1) I find it cruelly ironic that you pronounce the USMLE in such a cheery way, since there's nothing about the USMLE or the NBME that makes me want to smile. When I'm not thinking about how they hold my future in their sweaty, greedy little hands, I'm thinking about how they're bleeding my bank account dry. I mean, $1500 for Step 2 CS and CK? And you can only take Step 2 CS in 1 of 6 locations in the US? Please. [I suppose I shouldn't complain since I go to school in Philadelphia, where the NBME is based, so it's technically not a problem for me but still - it's the principle of the matter.]
(Yes, I'm quite bitter.)
2) The free questions from the NBME were nothing like the questions on my real exam. The free 150 questions focused heavily on diagnosis and basic science, but the real exam (for me) focused mostly on treatments and drug interactions. If the NBME is going to charge so darn much for the "opportunity" to spend 7 hours in standardized-exam-hell, then I would appreciate better free practice questions.
(All right, I'm very bitter.) 😳
If you're truly curious about what board questions look like, the next time you're in a medical bookstore or Barnes and Noble, check out Kaplan's QBook or First Aid's practice questions. I'm not recommending that you do this, but - hey, if you're really bored and really curious, go for it.