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USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


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  #1  
Old 07-29-2013
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Group talk September-October 2013; Step 2 CK Takers

I thought with just a month to go september and beyond, this might be the perfect time to start a september-october step 2 CK thread to discuss where we stand in our preps, and what we plan to do in the remaining days till our exam!

Well, from my side, i'm an IMG from India. Step 1 in jan, scored 243. I have a very romantic date with Prometric on september 24th

I'm done with KLN LN reads with the videos x1, where i noted down any extra points into MTB 2 and 3. I've also done MTB 2 and 3 thrice. For Ob/Gyn i liked the KLN notes better for some reason so i've been following that instead of MTB 2+3. For biostats and BS i've been following step 1 KLN notes.

Right after my 2nd read of all subjects, i took the NBME 4 online and scored a 233 (got 31 wrong), i thought that was acceptable with 2 months to go and entire UW to cover. I started UW immediately after, my first 2 scores were late 60s and early 70s. But by now i'm 10 tests down (all timed, random, unused) and my average is at 77% and last 4 tests have been 80+. Still got 40 blocks of UW to go, i'm hoping to get my UW cumulative to 80 atleast by the end of it! From what i've seen on the forum, a cumulative of 80 should get you a 250+ (which is my aim).

So my UW method has been to do a block a day (try to do 2 blocks on days i'm extra productive), and when i look at explanations i note down any extra points i come across on any question into a notebook i have, or wherever i still have space in my MTBs (which is not a lot really). I also re-read topics from the resources i mentioned above for questions where i think i'm not very comfortable with yet. I'm hoping to finish UW by september 1st week, so that i have enough time to get another revision done, followed by the UWSA and the remaining NBMEs.


I'd like it if all the people taking their exam in september-october could get together here to brainstorm and exchange ideas, and generally help each other out through this time!
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  #2  
Old 07-29-2013
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I am in buddy!

Finished MTB twice with 70% UW ( average score 66%).
Did NBME yesterday missed 55 questions, InshAllah will start again with a solid way.
Lets help and support each other, my aim is 240+.

Thanks
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  #3  
Old 07-29-2013
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Oh nice, when's your exam Mr Mapsy? (Nice name btw, took me a few seconds to recall where the mnemonic applies )

Also did you take step 1 before?
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Old 07-29-2013
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Thanks Rohit.

Yup I finished step1 and CS long time ago.
My exam date is 4th september.
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Old 07-29-2013
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IMG
Step 1 243
Was going to take exam in august but changed plans.
I have a 11 month old baby so my plans never go as I predict
So far
UW 1st pass 72% accumulative
Right now doing UW 2nd time
NBME 2 1 month and half ago. (223)

Still have to finish UW. Read MTB 2 and 3. Read UW notes from 1st pass and review FA step 1 some topics like pharmacology.
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Old 07-29-2013
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Yeah, i remember reading someone somewhere on the forum suggesting to read up that table of side effects from FA step 1. I should do that too.

The UW questions aren't like what MTB led me to believe. I don't see much of "most accurate test" questions, there are a few "next step of management" questions, but its always just the first step. I've never come across questions where they ask anything further than the first step, and maybe the best therapy/treatment. Do such questions come solely under step 3 then?
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Quote:
Originally Posted by rohit39 View Post
Yeah, i remember reading someone somewhere on the forum suggesting to read up that table of side effects from FA step 1. I should do that too.

The UW questions aren't like what MTB led me to believe. I don't see much of "most accurate test" questions, there are a few "next step of management" questions, but its always just the first step. I've never come across questions where they ask anything further than the first step, and maybe the best therapy/treatment. Do such questions come solely under step 3 then?

Can you explain this to me??
In bowel ischemia best initial test is CT scan and most accurate is Angiography.
In MTB 2 there is a ? that says what is the most appropriate next step??? It says angiography. Why???

Most appropriate means what???? Next step or initial test???? or most accurate????
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Check the questions again , may be the already have done the CT and dint get the result so now they6 are asking the next appropriate , in this cae it will be angiography.
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Quote:
Originally Posted by Mr Mapsy View Post
Check the questions again , may be the already have done the CT and dint get the result so now they6 are asking the next appropriate , in this cae it will be angiography.
MTB 2 page 385. I don't have the orange new one, I have the one before that. My husband has the new one, I will check his book as soon as I get home and see if it maybe was a mistake.
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Originally Posted by evavar View Post
Can you explain this to me??
In bowel ischemia best initial test is CT scan and most accurate is Angiography.
In MTB 2 there is a ? that says what is the most appropriate next step??? It says angiography. Why???

Most appropriate means what???? Next step or initial test???? or most accurate????


I checked it for you, its the same page in orange one.
well they said clearly that initial is CT and accurate is Angiography.
next appropriate is most of the time initial test or treatment. angiograpgy is an invasice procedure though it is accurate but we avoid invasive procedures until we really need them. hope it helps.
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Originally Posted by Mr Mapsy View Post
I checked it for you, its the same page in orange one.
well they said clearly that initial is CT and accurate is Angiography.
next appropriate is most of the time initial test or treatment. angiograpgy is an invasice procedure though it is accurate but we avoid invasive procedures until we really need them. hope it helps.


Ohh so they did changed it. Mine says angiography. I knew it. You have to go with less invasive first. I was going crazy thinking why angiography. LOL Thanks
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Originally Posted by rohit39 View Post
I thought with just a month to go september and beyond, this might be the perfect time to start a september-october step 2 CK thread to discuss where we stand in our preps, and what we plan to do in the remaining days till our exam!

Well, from my side, i'm an IMG from India. Step 1 in jan, scored 243. I have a very romantic date with Prometric on september 24th

I'm done with KLN LN reads with the videos x1, where i noted down any extra points into MTB 2 and 3. I've also done MTB 2 and 3 thrice. For Ob/Gyn i liked the KLN notes better for some reason so i've been following that instead of MTB 2+3. For biostats and BS i've been following step 1 KLN notes.

Right after my 2nd read of all subjects, i took the NBME 4 online and scored a 233 (got 31 wrong), i thought that was acceptable with 2 months to go and entire UW to cover. I started UW immediately after, my first 2 scores were late 60s and early 70s. But by now i'm 10 tests down (all timed, random, unused) and my average is at 77% and last 4 tests have been 80+. Still got 40 blocks of UW to go, i'm hoping to get my UW cumulative to 80 atleast by the end of it! From what i've seen on the forum, a cumulative of 80 should get you a 250+ (which is my aim).

So my UW method has been to do a block a day (try to do 2 blocks on days i'm extra productive), and when i look at explanations i note down any extra points i come across on any question into a notebook i have, or wherever i still have space in my MTBs (which is not a lot really). I also re-read topics from the resources i mentioned above for questions where i think i'm not very comfortable with yet. I'm hoping to finish UW by september 1st week, so that i have enough time to get another revision done, followed by the UWSA and the remaining NBMEs.


