USMLE World Scores and Step II Scores

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

lmh14

Member
10+ Year Member
5+ Year Member
15+ Year Member
Joined
Mar 5, 2005
Messages
75
Reaction score
0
Probably been discussed before, but can't find a recent thread....

I'm just curious about what scores people were getting on USMLE World, and then how you ended up doing on Step 2.

All you have to do is post two numbers...... 🙂

Thanks folks, and good luck with everything!!
 
Thanks for your reply CDI.
I took my Step 1 last year and got 225. honestly i had not studied as much as i did for step 2.
My UW % was in low 60% but i took it timed,tutor ,subject wise mode.
How would u approach this exam if u were in my place and i would never wish that on anyone.
thanks again.

Your Step 1 score is solid, and higher than many who post here who improve greatly on CK.

UW% in low 60s% should have translated to a fairly good score otherwise. The method in which you use UW isn't important as long as you were reading/learning from it, and assuming you don't have issues with time.

If I was in your shoes, I would be sure to just read one resource very well - probably MTB 2/3 alongside UW. I'd read the chapter (once) and then do all the questions related to that chapter (in tutor mode). If I get anything wrong in UW, I'd explain to myself the thought process, and correct it on the spot. Jot it down, take a minute to memorize it, whatever I had to do to get that down. This time though, make sure you are scoring very high on NBMEs before you take it again (you'll need a higher score for obvious reasons this time through).
 
Step 1: 248
Step 2 CK: 275 (mean was 237)

UWSA: 265
NBME 6: 267
UWorld first pass: low 70s
UWorld second pass: low 80s

Shelf scores ranged from 70-high 80s.

Studies for two weeks. Did UWorld once during third year, and again during the two weeks. Also read MTB2 and Secrets twice.

The test itself was difficult; I felt like I marked 1/3 of each questions for each block. Left the test feeling unsure of how I did. Spent the past month focusing on the questions I got wrong.

My advice: TRUST YOUR PRACTICE TESTS. I don't think anyone leaves these tests feeling great. I wouldn't spend more than two weeks studying. On the whole, this was much more pleasant to study for than Step 1.
 
Step 1: 248
Step 2 CK: 275 (mean was 237)

UWSA: 265
NBME 6: 267
UWorld first pass: low 70s
UWorld second pass: low 80s

Shelf scores ranged from 70-high 80s.

Studies for two weeks. Did UWorld once during third year, and again during the two weeks. Also read MTB2 and Secrets twice.

The test itself was difficult; I felt like I marked 1/3 of each questions for each block. Left the test feeling unsure of how I did. Spent the past month focusing on the questions I got wrong.

My advice: TRUST YOUR PRACTICE TESTS. I don't think anyone leaves these tests feeling great. I wouldn't spend more than two weeks studying. On the whole, this was much more pleasant to study for than Step 1.

Did you find MTB or Secrets helpful? If so, for what part?
 
Those who took it today (7/24), what did yall think? Last 2 blocks were ridiculously hard for me. That's assuming we all took the same test...
From today's experience, there was no particular topic/subject more heavily weighed than others- pretty evenly distributed. Time is obviously a factor, so work on that with uworld/nbme.
Everythings a blur, but what I do remember is ~1/4 Qs/block started w _____ comes in w SOB for _____ days w yellow-productive sputum. Also had a couple Restless Leg Syndrome Qs (haven't seen that since Step 1)
9 hrs fly by faster than you'd think.
 
Last edited:
Did you find MTB or Secrets helpful? If so, for what part?

I can't think of anything in particular that they were helpful for - they were just pretty easy reads that were a good break from QBank. MTB2 seemed to cover some stuff that wasn't in UWorld - the emergency medicine section had a lot of great acute care stuff that I hadn't seen, but then again I didn't encounter that stuff in my actual test.

I don't think these books are essential by any means.
 
Step 1: 242

Avg of shelfs: 83

No review course. Studied from 6/17-6/28. No practice exams.
Uworld: 71% first pass.(1800 done during 3rd year) 85% 2nd pass (~600 questions)
Used Step-up to Step 2 CK and First Aid for Step 2 ck as review books during dedicated study time.

