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Hey Team,

I’ve heard from some people that the step 1 exam changes whilst you’re writing it with the questions presented to you tailored to what you have previously gotten wrong in the blocks before. Is this confirmed with anyone? I’d also be interested to know why questions come up on some people’s exams and not others?

cheers
 

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That's false. Steps are really structured and well organized exams. They aren't biased depending on how you answer them. For instance, they are not even scored till you have finished the entire exam, and ur answers are sent to the NBME, which then compare and check your answers.

Every question comes from a pool, which is changed periodically. But within this pool are sectors, with the individual disciplines, all categorized depending on their difficulty and other parameters. So two students can be tested for the same fact using different questions, or using different difficulties. The good thing is that all questions are scored equally, that is you get the same point for answering an easy question compared to a difficult question.

Their is already a set bar with which your answers are compared, and your total score is calculated. You are NOT competing against other students, and your score isn't calculated depending on how the other students did during that time period. Rather, you are competing against the set bar, or competence level.

Also, its not true you don't see the same question. The problem is you can never recall the questions, because its such a rush of 7 hours, its impossible to remember exactly. Besides, the adrenaline brushes out every memory of the exam. This is all structured, designed and expected. Besides, some questions are put in as test questions and are not scored. They want to know if students are getting aware of some new fact, and if many students get them right, then that test question is introduced into the pool.

All in all, Steps are by far the most fair and logical exams. They really test your competence. Don't think they are trying to make your life harder while you are answering them. No, actually, they are giving you multiple chances to score points.

No one knows the exact algorithm. No one knows how many questions you are supposed to get right. No one knows how many questions you got right in the first place. Its all a secret, and don't believe anyone that tells you otherwise.

Hope that helps!
 
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