cardiacsarcoidosis

MS-IV, General Surgery Match 2020
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Jun 30, 2019
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anyone know the latest date to take CK to get scores in before 9/15 this yr?
 
Apr 11, 2018
22
20
Status
Medical Student
Took the test today....320 questions is a lot...

Step 1: 227
UWSA1 : 232
UWSA2: 240
Step 2CK: TBD


I read online today that scores for test takers this week won't be released until August 28th...that sucks!

where online did you read that? from my understanding is that US students it takes 3-4 weeks while IMG it may take sometime. Thats ridiculous if i have to wait a full 2 months... tf
 
Apr 27, 2019
1
0
Status
Medical Student
Can someone please answer this question:
If theres a question with a suspected aortic dissection. What is the next -best step? -most appropriate step? Uptodate says that the clinical triad for the dx of Aortic dissection includes Sudden onset chest pain, >20mmHg difference between both arms, and a widened mediastinum. Now this widened mediastinum must have been on a CXR. The algorithm in Uworld also mentions that the first step shoud be EKG and CXR. Can someone please clear this confusion for the boards. If we have both options, what do we choose?
 
Jan 29, 2019
4
0
Status
Medical Student
Can someone please answer this question:
If theres a question with a suspected aortic dissection. What is the next -best step? -most appropriate step? Uptodate says that the clinical triad for the dx of Aortic dissection includes Sudden onset chest pain, >20mmHg difference between both arms, and a widened mediastinum. Now this widened mediastinum must have been on a CXR. The algorithm in Uworld also mentions that the first step shoud be EKG and CXR. Can someone please clear this confusion for the boards. If we have both options, what do we choose?
Can someone please answer this question:
If theres a question with a suspected aortic dissection. What is the next -best step? -most appropriate step? Uptodate says that the clinical triad for the dx of Aortic dissection includes Sudden onset chest pain, >20mmHg difference between both arms, and a widened mediastinum. Now this widened mediastinum must have been on a CXR. The algorithm in Uworld also mentions that the first step shoud be EKG and CXR. Can someone please clear this confusion for the boards. If we have both options, what do we choose?
I think that depends on patient's hemodynamic stability.. If he is unstable then we can give beta blocker & buy some time to do spiral CT .. but doing CXR is not mandatory i guess.
 

Match2020_IM

Mike-o-plasma
Feb 9, 2018
11
15
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Medical Student
Can someone please answer this question:
If theres a question with a suspected aortic dissection. What is the next -best step? -most appropriate step? Uptodate says that the clinical triad for the dx of Aortic dissection includes Sudden onset chest pain, >20mmHg difference between both arms, and a widened mediastinum. Now this widened mediastinum must have been on a CXR. The algorithm in Uworld also mentions that the first step shoud be EKG and CXR. Can someone please clear this confusion for the boards. If we have both options, what do we choose?
CXR ECG are not mandatory for diagnosis of Aortic Dissection. If the clinical suspicion is high and the patient is stable, get a CT to confirm the diagnosis and then proceed to beta blocker (if needed for BP control) with definite management depending upon the type of dissection (A or B).
If the clinical suspicion is low, CXR ECG maybe done to rule out other possibilities.
If the patient is hemodynamically unstable, prepare for operative intervention, and confirm the diagnosis on table with a TEE.
 
Feb 12, 2019
39
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Resident [Any Field]
My print permit disappeared but the usmle webpage posted that no scores were being released this week. Anyone else?
 

pb34

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Jun 17, 2014
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where online did you read that? from my understanding is that US students it takes 3-4 weeks while IMG it may take sometime. Thats ridiculous if i have to wait a full 2 months... tf
269919
 

chocoholicsoxfan

2+ Year Member
May 2, 2015
612
564
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My print permit disappeared but the usmle webpage posted that no scores were being released this week. Anyone else?
Is your eligibility period up? If you picked April/May/June it would've disappeared this weekend.
 

nebuchadnezzarII

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Mar 25, 2015
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Took the test today....320 questions is a lot...

