USMLE USMLE - Official 2016 Step 2 CK Experiences and Scores Thread

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Trogdor_The_Burninator

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Hello everyone!

With 2016 around the corner, I thought it would be a good time to start this thread and continue the 2015 thread into the new year!

Similar threads from the past have been extremely helpful to me (and I'm sure) and many others.

Good luck to everyone taking Step 2 CK in 2016!
 
Got my score back. Was within 2 points of my UWSA.

Of course I'm happy about my score, but god damn that test sucked. I never want to feel like that after a test again.

That is exactly how I feel right now. Keep looking up stuff and realizing the dumb mistakes I made :-(
 
You probably got around 265+ if not 270+. This exam will never ever feel good with how vague the question choices are.
 
You probably got around 265+ if not 270+. This exam will never ever feel good with how vague the question choices are.
Thanks, man. Would be wonderful. Feel like crying, seriously hope I am not the only one who keeps finding mistakes afterwards...
 
I am sorry. I know I sound like an idiot, but I am seriously freaked out and it is scaring me. Also, I tend to get extra labile even on low prednisone doses for my GN. Don't know what else to say 🙂

What you should do is go buy you some made CHINA fireworks and celebrate 4th of July and being done with this painful exam ... lol
 
I am sorry. I know I sound like an idiot, but I am seriously freaked out and it is scaring me. Also, I tend to get extra labile even on low prednisone doses for my GN. Don't know what else to say 🙂
lol I didn't even read your post. That was my post-exam feeling from today.

I just read your post though and my emoji still applies. Complain away while you had 5-10 minutes left each block... I didn't have any time left for any block lol.
 
lol I didn't even read your post. That was my post-exam feeling from today.

I just read your post though and my emoji still applies. Complain away while you had 5-10 minutes left each block... I didn't have any time left for any block lol.

I hear you... That WTF feeling is really really scary. I actually feel worse today, because all that stuff keeps piling up. LOL, I know... I chose an answer very quickly for each Q, even if I did not fully get it, because I wanted to make sure I at least did not end up with unanswered Qs. Did not have time to look at all my marked Qs in all blocks, though.

I am guessing, you feel shell-shocked as well?
 
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Guys, I'm freaking out and don't know what to do. I got 250+ on step 1 and don't want to ruin it with a bad showing on step 2, but my tests and stuff are all over the place and my exam is next Tuesday.

6/18 NBME 7: 235 (done before any studying at all, basically cold)
6/20 NBME 4: 246
6/26 UWSA: 236
6/26 NBME 6: 248
Today NBME 3: 221
Today Free 150: 83%
UWorld: 77% second pass, timed random, 60% complete

I don't know what to do. I don't know what's wrong. Honestly I'm feeling pretty devastated because I feel like I could walk in on test day and wind up posting something in the 220s.

Any advice would be really appreciated.
 
Guys, I'm freaking out and don't know what to do. I got 250+ on step 1 and don't want to ruin it with a bad showing on step 2, but my tests and stuff are all over the place and my exam is next Tuesday.

6/18 NBME 7: 235 (done before any studying at all, basically cold)
6/20 NBME 4: 246
6/26 UWSA: 236
6/26 NBME 6: 248
Today NBME 3: 221
Today Free 150: 83%
UWorld: 77% second pass, timed random, 60% complete

I don't know what to do. I don't know what's wrong. Honestly I'm feeling pretty devastated because I feel like I could walk in on test day and wind up posting something in the 220s.

Any advice would be really appreciated.
I wouldn't trust NBME 3. I know someone who got a 219 on it and pulled a 270+ on CK.
 
Guys, I'm freaking out and don't know what to do. I got 250+ on step 1 and don't want to ruin it with a bad showing on step 2, but my tests and stuff are all over the place and my exam is next Tuesday.

6/18 NBME 7: 235 (done before any studying at all, basically cold)
6/20 NBME 4: 246
6/26 UWSA: 236
6/26 NBME 6: 248
Today NBME 3: 221
Today Free 150: 83%
UWorld: 77% second pass, timed random, 60% complete

I don't know what to do. I don't know what's wrong. Honestly I'm feeling pretty devastated because I feel like I could walk in on test day and wind up posting something in the 220s.