I'd like it if all the people taking their exam in september-october could get together here to brainstorm and exchange ideas, and generally help each other out through this time!
Hey my plan is similar to yours. How long did you take to study (I have about 5 months and I'm on the same plan as you)Did you do kaplan qbank? What did you do for peds? Thanks in advance buddy
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Quote:
Originally Posted by daniella View Post
Hey my plan is similar to yours. How long did you take to study (I have about 5 months and I'm on the same plan as you)Did you do kaplan qbank? What did you do for peds? Thanks in advance buddy
I started studying around april, but i goofed around a bit here and there, especially during may-june. Maybe lost a couple of weeks there. So i'd say 5 months should be enough!

For Paeds do NOT do KLN. Its really really bad. The videos are worse. I'm sticking to MTB 2+3 and annotating it with uworld notes.

I didn't do kaplan qbank and i dont intend to. There's not much learning potential in there for the time frame i have in mind.

What about you? Where exactly are you at your preps? What are you doing different from my plan?
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Quote:
Originally Posted by Mr Mapsy View Post
Thanks Rohit.

Yup I finished step1 and CS long time ago.
My exam date is 4th september.
Mr Mapsy ..are you planning to apply this year itself?
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Quote:
Originally Posted by rohit39 View Post
I started studying around april, but i goofed around a bit here and there, especially during may-june. Maybe lost a couple of weeks there. So i'd say 5 months should be enough!

For Paeds do NOT do KLN. Its really really bad. The videos are worse. I'm sticking to MTB 2+3 and annotating it with uworld notes.

I didn't do kaplan qbank and i dont intend to. There's not much learning potential in there for the time frame i have in mind.

What about you? Where exactly are you at your preps? What are you doing different from my plan?
Hey thanks for the response! I was really confused about peds esp considering the mixed reviews. Haha I started studying also around july beginning but goofed off also so I'm seriously starting prob in the last week or so. My plan was to initially go through KLN plus kaplan qbank plus UW but I don't think I will have time for 2 qbanks. What do you think about doing the kaplan qbank for peds instead of the LN? Did you not touch the LN at all?
I'm doing kaplan videos for everything else (except biostats) and annotating extra points into MTB 2 and 3 and MTB IM. And of course UW
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Originally Posted by daniella View Post
Hey thanks for the response! I was really confused about peds esp considering the mixed reviews. Haha I started studying also around july beginning but goofed off also so I'm seriously starting prob in the last week or so. My plan was to initially go through KLN plus kaplan qbank plus UW but I don't think I will have time for 2 qbanks. What do you think about doing the kaplan qbank for peds instead of the LN? Did you not touch the LN at all?
I'm doing kaplan videos for everything else (except biostats) and annotating extra points into MTB 2 and 3 and MTB IM. And of course UW

I did do KLN peds, which is why i can say with assurance that KLN peds is the worst book ever! Its extremely vague, lot of unnecessary information, and just doesn't make you feel like you've learnt anything at all at the end of it. While i can't speak for Kaplan Qbank since i've never done it, a lot of people i know who've have taken CK this year have told me that MTB 2+3 with Uworld should be enough for peds. But of course, if you can spare the time, no harm doing more questions!


Also the kaplan videos for surgery may not be necessary. The KLN notes (especially the 2nd half of the book, in the question and answer format), is EXACTLY what he says in the videos verbatim. Including some of the remarks he makes in the videos. So i'd suggest just reading that and saving yourself some time
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I did do KLN peds, which is why i can say with assurance that KLN peds is the worst book ever! Its extremely vague, lot of unnecessary information, and just doesn't make you feel like you've learnt anything at all at the end of it. While i can't speak for Kaplan Qbank since i've never done it, a lot of people i know who've have taken CK this year have told me that MTB 2+3 with Uworld should be enough for peds. But of course, if you can spare the time, no harm doing more questions!


Also the kaplan videos for surgery may not be necessary. The KLN notes (especially the 2nd half of the book, in the question and answer format), is EXACTLY what he says in the videos verbatim. Including some of the remarks he makes in the videos. So i'd suggest just reading that and saving yourself some time
Thanks alot for the help man. Are you applying for the match this year or next ?
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Thanks alot for the help man. Are you applying for the match this year or next ?
No problem! And next year only. I'll be a bit too late this year. Haven't done CS yet either and haven't gone any USCE under my belt yet.
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Old 07-30-2013
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Thanks rohit39 for starting the thread. I am in the same boat like you are and with similar stats.
__________________
Learning is like to row your boat upstream, if you stop learning, you will be pushed back by the current.
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Thanks rohit39 for starting the thread. I am in the same boat like you are and with similar stats.
No problem! When's your exam?
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No problem! And next year only. I'll be a bit too late this year. Haven't done CS yet either and haven't gone any USCE under my belt yet.
Cool. Same here. So I was looking through surgery LN for kaplan, is it cool if I just go through trauma, ortho and GI from the LN and then just read mtb for the rest and do UW ? I really have no patience to read but if I get the same info in UW can I stick to that or are the LN required?
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Cool. Same here. So I was looking through surgery LN for kaplan, is it cool if I just go through trauma, ortho and GI from the LN and then just read mtb for the rest and do UW ? I really have no patience to read but if I get the same info in UW can I stick to that or are the LN required?
Since i've only done about 20% of UW till now i can't really say about whether you'd get the same info from UW, but i think that MTB 2 and 3 does lack quite a bit of information and certain topics from trauma and ortho especially which are well covered in KLN. So i'd suggest atleast covering those 2 topics from KLN. For the rest the MTBs and UW should suffice i guess.
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Im freaking out....any advice would be appreciated! Im planning on taking step 2 CK the last week of august or first week of september. I just finished Uworld first pass, timed, random mode with 60%. I feel i always end up with 2 choices left and have to make a guess (at least in most of the questions). Should i repeat world, or should i do an NBME first, and if so, which one should i do?
I have been studying from MTB CK, MTB 3 and Uworld only!
Thanks
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Im freaking out....any advice would be appreciated! Im planning on taking step 2 CK the last week of august or first week of september. I just finished Uworld first pass, timed, random mode with 60%. I feel i always end up with 2 choices left and have to make a guess (at least in most of the questions). Should i repeat world, or should i do an NBME first, and if so, which one should i do?
I have been studying from MTB CK, MTB 3 and Uworld only!
Thanks
How about you do a quick revision of all your material for a few days, followed by either UWSA or an NBME (UWSA apparently might be more predictive for CK), and see where you stand? Based upon that score, and your target score, you can decide what you can do next. UW cumulative percentage according to me isn't the best indicator of performance because different people have different percentages depending on the stage of study they did their UW in, and also whether it was random, timed, unused mode, or a tutor mode etc. So my 2 cents, do a NBME/UWSA after a quick revision of your material, and get a better idea of where you currently stand.
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Hey great thread!!
I'm also hoping to get this over with sometime in September! Wanted to get it done in august, but I too have been wasting a lot of time here and there and have not been serious yet about studying..
Have been studying on and off since may. Did kaplan IM videos and annotated MTB 2 along. Read the rest of the chapters from MTB 3. And started uworld immediately after, so havnt even really properly read IM. So far just done with 30% uworld (slacking off really bad)
Hoping to finish first round of uworld and take it from there! Want to do DIT and second round of uworld my last month of prep.
Let's keep each other motivated!!
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Hey great thread!!
I'm also hoping to get this over with sometime in September! Wanted to get it done in august, but I too have been wasting a lot of time here and there and have not been serious yet about studying..
Have been studying on and off since may. Did kaplan IM videos and annotated MTB 2 along. Read the rest of the chapters from MTB 3. And started uworld immediately after, so havnt even really properly read IM. So far just done with 30% uworld (slacking off really bad)
Hoping to finish first round of uworld and take it from there! Want to do DIT and second round of uworld my last month of prep.
Let's keep each other motivated!!
How have you been doing UW so far? Taken any NBMEs or UWSA yet?
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Hey great thread!!
I'm also hoping to get this over with sometime in September! Wanted to get it done in august, but I too have been wasting a lot of time here and there and have not been serious yet about studying..
Have been studying on and off since may. Did kaplan IM videos and annotated MTB 2 along. Read the rest of the chapters from MTB 3. And started uworld immediately after, so havnt even really properly read IM. So far just done with 30% uworld (slacking off really bad)
Hoping to finish first round of uworld and take it from there! Want to do DIT and second round of uworld my last month of prep.
Let's keep each other motivated!!
Also, welcome to the club
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Quote:
Originally Posted by mcc-usmle View Post
Im freaking out....any advice would be appreciated! Im planning on taking step 2 CK the last week of august or first week of september. I just finished Uworld first pass, timed, random mode with 60%. I feel i always end up with 2 choices left and have to make a guess (at least in most of the questions). Should i repeat world, or should i do an NBME first, and if so, which one should i do?
I have been studying from MTB CK, MTB 3 and Uworld only!
Thanks

