USMLE Official 2020 Step 1 Experiences and Scores Thread

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Taking Sunday lol I'm ripping through all my First Aid highlights one final time. I want to make sure my score is accurate and take it when Ive seen everything one last time which will be how the real deal will be essentially. Just advice i took from my mentor/tutor. I will for sure update yall on my score when I take it Sunday!
 
Well I'm still getting owned. NBME 18 78% = 218. I'm not sure what to think of this as its a higher % than my last NBME and Free 120.
Its the crazy curve man! 78% is pretty solid. You literally need 89.5-90%+ correct for a 250 which is INSANE. Low 80s would be in the 230s which is the average step score nationally and getting above 80% on any practice test is insanely good and youre pretty much there so I mean now you can see how dumb the curve is
 
Only a Med student would get stressed that not studying doesn’t feel that weird After half a day, so clearly I didn’t Actually study hard during all of dedicated and probs failed everything
honest to god I'm still upset. that exam was way too random lol i just hope whatever score i get doesn't hold me back
 
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Its the crazy curve man! 78% is pretty solid. You literally need 89.5-90%+ correct for a 250 which is INSANE. Low 80s would be in the 230s which is the average step score nationally and getting above 80% on any practice test is insanely good and youre pretty much there so I mean now you can see how dumb the curve is

Its hard to feel comfortable with it though when 18 is said to be a solid predictor. It makes me wonder how they determine a 230 = 80s on these tests when the national average on UW is around 63% on similarly difficult questions, which should roughly correlate with a 230. With that logic, Idk how 50% of people are jumping 20% on NBMEs lol. All I can do is keep on grinding
 
Only a Med student would get stressed that not studying doesn’t feel that weird After half a day, so clearly I didn’t Actually study hard during all of dedicated and probs failed everything

I literally laughed out loud at this. I didn’t feel guilty either initially - I was too burned out. I was psyched to not have to study. I finally got fidgety and started watching some OME videos recently, but there’s absolutely nothing wrong with feeling good about not studying at first.

UWSA2: 254
I really didn’t feel like taking this today, was super distracted during it but it was a great confidence boost!

That one was closest to my real deal - I scored two points lower on step than my UWSA2 score. You’re in great shape! Can’t wait to see how you actually do.
 
you’re gonna kill it! I prob won’t take SA1. Gonna take either 18 or 23 Wednesday.
76% Uworld
Same im at 76%! Im predicting 250+ for you for 18 for sure. Id take 18 over 23 if I were you. 18 way more representative and predictive if youre a higher scorer like yourself. Also forgot to ask how did UWSA2 feel overall compared to your UWorld blocks and what was your break down? lol most people say a ton of bchem and molecular did you find it particularly hard or a fair assessment
 
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Guys the new UWorld questions SUCK! I'm literally getting owned. I'm about 94% done with UWorld and its pretty much all new questions. Im considering just stopping here and doing Amboss or something the questions are ridiculous. @docmcstuffins3 and @Thesimplelifeofamyloid how much were your UWorld scores dropping toward the end? Ive dropped from 80%+ averages to like low 70s and 60s. So mad lol
 
Guys the new UWorld questions SUCK! I'm literally getting owned. I'm about 94% done with UWorld and its pretty much all new questions. Im considering just stopping here and doing Amboss or something the questions are ridiculous. @docmcstuffins3 and @Thesimplelifeofamyloid how much were your UWorld scores dropping toward the end? Ive dropped from 80%+ averages to like low 70s and 60s. So mad lol
Hard to say. I would say probably a similar drop. When those appeared, they would show up like 5 every day, and I was already done with UWORLD. On a 5 question set, I'd get like 2 or 3 right ususally. I just tried to learn from it. Those were defintely like the hard one's on my exam.
 
update: took nbme 19. got a 215 83% correct. holy poops the curve is harsh. i mean wtf maybe i miscounted my incorrect numbers but that feels like crap. and im embarrassed that i missed so many genetics questions when i did a biotech and genetics degree in undergrad.. this is the first time i felt like i either knew the answer or could work through it and the majority of missed questions were ones i had no freaking clue on which feels good cuz thats better than missing questions i thought i knew. my last nbme was 17 with a 198 2 weeks ago so i feel like thats a solid jump. im hoping i can replicate something similar on 18 on monday. im mixing uworld incorrects with the free nbme blocks because step is a mix from what the internet gods tell me. i put my numbers in the predictor and my overall prediction didnt change much.. is the predictor weighing uwsa 1 and 2 more heavily than nbme??
 