Any advice would be really appreciated.

sloop theres no way your posting 220s man, just listen to slim and take 3 as an anomaly. seems like your right around 250ish so just keep pushing on. whats the worst thats gonna happen? a slight score drop? NO BIG DEAL a year from now when your a resident your gonna look back and laugh cause your gonna be long done with all this crap anyway. ive heard theres a fair amount of pathophys and step 1 material tested on step 2 so with ur solid step 1 foundation good chance you'll earn easy points here whereas someone with a weaker step 1 background is more likely to miss these. little things add up and can make the difference so just CALM DOWN and keep pushing on man youll crush no doubt
 
Guys, I'm freaking out and don't know what to do. I got 250+ on step 1 and don't want to ruin it with a bad showing on step 2, but my tests and stuff are all over the place and my exam is next Tuesday.

6/18 NBME 7: 235 (done before any studying at all, basically cold)
6/20 NBME 4: 246
6/26 UWSA: 236
6/26 NBME 6: 248
Today NBME 3: 221
Today Free 150: 83%
UWorld: 77% second pass, timed random, 60% complete

I don't know what to do. I don't know what's wrong. Honestly I'm feeling pretty devastated because I feel like I could walk in on test day and wind up posting something in the 220s.

Any advice would be really appreciated.

You'll be fine mayne. Just keep going over UW and your notes. Seems like most people's practice tests have been all over the place, particularly the older NBMEs, and aren't as "predicative" as they may have been for Step 1, so just forget them. On the bright side, you're probably getting an interview at any psych program in the country with a 250+ Step 1 regardless of Step 2. Trust your knowledge from the last 3+ years and grind out these last few days.
 
I wouldn't trust NBME 3. I know someone who got a 219 on it and pulled a 270+ on CK.
True, there is a reason why I did not do it. Have seen people stating its non-existing reliability for quite a while. Seems you are in the 240-zone, focus solely on your weak areas and let everything else be.
 
Does anyone know what to do if there is a clear mistake in one of the exam Qs? Since we are not supposed to share any details, all I can say is that there was a blood test that was not physiologically possible. Not in the context of the question - or even otherwise - not even case report wise. Totally threw me off. It was probably an unscored Q, but I feel like someone should tell the NBME.
 
I wouldn't trust NBME 3. I know someone who got a 219 on it and pulled a 270+ on CK.

sloop theres no way your posting 220s man, just listen to slim and take 3 as an anomaly. seems like your right around 250ish so just keep pushing on. whats the worst thats gonna happen? a slight score drop? NO BIG DEAL a year from now when your a resident your gonna look back and laugh cause your gonna be long done with all this crap anyway. ive heard theres a fair amount of pathophys and step 1 material tested on step 2 so with ur solid step 1 foundation good chance you'll earn easy points here whereas someone with a weaker step 1 background is more likely to miss these. little things add up and can make the difference so just CALM DOWN and keep pushing on man youll crush no doubt

You'll be fine mayne. Just keep going over UW and your notes. Seems like most people's practice tests have been all over the place, particularly the older NBMEs, and aren't as "predicative" as they may have been for Step 1, so just forget them. On the bright side, you're probably getting an interview at any psych program in the country with a 250+ Step 1 regardless of Step 2. Trust your knowledge from the last 3+ years and grind out these last few days.

True, there is a reason why I did not do it. Have seen people stating its non-existing reliability for quite a while. Seems you are in the 240-zone, focus solely on your weak areas and let everything else be.

Thanks for your responses guys!

I'm just trying not to let it get to me. I feel like I've learned a lot since starting studying so I'm just kind of perplexed what is going wrong.

I think I'm gonna try to focus on uworld the next two days, with maybe some broad review, esp. of weaker areas.

I just hate this whole process. I find it much worse than step 1 studying. I kind of wish I had more time, but I don't want to delay this thing.
 
Thanks for your responses guys!

I'm just trying not to let it get to me. I feel like I've learned a lot since starting studying so I'm just kind of perplexed what is going wrong.

I think I'm gonna try to focus on uworld the next two days, with maybe some broad review, esp. of weaker areas.

I just hate this whole process. I find it much worse than step 1 studying. I kind of wish I had more time, but I don't want to delay this thing.

