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USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


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  #1  
Old 03-12-2014
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Default USMLE Step 1: 260

Here's my Step experience. I've been lurking here nearly every day while I waited out the painful 3 weeks for results. I want to thank everybody who has shared their experience and helped make the time go by faster.

I went to AUC in Sint Maarten: 18 months straight of basic sciences followed by 6 weeks of study after completion of 5th semester.

As far as the exam goes, my advice to succeed on test day is to realize that from day 1 of med school, everything you learn contributes to your Step 1 score. There was nothing taught that was superfluous, in any class. As we know, most of the exam is pathology and pathophys, but I feel very strongly that classes like biostats and ICM (intro to clin. med) which seem irrelevant at the time were extremely valuable.

Knowing the clinical presentations help you immediately identify the foundation the question is built on, and the rest of your course work helps you answer that particular question. I approached each list of answer choices as if they were differential diagnoses; most of the time you can say, 'no that one applies here, that one applies there', and so on. Very rarely are there nonsense choices.

More than anything though, you have to put the time in.

Beginning in Path 1, I started the Kaplan Qbank. I would do questions only related to what was being taught in class. In Path 2 I started USMLE World Qbank. I finished all of Kaplan Qbank, plus the 1200 Kaplan integrated vignettes before I left the island. I supplemented classes when I needed clarification with Kaplan videos and Najeeb videos and Pathoma. I listened to Goljan when I exercised.

I highly recommend buying the qbanks and not downloading them to allow easier tracking of your progress.

Even before our on-island comprehensive exam, I completed the all 1200 integrated vignettes, ~70% of Kaplan Qbank, and the DIT videos - in addition to class work. When I left the island in December I took time off for the holidays.

Beginning in January, I completed USMLE World and USMLE Rx Qbanks, reading the correct and incorrect answer choices for each and every question, all in un-timed tutor mode. You get ≥ 5x the presentations and patho/phys/MCB/etc by reading about all the choices. I continued to listen to Goljan when exercising, but never did read any of his book.

Questions, 1x through FA thoroughly, 1x Kaplan lecture notes quickly, and NBME practice exams is what comprised my 6 weeks of study.

Doing questions is invaluable. Do as many as you can. I completed over 10,000 questions including Robbins Review, Utah Path, Tulane pharm, UMich anatomy, UW, Kap, USMLERx, and NBME exams. And that doesn't include class exams!

I completed the following practice NBME online exams (extended, $60 each) and UWorld assessments:

1/10/14: NBME 6 - 245
1/24/14: NBME 11 - 242
1/30/14: UWSA1 - 263
2/7/14: NBME 12 - 257
2/10/14: UWSA2 - 263
2/11/14: NBME 15 - 250
2/13/14: NBME 7 - 250

Real Deal 2/18/14: 260

With regard to the NBME scores, the thing I noticed is this: I was ready once I left the island. My scores didn't really improve that much over the 6 weeks I studied. Most of what I had learned was done during classes. When I think about a concept or a pathway, for the most part, review books don't pop into my head - class lectures/notes do.

That being said, First Aid is a necessary tool for review (but not for learning!!).

Again, thanks to all who have shared their experiences!
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The above post was thanked by:
adrenaline106 (04-01-2014), anoushay khan (04-02-2014), Dr.MMA (03-13-2014), drevr (03-26-2014), dwijeshsheth (03-13-2014), Fazail (11-28-2014), Flyingboat (03-14-2014), hemali_hpk (03-13-2014), Kras (04-01-2014), Lucky3081 (08-15-2014), nsesereso (03-12-2014), pranavmerchant (03-13-2014), seemaCMC (03-30-2014), usmled10 (11-27-2014), vrush_1003 (03-14-2014)



  #2  
Old 03-12-2014
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Hello!! thanks for a wonderful post and congrats on your KILLER score!!

i would like to know what did you do for having a better score on NBME 12 (almost 260) from previous NBME 11 (roughly 240) ?? what was your approach of those 2 weeks?

good luck with your next steps!!!
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  #3  
Old 03-12-2014
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Quote:
Originally Posted by drpisho View Post
Hello!! thanks for a wonderful post and congrats on your KILLER score!!

i would like to know what did you do for having a better score on NBME 12 (almost 260) from previous NBME 11 (roughly 240) ?? what was your approach of those 2 weeks?

good luck with your next steps!!!
Thanks DrPisho.

In those two weeks I probably covered an additional 150q/day * 2 weeks = ~2100 questions. After that I probably hit a plateau, as I stalled out around 250.

However, I do think that because the NBMEs are a smaller sample size (fewer questions per exam), the more questions you have under your belt, the more depth you have and imo will outperform the NBME scores on your actual step - as there are nearly 50% more questions.
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  #4  
Old 03-13-2014
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How was anatomy and neuroanatomy tested on your exam? Do you think FA is enough? Is doing FA+qbanks enough? And congratulations to you.
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  #5  
Old 03-13-2014
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Quote:
Originally Posted by Dr.Albert View Post
How was anatomy and neuroanatomy tested on your exam? Do you think FA is enough? Is doing FA+qbanks enough? And congratulations to you.
Thanks Dr Albert! Anatomy was very straight forward. I had a couple broken bone questions that asked what nerve would be damaged, or symptoms given asking the same kind of question. Know your innervations of the nooks and crannys (between toes, bottom of feet) as well as all the main ones.

Neuroanatomy was a little more weighted in my exam. Be able to identify grossly where and what side of the brain would be lesioned in different clinical scenarios, and know your homunculus.

Good luck!
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  #6  
Old 03-13-2014
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You just did Uworld once?
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  #7  
Old 03-13-2014
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Quote:
Originally Posted by drpisho View Post
You just did Uworld once?
Yeah, just once. I had started doing them, but I found that I was recognizing the stem and the answer and not really having to think about them.

I decided to add USMLE Rx rather than doing UW again.
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  #8  
Old 03-25-2014
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Default an u answer tis nbme question pls

2)A 35 year old woman participate in a study of a new diagnostic test of steroid hormones in saliva. Menses occur at regular 28 day intervals and she has been shown to ovulate on day 14 when her saliva is tested on a particular day of the cycle, laboratory studies show an increased concentration of estradiol and decreased concentration of progesterone. On which of the following days in this patient`s menstrual cycle were these hormones most likely measured?
A) Day 1
B) Day 6
c) Day 12
D) Day 18
E) Day 26
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  #9  
Old 03-25-2014
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Quote:
Originally Posted by vicky resalraj View Post
2)A 35 year old woman participate in a study of a new diagnostic test of steroid hormones in saliva. Menses occur at regular 28 day intervals and she has been shown to ovulate on day 14 when her saliva is tested on a particular day of the cycle, laboratory studies show an increased concentration of estradiol and decreased concentration of progesterone. On which of the following days in this patient`s menstrual cycle were these hormones most likely measured?
A) Day 1
B) Day 6
c) Day 12
D) Day 18
E) Day 26

I think DAY 1. Look at FA2013 page 521
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  #10  
Old 03-25-2014
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I think "B" is correct
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  #11  
Old 03-25-2014
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R u sure azade2222?
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  #12  
Old 03-30-2014
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it's day 12, just before ovulation. Day 1 & day 6 both are low
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  #13  
Old 11-27-2014
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Well written! FA is great for revisión, not for learning!
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