USMLE Official 2018 Step 1 Experiences and Scores Thread

Discussion in 'Step I' started by Foot Fetish, Oct 15, 2017.

  1. LowYield

    Joined:
    Apr 4, 2018
    Messages:
    10
    Likes Received:
    8
    I believe this is the point of USMLE having many different forms of the test. While the questions and difficulty may vary among test forms, the curves should (theoretically) adjust accordingly. From what I've read (caveat: on the internet), the "more difficult" exams are just as difficult for the next person, and the curve is more forgiving. But what do we know - no one actually knows how these things are graded lolol.
     
    pbrocks15 and Foramenlacerum like this.
  2. Thread continues after this sponsor message. SDN Members do not see this ad.

  3. idkididk

    Joined:
    Jul 18, 2012
    Messages:
    255
    Likes Received:
    246
    Status:
    Medical Student
    Welp, score on NBME 15 today was the exact score I got on 13 last week, 232. Shooting for 250 with 4 weeks left, you guys think it's realistic?

    I plan on finishing all the NBMEs/UWSAs. Currently on my 2nd pass of UWorld and mostly watching B&B videos for topics I'm weak on. Going through a ton of Anki cards as well..
     
    pbrocks15 likes this.
  4. QueenJames

    Joined:
    May 16, 2013
    Messages:
    1,203
    Likes Received:
    1,565
    Status:
    Medical Student
    hmm all these high scores but no proof.

    I'm calling bull bruh.

    Can people start posting pics of their actual score reports?

    Not calling y'all liars... but med students are a bunch of liars, especially on SDN. lol
     
    Krabbeman, pbrocks15 and LowYield like this.
  5. anonymousdoctobe

    Joined:
    Feb 18, 2017
    Messages:
    190
    Likes Received:
    112
    Status:
    Medical Student
    Everyone who has recently posted about having a rough test, I think you guys probably did just fine! It may have been a tougher exam than you expected but that is probably the case for everyone else as well! The tougher questions will have a different curve so don't stress out. I'm sure you all did well!
     
    pbrocks15 likes this.
  6. anonymousdoctobe

    Joined:
    Feb 18, 2017
    Messages:
    190
    Likes Received:
    112
    Status:
    Medical Student
    Also, question.

    If you take a test on the same day as someone else, it doesn't mean you got the same exact test right? You can have some of the same questions but everyone's exam is different. It's not based on the day you take it right?
     
  7. LowYield

    Joined:
    Apr 4, 2018
    Messages:
    10
    Likes Received:
    8
    According to wikipedia, "each exam is dynamically generated for each test taker"
     
    anonymousdoctobe likes this.
  8. Pepe18

    Joined:
    Aug 2, 2016
    Messages:
    354
    Likes Received:
    445
    Status:
    Medical Student
    I agree about the MS3 thing and I wish it was taken into consideration in some way. I had 5-10 questions that I luckily guessed correctly, but were not really preclinical. Like knowing which medical device to use, what is the next step in treatment, and asking what someone receiving a procedure was most at risk for.
     
    pbrocks15 likes this.
  9. LowYield

    Joined:
    Apr 4, 2018
    Messages:
    10
    Likes Received:
    8
    For these types of questions, were you at least able to reason to your final answer? Or are these kinds of topics so far out of the realm of pre-clinical that an MS2 has to rely on luck?
     
  10. Lannister

    Joined:
    May 21, 2013
    Messages:
    5,420
    Likes Received:
    7,692
    Status:
    Medical Student
    Are trisomies more commonly caused by nondisjunction in meiosis I or II? A few weeks ago I had a question that told me meiosis I was more common, and now I just got a question that said nondisjunction in meiosis I is rarer.
     
  11. Pepe18

    Joined:
    Aug 2, 2016
    Messages:
    354
    Likes Received:
    445
    Status:
    Medical Student
    I could eliminate at least half the answers using logic and then would normally be down to 2 and take my most educated guess
     
    pbrocks15 and LowYield like this.
  12. Dermpire

    Joined:
    Feb 12, 2016
    Messages:
    666
    Likes Received:
    1,008
    Status:
    Medical Student
    I think I just realized something crazy. The NBME practice exams give a different question order within each block to each different user.

