1. As part of our nonprofit mission, SDN supports medical student publications, websites and blogs. Students with blogs are encouraged to apply for our publisher stipend. It's a small amount to help defray costs and encourage open discussion and exchange of ideas. Contact: stipend@studentdoctor.net

Usmlerx v UWorld averages

Discussion in 'Step I' started by sanj238, Jan 14, 2014.

  1. SDN is made possible through member donations, sponsorships, and our volunteers. Learn about SDN's nonprofit mission.
  1. sanj238

    sanj238 2+ Year Member

    344
    46
    Jun 11, 2012
    Looking at both qbanks Im wondering why my usmlerx averages were so low. I was averaging between 60-70and am thinking maybe I'm not preparing well enough (i excluded the easy q) - A lot of times it was low 60s. However, my usmle average was between 80-85 and I think it was in large part because of overlap. Should this be a concern or is this normal and no one gets above 80 without doing a previous qbanks?

    I was looking at Pollux and maryjanes' posts and their rx average was over 80%- which scares me. Was rx recently made harder - past 3 years or has it always been this way? :(
     
  2. SDN Members don't see this ad. About the ads.
  3. 001100010010011

    001100010010011 2+ Year Member

    427
    219
    Jun 22, 2013
    Sometimes the easy questions turn out to be quite difficult. I do not think that the program rates them accurately (you can tell by the percentage of students who get these "easy" questions correct). Are you doing them in tutor mode or timed blocks?

    I have a relatively low USMLERx average too and it's the first bank I'm using (between 40-something % completed; about 60% average so far). The questions often have multi-step reasoning and contain items not explicitly written in FA. They are tough questions.

    If your UWorld average was a lot better then it's an improvement. I'm also interested in hearing what others have to say since I'm saving UWorld for March.
     
  4. Turtlez

    Turtlez ASA Member 5+ Year Member

    200
    18
    May 26, 2011
    ya, more info on usmlerx vs uworld %/difficulty would be greatly appreciated!
     
  5. notbobtrustme

    notbobtrustme Crux Terminatus Banned Account on Hold 2+ Year Member

    3,485
    1,640
    Jun 28, 2011
    I'm running about a 5-7% difference between Rx and Uworld, in favor of Rx.

    However, things that I get wrong in Rx I won't get wrong on Uworld, which might artificially inflate my Uworld percentage. For instance, I saw a question on mechanism of action and toxiticty for cardiac arrhythmics that I bombed on Rx, but saw pretty much the exact same question on Uworld and nailed it. That's probably how you are supposed to use Qbanks in the first place.
     
  6. 001100010010011

    001100010010011 2+ Year Member

    427
    219
    Jun 22, 2013
    Good going. Are you guys doing other banks as well?
     
  7. ChessMaster3000

    ChessMaster3000 5+ Year Member

    738
    210
    Mar 7, 2010
    I have nothing against Rx and am using it as well, but I absolutely do not think it should be used for assessment. UW should be your gauge of progress. The questions on Rx can be hard in their own way, but IMO they don't make you think with the same dexterity as UW does. Sanj, if youre getting 80-85% on UW, that's all that matters, regardless of Rx, period.
     
  8. sanj238

    sanj238 2+ Year Member

    344
    46
    Jun 11, 2012
    Yeah and the messed up part is the really hard rack your brains stuff on UWorld that require you to really think - especially on physio and biochem I basically ace. the averages are around 25-35 % for these q and never on rx but I do well- but rx- I basically get wrong because they are mental traps. eg-

    pt walks in 65 has recent cough and dyspnea. Patient also complains of brown sputum from productive cough. Of particular note is his pet parrot that he comes in with his wife. Patient presents with lobar pneumonia on cxr in the lower right lung. Aggressive penicillin treats this patient. Whats his disease?

    strep pneumonia, stah aureus, chlam psitacci, legionella, H influenza

    Don't look it up
     
    targ489 likes this.
  9. J ROD

    J ROD Watch my TAN walk!! Lifetime Donor 10+ Year Member

    58,004
    1,673
    Aug 1, 2005
    working on my tan......
    Pharmacist
    Physician
    Rocket Scientist
    CP. I have only done some Rx so far. Averaging low 60's. They are harder than I thought they would be. And some are just out there. Will not get to Uworld until my dedicated in May. Want to save the best for last.
     
  10. Snuke

    Snuke 5+ Year Member

    943
    22
    Apr 17, 2010
    I hated that question. That had a variant of it too, and the answer changed.

    OP - I used Rx for learning and then applied that knowledge for Uworld. Uworld should still be lower just because there is a lot more new information in it, but everything that you see in Rx, you try not to miss in UWorld. That's not cheating or overinflating your Uworld score - that's applying new knowledge.
     
  11. targ489

    targ489 2+ Year Member

    41
    13
    Feb 28, 2013
    Massachusetts
    This question is mean haha, typical rx


    Strep pneumo, idk if I would've caught it unless you said something
     
  12. Snuke

    Snuke 5+ Year Member

    943
    22
    Apr 17, 2010
    But aggressive penicillin won't always treat strep pneumo, either. But it certainly won't treat psitacci.
     
  13. notbobtrustme

    notbobtrustme Crux Terminatus Banned Account on Hold 2+ Year Member

    3,485
    1,640
    Jun 28, 2011
    yea, penicillin (attacks cell wall, which don't work on chlamydia species), brown sputum and lobar pneumonia all scream strep pneumo.
     
  14. Snuke

    Snuke 5+ Year Member

    943
    22
    Apr 17, 2010
    But there's a parrot.

    Oh look, a zebra!
     
    Dharma likes this.
  15. Praxia

    Praxia

    14
    4
    Jul 8, 2013
    My knee jerk response was C. psittaci. I couldn't see anything beyond that darn "parrot".
     
  16. Fox800

    Fox800 That drug that starts with "d"... 10+ Year Member

    Same here.
     
  17. notbobtrustme

    notbobtrustme Crux Terminatus Banned Account on Hold 2+ Year Member

    3,485
    1,640
    Jun 28, 2011
    but fall back on what you know. Psittaci is a weird bug, therefore, it'll cause an atypical pneumonia (eg interstitial). Penicillin won't work on it because there is no cell wall; it's an obligate intracellular parasite. Hence, you need something that penetrates intracellularly. Furthermore, the protocol is to treat all atypical bacterial pneumonias (eg legionellas, mycoplasma, chlyamdia) with macrolides.

    That parrot is the biggest red herring out there and you should be pretty wary of seemingly obvious distractors like that.
     
    MalibuPreMD likes this.
  18. 001100010010011

    001100010010011 2+ Year Member

    427
    219
    Jun 22, 2013
    I literally did that question today.
     
  19. targ489

    targ489 2+ Year Member

    41
    13
    Feb 28, 2013
    Massachusetts
    My real question is, why was this guy bringing his pet parrot to the doctors office....
     
    purpleortholady, BlueJay25 and Snuke like this.

Similar Threads
  1. vtucci
    Replies:
    1
    Views:
    1,497
  2. zebalong
    Replies:
    1
    Views:
    1,497
  3. DIMC
    Replies:
    51
    Views:
    41,487
  4. thecalccobra
    Replies:
    2
    Views:
    1,075
  5. zeal7
    Replies:
    0
    Views:
    1,830
Loading...

Share This Page