USMLE Official 2017 Step 1 Experiences and Scores Thread

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WeedForLunch

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I know this is quite early but most American Students have finished giving the test for this year.
I am an IMG and have been prepping for the steps since quite some time and have seen Phloston, Transposony's and others' threads for their respective years and how helpful they have been.

I intend on giving step in Jan.. let's share timetables, plans and other stuff on how everyone intends on taking on this beast.

P.S. : I think it is not that early.. the 2015/2016 threads were started in September/October.. but in true SDN gunner style..i wanna start it in August.. 🙂
 
Going off my last post...should I take 18 tomorrow or use the entire day to focus on weak areas?


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Take 18 AND focus on your weaknesses, which 18 will confirm. Also, DO NOT POSTPONE. You're only going to continue to forget stuff the longer you put it off. Just take the damn test already and then live your life.
 
First of all, congratulations! You did great🙂
Your practice scores are incredibly similar to mine! Could you please tell me how did you feel on exam day and how was the exam/your mistakes, etc? I took step 1 already, but the waiting is killing me;D
Thanks!
I felt okay during exam day. I felt super rushed on one block, but rest I was able to end w/ with some time left over to look over marked. I get alot wrong due to changing my answers and fell trap to more than I hoped during the real thing and made alot more hero-calls lol. Once I got home i counted around 15+ wrong after looking through FA and it started psyching me out. At that point I just decided to try to block out as much step 1 as possible cause it was really getting to me. Yea the wait is ridiculous, but just try to isolate yourself from anything step related, like coming to SDN😛
 
Alright. Going to post one last time and ask for advice. My exam is July 5th. Practice exams have been:

NBME 16: 236
NBME 17: 240
UWSA1: 258
NBME 19: 244
UWSA2: 249

I am not sure if I should take NBME 18 tomorrow or use the day to try and review some stuff.

I am on the fence if I want to take this exam or postpone. Like I said in past posts, I am going to be taking a "fellowship year" in between 2nd/3rd year where I will be teaching/doing research stuff (so I won't be on rotations). I am nervous that I have reached a point where I am forgetting stuff and am on the downslope. I was hoping for a much higher score on UWSA2 but that didnt happen which makes me nervous. I havent read FA yet (have used it along with 1 pass of UW (77% average).

If I postponed my test date...I would really move it back...to either December or even NEXT July. In the meantime, I would read FA multiple times and go through Bros Deck as well as complete USMLERx and Kaplan QBanks AND UW again. I have been going back and forth a few times a day between taking it and not wanting to take it and I am psyching myself out (which is not a good spot to be in for test day). Advice anyone?


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Take the test. You are now as ready as you'll ever be. Anecdotally, people who postpone their exam end up doing no so hot on the test. Probably it's due to reaching the point of diminished return. Your practice test scores show that you'll score 240+, with a good probability of scoring 250+.
 
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Alright. Going to post one last time and ask for advice. My exam is July 5th. Practice exams have been:

NBME 16: 236
NBME 17: 240
UWSA1: 258
NBME 19: 244
UWSA2: 249

I am not sure if I should take NBME 18 tomorrow or use the day to try and review some stuff.

I am on the fence if I want to take this exam or postpone. Like I said in past posts, I am going to be taking a "fellowship year" in between 2nd/3rd year where I will be teaching/doing research stuff (so I won't be on rotations). I am nervous that I have reached a point where I am forgetting stuff and am on the downslope. I was hoping for a much higher score on UWSA2 but that didnt happen which makes me nervous. I havent read FA yet (have used it along with 1 pass of UW (77% average).

If I postponed my test date...I would really move it back...to either December or even NEXT July. In the meantime, I would read FA multiple times and go through Bros Deck as well as complete USMLERx and Kaplan QBanks AND UW again. I have been going back and forth a few times a day between taking it and not wanting to take it and I am psyching myself out (which is not a good spot to be in for test day). Advice anyone?


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Geez man what are you shooting for that a 250 isn't going to cut it? Not trying to flame but thats in the range for literally everything, no?
 