    Can anyone confirm this?
     
    pbrocks15 likes this.
  13. Pepe18

    Joined:
    Aug 2, 2016
    Messages:
    354
    Likes Received:
    445
    Status:
    Medical Student
    Yes, I went over them with friends and they are not in the same order
     
    Dermpire and pbrocks15 like this.
  14. bananafish94

    bananafish94 SDN Gold Donor
    Gold Donor Classifieds Approved

    Joined:
    Oct 28, 2015
    Messages:
    2,923
    Likes Received:
    10,218
    Status:
    Medical Student
    For Trisomy 21 the majority is caused by nondisjunction in Meiosis I. I don't know if that applies to all trisomies, though.
     
  15. Lannister

    Joined:
    May 21, 2013
    Messages:
    5,420
    Likes Received:
    7,692
    Status:
    Medical Student
    Meiosis I would make more sense to me, because you create two gametes with trisomy, vs meiosis II where you just get one with trisomy. But yeah I didn't consider that maybe it varies between trisomies because the original question I got was about trisomy 21 while the most recent one that said meiosis I nondisjunction is rare was about Patau.
     
  16. Thread continues after this sponsor message. SDN Members do not see this ad.

  17. idkididk

    Joined:
    Jul 18, 2012
    Messages:
    255
    Likes Received:
    246
    Status:
    Medical Student
    27 wrong on 13 and 28 wrong on 15, so 86.5% and 86% respectively
     
    NecFasc92 likes this.
  18. Foramenlacerum

    Joined:
    Apr 7, 2018
    Messages:
    42
    Likes Received:
    118
    If this is true then for my test n=1 and we all get perfect scores! lol jk wishful thinking!
     
  19. Barry'sAneurysm

    Barry'sAneurysm SDN Gold Donor
    Gold Donor Classifieds Approved

    Joined:
    Oct 13, 2015
    Messages:
    36
    Likes Received:
    71
    Status:
    Medical Student
    I keep counting questions I got incorrect. I am at like 14-15 now. Ugh. I do remember like 150 correct answers though. But that's all I remember. These couple weeks can't go fast enough.
     
    DubbiDoctor and SandP like this.
  20. Rahas

    Joined:
    Mar 4, 2017
    Messages:
    145
    Likes Received:
    71
    Status:
    Medical Student
    Anyone doing old NBMEs? Theres an NBME 5 question about a 75 year old woman who falls and hits the back of her head, and you have to pick between epidural and subdural hematomas. Online answers seem to be split between the two, with supporting evidence for both. I was wondering if anyone here had a definitive answer.

    @sahell
     
  21. DubbiDoctor

    Joined:
    Aug 13, 2016
    Messages:
    530
    Likes Received:
    587
    Status:
    Pre-Medical
    Is the exam 180 questions?
     
  22. Barry'sAneurysm

    Barry'sAneurysm SDN Gold Donor
    Gold Donor Classifieds Approved

    Joined:
    Oct 13, 2015
    Messages:
    36
    Likes Received:
    71
    Status:
    Medical Student
    It is 280 questions, I just can't remember them all. Wish I could! Lol
     
  23. Barry'sAneurysm

    Barry'sAneurysm SDN Gold Donor
    Gold Donor Classifieds Approved

    Joined:
    Oct 13, 2015
    Messages:
    36
    Likes Received:
    71
    Status:
    Medical Student
    Subdural for sure. She is old (encephalomalacia- small brain= easy tear of bridging veins), and epidural is classically the middle meningeal artery which is below the pterion, and thus would be from a blow to the side of the head, not the back of the head. 100% subdural
     
  24. sahell

    Joined:
    Nov 15, 2017
    Messages:
    136
    Likes Received:
    84
    Status:
    MD/PhD Student
    This one was frustrating for me too. It's definitely not the clearest vignette.
    Age and CT point to SDH. I'm still not exactly sure what a diffuse extra axial H'ge is but the online consensus said SDH.
    EDH is also possible - but the mechanism of injury is not classic for EDH, neither do we have the classic lucid interval.
    I have always associated herniation with EDH. It's an arterial bleed whereas SDH tends to be a slower venous bleed. I initially chose EDH for this reason.
    Unfortunately this was before expanded feedback so your guess is as good as mine, but I'm split 70/30 favoring SDH after reading the online discussions.
     
  25. LowYield

    Joined:
    Apr 4, 2018
    Messages:
    10
    Likes Received:
    8
    Well, tomorrow's the big day - any sage words of wisdom to remain calm and composed during the exam?
     
  26. mistafab

    Joined:
    Oct 20, 2015
    Messages:
    1,379
    Likes Received:
    2,608
    Status:
    Medical Student
    You got this bruh
     
    pbrocks15 and LowYield like this.
  27. mistafab

    Joined:
    Oct 20, 2015
    Messages:
    1,379
    Likes Received:
    2,608
    Status:
    Medical Student
    Step 1 this Friday.