Step 2: 260
 
had a question for you guys..i took NBME 4 today and ended up getting a 206. I was shocked at my score. Unfortunately i didn't get the extended feedback and had to use the offline version to figure out how many i missed. I got about 77% correct (calculated that i missed around 41 questions). My question is does a 77% really correlate to a 206 on the NBME? it seems like a really harsh scale. My test is two days away and will most likely have to reschedule since of course the minimum passing score is now 203. I had been getting mid 60s on uWorld. :scared:
 
Last edited:
I read this and can sympathize. I do not think the NBME scores are calibrated to properly estimate your expected STEP 2 CK score. Stay strong and stay positive. Best of luck on your exam in two days!
 
had a question for you guys..i took NBME 4 today and ended up getting a 206. I was shocked at my score. Unfortunately i didn't get the extended feedback and had to use the offline version to figure out how many i missed. I got about 77% correct (calculated that i missed around 41 questions). My question is does a 77% really correlate to a 206 on the NBME? it seems like a really harsh scale. My test is two days away and will most likely have to reschedule since of course the minimum passing score is now 203. I had been getting mid 60s on uWorld. :scared:

NBME 4 one week out underestimated my score by 20 points, 237 -> 257.
 
Step 2: 265
UWorld round 1 throughout the year: 70%
UWorld round 2 (got through about 65%): 83%
Kaplan (got through 20%, then stopped because I didn't like it): 73%

Prep: I had 15 days of purely Step 2 CK studying, but I worked on it off and on for the last 4 months while on my clerkships. I used UWorld throughout the year to study for shelf exams (averaged 70%) along with other resources like CaseFiles. I tried Kaplan Qbank 6 weeks outside the test (I bought the 1 month, $99 option) and averaged about 73% doing about 20% of the questions. I didn't like the Qbank as much (about 20% of the questions weren't very well written, and about 10% went into very minute details) so I decided to go through UWorld a second time instead of buying an extension. I got through 65% in those two weeks and averaged an 83%. I would study the questions that I missed by watching a brief video on youtube, reading the uptodate.com summary section, reading the Wikipedia article, and then writing a brief "presentation, workup and treatment" summary. This would take about 15 minutes per topic. I then reviewed the 35 pages of summaries the day before the test. I liked this approach because I felt like the material really sunk in and I learned it not only for Step 2 but for my general medical knowledge as well.
 
Took it today. Here's my info and I'll post scores when they come back. Just a contribution for the work you guys put into this thread.

Prep:
11 days dedicated study time
Finished UWorld during L3 at ~70% (this includes doing many incorrects over and using it as studying tool)
Read Step 2 Secrets x2, once about a month before test and once in the last two days before
UWorld second pass finished 70% of the Qbank at 81%
NBME 4: 237 before starting dedicated study time
UWSA: 254 two days before test
Step 1: 245

Test:
First, seventh and eight blocks were hardest. I think I had 45, 45, 45, 44, 44, 43, 41, 45 questions. Finished most blocks very quickly (I'm a really fast test taker)
2 drug ads, 1 abstract
3 cardiac exam audios
Hardest subsections - Psych (just very vague and confusing) and Pulm

Now to enjoy my 2 days of summer!

Got scores back this past Wednesday. Took July 5.

Step 2 CK: 265

Super excited for this score! Didn't think it was possible with only 11 days but hopefully this can serve as motivation to many of you who don't feel like taking a whole month to study.

Thanks to all of you that post in this thread and good luck!
 
Took CK yesterday. Putting my thoughts here so I don't forget, and then I'll update when I get my score back. I'm not your typical SDNer, but I've benefited from this thread so want to give back.

DO student
218 on Step 1, 588 on COMLEX 1 (for MD's: avg on comlex is 500, SD is 81)
Shelf exams (these are NBOME shelf exams, which are ridiculously random, so for MD's not sure how helpful this is): range from 86% on FM to 98% on psych, usually around 90-91. I used very few resources other than QB's, mainly because I learn more from doing questions than from reading review books.

I did my first pass of UW during the year while preparing for shelf exams. Although I'm not going for a super competitive specialty, my goal for third year was to prepare to redeem my step 1 score, with which I was very disappointed. I forgot to record my average before re-setting it, but I'm not sure how helpful it would be anyway (there were plenty of nights where I was doing it while really tired, or not timed because I was doing it on breaks at the hospital, etc.). I also did Kaplan qbank throughout third year as shelf prep (which I wouldn't recommend but my school paid for a subscription), as well as Combank (a COMLEX-style qb). Also read all of MTB 2 and 3, which I started doing in February, first pass through before I started intensive study.

Dedicated study time: ~4.5 wks
My study plan was to get through UW in less than 3 weeks, read MTB 2/3 again in 5-6 days while doing missed/marked UW questions, and then get through Secrets in 3 days while finishing missed/marked questions. This was a successful strategy for me (at least, I think so!) Also took 3 assessments to help gauge my progress and focus my study.
I took notes on each UW question (in the actual software program itself) and then reviewed these while going through my second pass of MTB in week 4; this for me was faster than flipping through MTB to annotate. You can organize it by sub-section, and review it as you're going through chapters in a review book if you want. I would've liked to be annotating in MTB as I went, but I felt like I wanted to move through it more quickly.