Thanks!
I felt okay during exam day. I felt super rushed on one block, but rest I was able to end w/ with some time left over to look over marked. I get alot wrong due to changing my answers and fell trap to more than I hoped during the real thing and made alot more hero-calls lol. Once I got home i counted around 15+ wrong after looking through FA and it started psyching me out. At that point I just decided to try to block out as much step 1 as possible cause it was really getting to me. Yea the wait is ridiculous, but just try to isolate yourself from anything step related, like coming to SDN😛


Thank you very much for your answer 🙂
I'll try to keep my distance from SDN;D
All the best! God bless!
 
Wondering if I could get some perspective from y'all - test is a little under 4 weeks out. I took nbme 15 on 6/18 and made a 225, took nbme 17 yesterday and made a 213. In the mean time, I'd been doing about 60q of uworld daily while watching pathoma/sketchy. My uworld % had been trending up (nothing too crazy, but my last 8 blocks average out to be 75%).

Do you guys think this is an issue of peaking too early, inefficient studying, or the test simply covering material that I am not familiar with? I'm also a dental student by the way - we have to take the CBSE for applying to OMS residency - so I'm seeing a lot of this stuff for the first time and have a relatively weak foundation. Any ideas on how I should proceed?
 
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Alright. Going to post one last time and ask for advice. My exam is July 5th. Practice exams have been:

NBME 16: 236
NBME 17: 240
UWSA1: 258
NBME 19: 244
UWSA2: 249

I am not sure if I should take NBME 18 tomorrow or use the day to try and review some stuff.

I am on the fence if I want to take this exam or postpone. Like I said in past posts, I am going to be taking a "fellowship year" in between 2nd/3rd year where I will be teaching/doing research stuff (so I won't be on rotations). I am nervous that I have reached a point where I am forgetting stuff and am on the downslope. I was hoping for a much higher score on UWSA2 but that didnt happen which makes me nervous. I havent read FA yet (have used it along with 1 pass of UW (77% average).

If I postponed my test date...I would really move it back...to either December or even NEXT July. In the meantime, I would read FA multiple times and go through Bros Deck as well as complete USMLERx and Kaplan QBanks AND UW again. I have been going back and forth a few times a day between taking it and not wanting to take it and I am psyching myself out (which is not a good spot to be in for test day). Advice anyone?

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I think you have amazing test scores and postponing any further would hurt you rather than help. You're afraid, and that's perfectly fine! Pre-test jitters are the worst. I was not scoring your scores and still got a 245 so I think you can make whatever goal you have in mind. Just TAKE IT.
 
Since January of this year when I started my studying for STEP 1 I've been checking out this thread. Admittedly, the frequency increased the closer and closer I got to my test date on June 8th, 2017. As some background, I am a DO student whose school gives just about a month of dedicated time based on the date I took the exam (reason why I started in January). Like many others, my NBMEs were ok, but not as great as I wanted them to be. At first, this really took a shot at my confidence level. To my luck though, I started reading this thread more and saw the success stories of so many students who were able to out perform the NBMEs and kill their STEP 1s. To all those that posted stories like this, I thank you!! These stories are what gave me the confidence and hope that I can do the same. So, I'm posting this so that one day a fellow student physician can look at this and be given that same confidence and hope that the previous stories brought me. Below are my dates and scores. If you have any questions, need of advice or just need someone to talk to, please, don't hesitate to reach out. I'll do my best to help others just as this thread helped me. Just throwing this out there, the only resources I used were First Aid, UWorld, Pathoma and Sketchy Micro.
 
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Hi everyone, I took my exam in the middle of June, and I'm still waiting to get my score back. Does anyone know if the USMLE is releasing scores this week? Or are they pushing it off a week due to July 4?
 
they get 6 months dedicated time?!

More than six, many just stay at home or do part time work after graduation while prepping for USMLE. My previous sps were doing dedicted prep for 12-18 months. I am an img I did 8 months of prep, 4 months was full time. We have to because a lot of the concepts for USMLE aren't covered as appropriately as it should be in different medical schools. We all hit 250+.
 
anyone who used uworld as the core of their study and branched out? thoughts/ideas? howd it go?
I used UWorld, First Aid, and Pathoma like 90% of the people who study for these awful exams. I feel like UWorld is an essential learning and evaluation tool that is absolutely necessary to perform well on these exams. I used the first UW self assessment to gauge where I was at and to find my weaknesses so I could hit those hard early. In terms of "branching out" it differs from person to person. I purchased a few subject specific books to review my weaknesses. You can also use the NBME practice exams to find your weaknesses and to have a different format to see where you're at score wise.
 