update: took nbme 19. got a 215 83% correct. holy poops the curve is harsh. i mean wtf maybe i miscounted my incorrect numbers but that feels like crap. and im embarrassed that i missed so many genetics questions when i did a biotech and genetics degree in undergrad.. this is the first time i felt like i either knew the answer or could work through it and the majority of missed questions were ones i had no freaking clue on which feels good cuz thats better than missing questions i thought i knew. my last nbme was 17 with a 198 2 weeks ago so i feel like thats a solid jump. im hoping i can replicate something similar on 18 on monday. im mixing uworld incorrects with the free nbme blocks because step is a mix from what the internet gods tell me. i put my numbers in the predictor and my overall prediction didnt change much.. is the predictor weighing uwsa 1 and 2 more heavily than nbme??
It almost completely weighs uworld scores over nbmes
 
Finally took the damn thing yesterday. A little worried after recalling a few stupid mistakes on gimme questions, as is tradition. Still felt pretty challenging regardless. Even if I underperform there's really very few things I would have done differently in my prep, if at all. A few of the tough questions reminded me of the new UWorld additions and AMBOSS to be honest.
 
Finally took the damn thing yesterday. A little worried after recalling a few stupid mistakes on gimme questions, as is tradition. Still felt pretty challenging regardless. Even if I underperform there's really very few things I would have done differently in my prep, if at all. A few of the tough questions reminded me of the new UWorld additions and AMBOSS to be honest.
The new UWorld additions are NUTS. I feel like they are testing Step 2 material
 
Finally took the damn thing yesterday. A little worried after recalling a few stupid mistakes on gimme questions, as is tradition. Still felt pretty challenging regardless. Even if I underperform there's really very few things I would have done differently in my prep, if at all. A few of the tough questions reminded me of the new UWorld additions and AMBOSS to be honest.
This is Exactly how I felt after the exam.
 
This is Exactly how I felt after the exam.

Glad I'm not the only one. I saw a Reddit thread where most people thought Friday's exam was easy, and I was like uhh hold up a minute...did we have the same form? lol

First two blocks were actually pretty straightforward, but then **** hit the fan real quick.
 
How did it feel like compared to the practice exams you took?
Its hard to describe. Like all the practice exams are obviously hard right? Otherwise no one would ever feel stressed about step, but at the same time when taking them it doesn't seem that bad because A: you get your score back right away, and B: the score is not your real score. So Step 1 felt similar to UW blocks/assessments and what not in terms of difficulty, but because I did not get my score back instantly, and because it was the real deal, this made it feel even harder, because every time you did not know the answer right away felt much more serious than on a practice exam.

Except for the gimmies. They were ****ing disrespectful. I legit had questions that felt 5th order esque, and the next question basically asked what 2+2 is
 
@Firehosewarrior ; here is an example of what I meant earlier. Uword = straight forwards.. NBMEs = good distractors

1595115618443.png


I apologize for the typos lol. Most stressful week of my life.
 
@Firehosewarrior ; here is an example of what I meant earlier. Uword = straight forwards.. NBMEs = good distractors

View attachment 313221

I apologize for the typos lol. Most stressful week of my life.
Which NBME is this? Also i do not think UWorld is straight forward. It has really good/well written questions with plenty of distractors that can trip you up but at least they are good questions. Those NBME questions above are just poorly written. I am assuming those are questions from the new NBMEs which are horrible tests overall except for 24.
 
