% of the questions were way harder than anything I saw on uworld.
 
NBME 12 (40 days out/beginning of dedicated) - 230
NBME 11 (23 days out) - 239
UWSA 1 (7 days out) - 257
UWSA 2 (6 days out) - 260
NBME 7 (today...5 days out) - 249


Goal: 250+. Almost there...
 
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Ovary/Breast (anti-Yo) and Lung (anti P/Q, anti-Hu) are the organs and associated antibodies. Pretty sure I remember anti-NMDA antibodies along with paraneoplastic seizures from Uworld as well, although I'm not positive.

Actually really glad you posted these. Thanks,
 
Well, here's my scores and i take it tomorrow:

4.5 weeks out nbme (provided by school): 188
uworld 59% first pass
nbme 7 2 weeks out: 232
USMLE practice test 1 10 days out: 242
USMLE practice test 2 10 days out: 236
nbme 15 8 days out: 228
nbme 16 3 days out: 224 :wtf:
free 150 day before: 86.6% (translates to 253 on medfriends.org when rounded to 87%)
real thing: tomorrow, who knows.
goals:
245+=throw a party
240+=high fives all around
235+=fist pump
230+=pat myself on the back
225+=still alright
220+=could have done worse
<220=well, i guess i will have to improve my CV somehow

can I trade my free 150 score? :prof:


Lol. I'm in the same boat as you in terms of 1st pass through UWorld. I took NBME 16 a week ago and scored 215. I still have 3 weeks til my USMLE but I'm also studying for COMLEX so... whomp, whomp. We'll see what happens!

Good luck tomorrow! 🙂
 
NBME 7 (5 weeks ago): 220
NBME 11 (4 weeks ago): 245
NBME 13 (3 weeks ago): 241
NBME 12 (2 weeks ago): 230
UWSA1 (1.5 weeks ago): 245
NBME 15 (1 week ago): 239
Free 150 (3 days ago): 83%
NBME 16 (today): 242

Test is in 5 days. Going to try to read thru as much as first aid/pathoma as I can to keep everything fresh. Will probably do FA RR section the day before test and call it a day. I have never been able to sleep before a big test, ever. Hopefully that changes this time, but if it doesnt... meh, I've been practicing good sleep hygiene for a while now to give myself the best chance.
 
I'm gonna be taking my 2nd nbme this week. Last time around I did it in the timed mode... Which is the best way to be doing nbmes ? As a gauge (Timed mode) or in untimed mode solving them, learning the concepts, reading on all the options ? ?
 
I'm gonna be taking my 2nd nbme this week. Last time around I did it in the timed mode... Which is the best way to be doing nbmes ? As a gauge (Timed mode) or in untimed mode solving them, learning the concepts, reading on all the options ? ?
I did them all timed, and it served me well on the real deal, because I knew how many to mark and how much time I would have after completing 46 questions. You can always go back and google the issues you are having trouble with, and as I went through it I just wrote down concepts I was shaky about.
 
Anybody else take it today? I thought that test was damn hard and about 80% of the questions were way harder than anything I saw on uworld.

Yeah..... My cumulative was in the upper 60s for UWorld, and I felt totally screwed over by the exam I took. I don't feel that UWorld or the 3 NBMEs I took prepared me for what I saw. Just as a couple examples of the complete mind**** I got: I got a business management question, an insurance reimbursement question, a question on where a ligament attached to a bone....... I am feeling pretty defeated.
 
Yeah..... My cumulative was in the upper 60s for UWorld, and I felt totally screwed over by the exam I took. I don't feel that UWorld or the 3 NBMEs I took prepared me for what I saw. Just as a couple examples of the complete mind**** I got: I got a business management question, an insurance reimbursement question, a question on where a ligament attached to a bone....... I am feeling pretty defeated.

What the hell...
 