I used UWorld, First Aid, and Pathoma like 90% of the people who study for these awful exams. I feel like UWorld is an essential learning and evaluation tool that is absolutely necessary to perform well on these exams. I used the first UW self assessment to gauge where I was at and to find my weaknesses so I could hit those hard early. In terms of "branching out" it differs from person to person. I purchased a few subject specific books to review my weaknesses. You can also use the NBME practice exams to find your weaknesses and to have a different format to see where you're at score wise.
thanks for the reply basically what im doing is using uworld at the center and review all questions that come up. I really hope this works : S
 
Really sorry, this is completely way off topic! I hope I could get some insight from anyone here. Going through a tough time mentally. Basically I'm debating between staying in medical school or quitting. I go to a Caribbean medical school, we're given 6 months off to study for USMLE step 1 before we start clinical rotations in US. I have to pass my exam within the next 6 months and i need to be sure that i'm fully committed, emotionally and mentally through this insanely tough process. If i quit, i have no degree to fall back on, i'll basically be joining my family business - we own a few restaurants. While that'll be a laid back life, and i'll be able to live comfortably. I don't want to scrap off the idea of medical school completely yet. The reason being is because i feel like i haven't been fair to the field of medicine since i haven't seen clinical medicine. My only exposure to medicine has been through books and ppt presentations and that has screwed my perception of medicine. People describe me as an extremely extroverted person, I like interacting with people and i'm a very hands on person. Throughout basic sciences i've felt like a bird trapped in a cage, we'd wake up, go to class, come home, and repeat. I didn't at all enjoy the first 2 years of med school. Anyway, my question is, will my perception of medicine change after I start clinical rotations, or is my doubtfulness at this stage a big enough sign for me to quit?
 
Really sorry, this is completely way off topic! I hope I could get some insight from anyone here. Going through a tough time mentally. Basically I'm debating between staying in medical school or quitting. I go to a Caribbean medical school, we're given 6 months off to study for USMLE step 1 before we start clinical rotations in US. I have to pass my exam within the next 6 months and i need to be sure that i'm fully committed, emotionally and mentally through this insanely tough process. If i quit, i have no degree to fall back on, i'll basically be joining my family business - we own a few restaurants. While that'll be a laid back life, and i'll be able to live comfortably. I don't want to scrap off the idea of medical school completely yet. The reason being is because i feel like i haven't been fair to the field of medicine since i haven't seen clinical medicine. My only exposure to medicine has been through books and ppt presentations and that has screwed my perception of medicine. People describe me as an extremely extroverted person, I like interacting with people and i'm a very hands on person. Throughout basic sciences i've felt like a bird trapped in a cage, we'd wake up, go to class, come home, and repeat. I didn't at all enjoy the first 2 years of med school. Anyway, my question is, will my perception of medicine change after I start clinical rotations, or is my doubtfulness at this stage a big enough sign for me to quit?

If you're already doubting before you even take this beast of step1 you're not going to have a good time. You have to be all in or not. There's no middle ground. US med students can get away with being iffy but IMGs, especially Caribbean do not have that luxury. It is harder to get in as an IMG and only those fully committed to this field will make it. Remember there is nothing wrong with quitting medicine. It doesn't make you a bad person or less than anyone else. People will actually applaud you for recognizing early before it's too late. Good luck moving forward with whatever you decide.
 
