Not quite. As far as I can tell, USMLE assigns random blocks, therefore everyone’s exam will be “unique” in that you likely won’t get the same combo of blocks as someone else, but it is not an adaptive exam like NCLEX-RN.
NCLEX, though, makes you feel even worse post-exam because its algorithm tailors itself to what you’re worst at and then gives you nothing but those content areas for the rest of the exam. You walk out of that thing feeling like you straight failed. I got grilled on developmental psych, geriatric home care, and uses of esoteric Mexican ergot derivatives that are no longer FDA approved.
Give me USMLE any day. LOL.
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