Yeah..... My cumulative was in the upper 60s for UWorld, and I felt totally screwed over by the exam I took. I don't feel that UWorld or the 3 NBMEs I took prepared me for what I saw. Just as a couple examples of the complete mind**** I got: I got a business management question, an insurance reimbursement question, a question on where a ligament attached to a bone....... I am feeling pretty defeated.
Funny how those questions can make you feel like crap, and possibly chance one's career choice of specialities. Really bonkers how the system is set up.
 
Yeah..... My cumulative was in the upper 60s for UWorld, and I felt totally screwed over by the exam I took. I don't feel that UWorld or the 3 NBMEs I took prepared me for what I saw. Just as a couple examples of the complete mind**** I got: I got a business management question, an insurance reimbursement question, a question on where a ligament attached to a bone....... I am feeling pretty defeated.

Yep. After actually taking it I feel like it's an absolute joke that this exam is so important for residencies. I understand it is the most objective way to compare people, but this test was a joke, just like the first two years.
 
I have little room to talk (haven't taken the exam yet), but a few questions that were probably hard for everyone are, in my opinion, not going to affect your score. The point is this: most people seem to score very close to their practice scores. Hang in there, I'm sure you will get what you realistically expected to get going into the exam.
 
Yeah the ~8/322 questions you found ridiculous aren't a huge proportion. And they may not even affect your score! I would rather have a crazy hard test if I knew the curve would save me, instead of an easy one where I felt good while taking it-->then dropped 10 points below my practice test average.

You guys will be fine, congratulations on being done. I wish I was on the other side! (6 more days)
 
Step 1 was tough. It was like the UWSAs. Will post full thoughts when I get my scores. I only slept 1 hr the night before since I was so used to staying up till 6 AM. My biggest regret is not getting some Ambien or Benadryl. Though caffeine helped, I felt like a zombie after I walked out. I was surprisingly able to think through most of questions that required some logic/thought, especially experiments and pedigrees. This was my biggest worry concerning my lack of sleep.

Anyway, since I was tired/hazy, I tried to read questions as carefully and deliberately as I could. I often finished with 13-15 minutes left, and used that time to review marked questions (~10 per block). My last block was the hardest, and I marked about 17 on it, and while the vignettes were slightly longer overall, they were even more so in this block. I had 9 minutes left to review the marked 17 questions. Overall, I was generally sure of about half my answers per block, and made educated guesses on the others. There were usually 3-4 questions per block of which I had no clue.

Nothing was overly emphasized. Every organ system was tested.

I did my UWSAs and NBMEs usually late night/wee hours of the morning, and often under some fatigue and after a long day of studying, so I'm hoping fatigue didn't cost me too much. I went in pushing for a 240, but a 220 would be ok, and a 230 would be very nice. Just really hoping I didn't make too many mistakes due to fatigue.

Overall, I walked out feeling like I borderline passed.

CBSE before dedicated study: 215
U-World first pass average (random-timed): 71%
U-world incorrects: 89%
NBME 7 (offline): 87% (5 days out)
NBME 12 (offline): 86% (about 1 wk out)
Free 138 (2014): 85% (4 days out)
UWSA1: 75%-248 (1 week out)
USWA2: 80%-259 (2 days out)
 
I took the test a few days ago. BEWARE: do not read this if you are concerned about getting freaked out.

Test was nothing like the NBMEs. I don't think it was like UWorld either, because UW almost invariably gives you sufficient information to figure out a unifying diagnosis (as the NBMEs did). This test seemed like they put a bunch of random info together in the stems. I wish that I could tell you that NBMEs are useful diagnostic tools, but after my exam, I can't honestly say that. Hell, I practically hold it against the NBME that they provide those CBSSAs, considering that I now view them as nothing but misleading traps.

Random info - I scored in the 250s - 260 range on the NBMEs, and got 95% on the free 150 three days before the test. No repeats.

I'll be thrilled if I eke out a 240.
 