Really sorry, this is completely way off topic! I hope I could get some insight from anyone here. Going through a tough time mentally. Basically I'm debating between staying in medical school or quitting. I go to a Caribbean medical school, we're given 6 months off to study for USMLE step 1 before we start clinical rotations in US. I have to pass my exam within the next 6 months and i need to be sure that i'm fully committed, emotionally and mentally through this insanely tough process. If i quit, i have no degree to fall back on, i'll basically be joining my family business - we own a few restaurants. While that'll be a laid back life, and i'll be able to live comfortably. I don't want to scrap off the idea of medical school completely yet. The reason being is because i feel like i haven't been fair to the field of medicine since i haven't seen clinical medicine. My only exposure to medicine has been through books and ppt presentations and that has screwed my perception of medicine. People describe me as an extremely extroverted person, I like interacting with people and i'm a very hands on person. Throughout basic sciences i've felt like a bird trapped in a cage, we'd wake up, go to class, come home, and repeat. I didn't at all enjoy the first 2 years of med school. Anyway, my question is, will my perception of medicine change after I start clinical rotations, or is my doubtfulness at this stage a big enough sign for me to quit?
There are a fair number of administrative-type jobs and teaching positions you can get with an MD/DO degree that pay well. Don't write that off. Considering you've made it through two years of medical school and spent a significant amount of money and time on your education, I think you should consider finishing medical school even if you have no desire to practice clinical medicine.
 
I just took it. I literally collapsed in on myself on the last section. Got at least 10 wrong on that one minimally. So hard, was so tired and just utterly wiped out on even simple things. Not a single NBME I took was below a 220 and I even got a 230 on 19 last week and I still think I failed it.
 
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I just took it. I literally collapsed in on myself on the last section. Got at least 10 wrong on that one minimally. So many bs questions, was so tired and just utterly wiped out on even simple things. Not a single NBME I took was below a 220 and I even got a 230 on 19 last week and I still think I failed it.

Would you say the questions were like nbme questions or much harder?
 
Would you say the questions were like nbme questions or much harder?
Honestly it felt like taking a UWSA more than an NBME for me. The question difficulty was more on par with UWorld and the stem lengths were comparable.
 
I just took it. I literally collapsed in on myself on the last section. Got at least 10 wrong on that one minimally. So hard, was so tired and just utterly wiped out on even simple things. Not a single NBME I took was below a 220 and I even got a 230 on 19 last week and I still think I failed it.
I felt exactly the same way when I walked out of that exam. FYI, you didn't fail. Many people I know didn't even hit 230 on any NBME and ended up relatively fine. The curve must be really generous as hell. You'll be surprised. Now drink for July 4th. You deserve to have at least that.
 
Honestly it felt like taking a UWSA more than an NBME for me. The question difficulty was more on par with UWorld and the stem lengths were comparable.

I think UWSA2 may be a good rough estimate for the intensity and ideally the curve too ( since I can't imagine myself breaking a 60% counting the experimentals). Though I don't know whether it was experimental or not, but there were some questions that were pretty much out of the ball park. Also I generally finished a UWSA or even NBME with probably around 10-15 minutes left over. The real thing was half of the test flagged for at least some review and only 5 minutes left over.
 
I think UWSA2 may be a good rough estimate for the intensity and ideally the curve too ( since I can't imagine myself breaking a 60% counting the experimentals). Though I don't know whether it was experimental or not, but there were some questions that were pretty much out of the ball park. Also I generally finished a UWSA or even NBME with probably around 10-15 minutes left over. The real thing was half of the test flagged for at least some review and only 5 minutes left over.
It is over. Relax and enjoy your summer while you can 🙂
 
Really sorry, this is completely way off topic! I hope I could get some insight from anyone here. Going through a tough time mentally. Basically I'm debating between staying in medical school or quitting. I go to a Caribbean medical school, we're given 6 months off to study for USMLE step 1 before we start clinical rotations in US. I have to pass my exam within the next 6 months and i need to be sure that i'm fully committed, emotionally and mentally through this insanely tough process. If i quit, i have no degree to fall back on, i'll basically be joining my family business - we own a few restaurants. While that'll be a laid back life, and i'll be able to live comfortably. I don't want to scrap off the idea of medical school completely yet. The reason being is because i feel like i haven't been fair to the field of medicine since i haven't seen clinical medicine. My only exposure to medicine has been through books and ppt presentations and that has screwed my perception of medicine. People describe me as an extremely extroverted person, I like interacting with people and i'm a very hands on person. Throughout basic sciences i've felt like a bird trapped in a cage, we'd wake up, go to class, come home, and repeat. I didn't at all enjoy the first 2 years of med school. Anyway, my question is, will my perception of medicine change after I start clinical rotations, or is my doubtfulness at this stage a big enough sign for me to quit?

