USMLE Official 2019 Step 1 Experiences and Scores Thread

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just finished! managed a 262 (19 mistakes) o_0
my blocks went 92, 92, 77 (lol wtf), 90

this test had literally SO much biochem and so little biostats/psych. it is so weird that i mark close to 18 questions per block on most tests...im convinced that no matter how much i study derm (or even histo), that those questions with a picture and 1-2 line stem will always be guesses

gonna just read through my mistakes on this exam, previous nbmes and watch some pathoma 1-3 + the endo chapter and call it a day. so ready for this to be over!
 
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Congrats @kb1900

Got a 251 (28 mistakes) = 82.5%
My blocks went 97, 82, 70, 80

The first block obviously carried me.. I was hoping to get 78-80% correct given how I usually do on UW blocks. Gotta figure out what happened on that third block, but agree there was a lot of biochem, no biostats/psych, decent amount of derm and all these crazy experiments (no idea how I did on them).

Felt it was tough but fair. I'm still not confident enough to move it up so looks like I'll be sitting for this exam a week from today!
 
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You guys are savages. Hope to follow your lead this Friday with UWSA1.

3cf6b84d77207589f337a7d1e7a47610.gif
 
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Am I the only person to ever do better on UWSA2 than UWSA1 lol? I got a 247 on UWSA1 and was just hoping to break 240 on UWSA2 given that UWSA1 overpredicts by a decent amount. I only took them a week apart
 
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Frogger27 said:
Am I the only person to ever do better on UWSA2 than UWSA1 lol? I got a 247 on UWSA1 and was just hoping to break 240 on UWSA2 given that UWSA1 overpredicts by a decent amount. I only took them a week apart
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I beat my UW1 as well (262 on UW1, 5 weeks ago). Ive seen a few other posts with similar things its usually people that did UW1 earlier in dedicated, so IMO i think that means you made some solid ground in a week!
 
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Scrubs101 said:
I beat my UW1 as well (262 on UW1, 5 weeks ago). Ive seen a few other posts with similar things its usually people that did UW1 earlier in dedicated, so IMO i think that means you made some solid ground in a week!
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I upped my netflix game a lot last week so that must have been the difference
 
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Ho0v-man said:
Bout the same imo
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Scrubs101 said:
Agreed with above, felt about the same as a normal UW set x 4. Little bit more heavy on the "basic" sciences" than I would like though lol
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Thanks and good scores everybody. I guess I'm wondering why there are 50000 posts by people saying that UWSA1 over predicts by like 10 points and UWSA2 does not yet everyone says they are pretty much the same "4 blocks of UW" type practice tests?

I feel like I am missing something. It appears that most people who say UWSA1 is predictive take it right before their exam. Ultimately, it doesn't matter, but I would like to know why these people are getting a 250 on it 4 weeks out and then doing worse on the real deal. How the hell do they do this?
 
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NecFasc92 said:
The curves are diff. You have to get a higher % correct, for the same score, on Uw2. Also, of everyone I know last year, uw 1 was either spot on or over predicted by 10 max. Never found the craze to hold true irl. Ymmv
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Must be a myth holding over from 2015 or so when the practice exam scaling was different or something. Good to know.
 
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Last week until the beast. Suggestions? I was just gonna do incorrects on my second pass UW, hit the free 120 at some point, and other than that just rewatch sketchy/pathoma and look over FA to try to get some of those charts in my head.

I think my floor is 220-225 based on my last few scores but would love to ensure 230-240 if I could. Right now projections have me at 230 on the dot but I have a feeling I’ll underperform haha
 
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Chibucks15 said:
Last week until the beast. Suggestions? I was just gonna do incorrects on my second pass UW, hit the free 120 at some point, and other than that just rewatch sketchy/pathoma and look over FA to try to get some of those charts in my head.

I think my floor is 220-225 based on my last few scores but would love to ensure 230-240 if I could. Right now projections have me at 230 on the dot but I have a feeling I’ll underperform haha
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work on your weakest subjects and then a day or two before i would go over pathoma chapters 1-3.
 