Do not delay. It will only make you feel worse. It's like girls who get a massive boob job or guys who do steroids. The insecurity does not go away. Personally, I never ever feel as ready as I want to for exams like these, because there is really no limit to the curriculum. There is always going to be something you do not know or had not thought of so as long as you feel that you have taken a significant step up from your 235 on NBME 7, you will do fine. A suggestion might be to not just go through random Qs on UWorld, but make a very specific prioritized list of weak areas. Since we never get all the way through those kinds of to do lists anyway, just start from the top and know that whatever you do not have time to review does not matter that much because that was not your weakest area anyway. For the exam itself, try not to overthink. I got at least 10 Qs wrong by focusing on one weird detail instead of the rest of the case.
 
Do not delay. It will only make you feel worse. It's like girls who get a massive boob job or guys who do steroids. The insecurity does not go away. Personally, I never ever feel as ready as I want to for exams like these, because there is really no limit to the curriculum. There is always going to be something you do not know or had not thought of so as long as you feel that you have taken a significant step up from your 235 on NBME 7, you will do fine. A suggestion might be to not just go through random Qs on UWorld, but make a very specific prioritized list of weak areas. Since we never get all the way through those kinds of to do lists anyway, just start from the top and know that whatever you do not have time to review does not matter that much because that was not your weakest area anyway. For the exam itself, try not to overthink. I got at least 10 Qs wrong by focusing on one weird detail instead of the rest of the case.

Right, so I've realized that part of my problem is that on some tests I got really bogged down in details and was super suspicious of every question. This leads to me both overthinking a lot of questions and not having time to review at the end. I've done like four blocks today and tried to really keep myself from getting bogged down and have done better than I usually do. I've had more time to review and my scores are better and more consistent than most days (and the difficulty of the tests is about the same. It bumped my overall average up one percent and my scores were one 75, with the other 3 between 80-85%.

I'm wondering, honestly, if this is part of the problem. I just don't know.

My weakest subject is probably gyn (which is annoying because I did really well on that shelf, but it was like 10 months ago so I guess that makes sense). My best are psych and surgery. I honestly haven't even reviewed surgery material at all because I just got off of it (and did really well on the shelf), but I think I will skim pestanas later today.

I think my plan for today is to skim the highlighted paragraphs in Beckman's and maybe skim case files OB, with some pestanas tonight if I have time.

My issue is that my weak areas in medicine don't follow much of a discernible pattern, with the exception of maybe optho and derm, which I'm not sure I have a great resource for. I was weak on ID but I watched the online med ed videos and thoroughly read and annotated the chapters in both mtb and SU2S2 on it, which I think helped a lot.

I'm alright at Peds bread and butter stuff. Had that somewhat recently and did well on the shelf. I think I could use some brush up on the esoteric stuff. I'm wondering if it's worth skimming through my BRS for that, only reading what I highlighted. I'm pretty selective in my highlighting and I think I could do it in like an hour or two, and would probably mostly be the esoteric stuff I'm looking for (D-B anemia, metabolic disorders, etc.)

Also, is there a good resource for neuro? I haven't had neuro yet and am sort of weak on it (though I think I've been improving in uworld on it).

Does this seem like a good plan? I also want to try to get as much uworld done as possible to improve my pacing and get rid of my maladaptive OCD testing behavior before test day.
 
That was my problem during the real test. I have gone through a very large number of questions I remember and in almost all of them, I picked the obscure answer because of one minor detail. To be honest, I am wondering if I can even get a 240 now.

So yes, really try to "dumb every case down" if you know what I mean. Knowing and having seen "too much" might not necessarily be an advantage on this exam.

Surgery: Would not waste time on that. I am sure you know what you need to know. Just go through the trauma section if you have to.
Neuro: Neuro is not a very HY subject, but they do tend to follow a certain pattern. Dementia, moving disorders, Qs related to basic neuroanatomy. CMS will give you the idea.
Peds: If you can get through it in 1-2 hours, go for it. I found peds to be one of the more challenging parts. They can ask just about anything.
OBGYN: Also more difficult than anticipated, but you could do a bit of CMS to get used to the format.
 
Got my score back Wednesday >265.
Felt the exam was very hard compared to step 1 but I heard that was normal. All I really did was UW and averaged 89%.
Congratulations man.

What was first pass UW %? How were you doing on CMS NBMEs and shelf exams? Any other advice?
 