I was able to complete all of my study objectives: got through UW another 1.5 times, re-doing all missed/marked questions until I had gotten all of them correct and felt I understood the explanations well. Also got through a second pass of MTB 2/3 (for IM mainly just MTB 2), as well as the little Secrets book. Rating these resources below:

UW: solid gold as everyone has said. The only truly necessary resource for Step 2.
MTB 2/3: liked this better than FA or SUS2, but really what matters most is how you use the resources, not which ones you use. I recommend going to B&N, flipping through different books to see what you like, then order on Amazon.
Secrets: this was an easy way to quickly review high-yield info at the end, but I don't feel that it was extremely helpful/a "must-read." By the time I read it I understood everything really well but it was nice reassurance to knew I had everything down. Much of it isn't as detailed as UW so I was skeptical, but after taking the exam most of it goes about as in-depth as you need.
Kaplan QB: don't recommend; some questions are out-of-date, and often details are too obscure to be very high-yield. Not a great use of time, although I liked it for shelf study.
Combank (for the DO students): I liked this a lot, thought it was great for shelf study. I prefer it to Comquest, which I did sporadically over the last few weeks and I'll be using in the next 3 days before I take COMLEX.
Medical Education Online videos: I watched these prn during my workouts, which I continued to do daily (more of a sanity saver than anything else), I actually really liked these. They're pretty up-to-date as well. You can't beat free. It looks to be a resident (maybe now an attending) who just lectures using a white board - it's simple, he's knowledgeable, and it was a lot better than DIT I thought (I'm not sure why they just have the person speaking from a podium instead of something more interesting a la pathoma or the meded online videos; maybe they've improved it this year?) I used DIT for step 1 and feel like it was a waste, mainly because it took time away from doing UW questions. I think it depends most on your study style; I know some people who love DIT and some who don't find it helpful. You just have to use what works for you. As mentioned, I did not watch videos at all during dedicated study time, just while working out to re-visit concepts I was not scoring as well on.

NBME 6, before dedicated study time: 223
First pass of UW during dedicated study time (combo timed/timed tutur; timed is better but takes a bit longer), avg 78%
NBME 4, before starting second full pass of MTB: 260
UWSA, 5 days out: 252

Test day: I felt better walking out of this one than after step 1 - although I felt ok after step 1, and so I don't trust that how I feel is a great indicator of how I'll do! I had plenty of time to spare at the end of each block, questions ranged from 40 (block 8) to 46 in a couple, never felt like I was running out of time although I did pace myself and had trained that way. Felt like I was just doing UW blocks, felt comfortable. I had time to re-visit all marked questions before time ran out. So I think that if you prepare well and pace yourself you shouldn't struggle too much with time. All in all easier than Step 1, I had anywhere from 3-8 marked questions per section, usually about 5. Definitely it's an endurance game. Take a moment between each section (you get like 30 sec before you have to commit to taking a break or moving on, I used this time to breathe and stretch). I used about 30 min of my break time; took a break every 2 sections to drink some water, pee, and have a quick snack.

As far as content on CK: there were maybe only 2 questions that I was like, wtf? But then figured out at least what they were getting at. If I didn't know the answer 100%, I could narrow it down to 2. I think that UW was excellent, excellent prep, and more difficult than the real deal. 2 heart sound questions, 2 EKG's, but you could pretty much answer the question from the vignette anyway. A good mix, but lots of ob/gyn and peds. Biostats and drug ad questions were straightforward, easier than UW - esp the drug ad, I caught myself spending more time than I needed to because I thought there was some kind of trick, they were so straightforward.

My two cents: trust in your prep and don't let your nerves get the better of you on test day. Do self-assessments, pay for the full analysis and use it to strengthen your weak areas. UW, UW, UW is better than anything else; if you find yourself pressed for time towards the end of your study, stick with practice questions as opposed to trying to do more reading. Don't second-guess yourself on test day; if you know the answer, answer it and move on. Step 2 isn't as big of a deal as step 1; use this to help keep yourself calm on the real deal, but don't let it keep you from working hard during the time you've dedicated to preparation.

Sorry, that was insanely long! I'll update with my score when I get it back. I'll be happy with anything 240+, although given my poor step 1 performance I should probably be hoping for 230+ 🙄

Good luck to everyone who's still waiting to take it! Not sure how many of you are out there, but maybe this will help next year's bunch.
 
