USMLE Official 2017 Step 1 Experiences and Scores Thread

Discussion in 'Step I' started by WeedForLunch, Aug 8, 2016.

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  1. Event_Horizon

    Event_Horizon

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    Mar 29, 2016
    I've done about 85% of Uworld with a ~70% average and will be finishing it up next week. Though, for the last month or so my averages have been 70s-80s (started in the 40s-60s). My hope is to get through it a 2nd time in the next 4 weeks.

    Keep that motivation high friends!
     
    Reperfused and pathlologist like this.
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  3. TheOther

    TheOther 2+ Year Member

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    Mar 2, 2015
    I thought you were 5 days out? Why are there things you haven't gotten to yet?
     
  4. chromuffin

    chromuffin

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    Jan 24, 2017
    By that I mean subjects I've only reviewed once. My problem is that my finals ended a week ago..
     
  5. FMSIIM1

    FMSIIM1 2+ Year Member

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    Is there any chance that you can push back your test?
    You've been very encouraging to people on this thread, I don't wanna see you in a position that would jeopardize your opportunities in the future.
    Your went from 207 on NBME to a 200 on UWSA after 4 weeks of studying. You probably have more content down now, but might have issues with application to the questions. More time to do UWorld and/or other NMBE's might be the thing to bring your score up.
     
  6. chromuffin

    chromuffin

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    Jan 24, 2017
    Unfortunately, no. Personal circumstances prevent me from pushing my test date back.
     
  7. kenjixshadow

    kenjixshadow 2+ Year Member

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    Totland
    Just saw your post. Say if you didn't change your answer, you would be sitting around 210-220+ right now. If I were in your position, I'd hit 1x FA (especially weak area) + first couple high yield chapters on Pathoma + memorize as many drugs as I can in the next 5 days. GL though. Keep us update.
     
  8. FMSIIM1

    FMSIIM1 2+ Year Member

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    Oct 10, 2012
    Okay. Here's my advice, and please take it with a grain of salt, I also had a lot going on during my dedicated that prevented a full review of UFAP and take my test 2 days after you:
    Since there is no other choice, try not to panic. It's gonna happen. You've never failed an NBME or UWSA. I think you had a high 190 10 weeks out, a 207, and a 200. Frustration and anxiety will work against you during the exam. It will snowball and you will not be able to think clearly.
    Work on the areas identified as weak on your most recent test. Exercise a bit everyday (anaerobic). Get a good amount of sleep every night until your test. Optimize your ability to think through the problem.
    I wish you luck. I know it's not where you had hoped to be, but here you are.
    Come to think of it, I think this is advice that I will take myself...
     
    chromuffin likes this.
  9. chromuffin

    chromuffin

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    Thank you. I plan to review weak subjects (endo, repro, renal, MSK) in the next week + pharm. exam is on Friday. Hopefully I have enough time to bump it up to at least a 230.
     
    FMSIIM1 likes this.
  10. FMSIIM1

    FMSIIM1 2+ Year Member

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    Oct 10, 2012
    I guess we test on the same day...
     
  11. sss2g2

    sss2g2 2+ Year Member

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    Good luck guys! I'm 1 week after you guys!
     
  12. cardiologist624

    cardiologist624

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    hello doctors
    i scored nbme 17 213 2 weeks ago
    UWA 2 230 1 week ago
    UWA 1 215 today
    i am so exhausted ,aiming for 230
    any advise thanks
     
    Last edited: May 19, 2017
  13. ridethecliche

    ridethecliche Meep Meep Meep 5+ Year Member

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    Tied to a library chair
    That makes one of us. I need 50. Stat.

    Not all at once obvi.

    Yup, you don't actually lose your spot until you confirm another one. Resched and cancel are two different options.

    I had a forced and unforced break in there. 3 weeks to a T left. I hope all the random BS that's been happening lately lets off. I have work to do!
     
    Blob229 likes this.
  14. urgenthelp

    urgenthelp 2+ Year Member

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    Aug 8, 2012
    Got my score back this past Weds

    NBME 13 3/5/17 248
    NBME 15 3/14/17 246
    NBME 19 3/31/17 257
    NBME 16 4/14/17 265
    NBME17 4/18/17 269
    NBME18 4/21/17 255

    Real thing (April 2017)= 257

    uworld twice, with first aid. its the recipe that never fails. imo always get the newest edition - there was a lot of new info in 2017 vs. 2016. also sketchy micro and pharm is gold. I have no idea how i would have learned the neuro/psych/antiarrhythmic w/o sketchy pharm. FA is just a vomit of info, and no uworld question captures all of the concepts in a single place like the pharm videos do. Another thing I found useful - if you are using the paper copy of FA you are doing in wrong (at least imo). it's a massive waste of time looking up buzzwords in the index. get an online version of FA, open up like 5-9 version, and search function terms. and pay attention to every single time the buzzwords you are searching are noted in the text (e.g. if you search retinitis, look at every single place where it is mentioned. it helps to build contrast b/w subjects). it the beginning it is painful and there is so much you don't know. but it gets faster, eventually. like months later (for me!). i never actually read FA front to back but I definitely had seen every page multiple times using this method. in terms of pathoma, it's definitely high yield. a few questions were indeed "high yield" as he mentions in his videos. but these are typically random facts. they are good to know, and good to be familiar with for sure during your test, but i feel this is a resource best maximized in the last weeks of study, where you can tie together concepts you already know with the small high yield details he provides.