If you really want to give exam in august then , you should do atleast one self assessment , better give UW self assesment. than work on weak areas and repeat UW marked and wrong qs.
BDW I am giving exam on 4th september. I will give UW self assesment on 22nd august. finished 72 percent UW. aLL THE BEST
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Also, welcome to the club
Thanks!
And doing UW subject wise so far in IM. Will do it random the second time. And no self assessments yet. Will plan those out after done with uworld once.
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Originally Posted by Mr Mapsy View Post
If you really want to give exam in august then , you should do atleast one self assessment , better give UW self assesment. than work on weak areas and repeat UW marked and wrong qs.
BDW I am giving exam on 4th september. I will give UW self assesment on 22nd august. finished 72 percent UW. aLL THE BEST
Hi Mr Mapsy...are you planning to apply this year itself...since your done with everything else.. i m in the similar situation
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Old 07-31-2013
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How is everyone preparing for drug ads and abstracts on the exam? Is UW good enough for this or is there another source? Thanks!
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How is everyone preparing for drug ads and abstracts on the exam? Is UW good enough for this or is there another source? Thanks!
I've been doing uworld, and i've come across 3 abstracts till now. The questions involving interpretation of the abstracts per se haven't been too hard, just slightly time consuming because it takes time to figure out where to look for what they're asking exactly, but these follow up questions sometimes contain biostat questions i havent come across ever in KLN or FA. I've been seeing a few links about on the forum directing you to some more examples of drug abstracts. But i'm not sure about another source for drug abstract questions!

Anyone else knows?
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My friend gave exam a week before, he said UW drug ad and abstract qs are more hard, if you will learn them how to answer, in exam you will do fine. thanks
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Yeah I saw some links in some other sites in the forum as well, don't know if that is helpful or if I will have time for it. Those of you at the end of your studying how would you compare studying for step 2 as opposed to step 1 in terms of hours and stuff. I'm finding it relatively easier to study for it (although the exam or so I've heard is tougher).. Or maybe its because I get distracted here and there unlike step 1 which literally use to do 12-14 hour days. Any thoughts?
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Old 07-31-2013
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Quote:
Originally Posted by daniella View Post
Yeah I saw some links in some other sites in the forum as well, don't know if that is helpful or if I will have time for it. Those of you at the end of your studying how would you compare studying for step 2 as opposed to step 1 in terms of hours and stuff. I'm finding it relatively easier to study for it (although the exam or so I've heard is tougher).. Or maybe its because I get distracted here and there unlike step 1 which literally use to do 12-14 hour days. Any thoughts?
I agree the studying aspect is easier for CK. Especially if you've had prior clinical experience. I'd rather be learning about treatment of asthma exacerbations over which enzyme defect is present for metachromatic leukodystrophy

But like you said, the questions are definitely longer for CK, and each block seems to take a lot out of me unlike the step 1 blocks.

I'd rather not over-analyse it, but just focus on getting the CK monkey off my back asap!
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  #36  
Old 08-02-2013
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So i've been doing UW, a block a day, and last 5 blocks or so i've been getting 80+ , but now over the last 2 blocks i've suddenly come down to 73 in each block. The average scores haven't been much different, but compared to the blocks i was getting 80+ in, these last 2 blocks, i found the questions much more vague and harder. Am i crashing, or are fluctuating UW scores normal? (i still have 75% of UW left)
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Old 08-02-2013
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Quote:
Originally Posted by rohit39 View Post
So i've been doing UW, a block a day, and last 5 blocks or so i've been getting 80+ , but now over the last 2 blocks i've suddenly come down to 73 in each block. The average scores haven't been much different, but compared to the blocks i was getting 80+ in, these last 2 blocks, i found the questions much more vague and harder. Am i crashing, or are fluctuating UW scores normal? (i still have 75% of UW left)
I'm pretty sure its normal as long as you learn from your mistakes! At least that's what I heard from friends who took the exam. So I'm doing it subjectwise and I started off with surgery and I'm starting off with like 60's and sometimes 50's is this normal or should I give kaplan one more read?
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  #38  
Old 08-02-2013
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Quote:
Originally Posted by daniella View Post
I'm pretty sure its normal as long as you learn from your mistakes! At least that's what I heard from friends who took the exam. So I'm doing it subjectwise and I started off with surgery and I'm starting off with like 60's and sometimes 50's is this normal or should I give kaplan one more read?
I started UW around the 60s too, that should pick up soon with exposure to more questions. Plus, from my personal experience, my UW surgery perfomance is the worst till now, so maybe its a little harder compared to the other subjects? Either way just stick with it and you'll see your scores improve
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Old 08-02-2013
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Quote:
Originally Posted by rohit39 View Post
I started UW around the 60s too, that should pick up soon with exposure to more questions. Plus, from my personal experience, my UW surgery perfomance is the worst till now, so maybe its a little harder compared to the other subjects? Either way just stick with it and you'll see your scores improve
Thanks man! Appreciate it
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  #40  
Old 08-03-2013
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Cool rwading FA for step 1 for Step 2 CK

Quote:
Originally Posted by rohit39 View Post
Yeah, i remember reading someone somewhere on the forum suggesting to read up that table of side effects from FA step 1. I should do that too.