Guys the new UWorld questions SUCK! I'm literally getting owned. I'm about 94% done with UWorld and its pretty much all new questions. Im considering just stopping here and doing Amboss or something the questions are ridiculous. @docmcstuffins3 and @Thesimplelifeofamyloid how much were your UWorld scores dropping toward the end? Ive dropped from 80%+ averages to like low 70s and 60s. So mad lol
Yeah the new questions are weird. I’m 96% complete I kinda stopped and went to amboss for a bit but now I’m back and yeah it dropped my blocks down to 70s sometimes.
Which NBME is this? Also i do not think UWorld is straight forward. It has really good/well written questions with plenty of distractors that can trip you up but at least they are good questions. Those NBME questions above are just poorly written. I am assuming those are questions from the new NBMEs which are horrible tests overall except for 24.
I think the first one was a great question. Gave you enough labs to rule out the distractor. The second one was OK, Could have been better with leukocyte count or I guess one should know how many neutrophils per viewing field are too many lol (but I doubt 1 neutrophil is too many was my logic)
 
Which NBME is this? Also i do not think UWorld is straight forward. It has really good/well written questions with plenty of distractors that can trip you up but at least they are good questions. Those NBME questions above are just poorly written. I am assuming those are questions from the new NBMEs which are horrible tests overall except for 24.
Can't remember, I ave an entire document on these. And about Uword, here is a comment from someone who went from 229 on 1 to 265 on 2. Idk, maybe it's just me but I just found the NBMEs to be a lot trickier than Uword. I can share more of the doc if you want.


For medicine, there were so many uworld questions that I didn't even finish uworld IM in time for the shelf. Wouldn't sweat it if you can only do uworld (or not even finish it) for the medicine shelf. Where I really wish I had amboss was in surgery, because I finished uworld early and had no other source of high quality questions. That was the hardest shelf for me.

A little bit on the pros and cons of uworld vs. amboss: Uworld: more straightforward, more realistic questions, vignettes read more similar to the actual thing IMO.

Amboss: these are HARD and oftentimes intentionally tricky, but they give you confidence for the real deal. overall, less realistic IMO. it's also kind of like wikipedia where you can scan over unfamiliar terms in an explanation and it has a brief description, which i found nice. the amboss library was also a good feature if you want a little more info but not nearly as much as up-to-date, etc.
 
Can't remember, I ave an entire document on these. And about Uword, here is a comment from someone who went from 229 on 1 to 265 on 2. Idk, maybe it's just me but I just found the NBMEs to be a lot trickier than Uword. I can share more of the doc if you want.
I think he is talking about Step 2 and I also think he is talking about UWorld being straightforward compared to Amboss which when you compare it to Amboss then yes it is quite straightforward lol
 
idk, people always complain about NBMEs being vague, etc.. compared to UW

ie.



But I could be wrong. I just found them to be tricker compared to UW. Sitting at 79% UW first pass. Could be because of Anki,

I think he is talking about Step 2 and I also think he is talking about UWorld being straightforward compared to Amboss which when you compare it to Amboss then yes it is quite straightforward lol
 
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update: took nbme 19. got a 215 83% correct. holy poops the curve is harsh. i mean wtf maybe i miscounted my incorrect numbers but that feels like crap. and im embarrassed that i missed so many genetics questions when i did a biotech and genetics degree in undergrad.. this is the first time i felt like i either knew the answer or could work through it and the majority of missed questions were ones i had no freaking clue on which feels good cuz thats better than missing questions i thought i knew. my last nbme was 17 with a 198 2 weeks ago so i feel like thats a solid jump. im hoping i can replicate something similar on 18 on monday. im mixing uworld incorrects with the free nbme blocks because step is a mix from what the internet gods tell me. i put my numbers in the predictor and my overall prediction didnt change much.. is the predictor weighing uwsa 1 and 2 more heavily than nbme??

I LOLed at your genetics comments because that’s how I feel with psych all the time. My first undergrad degree was in psych. Was embarrassed when it wasn’t my top section on the MCAT (thought I remembered everything so didn’t study psych at all before taking the MCAT) and still get mildly embarrassed when I don’t know a psych question in med school. I felt like my psych degree was awesome and comprehensive... I just completed it in 2009. It’s amazing how quickly you forget stuff when you don’t use it and aren’t exposed to it regularly.

And now that I realized I’m 11 years out from when I completed my first undergrad degree, I’m suddenly feeling really old. Somebody grab me a wheelchair, and get off my lawn while you’re at it.
 