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libertyyne said:
I dont even have to pretend, I just have expect a 200. Anything above that is gravy then. Family practice cant be too terrible right?
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libertyyne said:
work on your weakest subjects and then a day or two before i would go over pathoma chapters 1-3.
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I don’t have super weak areas besides “general principles” on UW2. I’m just decidedly average across the board haha so it’s hard to pinpoint. I’m good with the average life though so if that gets me a 230 I’m cool with it
 
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Just took the free 120 and got an 84%, gotta say this felt much easier than UW2 but i scored 6% lower? Not sure what to think, adding it to my reddit predictor dropped my average a decent amount and is currently my lowest predicted score based on that data. Ooof extra hard, missed quite a few gimmes. Also does this exam have incorrect answers? q in question below in spoiler

One question had an adult 3hrs post aspirin OD and said she was already in metabolic acidosis, doesnt that take like 12hrs to start and they go into resp alk first?
 
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Reporting back from STEP 1 today:

I don't exactly know how to process it all, but it was the most difficult test of all practice material (NBMEs, UWSAs, etc) that I have encountered. I keep hearing that STEP has the 'feel' of UWSA2, but mine most certainly did not. I'd say the similarity was much more in line with the NBME practice tests, but with a total of more ambiguous questions overall. Overall, I just didn't have enough time to pick up on all of the nuances of the questions, I feel. I ran out of time on one question which is completely haunting me right now. But let's take a step back for a sec. It's amazing how indirect these questions are. They go through so many mental and linguistic hoops in writing them to prevent you from getting an answer right by word association or familiarity. Or they just add like 5 distractor symptoms or presentations which suck time away as you try to get to the core of the patient's problem.

I probably 50/50 guessed on 25% of the test and flat guessed on 10-20%--I honestly don't know. On previous NBMEs, I'd say my rate of guessing was definitely lower though. One thing for sure is--they certainly can hammer the same system or discipline relentlessly throughout the test. There was a huge overrepresentation of a few subjects with extremely minimal representation of others. I'd say 30-40% were 'gimme' points, but I for sure didn't get them all. I have almost no inclination of how well I did, probably relentlessly average with a slight chance of majorly f*cked. lol

Good luck, all.
 
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Don't tempt me.... although I might not have a choice as I'm with @libertyyne , that 200 looks real nice right about now. The further I get from the test the more I feel like I completely shat the bed. I cruised through it at a rapid clip, now I'm starting to think I finished too early and I overlooked a ton of ish and fell for all the distractors. I know I did that on all my practice tests and UW but I can't help but feeling that impending sense of doom. I'm convinced I am going to open my score report and it's just going to say "too low to compute" because I literally missed every question.
 
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AnatomyGrey12 said:
Don't tempt me.... although I might not have a choice as I'm with @libertyyne , that 200 looks real nice right about now. The further I get from the test the more I feel like I completely shat the bed. I cruised through it at a rapid clip, now I'm starting to think I finished too early and I overlooked a ton of ish and fell for all the distractors. I know I did that on all my practice tests and UW but I can't help but feeling that impending sense of doom. I'm convinced I am going to open my score report and it's just going to say "too low to compute" because I literally missed every question.
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Haha. All night my mind keeps triggering all of my flagged questions I had. So far I've gotten more right than wrong per looking them up--but I've lost so many easy points already. Did you feel confident when you were taking the test? I felt mostly meh the whole time. I'd bet you did fine. But those questions are full of terror. It's so easy to miss a little detail here or there. I don't think UWorld is really even close to half of what I saw on my test. I am just praying that I had a hard form and it isn't just my incompetence.
 
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TheaterOfTheme said:
Haha. All night my mind keeps triggering all of my flagged questions I had. So far I've gotten more right than wrong per looking them up--but I've lost so many easy points already. Did you feel confident when you were taking the test? I felt mostly meh the whole time. I'd bet you did fine. But those questions are full of terror. It's so easy to miss a little detail here or there. I don't think UWorld is really even close to half of what I saw on my test. I am just praying that I had a hard form and it isn't just my incompetence.
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Honestly, the exam didnt feel out of my league, in my memory, every answer choice I had seen , or heard of before for the questions I can remember. The problem is, I think i have selective memory blocking out the WTF questions because they were soo foreign. I definitely got many easy questions wrong. I think you should trust your prep, and accept there is nothing else you can do now.
 