Anyone know of a good brainstem resource that ISN'T HY Neuro or BRS Neuro? I'm having a difficult time with the different nuclei and pathways.

Basic Clinical Neuroscience
Young and Young

Pretty straightforward for most things Neuro if you need concepts more than images.
 
I took the test a few days ago. BEWARE: do not read this if you are concerned about getting freaked out.

Test was nothing like the NBMEs. I don't think it was like UWorld either, because UW almost invariably gives you sufficient information to figure out a unifying diagnosis (as the NBMEs did). This test seemed like they put a bunch of random info together in the stems. Hell, I practically hold it against the NBME that they provide those CBSSAs, considering that I now view them as nothing but misleading traps.

Random info - I scored in the 250s - 260 range on the NBMEs, and got 95% on the free 150 three days before the test. No repeats.

I'll be thrilled if I eke out a 240.

I agree. Strangely, one of my buddies felt his test was like the NBMEs and was easier than u-world . Mine wasn't at all. Sure there were some easy, fact-recall questions, but those were very balanced by the ridiculous ones. Some questions, I thought, were deliberately tricky. I don't know why a test writer could be so dubious. I never encountered such tricky questions on NBMEs, although they were on u-world but with less blatancy.

Some diseases were presented in unusual formats and with signs/symptoms I had never seen anywhere. I could only find such signs/symptoms in medical journals and obscure websites but so far I have gotten most of them right. So now I wonder whether I fell for some other traps I missed. There were a few others I would never have gotten right no matter what. I looked up two of those diseases (very rare) and they were only in journal articles and in short vignettes on Wiki and few random websites. And they didn't give any data to reason out the answer.
 
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Anyone know of a good brainstem resource that ISN'T HY Neuro or BRS Neuro? I'm having a difficult time with the different nuclei and pathways.

How much time do you have? I watched the lectures by Dr. Najeeb (these were the only ones of his I watched) and I must say that he explains it better than anyone or anything else I've encountered. You could probably get through them in a few hours on 1.7-2x.


Sent from my iPod touch using Tapatalk
 
Anyone know of a good brainstem resource that ISN'T HY Neuro or BRS Neuro? I'm having a difficult time with the different nuclei and pathways.
Kaplan med essentials has all you need for step 1. It has like 3 or 4 pages on this stuff. Most of the small details isn't particularly high yield and if you know the big picture you can reason out the details.
 
Kaplan med essentials has all you need for step 1. It has like 3 or 4 pages on this stuff. Most of the small details isn't particularly high yield and if you know the big picture you can reason out the details.
theres an article online called 4 cardinal rules about the brainstem or something like that. google it and read it
 
Took it today…

Background: Above average student at a below average U.S. medical school.
School CBSE before dedicated study: 243
NBME 15, 3 weeks out: 251
UWSA 1, 2 weeks out: 265
NBME 16, 1 week out: 260
Free 143, 3 days before: 97%

Like most others in this thread, felt pretty defeated walking out of the exam. Definitely not trying to scare anybody, but if you're a couple of days out, just call it quits now. I didn't believe it before, but there really is no way to prepare for some of the **** you run across. That is something I definitely would have done knowing what I know now. Sure, everyone is pissed afterwards, and yeah, this is definitely a knee-jerk reaction, but the exam is frustrating beyond words. For those still studying, keep doing what you're doing if it's working, and hope for the best test day. Realistically, I may break the 250 barrier, however, you're definitely let thinking that you are capable of doing better and you knew so much more than what was tested. Best of luck to everyone!
 
Took mine today too.....I honestly didn't think it was as bad as I thought, but with that being said you undoubtedly will beat yourself up on missing easy questions that you knew! Nerves and adrenaline were going let me tell you but then thats when stupid mistakes happen. I also had 10-15 min left during practice exams and I started running out of time in the last 3-4 sections, again contributing to the nerves. Also my test was incredible on how much ethics were presented WTF. Some of them were easy points but others were weird. Also derm was heavy on my test as well, again WTF. Anything goes with this test. Some hard questions here and there no doubt but most of it was straightforward. What was annoying though was that I took it in a room where others were taking the GRE and crap and they showed no mercy on that keyboard, which started shaking my desk at one point (word of advice, ask to be placed away from these people).
 