Just finished exam today.... Jesus, I'm sad all these people scoring so high on NBME and UWSA... I made around high 247 on both... Hoping to break 240 on step 2...

step 1: 265
UWSA 247
UWORLD 1st 70% 2nd 86%
NBME 4 247

time 4 weeks
 
i took the beast today. anyone know when scores come out? i vaguely remember getting an e-mail saying something about how scores will be delayed for those taking it after July 26? the web site seems to say that the score reporting period starts in october?

anyone have a better idea of the true release date?
 
Not sure if this is the best place to post, but I'm wondering if my Step 1 score will make me a competitive candidate.

I scored 244/99.

Any help you could provide would be much appreciated.

Jeevan Padiyar
MS-III
Albert Einstein College of Medicine.
 
Not sure if this is the best place to post, but I'm wondering if my Step 1 score will make me a competitive candidate.

I scored 244/99.

Any help you could provide would be much appreciated.

Jeevan Padiyar
MS-III
Albert Einstein College of Medicine.

You're an AMG with a 240+? I see no reason why you wouldn't be.

Have you spoken to classmates, your advisor or Googled charting outcomes?

Confused though, did you graduate in 2006 or are you now an MS3?
 
i took the beast today. anyone know when scores come out? i vaguely remember getting an e-mail saying something about how scores will be delayed for those taking it after July 26? the web site seems to say that the score reporting period starts in october?

anyone have a better idea of the true release date?

I just found this. I am not looking forward to having to wait 6 weeks to get my score back

"Score reports for Step 2 CK are usually available within four weeks of testing. However, because of routine modifications to the test item pool, score reporting for most Step 2 CK examinations administered in late July and August will take longer. The target date for reporting Step 2 CK scores for most examinees testing in late July and August is Wednesday, September 25, 2013. For examinees whose circumstances require that they receive Step 2 CK scores before September 25, it is recommended that they take Step 2 CK no later than July 27, 2013."
 
Not sure if this is the best place to post, but I'm wondering if my Step 1 score will make me a competitive candidate.

I scored 244/99.

Any help you could provide would be much appreciated.

Jeevan Padiyar
MS-III
Albert Einstein College of Medicine.

244 as 99% ? Then you definitely didn't take the test this last year. 244 is a fine/good score.....question is why are you applying a step 1 taken earlier than would be expected? Did you get held back or working on a simultaneous PhD?
 
244 as 99% ? Then you definitely didn't take the test this last year. 244 is a fine/good score.....question is why are you applying a step 1 taken earlier than would be expected? Did you get held back or working on a simultaneous PhD?

The two-digit score is not a percentile.

I repeat, the two-digit score is not a percentile.

Please tell all of your friends.
 
Hi Guys,
For what it's worth....here's my take
First of all - the exam is doable. Don't listen to all these people trying to say it's HARD...it's not! And I am not a Genius!
So 80% of the q's were from uworld and MTB concepts...you have to know the concept...and as far as the question stems...80% on my exam were like uworld and the rest 20% were long.
So, I suggest build speed when practicing qbanks , aim to finish each block when practicing in 45-50 min, so that you have enough time on the real exam.
And try to understand the concept in uworld q's.
I got at least 30% q's based on step 1 concepts so brush up on that, and a loootttt of Q's on ob/gyn esp pap smears and surgey was mainly abdominal injuries.
Good luck guys!
 
I took the exam on 27th, I scored well on uwsa- 257 ( 2 days before) and uworld average 76%, but I felt as though I was just using my reflexes and clicking on answers, did not have time to think and analyse. Somehow even though I did all of uworld on timed mode, I felt as though I had time to think about the question before answering in uworld blocks, but I felt the time pressure throughout the exam except the last block ( 36 questions). I really hope my train of thought was in the right direction on test day. I am an IMG and scored average on step 1, I put a lot of time and effort into this test and due to personal and family issues, really need to match this time.
 
I took the exam on 27th, I scored well on uwsa- 257 ( 2 days before) and uworld average 76%, but I felt as though I was just using my reflexes and clicking on answers, did not have time to think and analyse. Somehow even though I did all of uworld on timed mode, I felt as though I had time to think about the question before answering in uworld blocks, but I felt the time pressure throughout the exam except the last block ( 36 questions). I really hope my train of thought was in the right direction on test day. I am an IMG and scored average on step 1, I put a lot of time and effort into this test and due to personal and family issues, really need to match this time.

If you're in auto-pilot, it usually means you've done the right thing in your prep and you're able to answer as a reflex because you've studied/expected such a stem/answer choice.

These exams play heavily on intuition - and our prep for CK (unlike Step 1) is more about fine tuning that intuition

Don't think you have anything to worry about. My guess is you broke a 255 and are close to a 260 (possibly higher).
 
