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USMLE Official 2018 Step 1 Experiences and Scores Thread

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

  1. Rahas

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    @sahell

    I'm afraid I'm going to have to bug you about all confusions regarding offline NBMEs, since its you who put me on this damned path in the first place!

    NBME 4 has this ethics question about a child with Fragile X Syndrome, with the fathers sister being pregnant. Since the disease is X linked, I concluded the pregnant woman couldn't be a carrier, and marked "Keep the diagnosis confidential". All online discussions agree with this, except one guy, who suggested "Recommend family counseling" since the mother must've been the carrier, and she had a sister (who might want to have children in the future). But then again, I'm not sure what could be done with this information, since its an untreatable condition, unless you decide not to have kids and adopt, or to abort all male fetuses?? (that sounds horribly unethical though)

    What did you conclude?
     
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  3. sahell

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    Don't blame me. I'm just offering advice to procrastinate my CK studying.

    The reasoning behind family counselling is a stretch. If you read the question carefully, it only asks about the woman's sister in law. I agree with your conclusion. If you have to twist the scenario to fit an option, it's usually wrong. Try going for the simplest answer wherever possible.

    If you have any more NBME questions mention the block and question number.
     
    #1002 sahell, Apr 12, 2018
    Last edited: Apr 12, 2018
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  4. anonymousdoctobe

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    Not sure how much you could gain by looking at another resource since those are pretty comprehensive. To improve on repro, maybe invest into another qbanks just to practice repro and figure out why you are getting the questions wrong.
     
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  5. UncleMinnie

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    Actual Step score: >270
    I did half of uworld in the semester leading up to my dedicated time, and I did it randomly.
    Final uworld was 80%, then I did it all again in the 90’s
    NBME 13 at beginning of study period: 250
    UWSA1 4 weeks out, 272
    UWSA2 3 weeks out: 262
    NBME 15 few weeks out: 260
    Final 2 weeks:
    NBME 16: 262
    NBME 19: 253
    NBME17: 260
    NBME 18: 268

    Actual test didn’t feel too much harder than 19 and 18, but luckily treated be much better than 19



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  6. starlite911

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    Pretty much using UFAP + Sketchy (micro & pharm). Went through Goljan & USMLERx during the school year, and I've referenced Goljan occasionally during dedicated.

    Looking back, I wish I had spent a non-zero amount of time (so ~2 hours one day a week) on cummulative review throughout medical school. Be that flash cards, or questions, or whatever works for you, I think it would have helped to not have had some topics that I hadn't seriously seen for 1.5 years going into dedicated.
     
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  7. Barry'sAneurysm

    Barry'sAneurysm SDN Gold Donor
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    Congrats! Any guess on how many questions you got wrong on the exam?
     
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  8. DubbiDoctor

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    DAMN - awesome score! One of the few 270+ scores to post on SDN. Numerous questions: what resources did you use during dedicated and throughout medical school? What was your goal score? How did you do on the MCAT? Are you US MD - top 25? Did you take the exam before or after core rotations? Were you at the top of your class pre-clinicals? What specialty do you plan on pursuing? What percentage of questions do you think you got correct? How important was doing all six available NBMEs (seems like most do 2-4)? Was there anything you think you could have done differently to answer correctly the small number of questions you got wrong?
     
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  9. UncleMinnie

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    I know of one question that I absolutely got wrong. There were plenty of what felt like 50/50 guesses (at least 3 per section). I’m assuming that I got lucky on most of them given my score.


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  10. UncleMinnie

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    Same resources as everyone except that I used Boards and Beyond for all videos on material in First Aid not covered by Pathoma or sketchy Micro/Pharm.
    Goal score was to break 260. Regardless of my goal, I just dedicated 12-14 hours a day to study for 6 weeks.
    Top 25 medical school with a 40 mcat (did almost perfect in sciences and good enough in verbal).
    Going into ENT
    I did well in preclinical, but my school doesn’t report quartiles for me to know for sure.
    I think doing all of the NBMEs is nice if you can afford it, because they inevitably have questions that will throw you off guard, and the more experience working through questions like that the better.
    Nothing I would change to do better. Well, I had to submit a grant and an abstract in the middle and which I hadn’t done that. I could have used that time to do something good for the soul, like exercise or watch a movie once a week during the insanity.
    I used cram fighter to keep me on track (uworld 2x, FAx3, Pathoma, sketchy micro and pharm, boards and beyond videos)
    I anki’d any questions I got wrong or anything in FA that I saw a knew I wouldn’t remember without Anki.