I took NBME 13 today. It felt totally different than NBME 7 yesterday. I felt like I had Dr. Sattar sitting on my shoulder, I could hear his voice. I kept seeing things from Pathoma again and again.

I hope that NBMEs 15 and 16 are more like this, and the real thing, too (obviously).

NBME 12 (40 days out/beginning of dedicated) - 230
NBME 11 (23 days out) - 239
UWSA 1 (7 days out) - 257
UWSA 2 (6 days out) - 260
NBME 7 (5 days out) - 249
NBME 13 (today...4 days out) - 258
 
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Can some of you share those hard question you remember ? were they straightforward knowledge questions,research questions or clinical questions.Also what was the toughest subject in the exam and which source would you recommend.

I have 3 months of dedicated study time in front of me,so i want to be able get those questions right.

Thanks
 
Can some of you share those hard question you remember ? were they straightforward knowledge questions,research questions or clinical questions.Also what was the toughest subject in the exam and which source would you recommend.

I have 3 months of dedicated study time in front of me,so i want to be able get those questions right.

Thanks
Yes, lol.

They are able to turn any subject into something difficult, or make a difficult topic easy (with buzzwords), completely test dependent. For me, it was the obscure stuff I never have seen before, and ridiculous stuff you can't really prepare for. The topics I felt uncomfortable with were not really in FA, and were more stuff that I feel if you ran across it randomly you may get it, otherwise narrow it down and guess. I imagine that these average out among all students and so its hard to tell if they matter. Just know FA and uworld and cover the basics and you will be fine.
 
I agree. Strangely, one of my buddies felt his test was like the NBMEs and was easier than u-world . Mine wasn't at all. Sure there were some easy, fact-recall questions, but those were very balanced by the ridiculous ones. Some questions, I thought, were deliberately tricky. I don't know why a test writer could be so dubious. I never encountered such tricky questions on NBMEs, although they were on u-world but with less blatancy.

Some diseases were presented in unusual formats and with signs/symptoms I had never seen anywhere. I could only find such signs/symptoms in medical journals and obscure websites but so far I have gotten most of them right. So now I wonder whether I fell for some other traps I missed. There were a few others I would never have gotten right no matter what. I looked up two of those diseases (very rare) and they were only in journal articles and in short vignettes on Wiki and few random websites. And they didn't give any data to reason out the answer.
I felt the exact same way
 
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I'm in downshift mode...I'm done killing myself each day. Test is on Monday.

I walked out of NBME 13 today with a backache and and a physical aversion to the idea of doing any more studying. I went to the pool & hot tub instead of my desk. Good decision.

I was going to do NBME 15 and 16 but I think I'm going to save the $120 and skip those in favor of sleeping in and leisurely reviewing my problem topics for the next two days.

I'm so ready to be done with this thing. I just want to be drunk on the river next week.
 
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What was annoying though was that I took it in a room where others were taking the GRE and crap and they showed no mercy on that keyboard, which started shaking my desk at one point (word of advice, ask to be placed away from these people).

Yeah, same thing happened to me and that really pissed me off. My monitor was shaking at one point and then one of the proctors kept walking back and forth with some squeaky shoes. The headphones didn't really help much. Not a huge fan of prometric.
 
I'm in downshift mode...I'm done killing myself each day. Test is on Monday.

I walked out of NBME 13 today with a backache and and a physical aversion to the idea of doing any more studying. I went to the pool & hot tub instead of my desk. Good decision.

I was going to do NBME 15 and 16 but I think I'm going to save the $120 and skip those in favor of sleeping in and leisurely reviewing my problem topics for the next two days.