The UW questions aren't like what MTB led me to believe. I don't see much of "most accurate test" questions, there are a few "next step of management" questions, but its always just the first step. I've never come across questions where they ask anything further than the first step, and maybe the best therapy/treatment. Do such questions come solely under step 3 then?
Thanks for starting this forum....I am giving step 2 CK before step 1.Can you tell me which page number in FA step 1 gives drug side effects...I tried to search in FA but could not get it....
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Old 08-03-2013
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Quote:
Originally Posted by Short View Post
Thanks for starting this forum....I am giving step 2 CK before step 1.Can you tell me which page number in FA step 1 gives drug side effects...I tried to search in FA but could not get it....
I'm not too sure actually. I never did FA for step 1! I've read around the forum that there's a table of drug adverse effects in FA step 1 and i took it at face value thinking i'd have a look at it before i give the exam. Anyone else knows?
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Old 08-03-2013
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Quote:
Originally Posted by rohit39 View Post
I'm not too sure actually. I never did FA for step 1! I've read around the forum that there's a table of drug adverse effects in FA step 1 and i took it at face value thinking i'd have a look at it before i give the exam. Anyone else knows?
I believe its in the Rapid Review section at the back of the book.
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Old 08-03-2013
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I asked a friend and found it. In the FA 2012 edition its on page 271. Towards the end of the pharmacology section, under the heading "drug reactions".
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  #44  
Old 08-04-2013
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Quote:
Originally Posted by rohit39 View Post
I asked a friend and found it. In the FA 2012 edition its on page 271. Towards the end of the pharmacology section, under the heading "drug reactions".
Its page number 240 in FA 1 - 2013 edition..
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Old 08-05-2013
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Hello guys!
My exam is in last week of Oct. Doing MTB 2, MTB 3 and Uworld.
I have done 74% of U world(mixed timed and unused) with an average score of 64%. Will do U world one more time.
Should I do Kaplan Q bank too, what do you think?


My step 1 score 228/83.
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  #46  
Old 08-05-2013
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I have researched reviews of the kaplan qbank for step 2 and alot people say its a waste of time (even US grads don't use it) I would say use it if you have the time if not I would go through another run of UW prob more relevant to the exam. I did some of surg for kaplan qbank and found it poorly written so I'm sticking to UW. Its upto you tho if you have time by all means go for it!
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Old 08-05-2013
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I second Daniella here, Kaplan qbank is definitely not useful, i've heard it from many people. UW should do. Although if you're really intent on doing a 2nd qbank, kaplan qbank might be one of the options.
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Old 08-06-2013
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can anybody answer the q

a 42 year old woman comes for a follow up visit
Two weeks ago,
her blood pressure was 152/94 mm Hg during a routine
visit. Her blood
pressure today is 150/94 mm Hg, pulse is 76/min, and
respirations are
14/min. Examination shows no other abnormalities.
Serum studies show:


Na+ 142 mEq/L
Cl– 105 mEq/L
K+ 4 mEq/L
HCO3– 26 mEq/L
Urea nitrogen (BUN) 12 mg/dL
Glucose 101 mg/dL
Creatinine 0.8 mg/dL

An ECG shows no abnormalities. Which of the following
is the most
appropriate next step in management?

A
) Measurement of plasma renin activity

B
) Serum lipid studies

C
) 24-Hour urine collection for measurement of
metanephrine level

D
) Echocardiography

E
) Captopril renal scan
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Old 08-06-2013
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Quote:
Originally Posted by polok15 View Post
can anybody answer the q

a 42 year old woman comes for a follow up visit
Two weeks ago,
her blood pressure was 152/94 mm Hg during a routine
visit. Her blood
pressure today is 150/94 mm Hg, pulse is 76/min, and
respirations are
14/min. Examination shows no other abnormalities.
Serum studies show:


Na+ 142 mEq/L
Cl– 105 mEq/L
K+ 4 mEq/L
HCO3– 26 mEq/L
Urea nitrogen (BUN) 12 mg/dL
Glucose 101 mg/dL
Creatinine 0.8 mg/dL

An ECG shows no abnormalities. Which of the following
is the most
appropriate next step in management?

A
) Measurement of plasma renin activity

B
) Serum lipid studies

C
) 24-Hour urine collection for measurement of
metanephrine level

D
) Echocardiography

E
) Captopril renal scan
I have no idea, worth a shot!

I would go with B, only because I could rule out all the other reasons,
A)if renin was increased so will aldo and that would cause your abnormal NA/K
C)metanephenrine level, no signs and symptoms of pheochromocytoma
E) for Renal artery stenosis, should show change in BP in the diff limbs.
D) echo is generally for some structural problem, but she has no other sympt.
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  #50  
Old 08-06-2013
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Quote:
Originally Posted by polok15 View Post
can anybody answer the q

a 42 year old woman comes for a follow up visit
Two weeks ago,
her blood pressure was 152/94 mm Hg during a routine
visit. Her blood
pressure today is 150/94 mm Hg, pulse is 76/min, and
respirations are
14/min. Examination shows no other abnormalities.
Serum studies show:


Na+ 142 mEq/L
Cl– 105 mEq/L
K+ 4 mEq/L
HCO3– 26 mEq/L
Urea nitrogen (BUN) 12 mg/dL
Glucose 101 mg/dL
Creatinine 0.8 mg/dL

An ECG shows no abnormalities. Which of the following
is the most
appropriate next step in management?

A
) Measurement of plasma renin activity

B
) Serum lipid studies

C
) 24-Hour urine collection for measurement of
metanephrine level

D
) Echocardiography

E
) Captopril renal scan



The answer is B, lipid studies. Since the woman is 42 years old, and has a BP in the 150/90 range, with no other symptoms and normal lab parameters, its essential hypertension. Patients with essential hypertension should also undergo EKG (for checking if there is LVH), cholesterol monitoring, glucose measurements to rule out concomitant diabetes and urinalysis with BUN/Creatinine. (Source- MTB 2 Nephrology)

While Echo is also a decent answer since you can evaluate LVH there, the more accurate answer would be serum lipid studies.
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  #51  
Old 08-07-2013
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Random Surgery question.. If someone comes in with a penetrating Neck trauma do you secure airway first or go in for surgical exploration (ie for Zone 2, angiogram in zone 1 or 3) . And if he is coughing up blood\expanding hematoma in the neck then u can't intubate right you have to go for a cric or a tracheostomy? Correct me if I am wrong ?
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Old 08-07-2013
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Quote:
Originally Posted by daniella View Post
Random Surgery question.. If someone comes in with a penetrating Neck trauma do you secure airway first or go in for surgical exploration (ie for Zone 2, angiogram in zone 1 or 3) . And if he is coughing up blood\expanding hematoma in the neck then u can't intubate right you have to go for a cric or a tracheostomy? Correct me if I am wrong ?

