Took the test today. Felt kinda blah while I was taking it. Either the questions were really obvious (tons of identifiers) or were really vague (scenario that made two or three ddx's possible and required you to assume the most common disease was the diagnosis). The pharm ads and abstract were pretty straight forward, as was the biostats. Pretty even distribution of topics. Plenty of resp, cardio, neuro, and GI. Not much renal. Quite a few management questions where the clinical scenario didn't seem like enough info to make the decision (like one question where a patient had a posterior knee dislocation with obvious arterial occlusion, they reduced it and said the patient could move again, then asked next step. Do nothing, arteriography and duplex were all choices. Without knowing if moving= revasc because there was no follow up pulse exam, tough to make that call. I wanted to do compartment pressures, but that wasn't an option). In general, it seemed tough but fair. Felt a lot like my experience with NBME 2 and UWSA.
Prep time: 3.5 weeks dedicated study. Took one whole weekend off and relaxed for a few days between UWSA and NBME 2.
Materials: DIT lectures, all x 1., all of Step up to step 2, all of step 2 secrets once.
Only managed about 20% of UWorld focusing mostly on weak areas. Random timed blocks were 69%. I had just finished my medicine clerkship and had done all of MKSAP, so the majority of the material was fresh except Peds and OB.
(3.5 weeks out) NBME 1: 209
(2.5 weeks out) NBME 3: 218
(1.5 weeks out) NBME 4: 232
(1 week out) UWSA: 245
(2 days out) NBME 2: 251
I honestly don't feel like this went as well as the last two practice tests. I will know in 3-4 weeks though.
Good luck to those who are taking it soon, and congrats to those who have finished.