NBME for step 1 are very predictable..dont trust UWSA..whatever you score in your NBME your actual score will be +/- 10 points..so if you get 182 in NBME thats a big no for the exam..even if you are just thinking of passing you should be getting atleast 200 + in your NBME..not to say a low pass is useless..one year drop or leave of absence means nothing in front of step 1 score so never compromise with that..