In any trauma, securing the ABCs are most important, so i'd say secure the airway 1st before going for surgical exploration.

And yes, expanding hematoma/gurgling sounds because of blood (drowning in own blood) you'd like to do a cricothyroidotomy. An alternate would be a percutaneous (not open) tracheostomy.
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  #53  
Old 08-07-2013
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why it can nt be renal artery stemosis. her age group suggest that. I was thinking captopril scan would be the answer
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  #54  
Old 08-07-2013
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6. During a routine examination, a 32-year-old man
has a blood
pressure of 120/80 mm Hg. He is concerned because his
father, grandfather,
and two uncles have hypertension. He works as a
systems programmer for
a large computer company and frequently has to meet
tight deadlines.
He has smoked one pack of cigarettes daily for 10
years. He is 4.5 kg
(10 lb) overweight and drinks three cups of coffee
daily. Which of the
following measures is most likely to reduce this
patient's risk for
hypertension over the next 5 years?

A
) Increase intake of dietary fiber

B
) Restrict caffeine

C
) Stress management

D
) Weight loss

please answer the q
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  #55  
Old 08-07-2013
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Weight loss. Its the most important factor in preventing and reducing hypertension. Look at MTB 2 hypertension.
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  #56  
Old 08-08-2013
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the above questions are from NBME 2, I do not see this posted and I think it is imp thing to mention bz it will affect its validity as self assessment exam for those who did not take it yet and want to take it in the future.
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Old 08-08-2013
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Quote:
Originally Posted by sonami View Post
the above questions are from NBME 2, I do not see this posted and I think it is imp thing to mention bz it will affect its validity as self assessment exam for those who did not take it yet and want to take it in the future.
Thanks a lot for pointing that out! And you're right. If you want to discuss NBME questions please start a new thread on the step 2 forum or just search the forum because I'm sure most questions have been discussed in the forum previously. Or just use Google. There are plenty of answer keys and explanations available.
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  #58  
Old 08-11-2013
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Hey people, how's your preparations going?

I was wondering, I'm 50% done with UW now, and most questions are diagnosis questions, with a few being treatment questions. Do you guys know if that's the trend in the actual exam too? Or should we be paying equal emphasis on treatment, especially 2nd and 3rd choice drugs. MTB seems to emphasise on knowing those drugs, but UW barely tests 2nd and 3rd line drugs.
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Old 08-11-2013
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Quote:
Originally Posted by polok15 View Post
why it can nt be renal artery stemosis. her age group suggest that. I was thinking captopril scan would be the answer
This is just my reasoning...there are subtle hints as to why one option is not the answer in case there is a narrowing down to 2 options which seem probable.
In renal artery stenosis, captopril scan isn't the preferred option of testing. MRA, CT and Duplex doppler are better options.This is because of high prevalence of asymmetric renal blood flow in general population which can confuse the results.
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Old 08-11-2013
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Great post

I am an IMG planning to take my exam last week of October...

Havent taken step 1...I have just finished studying IM from kaplan and annotating it in MTB2, and I ll start peds next from MTB 2&3

how early do I need to schedule my exam in-order to guarantee a seat in the pro-metric center??
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Old 08-11-2013
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Quote:
Originally Posted by target250 View Post
Great post

I am an IMG planning to take my exam last week of October...

Havent taken step 1...I have just finished studying IM from kaplan and annotating it in MTB2, and I ll start peds next from MTB 2&3

how early do I need to schedule my exam in-order to guarantee a seat in the pro-metric center??
Depends on which country you're in I'd say. But better safe than sorry right, which means booking a date as soon as you can! You can always change it free of cost (if its more than 31 days from your exam date), to suit your convenience later if required, if there are dates available!
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  #62  
Old 08-15-2013
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just to make this post active...

I just finished IM 2 days ago...doing Ob/Gyn now

Ob seems easy...going at a rate of 40 pages of kaplan per-day unlike when I was doing medicine :/
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  #63  
Old 08-15-2013
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Quote:
Originally Posted by target250 View Post
just to make this post active...

I just finished IM 2 days ago...doing Ob/Gyn now

Ob seems easy...going at a rate of 40 pages of kaplan per-day unlike when I was doing medicine :/
Yeah OB seems decent, although my UW performance says otherwise

How is everybody else doing?
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Old 08-15-2013
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Going with 2nd round of UW ( doing marked qs) chapter wise( eg cardio from mtb then UW ) . Gonna finish IM in 2 days InshAllah.

I will take UWSA on 25th or 26th. Lets see what will happen.

My friend got result yesterday 233 in real exam , UWSA= 247..he got 13 points less in real one.
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  #65  
Old 08-15-2013
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Quote:
Originally Posted by Mr Mapsy View Post
Going with 2nd round of UW ( doing marked qs) chapter wise( eg cardio from mtb then UW ) . Gonna finish IM in 2 days InshAllah.

I will take UWSA on 25th or 26th. Lets see what will happen.

My friend got result yesterday 233 in real exam , UWSA= 247..he got 13 points less in real one.
Yeah there are always instances of such stuff happening. Can't let that get you down. Its still fairly accurate, and i always thought the UWSAs and NBMEs, even for step 1 were for a +/- 10 predictor more than anything else.

I still have about 45% of UW to go (first pass), hit a road block the last 2 days, not been able to get much work done!
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Old 08-16-2013
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Default My experience

Hi guys received my scores yesterday. Sharing my experience hope this helps.

Step 2 CK exam-260
UWSA- 257 3 1/2 weeks before
NBME-6(newer one)-258 2 weeks before exam
Exam was way too tough!!!As I have been reading before, experienced it during the exam myself. Had no clue how I had done- I was expecting score anywhere between 220-250. There were atleast 10 WTF questions each block -where either I had no clue or 2-3 options were right, but now I guess if you expect a score above 240-250 be prepared for atleast 10-15 wrong questions each block, so be prepared and dont panic during the exam!!I had atleast 10% questions based on step 1 concept even mechanism of drug actions!But need to worry and dont even think of touching step1 books cause you dont know what will be tested! I guess just testing how much you retain

I subscribed 6 months uworld because I wanted atleast two readings- as you can reset with 6 months subscription. study time 5 months, initial 4 months with internship/clerkship.Last month just step2 ck prep.
BOOKS-MTB 2-internal medicine and rest
MTB 3 -peds/obgy/surg
Both books a must!!
Kaplan q bank(book)-one reading
Kaplan notes- only surgery and few peds topic specially first 100 pages.