If you're in auto-pilot, it usually means you've done the right thing in your prep and you're able to answer as a reflex because you've studied/expected such a stem/answer choice.

These exams play heavily on intuition - and our prep for CK (unlike Step 1) is more about fine tuning that intuition

Don't think you have anything to worry about. My guess is you broke a 255 and are close to a 260 (possibly higher).[/QUOTE

Thank you, I hope so, have to keep busy so I don't waste time thinking about it. Will update when score's out.
 
Print permit went away today. Felt pretty crappy walking out of the exam. Did well on shelfs and practice exams. High 240s on step 1. Will post my score when I get it
 
Took Step 2 CK last week and finally getting around post-celebrating this wknd to post about my experience. Thanks to everyone who has contributed to the thread, it helped so much!

The Exam:
I felt the question stems on average were longer than UWorld. As others have mentioned, time is pretty tight on the actual Step 2 CK. I often would eliminate some choices then reflexively click on an answer that intuitively felt right. I did not have as much time to think through my answers carefully like I did when doing UWorld or practice exams.

Content:
Everyone's exam is different. For my exam IM > Peds = OBGYN > Psych > Surgery.
The content generally was similar to UWorld and the MTB review books. Some questions on the exam covered areas/topics beyond what I had come across in Step 2 preparation, with a few going back to Step 1-related material.

Preparation:
I used the MTB 2/3 combination and UWorld for questions. I felt this was a good combo.

First Aid vs. MTB: Which Book to Use?
This question comes up alot, and I honestly think it comes down to personal preference. Take a look at both review books in a bookstore to help you decide which you like more. Here are some examples of the differences, based on my use of MTB 2/3 and limited knowledge from what I saw glancing through First Aid:
  • First Aid is more organized and more concise in their descriptions and explanations
  • MTB is clearer (more explicit) at listing the best initial test vs. the most accurate diagnostic test, specifics in terms of nuances of management
  • If you are planning to annotate UWorld into your text, there is way more room to do this in MTB than in FA.
  • First Aid has some surgery topics but not a very comprehensive or dedicated Surgery section
  • Master the Boards does not cover any Biostats, requiring use of another source (e.g. UW)
  • Master the Boards is sometimes extensive in covering topics that were not heavily represented on UWorld or the real exam

And of course, there are many other resources... I know some people who use Step Up to Medicine or Step Up to Step 2 instead of the above resources ended up with great results too.
 
I took the exam on 27th, I scored well on uwsa- 257 ( 2 days before) and uworld average 76%, but I felt as though I was just using my reflexes and clicking on answers, did not have time to think and analyse. Somehow even though I did all of uworld on timed mode, I felt as though I had time to think about the question before answering in uworld blocks, but I felt the time pressure throughout the exam except the last block ( 36 questions). I really hope my train of thought was in the right direction on test day. I am an IMG and scored average on step 1, I put a lot of time and effort into this test and due to personal and family issues, really need to match this time.

Took the exam 7/27 as well. I felt like I was on autopilot too phoenixmd-- don't want to jinx myself and say it was "easy" but I marked far fewer questions than I had on Uworld and just answered questions like a robot. They mostly didn't seem to be trying to trick you and tested a lot of bread and butter topics straight from Uworld. In general more NBME level questions though. Hoping I didn't get a super easy test that'll translate to a really rough curve...

Stats:
Step 1: 250
UW 77% on 2nd pass. I think around 70% for 1st pass (can't remember)
NBME 4: 242
Shelfs: 80s raw scores

Will update my score and what I used for the exam in however many weeks it'll take. Do we know when 7/27 score reports should come out?

Anyone else think the exam on 7/27 was pretty straightforward? Also, I got a lot of stress relief from this board so thank you to everyone who has posted.
 
Anybody take the recent test with delayed reporting either yesterday (7/29) or today (7/30) that is willing to chime in about how they felt the exam went?
 
First time / long time, thanks to everyone for help on this thread and others. Pay it forward if you're reading this!

Took it today, overall was what I expected - not too bad, not too good.

Prep: UWorld x2.5, MTB2 IM / 3 non-IM, Secrets, OnlineMedEd (OME)
Prep thoughts: mostly agree with everyone else. UWorld is great - learn it and love it. Some of the questions are almost verbatim from UWorld. Some of the questions that seemed obscure on UWorld appeared on my exam, so don't be too dismissive if they seem out of left field. MTB2 is good for IM, horrible for everything else. Use MTB3 for peds/ob-gyn, etc. Secrets, in retrospect, was decent - not essential, but if you need a change of pace it's nice. OME turned out to be very helpful - I remember at least 2 or 3 questions I only got because of this website. Things like urinary incontinence, leg ulcers, etc. - he ties up loose ends and spells things out quite well. There are occasional discrepancies factually between his teachings and UW/MTB but clarify PRN to get through it.