Step 1: 227
UWSA1 : 232
UWSA2: 240
Step 2CK: TBD


I read online today that scores for test takers this week won't be released until August 28th...that sucks!
How long before the test did you take UWSA1 and UWSA2?
 

20Hopeful16

MS3
2+ Year Member
Aug 3, 2015
141
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took step 2 ck today. wow, that was just as hard as step 1. feel exactly the same walking out of both tests--like i got smashed. I was hoping it was gonna go better this time around but nope. Still ran out of time on almost every block and guessing on like half the questions. damn it feels like they purposely try to make the test really really really hard
 

Sterling_Archer

I had something for this
Mar 14, 2018
5
14
Status
Medical Student
Took the test on the 2nd. Anyone else think it was hard?

Step 1: 250+
Uworld: 95th percentile during dedicated
UWSA2: 264 (5 days out)
Shelves: Probably averaged 80-90%
Study materials: Uworld & Anki cards I made from Uworld during clerkships.

The exam felt significantly more difficult than I expected. Felt like I was guessing between two answer choices for half the questions.
 
Last edited:
Feb 28, 2018
62
87
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Medical Student
Took the test on the 2nd. Anyone else think it was hard?

Step 1: 250+
Uworld: 95th percentile during dedicated
UWSA2: 264 (5 days out)
Shelves: Probably averaged 80-90%
Study materials: Uworld & Anki cards I made from Uworld during clerkships.

The exam felt significantly more difficult than I expected. Felt like I was guessing between two answer choices for half the questions.
Yea man felt about the same. Did not feel confident on more than maybe 10% of questions. Similar scores to you on everything, did much better than I expected to. You probably did great, don’t stress!
 
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JHUDJA

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Apr 5, 2013
189
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Took the exam on Wednesday (the 3rd).
Definitely felt hard but reasonable. It’s just so longggg.
I’m just shooting for average, but I figured I’d add to the data points.
My practice exams were bimodal with NBMEs consistent but lower and UWSAs almost identical and higher. ‍I took 3-4 weeks of dedicated study time with a little extra studying in the months before (mainly to get through all of U World once). I just used UWorld, First Aid a little, UpToDate, and random OMED/sketchy videos to reinforce things I struggled to remember.
(Taken in this order)
NBME 6: 228
UWSA #1: 242
NBME 7: 224
NBME 8: 226
UWSA #2: 244 (3 days before)

Step 2 CK: TBD. Hoping my UWSAs are more predictive.
 
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FitnessDoc

5+ Year Member
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Jul 7, 2014
37
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Took Step 2 this week and feels like I’ve got crushed by it. Hoping for just a passing score at this point. Flagged more questions than a NFL referee(20+ per block). Finished most sections with less than 5 minutes remaining. Total dedicated time was 4 weeks.
Practice exams were:
CCSE:260+ prededicated
NBME 7: 264 3 weeks out
Uworld 1: 268 2 weeks out
Uworld 2: 271 1 week out
 
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Blunt Dissection

"Keep poking until it's out."
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Mar 12, 2015
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Freaking out and could use some advice. Delayed Step 2 to 7/26.

Step 1: 233
Level 1: 558

Uworld: 64.3% currently (only medicine questions done so far)
(2 weeks ago)nbme 8: 198
(today)nbme 6: 205

Should I delay even further? I start sub-Is at the beginning of the month, so if I delay further, I don't even know when I would have time to study/take it. I'm hoping that my score will go up as I finish uworld, but I still have 1500 questions to go and not a whole lot of time left.
 

nebuchadnezzarII

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Mar 25, 2015
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UWSA1 a few days ago - got 236. Still have 12 days to study. Am I safe to pass? Taking UWSA2 in 5-days.
 