All the best!!
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  #67  
Old 08-16-2013
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Thumbs Up congrats...

Quote:
Originally Posted by shanky View Post
Hi guys received my scores yesterday. Sharing my experience hope this helps.

Step 2 CK exam-260
UWSA- 257 3 1/2 weeks before
NBME-6(newer one)-258 2 weeks before exam
Exam was way too tough!!!As I have been reading before, experienced it during the exam myself. Had no clue how I had done- I was expecting score anywhere between 220-250. There were atleast 10 WTF questions each block -where either I had no clue or 2-3 options were right, but now I guess if you expect a score above 240-250 be prepared for atleast 10-15 wrong questions each block, so be prepared and dont panic during the exam!!I had atleast 10% questions based on step 1 concept even mechanism of drug actions!But need to worry and dont even think of touching step1 books cause you dont know what will be tested! I guess just testing how much you retain

I subscribed 6 months uworld because I wanted atleast two readings- as you can reset with 6 months subscription. study time 5 months, initial 4 months with internship/clerkship.Last month just step2 ck prep.
BOOKS-MTB 2-internal medicine and rest
MTB 3 -peds/obgy/surg
Both books a must!!
Kaplan q bank(book)-one reading
Kaplan notes- only surgery and few peds topic specially first 100 pages.

All the best!!
congrats shanky....if we find wrong question, should we attempt it or leave it?...is there any negative score for attempting a wrong? question?
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Old 08-16-2013
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Quote:
Originally Posted by Short View Post
congrats shanky....if we find wrong question, should we attempt it or leave it?...is there any negative score for attempting a wrong? question?
Short- never leave a step question without marking!!There is no negative marking, I had never left any question either for step 1 or step2.
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  #69  
Old 08-16-2013
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Star thanks

Quote:
Originally Posted by shanky View Post
Short- never leave a step question without marking!!There is no negative marking, I had never left any question either for step 1 or step2.
I am taking step 2 c before step 1....exam on sep 11...finished one reading of UW(Offline),MTB 2 and 3.....now doing UW timed mode...i am finishing each block in 30 min with score of 70-80%...may be because i already know the equestions?...how should I proceed my preparation now?..since I am working,i manage to get 4-5 hours a day to work...
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Old 08-16-2013
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Quote:
Originally Posted by Short View Post
I am taking step 2 c before step 1....exam on sep 11...finished one reading of UW(Offline),MTB 2 and 3.....now doing UW timed mode...i am finishing each block in 30 min with score of 70-80%...may be because i already know the equestions?...how should I proceed my preparation now?..since I am working,i manage to get 4-5 hours a day to work...
I think you are doing well, just make sure you revise U world again! And you should give NBME/UW assessment by next week end. Very important as you will know your weak areas.No use giving them a week before exam, if you dont score well then it is a panic situation. Dont know about others UW/NBME have been real good predictors for me!

All the best!
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  #71  
Old 08-16-2013
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Originally Posted by shanky View Post
Hi guys received my scores yesterday. Sharing my experience hope this helps.

Step 2 CK exam-260
UWSA- 257 3 1/2 weeks before
NBME-6(newer one)-258 2 weeks before exam
Exam was way too tough!!!As I have been reading before, experienced it during the exam myself. Had no clue how I had done- I was expecting score anywhere between 220-250. There were atleast 10 WTF questions each block -where either I had no clue or 2-3 options were right, but now I guess if you expect a score above 240-250 be prepared for atleast 10-15 wrong questions each block, so be prepared and dont panic during the exam!!I had atleast 10% questions based on step 1 concept even mechanism of drug actions!But need to worry and dont even think of touching step1 books cause you dont know what will be tested! I guess just testing how much you retain

I subscribed 6 months uworld because I wanted atleast two readings- as you can reset with 6 months subscription. study time 5 months, initial 4 months with internship/clerkship.Last month just step2 ck prep.
BOOKS-MTB 2-internal medicine and rest
MTB 3 -peds/obgy/surg
Both books a must!!
Kaplan q bank(book)-one reading
Kaplan notes- only surgery and few peds topic specially first 100 pages.

All the best!!
Thanks Shanky for your post! Although i have mixed emotions about it. Awesome score and congrats for that! What was your step 1 score if i may ask? And your UW first pass overall percentage?
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Thanks Shanky for your post! Although i have mixed emotions about it. Awesome score and congrats for that! What was your step 1 score if i may ask? And your UW first pass overall percentage?
I got 256 on step1. I did uw tutor subject wise with first time final percentage of 76%.
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I got 256 on step1. I did uw tutor subject wise with first time final percentage of 76%.
Wow those are really good scores! Congrats again! I'm currently on my UW first pass, random timed blocks, and with 50% left to go i'm at 77% currently. Exam is on sept 24th. Do you reckon i'm on my track for a 250+ score? Because i really need that. I've done KLN for all subjects except BS once and MTB 2 and 3 twice till now.
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Old 08-17-2013
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Finally finished with obstetrics...do you think I should do a block of UW now or after finishing gyne?
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Quote:
Originally Posted by rohit39 View Post
Wow those are really good scores! Congrats again! I'm currently on my UW first pass, random timed blocks, and with 50% left to go i'm at 77% currently. Exam is on sept 24th. Do you reckon i'm on my track for a 250+ score? Because i really need that. I've done KLN for all subjects except BS once and MTB 2 and 3 twice till now.
First time 77% is a real great start. Are you going through the tutor UW? Is it like a timed tutor? I never used timed tutor just plain tutor at first. Because you need to go through UW atleast 2 times i.e with explanation!! I think books wise you have read enough. And do take either NBME/UW self assessment atleast 3 weeks prior to your exam.
Hope this helps.
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Quote:
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First time 77% is a real great start. Are you going through the tutor UW? Is it like a timed tutor? I never used timed tutor just plain tutor at first. Because you need to go through UW atleast 2 times i.e with explanation!! I think books wise you have read enough. And do take either NBME/UW self assessment atleast 3 weeks prior to your exam.
Hope this helps.
Yeah i took NBME 4 a month back right after my reading of KLN and the MTBs and before i started UW and i scored 233, so i'm hoping for a 20 point rise after UW. I'm just doing random timed blocks of 44 questions, about 2 blocks a day, followed with studying the explanations and reading relevant portions of MTB or KLN (sometimes even step 1 stuff ) I'm taking extensive notes from all my UW reading into a notebook, because i'm not sure i'll have enough time to finish UW completely a 2nd time around, so just planning on doing marked questions.

