Took it today. Just keep in mind, I had family, peds, and surgery before internal.
Felt surprisingly straight forward. Some random diagnoses, but for the most part a lot of pathophys and next best step questions. For example, >75% of the questions required you to recognize a dx then state the next best step or something about the disease process itself (which shouldn't seem too surprising). I've heard comparisions made between the Family Medicine and Internal Medicine shelves, and I can say after taking both that Family was a lot more random with a greater focus on prev med, which I found harder.
Lots of labs too on this one and you definitely have to infer from the info they give. Thought infectious disease was the hardest stuff, while pulm/cv (which are weighted most) were easiest. Go figure 🙂
Books I used, in the following order:
Case Files-->MTB Step 2 CK-->NMS Medicine Casebook
I did all of Pretest Medicine and UW Internal Med and annotated from UW to Step Up To Medicine, which I did use, although I never read straight through. I would just read relevant sections in areas I was struggling with in UW or from questions I missed. I did this bc I plan to just use SUTM with annotations for dedicated Step 2 time.
Good luck! It's not hard but definitely study a little bit each day from day 1-shelf time. Focus on your weaknesses as well!
I will report my score when I get it so others can see if my thoughts and study plan were worth anything 🙂