Long time watcher, first time poster...Take step 1 in a week. Ive been cancelled three times so far lol. NBMEs are as follows:

NBME 15: 240 6/14
NBME 17: 252 6/21
NBME 18: 248 6/28
UW 1 : 256
NBME 24: 250 7/4
UW 2: 249 (haven't gone over biochem in 5 months. planning on that being the last week grind. Got wrecked on it) 7/11
NBME 21: 253 7/16

Finished Uworld with a 72%...I suck at Uworld. May be the only one who has ever done better on nbmes than Uworld consistently. I tend to overthink everything. Had a lot of buddies drop 10+ points from UW2 and that's terrifying. Anyone have any insight on these scores and what my actual score should be? My goal is a 245 but I honestly just want to do my best
 
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Long time watcher, first time poster...Take step 1 in a week. Ive been cancelled three times so far lol. NBMEs are as follows:

NBME 15: 240 6/14
NBME 17: 252 6/21
NBME 18: 248 6/28
UW 1 : 256
NBME 24: 250 7/4
UW 2: 249 (haven't gone over biochem in 5 months. planning on that being the last week grind. Got wrecked on it) 7/11
NBME 21: 253 7/16

Finished Uworld with a 72%...I suck at Uworld. May be the only one who has ever done better on nbmes than Uworld consistently. I tend to overthink everything. Had a lot of buddies drop 10+ points from UW2 and that's terrifying. Anyone have any insight on these scores and what my actual score should be. My goal is a 245 but I honestly just want to do my best
Dude youre def at 245+ lol your NBMEs are all 240+ and they tend to underpredict usually 10+ points for many people (18 and 24 underpredict less). We have very similar scores for UWSA1 and 18 actually. Im taking UWSA2 tomorrow so we will see how that goes but overall i think you need to realize that if you still got a ~250 on UWSA2 with doing bad on biochem and having not looked at it in almost half of a year which is heavily tested on UWSA2 you are more than golden. My own anecdotal opinion is that I would say UWSA2 underpredicts for those weaker in biochem. Ask @fldoctorgirl who scored very similarly to you on UWSA2 and scored literally 10 points higher on real deal than her UWSA2 and she mentioned bchem was a weakness of hers. My prediction for you on the real thing is probably low 250s on a bad day to low 260s on a good day
 
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Dude youre def at 245+ lol your NBMEs are all 240+ and they tend to underpredict usually 10+ points for many people (18 and 24 underpredict less). We have very similar scores for UWSA1 and 18 actually. Im taking UWSA2 tomorrow so we will see how that goes but overall i think you need to realize that if you still got a ~250 on UWSA2 with doing bad on biochem and having not looked at it in almost half of a year which is heavily tested on UWSA2 you are more than golden. My own anecdotal opinion is that I would say UWSA2 underpredicts for those weaker in biochem. Ask @fldoctorgirl who scored very similarly to you on UWSA2 and scored literally 10 points higher on real deal than her UWSA2 and she mentioned bchem was a weakness of hers. My prediction for you on the real thing is probably low 250s on a bad day to low 260s on a good day
I appreciate that man. This whole ordeal is just terrifying. I'm hoping I can get a good score on this thing so I can rest easy. Trying not to close any doors because I literally have no clue what I want to do. Congrats on the great scores!
 
Long time watcher, first time poster...Take step 1 in a week. Ive been cancelled three times so far lol. NBMEs are as follows:

NBME 15: 240 6/14
NBME 17: 252 6/21
NBME 18: 248 6/28
UW 1 : 256
NBME 24: 250 7/4
UW 2: 249 (haven't gone over biochem in 5 months. planning on that being the last week grind. Got wrecked on it) 7/11
NBME 21: 253 7/16

Finished Uworld with a 72%...I suck at Uworld. May be the only one who has ever done better on nbmes than Uworld consistently. I tend to overthink everything. Had a lot of buddies drop 10+ points from UW2 and that's terrifying. Anyone have any insight on these scores and what my actual score should be? My goal is a 245 but I honestly just want to do my best

Agreeing that you’re going to be in the 250s easily. You’re right on my UWSA scores (mine were 254 and 249 respectively) but your NBMEs are way higher. I made a 236 on NBME 24 and I pulled a 247 on the real deal.
 
