One more pass of UFAPS? You scored 196 on NBME 18 like 6 weeks ago, so with one more pass you should be able to confidently pass. I'm in the same boat kinda, but first I need to pass comlex before I take step. My scores are also hovering just above passing, but not really high up there. I know I'm not helping probably, but all we can do is keep studying, keep pushing it until we pass. I can at least say that it's extremely rare for someone to not pass given he/she gave all there was and studied and put a lot of work. The amount of material is finite and it's all doable.