Npktun Step 2 CK experience: 262 - USMLE Forums
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  #1  
Old 11-19-2015
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Show Teeth Npktun Step 2 CK experience: 262

UW timed and random: 77%
NBME 6: 17-Sep-2015: 256
UW 2nd pass: 94.7%
NBME 4: 12-Oct-15: 263
Fred 150: 91%
UWSA: 265
Exam: 29 Oct
Final Score: 18- Nov: 262


Resources:


Kaplan obs/gyn, peads and surgery.
Mtb 2: IM and obs
MTB 3: for rest including obs
UW: most important resource in my opinion
FA step 1: micro and psych, and occasional superficial graze on other topics.
CMS: all
NBMEs: 2-7
Uptodate: for any query
Prep time: 5 months

Preparation:

Having a solid base from step 1, I canít emphasize enough on it, because looking at the start if I hadnít attempted step 1, I wouldíve been lost and probably scored atleast 10-15 less from my actual score. So doing well on step 1 is the most fundamental thing that helped me most to prepare better for this exam.
So started with Kaplan books, gave them a read with some annotations on mtb2 but nothing extravagant like I did in FA step 1 in the good old step 1 days. I liked the peads and gynea part of the Kaplan books, so will recommend you all to do them once and thoroughly.
After that I did the MTBs, like I mentioned in resource section, IM and obs from MTB 2 and rest from MTB 3(including obs). Gave 2 reads and read the annotations from Kaplan that I did on mtbs. Mtbs prepare you well in terms of most accurate vs initial test, but the exam doesnít asks you directly that. Most of the times in questions you have to use your judgement to answer the next best step type of questions. Like when urgent management needed, you will pick the test that requires the least amount of time to diagnose and or going straight to treatment. For that UW prepare you well but knowing the initial and best tests to know diagnosis helps you somewhat.
After I started UW, I began to wonder about the effectiveness of mtbs, I initially tried to annotate on mtbs, but that was not efficient at all and at times UW information was way too much annotate in mtbs as there were tons of tables and algorithms for which you simply canít have much time to draw and write. So what I did was make notebooks for the manual notes for every subject, like for medicine, pead etc and then divide the notebook in organ based pattern. Which worked perfectly in the end for me I guess. I printed every table and algorithm of UW and then I made a separate file with all the UW tables and algorithms organized in that file. So that I had different files for medicine, peads, gyn/obs with all UW notes, tables, and algorithms organized. I did the first pass of UW in 40 days, with initially doing block a day but then picked up pace to do 2 block per day.
After the first pass of UW, I attempted NBME 6 after 2 days of completion of UW. And then right after 4 days I started my 2nd pass of UW.
2nd pass of UW was quick, I did 6 blocks a day and then spent that day + the next day reviewing. I finished 2nd pass in 20 days.
After 2nd pass I attempted NBME 4, followed by CMS and the remaining NBMEs offline. Did UWSA after it.
Last week I only reviewed UW algorithms, notes and tables and nothing else.
The night before exam day, I had trouble with sleep, I think when you try to consciously sleep and worry subconsciously about the consequences if you donít get that much needed sleep are the hardest days to doze off. Same thing happened to me, took some diphenhydramine but didnít help much. Then took the gamble of taking 0.25 mg alprazolam at 12:30 am, thinking that might affect cognition, but what the hell, getting some sleep compared to no sleep was better. So took it, didnít know much after it lol and woke up at 6:30 am after 5 minutes long plead from my alarm.

Exam


Now the big day.
Was not so much tensed as I was in Step 1 but still nervousness can creep up no matter what you do, so donít sweat it much. After the mid of first block your senses seems to get calm, and you will start to reach at your optimum.
The test was freakishly long, every question was 10-12 lines long with labs to follow, and mind you, I was always a fast exam taker, finished every block in UW with 5-7 minutes in hand. And in uwsa I had about 8-9 minutes. But on the exam I was fighting for every second I could get, had 2 minutes to review the marked ones and I only changed one answer to the question. I marked around 4-5 questions per block.
The concepts tested resembled UW a lot, barring some topics that I havenít heard or read anywhere, which I answered through process of elimination.
The exam was medicine heavy as expected, and for most questions I was able to come to two choices in the end. You just have to believe in your instincts and gut in the end. That inner voice that is more than often correct, but you still doubt it and regret. So listen to it and move on, thatís what I did.
One abstract and that block had 42 questions, nothing out of this world. If you have enough time to read you are more than certainly to do good on them.
2 murmurs, in which one was odd. So listen to some murmurs on websites besides the UW ones.
In the end I thought exam was fair and doable. I didnít feel the same devastation when I walked from step 1 exam, but still had a feeling of little defeat, but I guess its normal in the end and you just have to believe in your practice scores and yourself.

I took a lot of breaks lol:
1st two block: back to back
Then every block: 5-10 minutes break, went outside like 6 times.
I had 20 questions in my last block so I used 5 minutes from that block for my breaks :P

If you still have any questions, feel free to ask.

Good Luck!
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  #2  
Old 11-19-2015
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thats great score buddy!! many many congratulations!!! can you please tell how did you prepare for biostat??? it has always ben my weak area and i am really worried that how it is tested in real exam??? thank you !!
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Old 11-19-2015
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Originally Posted by vrunda@1109 View Post
thats great score buddy!! many many congratulations!!! can you please tell how did you prepare for biostat??? it has always ben my weak area and i am really worried that how it is tested in real exam??? thank you !!
I did UW biostats review, Forgot to add about it, and reviewed FA step 1.
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thanks a lot for your reply!! and how were the biostat questions in real exam?? i mean is it heavily tested in every block ??
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Old 11-19-2015
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Originally Posted by vrunda@1109 View Post
thanks a lot for your reply!! and how were the biostat questions in real exam?? i mean is it heavily tested in every block ??
hardly 2-3 questions, was more heavy on step 1 vs step 2ck. So dont worry about it much.
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hw imp is kaplan for peds, surgery and obgyn?did it help u in ur exam?
can we skip them?
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  #7  
Old 11-19-2015
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Originally Posted by anu4usmle View Post
hw imp is kaplan for peds, surgery and obgyn?did it help u in ur exam?
can we skip them?
if you have enough time, I won't recommend you to skip them. Mtbs are highly deficient in these subjects, so a single read is a must in my opinion.
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Thanks for sharing
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