Jun 19, 2018
24
9
UWSA1 a few days ago - got 236. Still have 12 days to study. Am I safe to pass? Taking UWSA2 in 5-days.
I remember your post from earlier where you didn't score that hot on NBME 7. Congrats on the improvement!! How have you been studying? I'm also sitting on a low NBME and kind of scared to take another assessment test. Thanks
 
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20Hopeful16

MS3
2+ Year Member
Aug 3, 2015
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What do you guys predict my score will be?

Step 1: 235
NBME 6: 243
NBME 7: 223
Free 120: 87%
NBME 8: 243
 

JHUDJA

5+ Year Member
Apr 5, 2013
189
102
Fort Worth, TX
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What do you guys predict my score will be?

Step 1: 235
NBME 6: 243
NBME 7: 223
Free 120: 87%
NBME 8: 243
Looks like you’re doing pretty well! Having read through most of this entire thread, I’d suggest taking UWSAs for the most accurate prediction. In general the posts on here have indicated that the average of your two UWSAs (if taken at reasonable time frames before your actual exam) are the most predictive. But based on your NBMEs, which overall seem to under-predict scores based on this thread, you should be in the 240+ range at least. But take the UWorld Self Assessments if you can; I thought they were the most similar to the real thing, and I just took CK this past Wednesday.
 
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nebuchadnezzarII

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Mar 25, 2015
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I remember your post from earlier where you didn't score that hot on NBME 7. Congrats on the improvement!! How have you been studying? I'm also sitting on a low NBME and kind of scared to take another assessment test. Thanks
Thanks very much. But I'm not sure it's an actual improvement. I heard UWSA1 can overpredict; but then I also heard that it's accurate. I don't know what to think anymore. As for studying, I've just been aggressively attacking UW. I would advise you to avoid NBMEs if possible. They underpredict and will just probably make you feel bad. Answer choices are also harder to review under the current system.

I'm nervous about where my mid-230s on UWSA1 is placing me. I want to pass but I'm not sure if this is high enough as I don't see many people scoring this low.
 
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20Hopeful16

MS3
2+ Year Member
Aug 3, 2015
141
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Looks like you’re doing pretty well! Having read through most of this entire thread, I’d suggest taking UWSAs for the most accurate prediction. In general the posts on here have indicated that the average of your two UWSAs (if taken at reasonable time frames before your actual exam) are the most predictive. But based on your NBMEs, which overall seem to under-predict scores based on this thread, you should be in the 240+ range at least. But take the UWorld Self Assessments if you can; I thought they were the most similar to the real thing, and I just took CK this past Wednesday.
Thanks. I took the test this past week as well and I wanted to avoid doing the UWSAs because I heard they over-shoot your score like step 1. I'm actually in the 1% that did not use UW at all during third year or dedicated, so I don't know how UW questions compared to the real thing. How did you do on the UWSAs compared to NBME?
 

JHUDJA

5+ Year Member
Apr 5, 2013
189
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Thanks. I took the test this past week as well and I wanted to avoid doing the UWSAs because I heard they over-shoot your score like step 1. I'm actually in the 1% that did not use UW at all during third year or dedicated, so I don't know how UW questions compared to the real thing. How did you do on the UWSAs compared to NBME?
Fair enough! My NBMEs were all consistently lower (like upper 220's) and UWSAs were both higher and almost the same (242 and 244).
Based on what's been posted on here that isn't generally the case. UWSAs are more predictive for CK than they were for Step 1. I would guess that upwards of 80% of the posts I've seen on here have had people making close to or almost exactly the average of their two UWSAs.
But this is also just one sample size, so I've just been taking that combined with what my friends from previous classes have told me, which was to stick with UWorld. I honestly think you will be fine with those NBME scores though. It's all just a guessing game, but I'd expect 240+ range. We get to wait forever now!
 