    I took my classes seriously the first year of school. in the end, the info i probably learned wasn't super high yield but i probably became more familiar with the language of medicine. second year, i tried to do at least 40Q from each system with my school's systems based modules. i think this was really important. you don't have to do every question to get a feel for how the subject as a whole is tested in uworld/nbme format. around january, i started doing 40Q random and timed. i finally finished uworld first pass at the beginning of april, and did the second pass within the month of april.
     
  15. eggvmd

    eggvmd

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    The only gain is you might see a question or two from the nbme on the actual exam. I got 2 questions from nbme 19 on the real deal
     
  16. IsWhat

    IsWhat 2+ Year Member

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    Jul 12, 2012
    Just popping in as I'm nearing the end of first year and step 1 isn't as far away anymore. I know most people say wait to start UW during dedicated, but the people who start UW early and get 2+ passes through seem to be the highest scorers here. Is there something to this trend, or am I mistaken?
     
  17. Dr Stephen T Colbert DFA

    Dr Stephen T Colbert DFA 2+ Year Member

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    The Magic City
    I bought UWorld early in my second year to help me through the modules (heme/onc and respiratory at my school are notoriously tough). If you're a good question-based learner, then I recommend it. However, I know plenty of my classmates did well using USMLERx or Firecracker first and saving UWorld until later. It's your call.

    FYI - I only got through half of UWorld (gasp!) and still got a 239. I used the FA Q+A book and multiple NBMEs.
     
    goodvibes27, chromuffin and FMSIIM1 like this.
  18. dempty

    dempty 2+ Year Member

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    Jul 8, 2013
    I've debated posting, but it seems few other people from the 4/24 week have:

    NBME (in order)
    15- 234 (~4 weeks out)
    16- 255 (~3 weeks out)
    17- 242 (~2 weeks out)
    18- 257 (~9 days out)
    19- 238 (~1 week out)

    NBME Free 120 109/120 (~90%, 2 days out, doubled with UWSA2)

    UWSA (in order)
    1- 260 (~1.5 weeks out)
    2- 254 (2 days out)

    Real test on 4/24: 255
     
    bjbby1, Brorthopedic, DrDuck2 and 5 others like this.
  19. AthleteDoc7

    AthleteDoc7 2+ Year Member

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    Nov 5, 2014
    sorry, just want to be clear as i'm paranoid lol. does that mean you searched for dates using the "find available openings" function or whatever, then once you found one, you hit "reschedule" and were able to just swap dates? thanks again!
     
  20. skiier54

    skiier54 Probationary Status 2+ Year Member

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    Dec 11, 2012
    US MD School

    Hey nice work. I just took UWSA 1 and my predicted score is 251 which seems a bit high (77.25% overall, block avgs: 72, 75, 72, 90). I found it really tough though, much harder than the NBMEs, although I made some pretty dumb mistakes. I heard uworld changed up their scaling for UWSA- does it still overpredict?
     
  21. AthleteDoc7

    AthleteDoc7 2+ Year Member

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    Nov 5, 2014
    I hope not but lol. I took UWSA1 as my baseline start of dedicated and got 243, which seems way too high to me given the weaknesses I feel I have. that last block seemed strangely kind of easy compared to the rest, I can see you had a similar phenomenon.
     
  22. dempty

    dempty 2+ Year Member

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    Jul 8, 2013
    Thanks! I try to be realistic when making the generalized statements about prediction, mainly because no one has properly gathered and analyzed the data to answer that question. I don't put too much value in eyeballing scores and saying "I think I remember seeing that test x over/under predicts." From what I've noticed, again without any sort of reliable scientific/statistical practice behind it, is that UWSAs appear to be more accurate in recent months. Eyeballing my case and saying UWSA1 over predicted doesn't really give the full picture or any relevant answer for you or anyone else, unfortunately.

    I will say that I found UWSA1 to be a bit more challenging than some NBMEs and was expecting a lower score. I think the real exam had some UWSA-like questions, with a fair amount of NBME style questions mixed in. The only difference is the answer choices were worded much more weirdly than most cases in NBMEs or UWSAs. I would read a vignette and actually know the diagnosis, a bunch of information, then get to the answers and have to put on the brakes to see what most likely fit my knowledge or what wording seemed most reasonable with the overall picture.