I am done today.. I felt like I was kidnapped by ISIS and tortured.. 4 silly mistakes detected already.. 🙁

I write down a more detailed experience later..In general it was very lengthy .. there were very few questions that dealt with obscure diseases etc...most of the exam was on common stuff ..uworld covers most of the material asked on the test...the questions are super-vague...and I realize that in many questions skipping some words can prove to be fatal...the questions quality of uworld/uwsa was considerably higher...a handful of questions tested guidelines that seem out dated...I was very jittery in my first block and ran out of time..i could not properly attempt 2 questions...and i made some silly mistakes.... I goofed up on some gimmes...about 10-15 % questions one cannot be sure about the correct answer ever...it depends on the line of thinking of the examiner...I had 350 questions in total...8 x44 + 1x 42...abstract was in the 42 question block...biostats was easy except...ethics ranged from standard stuff to super vague...marked around 6-10 questions a block..
Overall this was not as much a test of knowledge or understanding as it was of judging ability...i hope the famed liberal curve of this exam works to my favor...My nbmes ranged from 260-277...will consider myself lucky to get 250 on this beast...
 
I am done today.. I felt like I was kidnapped by ISIS and tortured.. 4 silly mistakes detected already.. 🙁

I write down a more detailed experience later..In general it was very lengthy .. there were very few questions that dealt with obscure diseases etc...most of the exam was on common stuff ..uworld covers most of the material asked on the test...the questions are super-vague...and I realize that in many questions skipping some words can prove to be fatal...the questions quality of uworld/uwsa was considerably higher...a handful of questions tested guidelines that seem out dated...I was very jittery in my first block and ran out of time..i could not properly attempt 2 questions...and i made some silly mistakes.... I goofed up on some gimmes...about 10-15 % questions one cannot be sure about the correct answer ever...it depends on the line of thinking of the examiner...I had 350 questions in total...8 x44 + 1x 42...abstract was in the 42 question block...biostats was easy except...ethics ranged from standard stuff to super vague...marked around 6-10 questions a block..
Overall this was not as much a test of knowledge or understanding as it was of judging ability...i hope the famed liberal curve of this exam works to my favor...My nbmes ranged from 260-277...will consider myself lucky to get 250 on this beast...
270+. Calling it now
 
I am done today.. I felt like I was kidnapped by ISIS and tortured.. 4 silly mistakes detected already.. 🙁

I write down a more detailed experience later..In general it was very lengthy .. there were very few questions that dealt with obscure diseases etc...most of the exam was on common stuff ..uworld covers most of the material asked on the test...the questions are super-vague...and I realize that in many questions skipping some words can prove to be fatal...the questions quality of uworld/uwsa was considerably higher...a handful of questions tested guidelines that seem out dated...I was very jittery in my first block and ran out of time..i could not properly attempt 2 questions...and i made some silly mistakes.... I goofed up on some gimmes...about 10-15 % questions one cannot be sure about the correct answer ever...it depends on the line of thinking of the examiner...I had 350 questions in total...8 x44 + 1x 42...abstract was in the 42 question block...biostats was easy except...ethics ranged from standard stuff to super vague...marked around 6-10 questions a block..
Overall this was not as much a test of knowledge or understanding as it was of judging ability...i hope the famed liberal curve of this exam works to my favor...My nbmes ranged from 260-277...will consider myself lucky to get 250 on this beast...

The post I was waiting for. I do not know what happened either. I made a list of the approximately 60 vague Qs I struggled with and have been torturing myself going through them again and again. I know that 25 of them I definitely got wrong. Then I started doubting myself on other Qs too. What if this and that? What if I read the Q wrong? Why did he have that extra symptom which is more specific for another disease? But IRL, you could do any of these tests next depending on availability? Etc. etc... I hate this... I agree that way too many of the questions are a judgment call rather than specific to guidelines and evidence. I have never missed a diagnosis IRL, but this was simply madness. I feel for you, man...
 
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Joke, right?
Was exaggerating to prove a point, of course, but I am still very very shaken up. I graduated in 2010. Haven't missed anything since I got into cardio though and I did have a rep. in IM as well. Real patients do not have to be as vague as the NBME wants them to be.
 
Was exaggerating to prove a point, of course, but I am still very very shaken up. I graduated in 2010. Haven't missed anything since I got into cardio though and I did have a rep. in IM as well. Real patients do not have to be as vague as the NBME wants them to be.
You've never had a patient come into the hospital, get treated for acute symptoms overlying a chronic, undiagnosed problem, and get discharged without ever finding out what was really causing their ailment?
 