I'll do as you say and take NBME 6 around september 1st week.

Thanks for the tips and get off the forum for a bit and celebrate!
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Finally finished with obstetrics...do you think I should do a block of UW now or after finishing gyne?
I'm a strong proponent of doing UW after you've completed a first read of all subjects, because i feel doing timed random blocks are the way to go to prepare you for the real exam. Doing UW subject wise tends to narrow your thought process. especially with respect to eliminating answer choices, according to me.

Hope that answered your question!
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  #78  
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Quote:
Originally Posted by rohit39 View Post
Yeah i took NBME 4 a month back right after my reading of KLN and the MTBs and before i started UW and i scored 233, so i'm hoping for a 20 point rise after UW. I'm just doing random timed blocks of 44 questions, about 2 blocks a day, followed with studying the explanations and reading relevant portions of MTB or KLN (sometimes even step 1 stuff ) I'm taking extensive notes from all my UW reading into a notebook, because i'm not sure i'll have enough time to finish UW completely a 2nd time around, so just planning on doing marked questions.

I'll do as you say and take NBME 6 around september 1st week.

Thanks for the tips and get off the forum for a bit and celebrate!
I am, Fosters by my side as I am writing this
All the best
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  #79  
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Graduated in 1997,has done Step 1 with a score of 220 and passed CK all first attempt. Trying to do Step 2CK by Sept 5th. I did NBME 2,3 and failed. I read intensely and did NBME 4 followed by USMLE world self assessment and scored 217 in NBME 4 while USMLE world self assessment yesterday was 234. I did free online 150 question and scored 80% two days ago. I am really scared of this CK exam,i am not sure if to reschedule or just go ahead and do it. BTW i would love to apply this year. Can any kind soul who has done usmleworld assesment advice if the score of 234 is okay to go for the exam
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Old 08-17-2013
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usually the UWSA is very accurate and from what i have read, you have increased performance after every nbme you have done. So it's safe to say you seem to be prepared for the real thing.
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Old 08-17-2013
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Quote:
Originally Posted by nandie View Post
Graduated in 1997,has done Step 1 with a score of 220 and passed CK all first attempt. Trying to do Step 2CK by Sept 5th. I did NBME 2,3 and failed. I read intensely and did NBME 4 followed by USMLE world self assessment and scored 217 in NBME 4 while USMLE world self assessment yesterday was 234. I did free online 150 question and scored 80% two days ago. I am really scared of this CK exam,i am not sure if to reschedule or just go ahead and do it. BTW i would love to apply this year. Can any kind soul who has done usmleworld assesment advice if the score of 234 is okay to go for the exam

I think you did a great Job by improving such points. I know my 2 friends who gave UWSA , one of them scored 247 in UWSA but in real 233 and second UWSA 232 and real 241. What I think is If you will sit in your exam on 5th you will score somewhere 220 to 240. bc you scored well in 150 free qs to. I am also giving exam on 6th sept. But I will do UWSA on 25th august If I will score abv 240 then I will gv for sure on 6th. All the best
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  #82  
Old 08-20-2013
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Default HELP!!!

So,

I read U world, twice and did the marked questions and stuff. Decided to do an NBME and did one and barely passed. Was hoping to take my exam by the 10th. Please suggest, how do I go about to increase my score? Any help will be greatly appreciated. Thank you!!!
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  #83  
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Quote:
Originally Posted by doc007 View Post
So,

I read U world, twice and did the marked questions and stuff. Decided to do an NBME and did one and barely passed. Was hoping to take my exam by the 10th. Please suggest, how do I go about to increase my score? Any help will be greatly appreciated. Thank you!!!

What was your UW cumulative percentage? Rarely an NBME score might be an aberration, although i doubt an aberration could present at such an extreme level though. Plus i've heard the NBME 3 is quite a shocker. So i'd suggest doing UWSA and get another look at your performance? UWSA i reckon is the more accurate predictor for step 2.

If your UWSA scores too are on the same vein as your NBME, your options are to maybe push your exam back a bit and do some intensive reading from one of the popular CK resources people use and UW!
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  #84  
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Quote:
Originally Posted by rohit39 View Post
What was your UW cumulative percentage? Rarely an NBME score might be an aberration, although i doubt an aberration could present at such an extreme level though. Plus i've heard the NBME 3 is quite a shocker. So i'd suggest doing UWSA and get another look at your performance? UWSA i reckon is the more accurate predictor for step 2.

If your UWSA scores too are on the same vein as your NBME, your options are to maybe push your exam back a bit and do some intensive reading from one of the popular CK resources people use and UW!
Well the first time around was 70% I read kaplan once and read MTB2 twice already. The questions that I got wrong, I always narrowed it to the two and always picked the wrong one. Some were plain and simple out of the world. That I had no idea about. Which book would you suggest?
Thank you for your help!
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  #85  
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Quote:
Originally Posted by doc007 View Post
Well the first time around was 70% I read kaplan once and read MTB2 twice already. The questions that I got wrong, I always narrowed it to the two and always picked the wrong one. Some were plain and simple out of the world. That I had no idea about. Which book would you suggest?
Thank you for your help!
Wow 70% on UW is not bad at all! You're starting to scare me too!

Your resources seem fine. Most 250+ scorers have used MTB 2+3 and KLN too. Best bet is to take UWSA and see.
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Quote:
Originally Posted by doc007 View Post
Well the first time around was 70% I read kaplan once and read MTB2 twice already. The questions that I got wrong, I always narrowed it to the two and always picked the wrong one. Some were plain and simple out of the world. That I had no idea about. Which book would you suggest?
Thank you for your help!
70% is really good score, maybe u didnt do the nbme in right state of mind,
review a bit and take another assesment to see.
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  #87  
Old 08-28-2013
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Going through surgery notes with almost half of it done. For some reason I am getting easily bored and I am not even able to sit for 30 minutes without getting distracted :/
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  #88  
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Originally Posted by target250 View Post
Going through surgery notes with almost half of it done. For some reason I am getting easily bored and I am not even able to sit for 30 minutes without getting distracted :/
Surgery KLN? Yeah that can be quite a bitch. But power through it because it contains points not there in MTB. Do either the notes (first half of book) or the question answer format in the 2nd half of the book, which is pretty much a transcript of the lecture videos. I'd suggest the question answer format because its easier to read.
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This thread is so quiet compared to the July-aug one.
What's everyone doing? How's the studying coming along??

I have just 4 weeks left
Still have 37% uworld left to do. Hoping to finish it up asap so that i can do it twice before the test along with DIT. Not sure if i can accomplish all of that along with reading MTB.
Plus its just getting more stressful and boring at the same time.. I just want to be done.
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  #90  
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Quote:
Originally Posted by DrSK View Post
This thread is so quiet compared to the July-aug one.
What's everyone doing? How's the studying coming along??