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20Hopeful16

MS3
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Aug 3, 2015
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Fair enough! My NBMEs were all consistently lower (like upper 220's) and UWSAs were both higher and almost the same (242 and 244).
Based on what's been posted on here that isn't generally the case. UWSAs are more predictive for CK than they were for Step 1. I would guess that upwards of 80% of the posts I've seen on here have had people making close to or almost exactly the average of their two UWSAs.
But this is also just one sample size, so I've just been taking that combined with what my friends from previous classes have told me, which was to stick with UWorld. I honestly think you will be fine with those NBME scores though. It's all just a guessing game, but I'd expect 240+ range. We get to wait forever now!
A 240+ would be nice. I walked out of there thinking like I got a 210+. August 28th will be the day!
 

RaginMD

2+ Year Member
Apr 16, 2017
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I'm 3 weeks out from my exam and now I'm freaking out after taking NBME 6.
UWORLD 50% finished at 73% correct (1st pass with all my clinical rotations was like a 67% correct)
Took UWSA 1 last week (thought it was really hard) and made a 240...
Then I take NBME 6 today (thought it was easy) and made a 217!! I only missed 31 questions.
No idea where I went wrong... I don't know which scores are more predictive but if NBME's are the scores to consider then I am royally screwed.
Anyone else got a really low NBME score but did better on the real thing?
 
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nebuchadnezzarII

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Mar 25, 2015
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I'm 3 weeks out from my exam and now I'm freaking out after taking NBME 6.
UWORLD 50% finished at 73% correct (1st pass with all my clinical rotations was like a 67% correct)
Took UWSA 1 last week (thought it was really hard) and made a 240...
Then I take NBME 6 today (thought it was easy) and made a 217!! I only missed 31 questions.
No idea where I went wrong... I don't know which scores are more predictive but if NBME's are the scores to consider then I am royally screwed.
Anyone else got a really low NBME score but did better on the real thing?
My 2 cents as I'm trying to figure out the same thing - a good chunk of people don't even take the NBMEs to practice. They are said to be highly under-predictive. Sometimes by 30 points even...which seems to be the situation for your case. I know it feels terrible, but I would try not to worry about it. Leaving this here as advice for myself as I'm gonna be taking NBME 6 tomorrow.
 
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kubb_champ

2+ Year Member
May 29, 2015
124
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Any permit changes for 6/24 test takers?
 
Last edited:

echidna001

7+ Year Member
Apr 13, 2010
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All of these comments about step one-like material appearing on CK make me feel like I should try to skim through parts of First Aid before this test. Do any of you who have taken CK feel that this would be helpful or rather that it would further muddy an already muddy picture?
 
Jun 19, 2018
24
9
All of these comments about step one-like material appearing on CK make me feel like I should try to skim through parts of First Aid before this test. Do any of you who have taken CK feel that this would be helpful or rather that it would further muddy an already muddy picture?
I feel the same way..but everyone I spoke to regarding this said UW covers the step 1 stuff
 
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chocoholicsoxfan

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May 2, 2015
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It's not that UW covers the Step 1 stuff... It's just that it's too random and not worth the required effort.

For example, you could spend hours committing to memory every enzyme implicated in every pediatric disease (lysosomal, glycogen storage, immunodeficiency, inborn errors of metabolism) and get only 1 (maayyybe 2) questions out of it.

You can decide if that's worth your time or not.
 
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Jun 19, 2018
24
9
It's not that UW covers the Step 1 stuff... It's just that it's too random and not worth the required effort.

For example, you could spend hours committing to memory every enzyme implicated in every pediatric disease (lysosomal, glycogen storage, immunodeficiency, inborn errors of metabolism) and get only 1 (maayyybe 2) questions out of it.

You can decide if that's worth your time or not.
What about brushing up on physio/pharm?
 

ελπίδα

2+ Year Member
Oct 16, 2014
117
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Does anyone know if that 2 month timeline is for all test takers from June 23 and up or just a few? I thought COMLEX taking a month was ridiculous but god damn...
 