    6 weeks out - CBSE 230
    3 weeks out - Form 17 238
    2 weeks out - UWorld sim 1 247
    1.5 weeks out form 15 - 232
    EDIT: 2 days out - UWorld sim 2 254

    UWorld %correct (cold, full random 40's) 62%

    Goal score: 230+
    Reach score 240
    Happy with anything above 230 but a 235 would be tight and 240 would be sick

    Wish me luck brevs
     
    #925 mistafab, Apr 9, 2018
    Last edited: Apr 11, 2018
  28. Foramenlacerum

    Joined:
    Apr 7, 2018
    Messages:
    42
    Likes Received:
    118
    Just take a deep breath and know that you might have a few WTH blocks. Just power through, it is not a reflection of your preparedness or intelligence. It happened to all of us. Just keep swimming
     
    mistafab and LowYield like this.
  29. sovereign0

    Joined:
    Dec 22, 2014
    Messages:
    466
    Likes Received:
    603
    Status:
    Medical Student
    240 seems pretty realistic for you tbh. Would be surprised if you scored under a 235 considering your NBME scores.
     
    mistafab likes this.
  30. bananafish94

    bananafish94 SDN Gold Donor
    Gold Donor Classifieds Approved

    Joined:
    Oct 28, 2015
    Messages:
    2,923
    Likes Received:
    10,218
    Status:
    Medical Student
    My SO's and my score both went up on today's NBME. 230 today, still have 2.5 weeks to refine, so I think I'm in a good place. My motto today was "don't do anything stupid" and it seemed to have worked decently well.
     
  31. piii

    Classifieds Approved

    Joined:
    May 21, 2013
    Messages:
    2,197
    Likes Received:
    4,330
    Status:
    Medical Student
    Is there a realistic way to hit 260s consistently on NBMEs or after a certain point is it a matter of luck? I feel like at that level a few questions wrong or right makes a huge difference in score on NBMEs. All my practice tests have been 250s and one in 260, 2 weeks left
     
    #929 piii, Apr 10, 2018
    Last edited: Apr 10, 2018
  32. DubbiDoctor

    Joined:
    Aug 13, 2016
    Messages:
    530
    Likes Received:
    587
    Status:
    Pre-Medical
    Not to sound snarky, but the only way to consistently score in the 260+ range is by expanding your knowledge to such an extent and developing your test-taking skills so that you never get more questions wrong than the number that corresponds to a 260 score on any given test.
     
    The Knife & Gun Club likes this.
  33. Terence McKenna

    Joined:
    Nov 18, 2017
    Messages:
    27
    Likes Received:
    70
    Up, up, down, down, left, right, left, right, A, B, start, select. (Right before starting the tutorial of course)
     
  34. mistafab

    Joined:
    Oct 20, 2015
    Messages:
    1,379
    Likes Received:
    2,608
    Status:
    Medical Student
    My friend who consistently scores that high never makes “knowledge errors” - he only makes stupid mistakes.

    So if you truly know everything very well from first and second year, yes you can make 260+ if you don’t make stupid mistakes. Take a look at your past forms and look at the incorrects. Were they “knowledge errors,” “logic errors,” or stupid mistakes? If all you make is stupid mistakes then yes you can really knock the test out the park by paying attention to what each question is asking and not glazing over stems completely. I noticed on my forms that I make zero stupid mistakes. All my mistakes are knowledge errors typically, with the occasional logic error (incorrect application, or question asked for the opposite, or question asked for something upstream of pathway etc etc).

    Knowledge errors are probably more prone to variance day to day (depending on test content), while stupid mistakes can be very well taken care of by just paying attention.

     
    pbrocks15 likes this.
  35. sovereign0

    Joined:
    Dec 22, 2014
    Messages:
    466
    Likes Received:
    603
    Status:
    Medical Student
    The differences in any score over a 255+, and especially 260+ is really just chance. You're always going to misread or misinterpret a few questions at the least. The wording and distribution of these questions is what makes the difference. I think that the only non-chance factor that contributes at scoring in this range is innate test-taking ability. Once you're scoring in the 250s, I'd say you're getting close to hitting the ceiling of what pure knowledge and memorization can get you.
     
    Dermpire and pbrocks15 like this.
  36. sahell

    Joined:
    Nov 15, 2017
    Messages:
    136
    Likes Received:
    84
    Status:
    MD/PhD Student
    Depends on what's holding you back. For me it was the esoteric minutiae. I have scored consistently above 260s except for my first one btw.