Agreeing that you’re going to be in the 250s easily. You’re right on my UWSA scores (mine were 254 and 249 respectively) but your NBMEs are way higher. I made a 236 on NBME 24 and I pulled a 247 on the real deal.
Congrats!! I would kill for a 247! Idk why I do so much better on the nbmes. Hopefully we make similar scores! How would you rate your overall test experience? Was it similar to the UW assessments or question banks? Or was it similar to NBMES?
 
Congrats!! I would kill for a 247! Idk why I do so much better on the nbmes. Hopefully we make similar scores! How would you rate your overall test experience? Was it similar to the UW assessments or question banks? Or was it similar to NBMES?

I’m rooting for you! I kind of felt like it was a mix of everything - I feel like I had more long question stems than short ones for the most part. Mostly third order questions (naturally).

I didn’t actually feel too bad leaving. My first couple and last couple of blocks didn’t feel bad at all. The middle felt terrible, though, but I was glad it happened in that order because something that starts well and ends well feels pretty good. I felt like it also had a great mix of subjects so I didn’t get too mentally fatigued (compared to comlex which repeated things every few questions and I wanted to bash my head into the wall). I didn’t end up taking any breaks (carefully evaluated after every block, but didn’t feel frustrated/tired) so I was out around 1pm. Got myself a good lunch and a nap. It wasn’t a bad day at all for me.

I hope yours is the same!
 
I’m rooting for you! I kind of felt like it was a mix of everything - I feel like I had more long question stems than short ones for the most part. Mostly third order questions (naturally).

I didn’t actually feel too bad leaving. My first couple and last couple of blocks didn’t feel bad at all. The middle felt terrible, though, but I was glad it happened in that order because something that starts well and ends well feels pretty good. I felt like it also had a great mix of subjects so I didn’t get too mentally fatigued (compared to comlex which repeated things every few questions and I wanted to bash my head into the wall). I didn’t end up taking any breaks (carefully evaluated after every block, but didn’t feel frustrated/tired) so I was out around 1pm. Got myself a good lunch and a nap. It wasn’t a bad day at all for me.

I hope yours is the same!
You and I both that sounds amazing. Im just gunna fly through FA this week and pay attention to embryo, anatomy and physiology. And just pray pulm stays off my test as much as possible haha. Congrats on an amazing score! Im sure you worked your butt off for it. Appreciate the words of encouragement!
 
I LOLed at your genetics comments because that’s how I feel with psych all the time. My first undergrad degree was in psych. Was embarrassed when it wasn’t my top section on the MCAT (thought I remembered everything so didn’t study psych at all before taking the MCAT) and still get mildly embarrassed when I don’t know a psych question in med school. I felt like my psych degree was awesome and comprehensive... I just completed it in 2009. It’s amazing how quickly you forget stuff when you don’t use it and aren’t exposed to it regularly.

And now that I realized I’m 11 years out from when I completed my first undergrad degree, I’m suddenly feeling really old. Somebody grab me a wheelchair, and get off my lawn while you’re at it.
haha! im right there with ya. its so embarrassing but we arent required to remember that stuff once in med school right????
 
Would appreciate advice from anyone who has done rx. On the rx question predictor thing where they forecast your score I'm at 211, 950 questions in. I might have a cbse I have to pass in 10 days (but probably 20). If I start just start doing uworld all day, will I get to 220 in 10 days or is that unrealistic? I think we need a 198 to pass and then take step, so I want to give myself a 20 point cushion. What is the best chance to get there, uworld or taking and reviewing nbme questions? Thanks for the input!!
 
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Would appreciate advice from anyone who has done rx. On the rx question predictor thing where they forecast your score I'm at 211, 950 questions in. I might have a cbse I have to pass in 10 days (but probably 20). If I start just start doing uworld all day, will I get to 220 in 10 days or is that unrealistic? I think we need a 198 to pass and then take step, so I want to give myself a 20 point cushion. What is the best chance to get there, uworld or taking and reviewing nbme questions? Thanks for the input!!
I don't think the Rx predictor means that much. You need to take a CBSE, or preferably start doing uw, so you find out where you stand percentile-wise.
 
Just completed the final question of uw they added yesterday. Nice feeling getting a 100% on your last block lol. Taking the beast tomorrow. I've poured my heart and soul into this thing so I hope everything goes well

You’re going to do awesome! Good luck!
 