You. Are. Burned. Out.

Take a few days off and try to remember why you chose medicine, focus on the prize at the end of this journey of suffering, then set a plan and start hammering through material.
Whenever those thoughts creep in, you just have to knock them out of the park.

Not liking basic sciences shouldn't stop you from pursuing medicine. How many doctors are doing basic science research as well as practicing medicine? A small fraction I'd say. If you don't like basic sciences, you don't have to see basic science stuff again. Just ask any orthopod...
Most surgeons couldn't give a rat's arse about the defective interleukin receptor on their patient's tumor, they just wanna cut. Similarly, most psychiatrists don't really care about the genetic defect that cut their patient's life expectancy by half, they just wanna treat their depression.
I think if anything realizing this now will aid you in choosing a speciality.

Onto more important things. Focus on step 1 and forget all that nonsense for now.
I'll say it again just in case you missed it.
You are burned out and if you don't fix this, you'll have no choice but to work in your family business and let all the debt you acquired from the Caribbean linger over your head for another decade or so.
 
Last week before the test. NBMEs most were 230s and uwsa 2 251. Free 120 78% (lot of easy mistakes).

I am totally freaked out and I think I keep forgeting stuff and I won't even make it to pass. Any tips?
 
Last week before the test. NBMEs most were 230s and uwsa 2 251. Free 120 78% (lot of easy mistakes).

I am totally freaked out and I think I keep forgeting stuff and I won't even make it to pass. Any tips?

Hit your weak points based on NBMEs. Don't look at one NBME where you did bad in say cardio and think that you're bad in cardio. Look at the trend from all your practice tests. If you notice that you're consistently scoring subpar on a particular section, review that section.
Review immunology and pathology in first aid. These are easy marks on the test.
I had an anatomy-heavy exam with 6-7 nerve palsy questions, 4-5 blood supply questions, few innervation questions, 4-5 brain scans, 2 body MRIs and 3 CXR. My friends who did it a few days after me only had one head CT. So I'd say it wouldn't hurt to review GI anatomy and MSK anatomy. First aid was more than enough for all of these.
Oh and don't stress!
 
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Last week before the test. NBMEs most were 230s and uwsa 2 251. Free 120 78% (lot of easy mistakes).

I am totally freaked out and I think I keep forgeting stuff and I won't even make it to pass. Any tips?


In my last two weeks I mainly did Uworld and Rx questions (I only did the medium-hard Rx q's), and I thought that was extremely helpful. Everyone bags on Rx questions, but I would do the question more of as a flashcard and then I would read over the FA page at the bottom instead of reading the answer explanations. I think it's important to keep your mind in question mode and in this way if you get an Rx or Uworld question on a topic you realize you never really memorized then you can quickly review the FA page (aka tanner stages, APGAR, CYP's, etc). I did the Uworld questions in timed random mode but I would do the Rx q's for specific subjects in tutor mode to help it go by faster.

I also watched the Boards and Beyond videos for general pharm, stats, public health and I found that to be super helpful too.

People say not to study the day before the test but I actually just lightly studied the day before and found that helped calm me down. People on SDN give examples of topics that are highly likely to show up on your exam, so I reviewed those small things to make sure I had it memorized (SUPER SUPER helpful).
 
Hi all. I received my USMLE Step 1 score last Wednesday. Here are my stats:

NBME-15: 215 (6 weeks out)
NBME-16: 219 (3 weeks out)
UWSA-1: 234 (2.5 weeks out)
NBME-17: 223 (2 weeks out)
UWSA-2: 234 (1 week out)
NBME-18: 219 (six days out)
USMLE Step 1: 223

My goal was to score at 228 or above, so while I didn't hit that mark, I came close. I go to a D.O. School where I'm slightly above average in class rank, and I scored a 24 on my MCAT (I've never been a good standardized test taker). I had many people tell me that with these stats, I wouldn't be able to pass USMLE. And I proved them wrong. That being said, most SDNers will blow my score out of the water, and congrats to those who passed this beast of a test.