The post I was waiting for. I do not know what happened either. I made a list of the approximately 60 vague Qs I struggled with and have been torturing myself going through them again and again. I know that 25 of them I definitely got wrong. Then I started doubting myself on other Qs too. What if this and that? What if I read the Q wrong? Why did he have that extra symptom which is more specific for another disease? But IRL, you could do any of these tests next depending on availability? Etc. etc... I hate this... I agree that way too many of the questions are a judgment call rather than specific to guidelines and evidence. I have never missed a diagnosis IRL, but this was simply madness. I feel for you, man...

indeed..not only could you do multiple tests you could do more than one too...and many a times the order is not all that important..
 
You've never had a patient come into the hospital, get treated for acute symptoms overlying a chronic, undiagnosed problem, and get discharged without ever finding out what was really causing their ailment?

Not while in cardio, but I worked at a tertiary centre before starting my ph.d., which makes things a lot easier because you have all the information you need. I do remember some head scratchers from IM, e.g. one girl who MIGHT have had hyper-IgD syndrome, one boy who MIGHT have had tularemia (he was transferred before I found out), etc.

I am not saying I am always right, and that patients are always textbook material, etc. Not at all. I am simply shocked because I did not find the relatively large number of vague cases representative of what I am used to seeing. And also that sometimes you do a number of the suggested tests all at once because you need more than one of them to come to a decision. Please take my post with a grain of salt. I haven't left my apartment for two days.
 
indeed..not only could you do multiple tests you could do more than one too...and many a times the order is not all that important..
Exactly. Why not build the question in a way that sticks with the guidelines if you really HAVE to decide between two tests?
 
Not while in cardio...
I find it silly to think that you've "never missed a diagnosis" since starting cardiology. Why exactly aren't you practicing at the #1 institution in the country and all over the news?

I am not saying I am always right
You just did, 2 posts ago 🙂

Please take my post with a grain of salt. I haven't left my apartment for two days
I'm just playing devil's advocate since I found your post amusing. Enjoy being done with step 2, and keep kicking ass in whatever it is you end up doing with your career!
 
You've never had a patient come into the hospital, get treated for acute symptoms overlying a chronic, undiagnosed problem, and get discharged without ever finding out what was really causing their ailment?

actually problem with nbme is that they purposefully try to obfuscate case scenarios...of course clinical medicine can certainly be tough ...but reading a patients description which is written with the intent of blurring what happened v/s seeing the patient is a different ball game altogether...the questions contained tons of useless stuff...inbetween all that were 1 or 2 descriptors that changed a lot...
 
I find it silly to think that you've "never missed a diagnosis" since starting cardiology. Why exactly aren't you practicing at the #1 institution in the country and all over the news?


You just did, 2 posts ago 🙂


I'm just playing devil's advocate since I found your post amusing. Enjoy being done with step 2, and keep kicking ass in whatever it is you end up doing with your career!

LOL... I hear you... As I wrote a few posts ago, my prednisone really makes me labile as well; believe me, I have said some weird things to my friends over the years... I am just trying to process what just happened, and since > 48 hours have passed, I offically have acute stress disorder. Thanks for the friendly torture though - and thank you all for not banning crazy me from the forum 🙂
 
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I am done today.. I felt like I was kidnapped by ISIS and tortured.. 4 silly mistakes detected already.. 🙁

I write down a more detailed experience later..In general it was very lengthy .. there were very few questions that dealt with obscure diseases etc...most of the exam was on common stuff ..uworld covers most of the material asked on the test...the questions are super-vague...and I realize that in many questions skipping some words can prove to be fatal...the questions quality of uworld/uwsa was considerably higher...a handful of questions tested guidelines that seem out dated...I was very jittery in my first block and ran out of time..i could not properly attempt 2 questions...and i made some silly mistakes.... I goofed up on some gimmes...about 10-15 % questions one cannot be sure about the correct answer ever...it depends on the line of thinking of the examiner...I had 350 questions in total...8 x44 + 1x 42...abstract was in the 42 question block...biostats was easy except...ethics ranged from standard stuff to super vague...marked around 6-10 questions a block..
Overall this was not as much a test of knowledge or understanding as it was of judging ability...i hope the famed liberal curve of this exam works to my favor...My nbmes ranged from 260-277...will consider myself lucky to get 250 on this beast...