    I guess one piece of advice if you want a 280 or above is to memorize FA and then read things like the Wikipedia page on everything because they like to throw some random crap in the “difficult” questions that they know isn’t in FA.

    I feel like they’re starting to do some biostats stuff that’s not in FA, but it was the type of stuff that you could logic your way through alright without prior knowledge.



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  11. Barry'sAneurysm

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    Damn! Only one?! When did you take your test?
     
  12. UncleMinnie

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    Mid February


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  13. UncleMinnie

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    After looking up one and seeing that it was wrong, I couldn’t stomach looking up any others. I’m a wuss with stuff like that.


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  14. DubbiDoctor

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    Thanks for the thorough response. Did you use the rx or kaplan Qbanks at all? Did you use B/B, pathoma and sketchy throughout pre-clinicals? What about anki or firecracker?
     
  15. UncleMinnie

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    The only other question I used were from a FA Q&A I found laying around my medical school.

    I wish I had heard of B/B before Step study, I like that guys style a lot (he still geeks out on organic chemistry stuff, how great!). Yes, I don’t think any medical student does pre clinicals without Pathoma and those two sketchys. I tried sketchy path, but just didn’t like it.


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  17. Oh_Gee

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    does USMLE test on drugs that haven't been on the US market for years? and what about drugs that the FDA have taken off recently?

    and drugs Available via FDA investigational drug [IND] protocol only?
     
  18. idkididk

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    NBME 13 - 232 (86.5%), 5 weeks out
    NBME 15 - 232 (86%), 4 weeks out
    NBME 19 - 232 (88%), 3.5 weeks out, today

    Man this is frustrating. Looking over the questions I got wrong on 19 today, some of them are the really vague/obscure questions, others are topics that I haven't had a chance to review yet. Doing better with eliminating stupid mistakes by double checking every question.

    I've been reviewing my weak points with B&B videos + Anki. On my 2nd pass of UWorld. Anyone else in/been in a similar situations? Any advice?
     
  19. Lannister

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    I can finally contribute some actual data to this thread!
    Step 1 date: 6/7/18 (8 weeks away)
    Goal score: 230 would make me happy, would be thrilled with a 240
    Kaplan: 81%, systems-based untimed, about 1/3 complete
    Rx: 84%, random untimed with about 150 questions left to go
    NBME 13: 234

    I took NBME 13 this morning and was told to expect a sub-200 score so I'm pretty pleased with the 234, although I'm not entirely sure how to interpret this. How much do people usually improve from their first NBME? I have 3 more weeks of class during which I'll probably be doing about 8 hours of step studying a day, and then 4.5 weeks of dedicated.

    Edit: Also...how tf do I stop thinking ciprofloxacin is a cephalosporin? I have gotten multiple questions wrong because of this and it's the most ridiculous thing ever. Like I just see the letter "c" and ignore the "floxacin" part.
     
    #1017 Lannister, Apr 13, 2018
    Last edited: Apr 13, 2018
  20. sharkbyte

    sharkbyte Take me to the top

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    Great job! That's a really solid starting score on an NBME. Are the NBME's full length, like 7 sections of 40?
     
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  21. Lannister

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    Thanks! And they are not, 13 was 4 blocks of 50 questions for a total of 200 questions. I assume the others are the same!
     
  22. DubbiDoctor

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    Sounds like you're off to a great start. How much time does your school give for dedicated?
     
  23. Lannister

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    We get just under 7 weeks, maximum. But I'm spending the last two weeks in Italy (no regrets, I am sure I will be very burnt out by my test date).
     
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  24. NecFasc92

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    Damn dude. Excellent starting point! Maybe you won't need uworld after all ;). Lol.