Test thoughts: 65% of the test was relatively straightforward, 20% took a fair amount of thinking and reasoning to make a guess, often between two good choices, and 15% was what the heck / random, i.e. can't really prepare for that. The (hopefully) experimental section was #2 for me, and was rough.
Pediatrics. Wow. At least a third of my test was pediatrics - newborns especially. MTB3, OME, and UW are good for these, know them well. No developmental milestones.
Otherwise, topics that appeared a lot: urinary incontinence, 1ary immunodeficiency (nothing tricky), post-op complications, bereavement vs. adjustment vs. MDD, 2ary HTN, Cushing vs. PCOS vs. metabolic syndrome, 1ary infertility, preventative medicine/screening, trauma (mostly straightforward), lipid guidelines (when to statin), renal failure (all etiologies).
Biostats/drug ads were relatively straightforward.

Hope this helps, good luck to everyone!!
 
Anyone have advice for the final week push?

Ive put the books aside and have been going through UW, just learning the stuff Im still not comfortable with. Dont feel nearly as stressed as I did the week before Step 1. (Hopefully not digging my own grave here.)

Just seems that if theres stuff in UW I don't know thats as good a use of time as anything else. Considering flipping through Secrets or MTB 2/3...maybe.
 
I'm on my last week as well. I'm going through 3 blocks of UWORLD then reading 1-2 sections of MTB which is overambitious and isn't exactly working out, I don't plan on reading the day before the exam other than looking at all the charts stuck up on my walls. I should finish UWORLD second run through before the exam. MTB schedule probably not and will now just pick sections I feel particularly weak in. I also read Secrets during random times. There are quite a few points in secrets that would help answer random questions that are essentially you know it or you don't.
 
I'm on my last week as well. I'm going through 3 blocks of UWORLD then reading 1-2 sections of MTB which is overambitious and isn't exactly working out, I don't plan on reading the day before the exam other than looking at all the charts stuck up on my walls. I should finish UWORLD second run through before the exam. MTB schedule probably not and will now just pick sections I feel particularly weak in. I also read Secrets during random times. There are quite a few points in secrets that would help answer random questions that are essentially you know it or you don't.

I'll stick to UW and just read algorithms in MTB as needed.

I was planning to take UWSA today as well, since I haven't yet. Not so much for the score prediction but to see more questions.

I have a tough time going through more than 2 UW blocks a day and getting much out of it. Won't be able to finish the 2nd run at this rate, hopefully can still get through a good amount.
 
Yeah i'm going to take UWSA tomorrow hopefully under testing conditions! Going to try to wake up early and start by 9 am 😛
 
Just took the test yesterday.
Hope this helps someone. Also feel free to ask me more questions. I will get back to it when I'm home but don't ask me for specific questions that showed up on the exam. Good luck for those waiting to take the test. Its tough and long but doable.


Do not feel the greatest coming out of the exam....

8 blocks of questions ranging from 41-45. Most of the question stems were 2-3 sentences longer than the UWORLD questions

Had 8 abstract/drug question (i hate those ......)
5 Heart sound questions
5 or so rhythm trip questions. (not too hard)
no optho images



Definitely did not have time to review any questions. normally I finish UWORLD blocks with 8 or so mins to spare. Did not have time to finish 4 questions between the first and second blocks cause I did not pace myself correctly... and the guy next to me was having a nervous breakdown taking his MCATS or something....

none of the questions were really WTF but i know I got at least 4 questions wrong off the bat in those 2 part questions where u gotta pick an answer and commit before moving on 🙁

I used MTB 2 / UWORLD / some of Kaplan lecture notes (somewhat outdated even for the newest version out)

UWORLD is definitely the best out there. Know every point in and out. The % you get while taking it isnt as important as reading the explanations and knowing the reason behind why you got the question wrong.

3.5 week study schdule
UWORLD first past 72% second pass 85%
UWSA (236 3.5 weeks out prestudy)
NBME 4 (252 1 week away)
NBME 6 (267 3 days away )
Step 1 248

Just hoping for 248+. Got too many questions wrong from faulty thinking during the test 🙁 hate it when the answer is so obvious when you are less stressed.

p.S. i'd say about 20% of the test involves things that you have done during the clinical rotations that aren't explicitly covered in mtb 2 @ all . I'd read Kaplan's pestana notes quickly a few days before the exam too. Every chapter not written by conrad in mtb2 is pretty much useless.


get Hearos earplugs. the good 10 dollar ones on amazon. blocks out most of the bs noises that goes along with having 20+ test takers in one room.
 