I'm so ready to be done with this thing. I just want to be drunk on the river next week.

This is the best plan I've read on this thread. I'm being serious.
 
Well, here's my scores and i take it tomorrow:

4.5 weeks out nbme (provided by school): 188
uworld 59% first pass
nbme 7 2 weeks out: 232
USMLE practice test 1 10 days out: 242
USMLE practice test 2 10 days out: 236
nbme 15 8 days out: 228
nbme 16 3 days out: 224 :wtf:
free 150 day before: 86.6% (translates to 253 on medfriends.org when rounded to 87%)
real thing: tomorrow, who knows.
goals:
245+=throw a party
240+=high fives all around
235+=fist pump
230+=pat myself on the back
225+=still alright
220+=could have done worse
<220=well, i guess i will have to improve my CV somehow

can I trade my free 150 score? :prof:

Well I took the test today (yesterday the 12th)

I crushed the first block. Blocks 5 and 6 were the tough ones for me. By block 7 I was shooting from the hip, but still felt pretty good about most of my answers in block 7... i was probably tired at that point, and just ready to get it over with so I was convincing myself my answers were good. Overall, I feel pretty good about it. I feel without a doubt I passed, which is good because I'm in the bottom 10-15% of my class. I also took a break after every section and used up almost all of my time on every block. I had to scramble at the end at a couple blocks. I always highlight salient info in the questions and read slowly, and try to guess the answer before looking at choices, so using all the time and cutting it close was expected for me. I ate food or drank a portion of a V8 energy drink between blocks. I never take questions hungry, thirsty, or uncaffeinated. I always keep the blood sugar up during testing 🙂 Bring earplugs! we had a cougher in our testing room... literally coughing every 5 to 7 seconds or more the entire time.

There weren't a whole lot of obvious buzzwords. However, there were alot of disguised buzzwords and disguised classical scenarios. There were lots of questions where I felt I knew it immediately, almost to the point where I was second guessing myself wondering if I was missing something. There also seemed to be a crapload of increased/decreased/nochange... blah blah blah questions with like 6 or more answer choices and three or four columns of variables. so annoying.

There was a bunch of pharm that I didn't know. Some of the pharm was all about obscure side effects and interactions. I knew pharm was my weakest going in, so this is not a surprise to me. Unfortunately, I didn't get a second chance to review pharm as I had wanted.

Know your biostats formulas. I literally did not study that at all, looked at the formulas in the back of first aid the night before, and morning of and got two or three questions right because of it. That felt awesome (and kind of cheap too, haha).

I don't understand why people get upset when they get really hard questions. The whole thing is graded on a curve, so if you get a hard test, chances are whoever took that same test also thought it was hard and will be curved accordingly. I feel my step 1 was easier than expected so I imagine the curve system will hurt me more than help. I would say that my questions were easier than uworld, slightly more difficult than the free 150, harder than nbme 7, about the same as nbme 15, and easier than nbme 16.

Predictions: anywhere from 210-250. who knows, my prep scores were a little all over the place and I didn't have nearly as much dedicated time as most people take for this exam.
 
Can we stop the scare tactics already? Everyone is going to feel like crap after the exam, no need to project that fear onto the people who are taking it in a matter of a few days/weeks.
Can we stop the whining already? If you can't handle honest opinions, don't read the thread. Some of us would actually like to read what the thread advertises, i.e. experiences.

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please also share a remembered question,i am refusing to believe those horror stories and people are saying that even robbins pathology is not even enough to solve those question.
 
please also share a remembered question,i am refusing to believe those horror stories and people are saying that even robbins pathology is not even enough to solve those question.
Not allowed to disclose questions. Certainly the majority of the questions are found in most texts, but its the 3-5 questions per block that are not in any review book, and probably not in most curricula. Most students, however, remember these bad questions which makes them leave the exam with a bad taste in their mouth.
 
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