    Overall, without the raw data summarized to answer this, I would only say that you're not out of range for that kind of score, unless your NBMEs are dramatically lower. How have your NBMEs been?
     
    KnightofBaldMt likes this.
  23. BlackLips

    BlackLips

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    Sep 13, 2016
    Great score. My practice scores are pretty darn close to yours so I'd be ecstatic with a 255.
     
    dempty likes this.
  24. Nucleus Accumbens

    Nucleus Accumbens

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    I move to amend SDN to GSDN (Gunner Student Doctor Network)


    Sent from my iPhone using SDN mobile
     
  25. doc-Oc

    doc-Oc 2+ Year Member

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    May 6, 2014
    How did you improve 19 points in one week from nbme 15 to 16 : O
     
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  26. ridethecliche

    ridethecliche Meep Meep Meep 5+ Year Member

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    Tied to a library chair
    ....seriously?

    Just click the damn reschedule button and follow the instructions. It doesn't change your date till you tell it to.
     
  27. Dr.Jekyll75

    Dr.Jekyll75 2+ Year Member

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    Murica
    yall dont joke about how steep nbme 19 is, that **** cray
     
  28. Nucleus Accumbens

    Nucleus Accumbens

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    Ya, that's why I'm staying away lol. I still have 16-18 that I could do an UWSA2


    Sent from my iPhone using SDN mobile
     
  29. Dr.Jekyll75

    Dr.Jekyll75 2+ Year Member

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    Murica
    I would do it! Just to get exposure because people have said that similar questions show up on the real thing from the exam yes your ego might take a hit but that's why you do the easy one last uwsa2


    Sent from my iPhone using SDN mobile
     
  30. Reperfused

    Reperfused

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    Can someone please explain the difference between Oral Hairy Leukoplakia and Leukoplakia?
    Is it true that only Leukoplakia is precancerous and OHL is not? How come?
     
  31. yankees527

    yankees527 2+ Year Member

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    Yea thats the big difference i think (and that EBV causes ORAL leukoplakia)
     
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  32. Gorne

    Gorne 2+ Year Member

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    Oral hairy leukoplakia is EBV, lateral tongue, not pre-cancerous.

    Leukoplakia is dysplasia, probably carcinogen induced (smoking, alcohol). Pre-cancerous.
     
    Reperfused likes this.
  33. AlteredScale

    AlteredScale SDN Moderator 2+ Year Member

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    Step 1 Study Cave
    from my understanding of it OHL is strictly a hyperplastic response whereas leukoplakia's etiology leads to potential dysplastic growth secondary to damage/irritation which is why it's precancerous.


    Sent from my iPhone using SDN mobile
     
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  34. Nucleus Accumbens

    Nucleus Accumbens

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    EBV can cause dysplasia which is why I was initially confused as well. So I was able to muster this from my notes:

    OHL => not associated with an increased risk of progression to SCC based on incidence; population is usually HIV-positive or immunosuppressed. At this point in their treatment they are much likely to die from pneumonia or some other nosocomial-type infection.

    It very well may cause SCC, but maybe they don't live long enough to develop it??

    Source: Up-To-Date


    Sent from my iPhone using SDN mobile
     
    Reperfused likes this.
  35. chromuffin

    chromuffin

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    Jan 24, 2017
    Oyy vey! I must've just had a bad day.
     
  36. FMSIIM1

    FMSIIM1 2+ Year Member

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    We all have bad days sometimes. Some people get higher on UWSA1 than UWSA2, most get higher on UWSA2.
    We're close to the finish line, T minus 6 days.
     
    chromuffin likes this.
  37. Reperfused

    Reperfused

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    Thank you guys for the answers! I had no idea that these two were different things until today. But I got it now :)
     
    AlteredScale likes this.
  38. chromuffin

    chromuffin

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    studying endocrine today so I'm going to be asking some questions because I'm desperate for quick explanations.

    Why does cortisol cause hirsutism? I get that cortisol decreases GnRH which decreases FSH and LH but my thought was that low FSH and low LH would decrease androgens. Is it because the androgens that remain are so low that they can only undergo one step (conversion to androgen) and not two (androgens to estrogens)?

    Why does low cortisol cause postural hypotension? This has me confused. It also causes abdominal pain and diarrhea, so does cortisol have some type of muscarinic effects or something?
     
  39. docbsb2015

    docbsb2015 2+ Year Member

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    What's up guys... Just took NBME 19. I thought the question stems were insanely short, like half of the test was one line questions. Also I felt like the questions were pretty straight forward. It seems like questions on the real deal are much longer and more convoluted from what Ive been hearing. Anyone want to compare NBME 19 and the real thing (question length/difficulty wise)?
     