Last edited:
Anyone have advice for the final week push?

Ive put the books aside and have been going through UW, just learning the stuff Im still not comfortable with. Dont feel nearly as stressed as I did the week before Step 1. (Hopefully not digging my own grave here.)

Just seems that if theres stuff in UW I don't know thats as good a use of time as anything else. Considering flipping through Secrets or MTB 2/3...maybe.

i'd spend at least 2-3 days rereading mtb2. should be a really quick read.

Definitely brush up on stats. not just sensitivity specificity ppv npv but more along the lines of likelihoodratio nnt etc.

the stats questions were doable but not as easy as the ones presented in uworld at least not on my test.
 
i'd spend at least 2-3 days rereading mtb2. should be a really quick read.

Definitely brush up on stats. not just sensitivity specificity ppv npv but more along the lines of likelihoodratio nnt etc.

the stats questions were doable but not as easy as the ones presented in uworld at least not on my test.

Thanks for the advice. Congrats on being done!
 
My stats.

Grades from Shelf Exams
Peds: 85
Surgery: 77
Family Medicine: 80
Internal: 88
Psych: 93
OB: 80

UWSA: 250 (6 days prior)

UWorld: First pass 68%
Second pass 80%

Used MTB2/3, FA and Step Up to Medicine (heavily agree with FutureDoctor10s comments)

Step 2 CK: 253
 
Step 1: 242

Comprehensive Board Predicted Score (6 weeks out): 217
NBME 4 (2 weeks out): 240
UWSA (5 days out): 248

UWorld First run = 66%
UWorld Second run = 82%

Test: I thought I did terrible on the exam.. Came home and made a list of roughly 30 questions that I knew I had missed for sure. They asked some really bizarre stuff that wasn't covered in any review books. I had a ton of Biostats, which I had reviewed in First Aid for Step 1 the night before. I felt like my hardest questions were the groups of 3 that started off as "For each of the following scenarios, please select the most likely diagnosis"... I had one questions set of 41 questions and that was by far the hardest section. It was ROUGH and the question stems were LONG.. Like twice as long as any world questions.

I was relieved to get an email at 9:30am central time this morning saying that my score would be released at 10am. I was happy with my score and UWSA was spot on.. I live with 2 other med students and their scores from UWSA were the exact same as their real score.


Step 2 CK: 250
 
Last edited:
Step 1: 240s (4 years prior to Step 2 CK)

Shelf exams: 78-92 (avg 84)
UW (1st pass): 73%
UWSA (4 days prior): predicted same score as Step 1

Did IM rotation before grad school. 3 years of grad school. Back to med school for the rest of 3rd year. Used UW questions as prep for shelf exams throughout the year, along with books for specific rotations. 2 months of 4th year rotations before dedicated study block. Took 3 weeks (of my allotted 4) to study. Did all of Medicine questions in random blocks while reading the Medicine sections from FA. Most of the question blocks I did were in Tutor mode, untimed...including the blocks I did throughout 3rd year. Towards the end of week 2, I switched to Timed mode. Then I reset UW. During the final week, I took the UWSA, then reviewed random blocks of Neuro/Peds/Psych/Surg/OB-GYN in Timed mode.

On test day, the first block was rough. Despite finishing every UW block I did on Timed mode with 15 min to spare, I barely finished this block in time. 45 Qs, mostly Medicine, seemed like none of them were straight-forward. The rest of the day is a blur at this point. Min Qs per block was 41, only had one more block with 45. Didn't have any more trouble with time. The Qs and content I remember are the things that bothered me. I was surprised by the amount of benign GYN, preventative OB, and obscure neonatal/infant Peds I saw on the exam. I was also surprised by how little Surgery, bread-n-butter Medicine (DM, CHF, COPD), and Neuro I remember seeing on the exam. It felt like a lot of the Qs I got offered second-line treatments or diagnostic tests as the best available answer choice. And at times, it seemed like they were using alternate names for diseases and listing drugs I hadn't even heard of. Overall, I came out of the testing center not knowing what to think. I was hoping that, at the very least, the UWSA was on-target. Though, I really wanted to score at least a little higher than I did on Step 1.

Step 2 CK: 260s

UWSA under-predicted by 20. Needless to say, I'm thrilled. Moral of the story, trust your prep, not your feelings after the exam. Also, 20 points improvement over Step 1 is achievable in only a few weeks and with minimal use of books. Albeit, I worked pretty hard during 3rd year and focused on my weaknesses during my dedicated study period, spending little time on what I was more comfortable with. Good luck to everyone else.
 
Took this beast yesterday.

I don't even know what to think. I would have 10 questions in a row where I was confident in my answer then 3 questions which were "wtf."