In terms of residency, I am not sure of what I want to go into yet. I begin third year rotations this week and right now, my top four would be Internal Medicine, General Surgery, Neurology, and OBGYN. Any thoughts on if a 223 is enough to pass the minimum screening cutoffs for most of these residency programs if I apply broadly? (top tier academic programs are definitely out of the question though).
 
You. Are. Burned. Out.

Take a few days off and try to remember why you chose medicine, focus on the prize at the end of this journey of suffering, then set a plan and start hammering through material.
Whenever those thoughts creep in, you just have to knock them out of the park.

Not liking basic sciences shouldn't stop you from pursuing medicine. How many doctors are doing basic science research as well as practicing medicine? A small fraction I'd say. If you don't like basic sciences, you don't have to see basic science stuff again. Just ask any orthopod...
Most surgeons couldn't give a rat's arse about the defective interleukin receptor on their patient's tumor, they just wanna cut. Similarly, most psychiatrists don't really care about the genetic defect that cut their patient's life expectancy by half, they just wanna treat their depression.
I think if anything realizing this now will aid you in choosing a speciality.

Onto more important things. Focus on step 1 and forget all that nonsense for now.
I'll say it again just in case you missed it.
You are burned out and if you don't fix this, you'll have no choice but to work in your family business and let all the debt you acquired from the Caribbean linger over your head for another decade or so.

thanks for your reply man!
 
Got a 265. Used FA a bunch. Like went through it ~7 times. Used pathoma in sept. once and then read it again in May before my path NBME. UWorld is awesome, did it twice. And that was it! Good luck people!
I would venture to say there's more to your story than just UFAP. New med students need to understand the value of years 1 and 2 when it comes to step 1. No amount of first aid passes will compensate for that to the point of a 265.
 
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hey guys kind of misused uworld : S

so due to my lack of knowledge on how to properly utilize uworld i bought it a year ago. In that year i did questions without reading them. i recently finished and only started reading the past 300 questions. my questions is what should i do now? should i (exam in little less than 2 months going at a rate of 80 questions per day.)

1) do incorrects then reset and do it again?

2) reset now and after another pass do incorrects?

3) try to do finish incorrects and do kaplan qbank after for fresh questions.?

Thanks for the help!
 
hey guys kind of misused uworld : S

so due to my lack of knowledge on how to properly utilize uworld i bought it a year ago. In that year i did questions without reading them. i recently finished and only started reading the past 300 questions. my questions is what should i do now? should i (exam in little less than 2 months going at a rate of 80 questions per day.)

1) do incorrects then reset and do it again?

2) reset now and after another pass do incorrects?

3) try to do finish incorrects and do kaplan qbank after for fresh questions.?

Thanks for the help!

I just stared at your post with my mouth open for a minute. Lol I have sooo many questions
How were you scoring on each block? Were you doing timed random? And how do you feel about the 300 questions that you did read?

On my 2nd pass of UWorld I was doing 4 blocks a day and briefly reading explanations. But I had a very long and slow first pass. You've never even read the explanations for about 2,000 questions!

I guess if I were you I would reset UWorld and do a second pass. Two blocks per day for a month and then increase to three or four blocks for the last month of studying. But that's if you feel like you need reading. Were you scoring well on your NBMEs before you started reading explanations?
 
I just stared at your post with my mouth open for a minute. Lol I have sooo many questions
How were you scoring on each block? Were you doing timed random? And how do you feel about the 300 questions that you did read?

On my 2nd pass of UWorld I was doing 4 blocks a day and briefly reading explanations. But I had a very long and slow first pass. You've never even read the explanations for about 2,000 questions!

I guess if I were you I would reset UWorld and do a second pass. Two blocks per day for a month and then increase to three or four blocks for the last month of studying. But that's if you feel like you need reading. Were you scoring well on your NBMEs before you started reading explanations?
for the 30 last set of timed blocked questions i was getting roughly 60% like a range between 55-70. mostly around 60. yea i know i messed up. thanks for the reply though. i feel i should reset as well as all im doing is questions and just researching anything i dont get. my nbmes arent the greatest though i do have to admit, pretty low : S.
 
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