This post makes me feel a little better. I felt the same. I only took 1 NBME after I started studying in the same range, but I ran out of time on almost every single block. I'd say on 5/8 blocks there were 1-2 questions where I couldn't even read the whole stem because I would have ran out of time so I essentially just picked the answer choice that sounded good based on whatever the last line said. Goofed on a couple gimmes as well.

Overall, I think the content wasn't that bad. The questions were just consistently pretty long. I had very few gimmes on this test. On the NBME I had, there were multiple every block. On step 1, I remember getting even a few 1 liners. I feel like you had to work for almost every single point on this one. I'm just hoping other people felt the time crunch as well, otherwise I'm not so sure the scoring will work out in my favor because a few of those questions I had to guess on at the end actually seemed like those were the easy ones.

Definitely planned by them now that I think about it. Had 3 different auscultation questions, every single one showed up within the last 7 of the block as a big F U if you were running short on time or had ear plugs in. (hopefully saying that isn't some type of violation)... which also reminds me that I'm terrible on ethics questions and it didn't get better on CK.
 
actually problem with nbme is that they purposefully try to obfuscate case scenarios...of course clinical medicine can certainly be tough ...but reading a patients description which is written with the intent of blurring what happened v/s seeing the patient is a different ball game altogether...the questions contained tons of useless stuff...inbetween all that were 1 or 2 descriptors that changed a lot...
That's the thing! You SEE the patient, you know what to do.
 
actually problem with nbme is that they purposefully try to obfuscate case scenarios...of course clinical medicine can certainly be tough ...but reading a patients description which is written with the intent of blurring what happened v/s seeing the patient is a different ball game altogether...the questions contained tons of useless stuff...inbetween all that were 1 or 2 descriptors that changed a lot...

Are you guys telling me that seeing a real patient , going over their chart , ordering tests and coming up with a diagnosis in less than 90 sec is NOT real Life .. lol
 
When residence program directors ask me about my accomplishments during interviews .. I'm gonna say that i was once able to diagnose and treat close to 344 patients with pretty solid accuracy in the amount of time it takes your current residence to discharge a single patient . imagine the possibilities .. lol
 
actually problem with nbme is that they purposefully try to obfuscate case scenarios...of course clinical medicine can certainly be tough ...but reading a patients description which is written with the intent of blurring what happened v/s seeing the patient is a different ball game altogether...the questions contained tons of useless stuff...inbetween all that were 1 or 2 descriptors that changed a lot...
So almost like getting a history from every patient IRL?
It's a test. They have to make it difficult somehow, otherwise it would be pointless.
 
Took it today. Was very nervous and dreading this day. This is how I feel .....

Uworld: you know that PAP smear algorithm I taught you?
Me: yes Uworld master, I made a chart and memorized this uselessness that I will never use in my future because it was scattered amongst 2500 questions in your qbank
Uworld: ok great, now apply that to a mutant monkey with turners syndrome in space that is 24 years old but turns 25 as you get the test results and recently tested positive on a PPD

As expected I feel defeated and deflated like I did after step 1. I tried to be positive but I just was dreading this day and had a hard time engaging. Had to stop multiple times to catch my breath and regroup ... this was what I have been studying the past 7 weeks for. Stop messing around!

As for the test itself. I struggled with time. Most blocks left me half guessing the last couple questions. The obscure wasn't as obscure as it was in step 1 for me. I remember from step 1 having many questions I literally flat out guessed and had no clue what was going on (and I got a 255). For step 2 I almost always knew what was going but the situation was twisted in a new way that became a 50/50... over and over and over. Or the question was basic about something not covered in Uworld / main study books. That is probably the most frustrating thing. Staring at a very basic concept / question that you can't answer because you haven't seen it before. Oh yes.... and then the images. It is 2016 ... why am I getting a black and white blurry photo from 1970 of a child with a disease that occurs all the time? Its such a cheap way to "confuse" you. And then EKG's that are so tiny.

I just hope my hard work pays off. My fear is I only took 2 practice tests ... one baseline and the other 3 weeks ago. Thus I don't really have an "expectation score" so to speak I just hope I do better than the one 3 weeks ago (NBME 7 246)
 
yeah...the images were extremely old...maybe due to HIPAA regulations or the stringent copyright regulations ,they could not get newer ones...the ekgs on my test were pretty standard and easy to recognize...the murmurs /heart sounds were easy to recognize ...
 
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