    I thought that only worked to catch Pokemon. Damn!!

    I only had a couple of stupid mistakes on my first NBME. Your friend must have studied a lot to know all the minutiae. I'm very jealous.

    I humbly disagree. You may misread or misinterpret questions the first time, that's why I reread the stem when something seems off. I would say anything past 270 is getting the minutiae right - requiring hard work and luck, the ratio of the 2 depends on your form. Up till that point I would say know the high and medium yield stuff cold and learn to dissect a question.
     
    Elessar, mistafab and Epicurusall like this.
  37. Lannister

    Joined:
    May 21, 2013
    Messages:
    5,420
    Likes Received:
    7,692
    Status:
    Medical Student
    I just met with my school's step advisor to hash out a schedule for our multisystems block and dedicated. Apparently I am "very behind" and should be several hundred questions into UWorld by now (test is on June 7th). That was so depressing, I thought I was doing well by almost being done with Rx and also having done some of Kaplan.
     
  38. sharkbyte

    sharkbyte Take me to the top

    Joined:
    Dec 26, 2013
    Messages:
    1,123
    Likes Received:
    1,041
    Status:
    Medical Student
    I'm in a very similar boat. I'm taking my exam June 8, currently done with ~1300 Rx questions (all medium/hard) and some sporadic Kaplan but haven't done any Kaplan recently. I honestly don't know if that person's advice is good. I would think as long as we finish all of UWorld by the time we take the test we should be good. Once I get done with Rx I plan to do 80 UW questions a day with review, which would theoretically take a month, but I'm accounting for longer than that owing to off days, mandatory school exams/classes/etc that take up most of the day, etc. On those days I'll probably only be able to do 40.
     
    Lannister likes this.
  39. sharkbyte

    sharkbyte Take me to the top

    Joined:
    Dec 26, 2013
    Messages:
    1,123
    Likes Received:
    1,041
    Status:
    Medical Student
    Quick question for advice -- I've done 1300 Rx questions so far set to only Medium and Hard, and I have about 700 of those left to go. Since that should take me roughly 10 days, I want to go through and finish all of them before moving to UW. That would leave something like 400 ish Easy questions that I did not touch. Would you guys recommend I go back and do all of those, or just skip them? It would give my Rx score percentage a nice boost but I don't know if there's much utility to doing those questions.
     
  40. Dermpire

    Joined:
    Feb 12, 2016
    Messages:
    666
    Likes Received:
    1,008
    Status:
    Medical Student
    Honestly, I wouldn't listen to much from your school's step advisor unless that person is an MS3/4 that scored in the 250+ range.

    As long as you have a plan to finish U-World before your test I think you're good to go. If you wanted to do a second pass then sure you should finish early.

    I'm also pacing myself on U-World
     
  41. LongDucDong

    Joined:
    Mar 21, 2017
    Messages:
    31
    Likes Received:
    60
    Status:
    Medical Student
    Real question... what is a "step advisor"? I'm at a DO school and if a step advisor is what I think it is, then I couldn't imagine my school having one of those. If I even suggested it to the dean (or a COMLEX advisor equivalent) I would literally get laughed out of his office...
     
  42. pbrocks15

    pbrocks15 Romans 8:28

    Joined:
    Mar 20, 2014
    Messages:
    824
    Likes Received:
    362
    Status:
    Medical Student
    I would echo what others have said. Unless your schools step advisor is actually super wise in this area and have coached others to score in the 250s or so then I wouldn't give much thought either. I trust the advice here more than I would there lol
     
  43. pbrocks15

    pbrocks15 Romans 8:28

    Joined:
    Mar 20, 2014
    Messages:
    824
    Likes Received:
    362
    Status:
    Medical Student
    Some people wear many hats in our school. One person is a step advisor along with many other things. I don't think many schools have a single person dedicated to this.
     
    LongDucDong likes this.
  44. Foramenlacerum

    Joined:
    Apr 7, 2018
    Messages:
    42
    Likes Received:
    118
    I would say that Rx can be good for nailing down FA, but I feel like it lacks the minutia and focuses on the same stuff over and over again. My only advice is to be aware that Rx is WAY too easy and nothing like the actual exam. I finished Kaplan, Rx and UW twice and I would say that I wish I had not done Kaplan or Rx and had spent way more time really thoroughly dissecting UW. I think that would have helped me the most.
     