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Today = Free 120, pathoma 1-3, weaknesses/anki/rapid review/dirty USMLE if I can’t get myself to do nothing after 2pm. Hoping for a few hours of solid rest tonight if the adrenaline doesn’t kick in early.

Good luck to everyone else taking it tomorrow and in the next couple weeks as well as those waiting to hear back.

Regardless of our actual scores, the volume and depth of whatwe have learned for this exam is unbelievable. Look at that thread on r/medicine about a few American deaths at resorts in the DR. All the theories in that thread (Cigua toxin, scombroid, organophosphate, methanol poisoning etc.) are tested and not only do we have familiarity with what they are but also the fish/environmental exposure, potential presentation, mechanism of action...that’s just insane. All just for a tiny table amongst hundreds in first aid.


Not really sure where I was going with this rant but I just wanted to say thans to all of you for your support and commiseration - this thread was an essential part of UFAPS for me personally and I hope we all translate well rotations and come back together for step2!
 
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Medic741 said:
THE PERMIT DISAPPEARED. I'M FREAKING OUT. Tested on 5/24 (/25?) for anyone around those dates scores might come out tomorrow!!!
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You may want to check if your testing window is over. My permit disappeared last week but that’s because my permit actually expired
 
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Frogger27 said:
DNA-dependent RNA polymerase
DNA-dependent DNA polymerase
RNA-dependent RNA polymerase
RNA-dependent DNA polymerase

I've been missing these questions since freshman bio and looks like it hasn't stopped yet lol
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How are you learning these? I just care so little that I can’t make myself sit down and memorize it in my last week
 
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Medic741 said:
THE PERMIT DISAPPEARED. I'M FREAKING OUT. Tested on 5/24 (/25?) for anyone around those dates scores might come out tomorrow!!!
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how do you check if permit disappeared? I still have the print button but when I click it it says applicant sat for exam already. I am not ready for this.
 
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libertyyne said:
ok, then either I failed or 5/24 scores arent coming out tomorrow.
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It sounds early for them to be released on any timeline tbh. 5/24 would probably reasonably come back next week; that is, if we were on that normal schedule which we are not. My guess is that previous poster is no longer in his/her eligibility window anymore so the permit expired
 
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AnatomyGrey12 said:
Don't worry, you can join me at my cash only FM/OMM/Weed clinic in Portland I'm going to open when I fail too. Make so much money we'll have to pull a Walter and buy a car wash to launder it.
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My fallback is cash only construction site OMM van.
 
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AnatomyGrey12 said:
Don't worry, you can join me at my cash only FM/OMM/Weed clinic in Portland I'm going to open when I fail too. Make so much money we'll have to pull a Walter and buy a car wash to launder it.
Click to expand...

Man portland would be awesome. Upledger and the dolphin therapy people in the bahamas/florida will lose all their customers once orca therapy is a thing.:greedy:

libertyyne said:
I knew I should have gone DO.
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Sorry man but we lightning bonesetters need to be gatekeeping. :/



On a serious note tho, have they ever hinted who all is going to have scores released july 10?
 
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From my understanding those testing late May most likely will get scores in July but they could come earlier. No one knows who will get scores earlier though. When I click the print permit the permit doesn't show up so I don't think my scores are out yet. I'm not ready to see my scores tbh
 
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Does anybody understand why Crohn's causes pigment stones?

Cholesterol stones = too much cholesterol, not enough bile salts to dissolve it all.

In Crohn's you lose the ileum, so you can't reabsorb your bile acids... Now you have not enough bile acids, which should give you cholesterol stones.

But somehow Crohn's gives you pigment stones too. I've found some studies that seem to suggest some mechanisms that I'm not sure I understand. Am I overlooking something simple or is this just something to memorize and move on?

This study hypothesizes that too much bile acid getting into the colon can cause the bilirubin that's there to solubize, and be absorbed, and get back to the liver via enterohepatic recycling. Now you've got too much bilirubin content in your bile, which can cause Ca-bilirubin / pigment stones.

Gallbladder bile composition in patients with Crohn’s disease - PMC

AIM: To further elucidate the pathogenesis and mechanisms of the high risk of gallstone formation in Crohn’s disease. METHODS: Gallbladder bile was obtained from patients with Crohn’s disease who were admitted for elective surgery (17 with ...
www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
 
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