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AFishAnt

2+ Year Member
Jul 14, 2014
17
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Does anyone know if that 2 month timeline is for all test takers from June 23 and up or just a few? I thought COMLEX taking a month was ridiculous but god damn...
Wondering the same thing. They were super vague in their announcement but from what I could tell, it seems like there are a few testing centers that have NOT received the new question pool yet so for those students, their scores will be in 3 weeks instead of 2 months. But there's no way to know if you had the new question pool or not so I guess just keep checking?
 

chocoholicsoxfan

2+ Year Member
May 2, 2015
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I really hope it's before.

Because at precisely 10am CST, my attending (who I'm 95% sure is at least somewhat manic) pulls me into a lecture (really more of a rant) that lasts an hour. And sitting through that for an hour knowing my score is out will be torture.
 
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Jul 9, 2019
4
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Anyone who took CK between June 17-21 have their permit go down yet? This will be our 4th Wednesday, but it hasn’t gone down yet.
 

echidna001

7+ Year Member
Apr 13, 2010
95
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Looking for some more advice - have just over a week until my exam. I'm aiming for ~250 (241 step one).

UWSA1 and UWSA2: scored a very consistent 256 on both about a week apart (I would be beyond thrilled with that score)
About 1/2 way through my second pass of UWorld scoring ~ 78-79% timed random
Also have been supplementing some Amboss more casually when I'm on the go, scoring about 67% (I really hope step 2 isn't much more random and ambiguous than Amboss)
All shelf exams were 80-87 in M3

What would be most useful this last week? Should I just continue blasting through UWorld (I might try and make myself sit for 8 blocks straight to stimulate the test) or focus more on trying to get through the NBMEs?

I also really feel like the things I'm getting wrong are from a lack of book based content review. I want to skim back through my weaknesses in the Online Med Ed notes and SUTM, but it seems like too much!
 

NotaCop

2+ Year Member
Sep 29, 2015
466
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Anyone who took CK between June 17-21 have their permit go down yet? This will be our 4th Wednesday, but it hasn’t gone down yet.
This method is inconsistent. Per reddit users scores up to the 21st at least will be out tomorrow. Somebody commented that their permit went away (6/20 test date) and it was not because of eligibility expiring. Seems like it only disappears for some, not all. You should expect your score based on the reddit info
 

TheIllusionist

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Aug 9, 2013
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Just a peace of advice a month after getting my score (I'm the foolish person that is annoyed at getting a 261 because shelf scores were a lot higher in terms of percentile and so were u world assessment scores) and reflecting a lot:

1. U World is a must, but so is paying attention during clinical rotations. There were questions that were really straightforward that I got wrong because I just didn't pay close enough attention. It's the type of stuff that isn't felt necessary to add to textbooks or doesn't sound tricky enough to make for a "good" question, so U World doesn't include it.

2. Reading Uptodate throughout your 3rd year during the day, when writing notes or just looking up management for patients, is important. It really helps you fill in the gap on stuff like atypical presentations and newly approved treatments. Some questions I got were straightforward but just little things U World missed. Also, U World doesn't necessarily have every single nuance of every single even common EKG or X-Ray finding. Some of the exam is just literally testing, if you saw something common, that UWorld doesn't emphasize. I think the NBME writers are familiar with U World, very familiar actually, and try to find holes to see who was actually paying attention on wards and not just relying on test banks.

3. I would REALLY focus on deficits of your clinical education. I didn't do very much outpatient IM at all! The consequence was that a lot of very easy management questions for outpatient IM, well I got them wrong. They were straightforward, probably so much so U World didn't think it was worth to make a question on them, but they required you to have seen the scenario or at least have read about it. I guessed some right and even initially reverse rationalized how I used "logic." In reality, many of the choices look theoretically sound but only one is standard of care, often due to the result of a trial where a strong correlation for morbidity and mortality was found but the causative pathophysiological mechanism has not yet been elucidated. For me personally, as much as the current dogma is "NO TEXTBOOKS FOR DEDICATED," there would have been benefit to reading about management for a lot of more outpatient stuff and even some inpatient nuance in STEPUP2Medicine, at least for high yield systems like cardio, renal, GI, pulm, and endo.
 
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