    I don't know how you guys study so much for step during classes. Kudos to you all. Maybe my school has more non-boards related **** than others? Idk but it's sucking the life out of me and I'm happy to get in 2 hours of boards stuff a day.
     
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  25. lucky01

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    Would love to hear more about the jump in points! What exactly did you do to increase your scores dramatically?
     
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  26. Barry'sAneurysm

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    That makes me feel better lol, I have been looking those ones up and have gotten like 15 wrong so far! :/
     
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  27. Lannister

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    Yeah I've been doing about 3 hours a day and it's been a little rough. I've definitely been focusing more on step studying than useless lecture material. My grades have dropped a bit, luckily still above average but not as much as before.
     
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  28. mistafab

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    Took step 1 today. Felt pretty good.

    I think it is probably a lot more fair than people think it is going to be. Lots and lots of “gimmies” where you either know the fact or you don’t. Overall, it just felt like a really long uworld sim 2.
     
  29. DubbiDoctor

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    What were your practice test scores?
     
  30. mistafab

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    I had a post about this earlier but off the top of my head:

    CBSE 230-232
    Form 17 238
    Form 15 232-235
    Uworld sim 1 247
    Uworld sim 2 254

     
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  31. NecFasc92

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    I feel you. Either way, 234 this far out is ridiculously good! A part of me hopes I can be hitting my goals so I can move up my test date in order to spend time with my family but I've been getting smoked lately by uworld :(.
     
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  32. Foot Fetish

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    I'm falling behind in my schedule due to research obligations...I've spent the last few days writing papers. Totally sucks, and I'm beginning to get anxious. I have nearly 4000 Anki cards that have backed up. It will take a few marathon sessions to kill them :(
     
  33. starlite911

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    Feeling like the high score might've been a fluke...
    Took UWSA2 today = 22 wrong / 254 (curve was steeper than I expected, but oh well), immediately followed by the free 120 with an 88%
    A little bummed since I've heard UW tends to overpredict, but hoping I can break 250 on the real deal a week from today :(
     
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  34. Pepe18

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    You're in a great spot. How much you improve in dedicated depends on how much you prestudied. I have friends who went up over 50 points to get 250+ because they didn't prestudy at all. Many of the people I know who did prestudy (like me) went up 10-20.

    Based on what I've seen with friends, if you drill hard the next 8 weeks, I think 240+ is perfectly attainable and a 250+ wouldn't be surprising
     
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  35. SmallGirlBigDreams

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    I've been following your posts for awhile -- you're so well prepared, don't worry about these few days. Your memory hasn't lost any of the minutiae you've gathered, and the discipline/routine you've had studying for this exam will carry through despite your change in schedule due to research. A few days is a few extra points in someone who is cramming/re-learning things for the first time, but you've been preparing for a YEAR, so the gains would be minimal at this point. Good luck man!
     
    #1033 SmallGirlBigDreams, Apr 14, 2018
    Last edited: Apr 14, 2018
  36. The Knife & Gun Club

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    Just an update - took NBME 15 today. 4 weeks since my last NBME, 3 more weeks of classes to go, then 5 weeks of dedicated.

    NBME 13 (12 weeks out): 200
    NBME 15 (8 weeks out): 217

    Goal is to reach 240, but I'd still be happy with anything over 230.

    Next step - watch all of sketchy micro in the next 3 weeks :corny:
     
  37. anonymousdoctobe

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    oh you got plenty of time! keep at it, you can definitely hit that 240!
     
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  38. Lannister

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    For UWorld, do you guys think it's absolutely imperative to do it random, timed, and in blocks of 40? I'm definitely planning on doing random and timed, but I'm a little hesitant on doing full blocks. My reasoning for that is that I've been doing a really good job at keeping up with reviewing my answers so far, like I have literally never gotten behind on reviewing explanations, and I think the reason for that is that I have been doing shorter blocks so I never had to sit there and read explanations for 2-3 hours straight. Would it be a terrible idea to do Uworld in sets of 20?
     