Several heart sounds. Several images. Unlike step 1 you really couldn't answer the question without knowing the image or the sound.

Timing was an issue. Most of the question stem were pretty long.

As far as prep:
Went through the 20 kaplan comprehensive cases. (maybe got be an additional 5-10 questions right at max)
Read approx. 1/2 of MTB 2/ watched the high yield videos associated with it. (about equiv with secrets)
Read secrets at least 3-4 times. (meh, it helped but wasn't the silver bullet I was hoping for)
uworld twice (best resource hands down)

My pre study nbme was a 244. Honestly I'd be happy with anything above a 240.

I missed at least a dozen questions because I fell for a dumb trick answer. I don't feel like I did this on my practice nbme.
 
Last edited:
Took this beast yesterday.

I don't even know what to think. I would have 10 questions in a row where I was confident in my answer then 3 questions which were "wtf."

Several heart sounds. Several images. Unlike step 1 you really couldn't answer the question without knowing the image or the sound.

Timing was an issue. Most of the question stem were pretty long.

As far as prep:
Went through the 20 kaplan comprehensive cases. (maybe got be an additional 5-10 questions right at max)
Read approx. 1/2 of MTB 2/ watched the high yield videos associated with it. (about equiv with secrets)
Read secrets at least 3-4 times. (meh, it helped but wasn't the silver bullet I was hoping for)
uworld twice (best resource hands down)

My pre study nbme was a 244. Honestly I'd be happy with anything above a 240.

I missed at least a dozen questions because I fell for a dumb trick answer. I don't feel like I did this on my practice nbme.

good job dude...did AP take it as well? AP as in your roommate...
 
Alright, my turn:
Step 1: 251
Shelves: Mostly mid 80s to low 90s with the exception of surgery (high 90's) and family (high 70's - hah!)
UW first pass during rotations: high 70s/low 80s
UW second pass during dedicated study time: high 80s/low 90s.
NBME 6 2 weeks out: 269
UWSA 1.5 weeks out: 255 (distracted, felt kind of crappy during this one)
NBME 4 1 week out: 265
3 weeks dedicated study time after rotations. But I took several days off or half days during that time.

CK: 271

I used DIT. Huge. F**ing. Waste. I actually liked it for Step 1. I thought it forced me to learn things I didn't care about (biochem/genetics). I thought the great thing about Step 1 DIT was it was helpful both for those shooting for 250+ and those trying for 220+. It reinforced basic concepts and also went beyond classic high-yield stuff for less common things that make the difference between a good and great score. Step 2 was nowhere near as good. I felt it was WAY too basic (they actually spent time talking about through which valves blood flows during systole and diastole) for step 2 and most of the instructors just phoned it in. Step up was also a terrible book. Just lists of diseases and presentations and diagnostic tests and treatments without any integration or linking of topics. After maybe halfway through I just sort of gave up on DIT and half-paid attention to it. I didn't really annotate much after that, just kind of highlighted. It was an enormous waste of $800 - stay away.

After DIT I didn't refer to Step Up at all. I went through UW and also mostly read Toronto Notes on stuff I was weak on. I also read Secrets in the week before. It was probably good for 2-3 questions on the real thing. I didn't touch MTB at all.

I want to plug Toronto Notes here again. It is SUCH an incredible resource. It's huge, like FA on steroids, but an absolutely great resource if you use it throughout clerkships. No book I've found has such a great mix of clarity and detail. Plus it does such a great job of integrating differentials and really teaching you how to think and approach a given presentation. So many of the other review books are geared towards just memorizing diseases. I feel that TN was way more realistic in its approach to clinical problem solving - i.e. what is the ddx and management of RLQ pain rather than "appendicitis commonly presents with RLQ pain and is commonly caused by fecalith, etc etc."). In this way it more closely mimicked CK.

I thought my test was tough but fair. Probably 80% UW-ish, 10% easier than UW and 10% harder. The biggest difference was that it seemed more problem-solving oriented than just memorizing facts; I would imagine this is why I jumped 20 points from Step 1 to Step 2 despite studying WAY less for Step 2 - I'm much better at problem solving than straight memorization. Because of the problem solving though, CK felt longer and more mentally draining than Step 1 (and of course it's one block longer). Figuring out how to stay dialed in and on task is incredibly important for this one. If you can, you're golden. My topic breakdown was almost exactly the same as guerue's.

Finally, on so many of the questions, I remembered the answers from my clerkships and shelf studying. Medicine was my first rotation so it was a whole year prior to CK, but I still remember several questions that I could only answer from rotation reading. I know this has been repeated ad infinitum but it's true...
 
Top