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  40. mymembernames

    mymembernames 7+ Year Member

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    How many points did it differ between your other nbme scores if you don't me asking? Just trying to get an idea of the curve. It seems about a 20 point difference for most?
     
  41. Dr.Jekyll75

    Dr.Jekyll75 2+ Year Member

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    Murica
    So I got 6 less wrong on this one , as compared to nbme 16 which I got a 230 on , this one I got a 228 . You would think I would at least go up to 232 if not stay at a 230 but no LOL. From what I've seen on people's previous post they are at least hitting 90% to get a 240


    Sent from my iPhone using SDN mobile
     
    mymembernames likes this.
  42. Dr.Jekyll75

    Dr.Jekyll75 2+ Year Member

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    Murica
    i felt they were short for the most part but i also noticed there were alot of knee jerk questions that i had to catch myself on. Some question for me were to close to call, and lastly bio stats. I got everysingle question wrong. Any one got tips for biostats ?
     
  43. FindMeOnTheLinks

    FindMeOnTheLinks 2+ Year Member

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    Yeah the curve on 19 is brutal. Got 2 more correct than I did on 18, and somehow that is 7 less on the score.

    And yeah, the vignettes on 19 are short. Didn't have any vignettes that short on the real test.
     
  44. chromuffin

    chromuffin

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    B&B. And YouTube "biostatistics Summary Step1 --The Basics" by Randy Neil. Doing this in one night made me get 85%+ on UW questions over Biostats. I plan to do it again this upcoming Thursday.
     
  45. Dr.Jekyll75

    Dr.Jekyll75 2+ Year Member

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    Murica
    thank you, i appreciate it. Idk why but im really struggling at it. i tried doing the uworld biostats but i feel like i memeorize some of them
     
  46. chromuffin

    chromuffin

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    Watch the YouTube video. He goes over how to approach all of those types of questions.
     
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  47. Dr.Jekyll75

    Dr.Jekyll75 2+ Year Member

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    Murica
    gonna do that now. Every time someone drops a nbme number , i feel people are fighting the androids from Dragon ball Z :laugh:
     
  48. dempty

    dempty 2+ Year Member

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    Thanks! Mindset was the biggest issue for me. If I didn't feel 100% focused, or if I expected to do well on the practice test, I did worse. A lot of the wrong answers I picked were careless mistakes like failing to read a word or erratically changing an answer from right to wrong without data or reading too much into one word after picking the correct answer. This was the main source of variation in my scores, in my opinion, so if you can lock down anything like that, you know what you have to do before and on test day.

    In my above reply, I mentioned careless mistakes from overconfidence. When reviewing 15 with a friend, it was question after question where I read too much into one word or thought I found a trick in the question to change from my original correct answer to a wrong one (NBME isn't trying to trick you in virtually all cases). I think it was artificially depressed (I had done a CBSE for my school and gotten a 230 without any prep and that was before 2nd year ended), but it could have just been my 2nd week of UWorld with a bit of review in my most deficient areas (biochem and embryo). The first week or so helped refresh a lot of ideas I "knew" but hadn't seen in a while. In summary, I would probably say: recognizing how my mindset affects my performance-- if I didn't respect the test I would lose big time, using UWorld to refresh, and visiting a couple areas I never learned well.

    When I got 255 on NBME 16 and 257 on NBME 18, I had missed 16 and 14 questions (I think that's respective to each form). NBME 19 I missed 20 questions and got a 238. The percent correct didn't vary much, and in absolute terms, there was no greater than a 6 question difference for about a 20 point drop on form 18 to 19. I think it's good for practice, but it helped my confidence that I did the free 120 and UWSA2 between NBME 19 and test day. That's not to say I wasn't unsure about my performance afterwards, though.
     
    mymembernames likes this.
  49. dempty

    dempty 2+ Year Member

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    He seems to have decent videos overall, but he does botch a few things like p-value and conflates a correlation coefficient and a slope (his "best answer" of -1 correlation isn't right, since the points don't fall perfectly on the line-- it should be -0.2, and a correlation only tells you how tight the points are to a line and what direction they generally go...slope is change in Y for change in X), if I recall.
     
  50. The Dayman

    The Dayman

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    Does anyone know what type of questions fall into the "Physician Task (PBL): Evidence-based Medicine" category on NBME assessments? My performance profile on my last two NBME's have been low in this area and I'm wondering how to strengthen it.
     
  51. Nucleus Accumbens

    Nucleus Accumbens

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    We'll see how I do on time. But my general confidence on exams is important for my overall performance. Not completely ruling it out but we'll see.


    Sent from my iPhone using SDN mobile
     

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