  39. starlite911

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    I don't think you have to do it in a set of 40 EVERY time (although I did), but I'd make sure you're at least doing some of 40. For me, I know endurance is one of my weaknesses, so even though UWorld is designed as learning tool, I wanted to make the blocks simulate the real thing. Like the NBMEs only have 10 extra questions per section and that somehow manages to wipe me out. BUT if you don't have issues with this, I'd say to do it in whatever way makes it easiest for you to get through. n=1, of course.
     
  40. anonymousdoctobe

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    Don't see the point of doing random times uworld. Uworld is a learning tool, so it seems like tutor and organ system based is the way to do it. You'll take enough NBMEs to practice the test environment. I feel like I get through questions way faster on tutor mode since I don't need to think back to my thinking process. I'd just add on the systems though as you get through them into the question pool so you don't forget the old stuff. At least that's what makes sense to me.
     
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  41. The Knife & Gun Club

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    I think the general idea of doing timed blocks is so you can get a feel for the kind of mental drain it takes on you when you're just popping through questions for an hour at a time.

    I think as long as you spend a bunch of time doing 40 question blocks at some point, like during dedicated, you'd be fine.

    My unofficial theory of step (adapted from the MCAT) is that theres 3 dimensions to the test:
    1) Content - do you know the concepts/details necessary?
    2) Testing skills - have you seen enough questions to be comfortable with the format/thinking style?
    3) Fatigue - does your brain run out of batteries after a couple hours?

    If you're someone who fatigues easily (like me), then the timed 40 question blocks are a big deal. If thats not really an issue for you, then don't sweat it! :thumbup:
     
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  42. UncleMinnie

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    Put it in perspective, getting some papers will do a lot more for residency application than a couple points more on Step 1 by preparing intensely. I took 3-4 days off during dedicated to get some abstracts and a grant in, and after all was said and done I am very glad that I did that.


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  43. bananafish94

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    If you're getting a 234 on your very first practice test, the world is your oyster. You'll almost certainly improve dramatically over the course of dedicated.
     
  44. Lannister

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    Thanks for the input guys, I think I will probably stick to shorter blocks for the next few weeks and then move on to sets of 40 later. Luckily I don't have much of an issue with stamina.

    I think I agree with you about doing it timed being slightly unnecessary, since like you said I'm using it as a learning tool. I also tend to be a fairly fast test taker. But I definitely prefer random over systems based! I get bored if I focus on one subject for too long.
     
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  45. Lannister

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    I want to believe this is true! But I have this nagging doubt that I won't actually improve that much. Like I feel like I have already crammed so much information in my brain from Rx, how could there possibly be more to learn! Haha.
     
  46. bananafish94

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    It might be that you're on the more horizontal part of the curve than people who haven't really studied for Step at all, but there's still definitely room for improvement, especially in 8 weeks! And anyway I would commit atrocities to get a 230-240 on the real thing so I'd say you're good. :)
     
  47. bananafish94

    bananafish94 SDN Gold Donor
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    By the way...the rumors of NBME 19's savagery are not exaggerated. Do not take if you value your self confidence.
     
  48. The Knife & Gun Club

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    @Lannister im really happy to see your making good progress. You’re putting in the hours and it’s clearly paying dividends.

    We can do this!
     
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  49. GoljansRightBicep

    GoljansRightBicep Call Me Poppie
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    Reported



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  50. MrTaco92

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    It sounds like youre going through rx and kaplan pretty thoroughly and retaining enough to do well in both qbanks. There shouldnt be an overwhelming knowledge gap once you get to uworld but you definitely will learn some more that should help raise your score
     
  51. PleaseCallMeDoc

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    here's an update on my progression!

    CBSE: 190 (2 months out)
    NBME19: 198 (5 weeks out)
    UWSA1: 245 (4weeks out) - I knew this overpredicted lol
    NBME16: 234 (3 weeks out)
    UWSA2: 241 (1 week out, today)
    Free 117%: 87% (1 week out, today)

    Anyone have experience with the Free 117/120 percentage and the real deal?

    Overall, I'm so happy that I have been on this uptrend and hope to carry it into testday.
     
  52. anonymousdoctobe

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    Awesome progress!!
     

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