    Elessar, pbrocks15 and Lannister like this.
  45. orangetea

    Joined:
    Jan 8, 2014
    Messages:
    885
    Likes Received:
    996
    Status:
    Medical Student
    Speaking of Q banks..
    I bought the 1 year uworld subscription hoping to complete it during MS2 and unfortunately I went through about 75 of it but honestly I would just do a block and quickly look through them without really taking time to go through the answer choices.

    I reset it and now I am almost done with my "second" pass and this time I really sat down to read through the explanations/make a journal of my wrongs. I feel like this was a legitimate first pass because I felt like I was learning the material.

    Now that I am done. Should I go through my wrongs or invest in a 90 day subscription and do it a "third" time ..(I have about 7 weeks left FYI) I really wish I had used it correctly the first time but you live and learn
     
  46. pbrocks15

    pbrocks15 Romans 8:28

    Joined:
    Mar 20, 2014
    Messages:
    824
    Likes Received:
    362
    Status:
    Medical Student
    Would you recommend though adding a little Rx/Kaplan during break to switch things up and get more practice questions out though?
     
  47. Foramenlacerum

    Joined:
    Apr 7, 2018
    Messages:
    42
    Likes Received:
    118
    That is all based on personal preference. Looking back I wish I would not have wasted any time with Rx or Kaplan. The only reason I think Rx is useful is if you are not someone who can just sit and memorize first aid. Honestly your best bet is UW and dissecting each question and all of the explanations which will take forever and reading first aid and making sure you understand first aid not just memorizing words. If i could go back and do it differently thats what I would do and it should take you all day if you are doing it correctly. Sorry if this looks weird/has mistakes. I am using a vietnamese keyboard and it doesnt have certain characters.
     
    pbrocks15 likes this.
  48. Lannister

    Joined:
    May 21, 2013
    Messages:
    5,420
    Likes Received:
    7,692
    Status:
    Medical Student
    Thanks for the encouragement guys, I think I'll probably just ignore the advisor's advice and keep on doing what I'm doing.

    Today has not been kind to me. On top of that demoralizing chat, I also randomly did super poorly on what should have been an easy stats test, and am still being harassed by my school's vaccination people for supposedly being non-compliant. :'( All this stress is making it hard to study for my End of Block exam on Thursday.
     
    pbrocks15 likes this.
  49. afib123

    Joined:
    Sep 7, 2017
    Messages:
    41
    Likes Received:
    44
    Status:
    Medical Student
    I focused completely on UW during the year but when I did the NBMEs, I found I was getting some of the easy questions that required straight recall wrong and all the hard questions right. So, I switched to kaplan and rx instead of doing UW 2nd time to get all those small things. Hopefully, my mind can still work through the complex UW like questions with my exam in a week . Man , why do their NBMEs have to be so different to what they test on the real exam
     
    bonemann likes this.
  50. sovereign0

    Joined:
    Dec 22, 2014
    Messages:
    466
    Likes Received:
    603
    Status:
    Medical Student
    I suppose what I was getting at was that - for me anyway - there always seems to be a question or two that I approach from the wrong perspective and will misinterpret no matter how many times I read it. Those questions where after you read the explanation on UWorld, you just think "damn I knew that but that's just not where the question was leading me". Like, you see the question and are certain you know the answer so you don't necessarily second-guess yourself. There's bound to be a couple of those in a 280 question exam - we can't really know the frequency of this since nobody gets to review their exam. Perhaps others don't have this problem.

    Regarding really high scores, I suppose in theory you could just study the crap out of everything including the "WTF" questions that seem to really differentiate the 265 from the 270+. But if I had to guess (and I have no evidence for this), I'd wager that the people who get those questions right just guess better due to testing ability, rather than having seen the material from excessively studying the minutiae and getting lucky. I'm sure either is possible.
     
    pbrocks15 likes this.
  51. Lannister

    Joined:
    May 21, 2013
    Messages:
    5,420
    Likes Received:
    7,692
    Status:
    Medical Student
    Is there any consensus about which NBME is the best to take first, before starting dedicated?
     
  52. Foot Fetish

    Joined:
    Jun 4, 2016
    Messages:
    657
    Likes Received:
    1,297
    Status:
    Medical Student
    I would strongly disagree. I think beyond ~264 is where luck starts coming into play. My evidence for this is all those IMGs you read about who study like crazy for 2 years and score in the 260s. For the vast majority, it's unrealistic because they're not willing to put in the sacrifice it takes to get there. It's the people who study like they're in dedicated for a year straight who could take Step 1 ten times and get 260s on every form. Most students can't even fathom that amount of sacrifice. I know it's an unpopular opinion, but I think it's the truth.
     

Share This Page