Y'all have been here since the beginning of the year so I don't need to repeat my resources used and study strategies but quick layout of all my practice scores in order:

NBME 20 (3/15) - 219

UWSA 1 (5/6) - 243

NBME 21 (5/11) - 228

NBME 23 (5/18) - 232

NBME 24 (5/25) - 229

NBME 18 (6/1) - 224

UWSA 2 (6/7) - 251

Free 120 (6/9) - 75%

Real Deal (6/12) - 235

Post-score thoughts: I was predicted at 243 but I always felt the predictor was giving UWorld too much credit. My UWorld average was like 247 while my NBME average was 230 so I realistically expected to land somewhere between the two and I am not at all disappointed that I fell below my predicted score. I was severely burnt out by the end of dedicated (likely exacerbated by all the Prometric drama) and like I said before, there was nothing more I could've done to prepare for that exam so I was ready when I took it. There were many more straightforward gimme questions than I was expecting and I know I definitely overthought some of them on the exam (I literally chose the only live vaccine option when the vignette involved a pregnant woman). I also feel I had a relatively easier form in terms of there not being a ton of super difficult WTF questions compared to other people so I feel the curve was more unforgiving and those missed gimmes cost me a bit. I felt pretty meh leaving the exam, not good or bad but more relieved it was over and still running on adrenaline but I literally did a complete 180 the next day and was terrified I had massively underperformed. I can't even describe my anxiety over the past week and a half feeling like the past 2 years of my life were going to amount to nothing and I had no one to blame but myself for missing stuff I would normally answer correctly without a second thought. The stress and nerves of exam day are real and it will trip you up on stuff you know you know and you will be kicking yourself afterwards (I know I did). I kept torturing myself (for whatever reason) by reading threads on Reddit about people who felt fine leaving the exam and ended up scoring well below predicted and I was wholly convinced that was going to be me. This was only exacerbated when I started reviewing for COMLEX and kept being reminded of questions on my exam and realizing I had gotten them wrong. I went home for COMLEX this weekend and had to come back to my apartment last night because I couldn't bear to be around my family when I got my score as I really felt it was not going to be what I wanted. I had to go outside because I have hardly any reception in my apartment and still don't have WiFi yet and literally burst into tears in the middle of a very crowded bike path when I saw my score. My goal was always 230 as I want to do EM and have absolutely no desire for surgery or anything more competitive than EM so I am absolutely ecstatic. For a split second I was disappointed that I didn't hit 240+ as UWorld had given me hope that I could score higher but I landed right where I could've realistically expected and I am perfectly competitive for the field I want to pursue and that's all that matters.

I can't thank you all enough for your support and boosting my morale along the way when I got down on myself. The stress of Step 1 is awful in and of itself but to deal with this in the current circumstances is next level awful and we all deserve so much credit for enduring it no matter what our scores are/end up being. It takes a lot of mental toughness to deal with what we've dealt with and I am so proud of all of you. I will be hanging around here to see all the awesome scores coming in the next few weeks and will be starting our Step 2 thread soon (unless someone else beats me to it lol). And I realize it's easy for me to say this now but Step 1 really is just a number and it does not define you or your future as a physician. Having interacted with all of you for the better part of a year now, I couldn't be happier to have all of you as colleagues.
Hold up, curious about this. You did truelearn questions 3x, on top of UWorld? I've always heard to just do UWorld so curious about this approach.

Also, curious about your comment about Dorian (cheesy, I'm assuming?): I'm assuming the deck is split into sub-decks when you mention doing the UWorld + OME specific ones. So, we can only do those cards and yield solid results? I'm definitely over doing tons of cards after this whole Step 1 experience, so the least I could do the better-- I owe it to my SO lol.
I’m literally currently going through what you went through except I felt like my test was extremely difficult and I definitely missed quite a few easy questions (I was exhausted could not sleep at all night before). So missing all the give me’s plus all the hard questions I probably also missed is freaking me out. Like I literally feel like I failed but my most recent NBME 18 and UWSA2 were landing me in the upper 240- 250s range. I feel like I totally chocked test day and don’t know how to relax now And on top of that I take my comlex tomorrow, which is also probably why I can’t relax. Studying for comlex is also reminding me of the questions I got wrong.
 
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