I have just 4 weeks left
Still have 37% uworld left to do. Hoping to finish it up asap so that i can do it twice before the test along with DIT. Not sure if i can accomplish all of that along with reading MTB.
Plus its just getting more stressful and boring at the same time.. I just want to be done.
Hey, very similar situation here! Exam on September 24th and got 30% of UW left. What's your UW percentage like? I seem to obsess over it constantly and its not doing me any good!

How good is DIT btw? I haven't seen it at all
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Quote:
Originally Posted by rohit39 View Post
Hey, very similar situation here! Exam on September 24th and got 30% of UW left. What's your UW percentage like? I seem to obsess over it constantly and its not doing me any good!

How good is DIT btw? I haven't seen it at all

Yes I think we are in the same boat as of time. Exam on 26th. Uworld avg is not so great- 63%. So need to improve A LOT. Not sure how much i can improve over 4 weeks but hoping for the best.
DIT i've heard is pretty good. Reads over step up to step 2ck. Just makes you memorize things better. Did it for step 1, it was helpful.

What's your uworld avg? And it's okay to have fluctuating scores in uworld, it's just a learning process.
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  #92  
Old 08-28-2013
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So far UW done 100% once and 70% secondtime. Average 1st time 72%
Now going over all UW notes, around 800 pages, crazy know but I took extensive notes. LOL
MTB I hope I have time to review it all.
Time left 20 days.
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Mine is currently at 77% with 30% to go, but it hasn't moved up or down in a LONG time! I've read elsewhere on the forum that the first time random timed UW cumulative is a good indicator of score in the actual exam. Not sure how far its true!

Hmm, too late for me to start a new book now though. I'm not very happy with MTB at times.

Evavar, 800 pages of UW notes??? That's impressive! After you're done with the exams maybe put it up online, at a cost of course but then I think you'd have a lot of legal ramifications
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Quote:
Originally Posted by rohit39 View Post
Mine is currently at 77% with 30% to go, but it hasn't moved up or down in a LONG time! I've read elsewhere on the forum that the first time random timed UW cumulative is a good indicator of score in the actual exam. Not sure how far its true!

Hmm, too late for me to start a new book now though. I'm not very happy with MTB at times.

Evavar, 800 pages of UW notes??? That's impressive! After you're done with the exams maybe put it up online, at a cost of course but then I think you'd have a lot of legal ramifications

Yes I am doing kaplan. I have the 2008-2009 notes, so its frustrating that some stuff are outdated when you read the relative part in MTB 2 & 3.

I am reading the first part then moving to the vignettes instead of having to read any twice. Gotta admit though, his book is quite helpful!!

I finished around 10% of UW doing a block for every 2 systems with an average of 62%. Planning to finish surgery, psych, and peds in 3 weeks (hopefully :P) and then finish up UW and go over the MTBs again!

I feel like I forgot a lot of my medicine :/

But I still have a strong feeling that we are gonna ROCK this exam
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Quote:
Originally Posted by target250 View Post
Yes I am doing kaplan. I have the 2008-2009 notes, so its frustrating that some stuff are outdated when you read the relative part in MTB 2 & 3.

I am reading the first part then moving to the vignettes instead of having to read any twice. Gotta admit though, his book is quite helpful!!

I finished around 10% of UW doing a block for every 2 systems with an average of 62%. Planning to finish surgery, psych, and peds in 3 weeks (hopefully :P) and then finish up UW and go over the MTBs again!

I feel like I forgot a lot of my medicine :/

But I still have a strong feeling that we are gonna ROCK this exam
I have to say, I love your optimism! I sure hope so though.
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Hi, I'm an old IMG
YOG 2000
Step 1 234 this past March
Awaiting results of CS
I'm about to take CK in two weeks,
so far in my second run through UWorld I'm getting 84, my first run was sixty something.

So, according to comments I've read, step 2CK is all over the place, you don't know where you stand until you get the result, and feeling like you answered wrong a lot of questions is normal. At least is a relief to see people scoring higher than in their step 1.

I think the secret for the day of the exam is arrive and stay as awake as possible, be on your unusually reached 100% and had a rest the day before.

I will worry about this match or the next after the result. I have no USCE but because of my YOG I might as well try this year.

Thanks for making this thread
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Old 08-28-2013
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Quote:
Originally Posted by Ahuizotl View Post
Hi, I'm an old IMG
YOG 2000
Step 1 234 this past March
Awaiting results of CS
I'm about to take CK in two weeks,
so far in my second run through UWorld I'm getting 84, my first run was sixty something.

So, according to comments I've read, step 2CK is all over the place, you don't know where you stand until you get the result, and feeling like you answered wrong a lot of questions is normal. At least is a relief to see people scoring higher than in their step 1.

I think the secret for the day of the exam is arrive and stay as awake as possible, be on your unusually reached 100% and had a rest the day before.

I will worry about this match or the next after the result. I have no USCE but because of my YOG I might as well try this year.

Thanks for making this thread
Yeah you're right. There have been a lot of people who've come out of the center and felt like they did miserably (reliable people I know of, who I know to not unduly cause panic), but they end up scoring well, and sometimes more than their NBMEs or UWSA predicted. The exam is not easy, we've always known that. Well said regarding your exam day focus issue.

I've seen a lot of posts on SDN where guys come out saying I cold score anywhere between 220 and 260. Its that kinda exam where a lot of the times you aren't sure of the answer
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Old 08-28-2013
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Quote:
Originally Posted by Ahuizotl View Post
Hi, I'm an old IMG
YOG 2000
Step 1 234 this past March
Awaiting results of CS
I'm about to take CK in two weeks,
so far in my second run through UWorld I'm getting 84, my first run was sixty something.

So, according to comments I've read, step 2CK is all over the place, you don't know where you stand until you get the result, and feeling like you answered wrong a lot of questions is normal. At least is a relief to see people scoring higher than in their step 1.

I think the secret for the day of the exam is arrive and stay as awake as possible, be on your unusually reached 100% and had a rest the day before.

I will worry about this match or the next after the result. I have no USCE but because of my YOG I might as well try this year.

Thanks for making this thread
How many blocks are u able to do with yr 2nd pass
I had finished 80% of uw 1 month back and now have to go through it
again.scored in 60 something the first time.
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Old 08-30-2013
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Finally done with surgery!! gonna have to revise MTB 2&3 though...
Going to starts Peds tomorrow!! Hopefully i still remember kaplan since it was my final rotation
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I used to be on the August thread but since exam is scheduled for September 10 (for now!), I guess I belong here

UWSA 216 (7 weeks ago)
NBME 4 202 (3 weeks ago)

Been going over MTB cover to cover and reading my UW notes along with it. Next NBME is in 5 days. All I want is a "safe" score. I'm completely burnt out and I want to get this over with
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