Just got my score back: 271!! Beyond excited, was hopeful for a high score but definitely wasn't expecting this. Below you can see my write-up and feelings immediately post-test, happy to answer other questions.
"Also just got done taking the beast today, glad to answer any questions.
I walked out of the test knowing that I wouldn't change my studying methods even if I could go back, the things that were difficult were either EXTREMELY vague or I had no idea what the question was actually asking me. That being said, I felt pretty decent motoring through the test (probably averaging 7-9 marked for the first 5 blocks) save for block three where I ended up marking more. Then the last two blocks hit and I either hit a wall or the questions hit my weak points, ended up between 10-15 I wasn't 100% sure on (I mark ones that I'm not 100% on, including guesses and things where I may be 75% on). I think my exam had random blocks of 42-44 strewn about, I know I had a few right in the middle of my exam. What really frustrated me about the test was something that everyone else has echoed coming out; some questions are just so vague where you're like "I really don't know if the lack of a fever makes me rule this out or not but the other answers don't make sense either", or you get it down to a 50/50 gut call. There were only a HANDFUL of questions (maybe like 5-7) where I had no idea what they were even getting at (usually involving a picture or echo or whatnot) which was less than I was expecting honestly. On the whole I would say it felt similar to uworld, just a lot more vague and random at points. I thought it was honestly less difficult than step 1 in terms of breadth of knowledge but the dumb vagueness that kept popping up was frustrating.
As far as studying I went through uworld throughout the year and reset it again for a two week study period, also used step 2 CK (new version) which I would say was pretty helpful.
Step 1: 258
Shelfs: High 80's-low 90's raw score during the year
UW x 2, 82% average first time around, probably 95+% second time
NBME 6: 283
UWSA: 265
Free 150: 96%
Step 2- 271
I'm hopeful that I got a good score...but realistically it's going to come down to how well I guessed, which is unfortunate. I could see myself getting a pretty wide range from 240s-260+ (the latter only if I'm extremely lucky, not feeling great right now). For people that are still studying: definitely go over your immunodeficiency syndromes (I mean all of them in step 1, I had a super obscure one I wasn't expecting), brush up on murmurs/pediatric murmurs, and really really really know your diagnostic workup/differential for precocious puberty, primary amenorrhea, and breast masses. But it's probably test dependent (I probably had 10-15 questions on those concepts alone) so your mileage may vary."
