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Discussion Starter · #1 ·
Preparing for the USMLE Step 1 exam is quite stressful. By the time exam day rolls around, your head is jam-packed with all sorts of facts and mnemonics. Who has room for basic logistical details? Here are some things I wish I had known about the exam day before I actually took Step
  • Map out the route real well the day before. If you can, drive out to the site beforehand. Keep in mind that traffic patterns might be different in the morning.
  • Eat a good breakfast.
  • Items that you CANNOT bring into the testing area (the rooms with the computers) are: cell phones, PDAs, calculators, watches of any type, pagers, recording or filming devices, radios, coats, jackets, head wear, gloves, book bags, backpacks, handbags, briefcases, wallets, books, notes, written materials, scratch paper, food, candy, gum, or beverages. No iPods!
  • However, you can store these items in the lockers provided. The lockers to keep your stuff are pretty small (1 cubic foot). Don't bring more than you need to.
  • Be prepared for any temperature. Wear layers. If it is cold, you'll be fine. If it is warm, you can peel the layers off. On my day, the room was easily 85 degrees F because the A/C in the building had broken down.
  • Wear comfortable clothes and shoes.
  • If you wear contacts, you might want to consider wearing your eyeglasses instead. Remember, you're going to be staring at a computer pretty intensely for 7 hours.
  • While you can bring a book to study during the breaks, don't! This will just stress you out even more without really adding anything to your test-taking skills.
  • Do NOT look up answers to questions you're unsure about during the break. What's the point? If you got it right, nothing changes. If you got it wrong, it'll distract you the rest of the day.
  • You have an hour of break time, but do not feel you need to use all the time up. The sooner you get done, the sooner you can get out of there and celebrate!
  • There's a lot of time wasted at the beginning, photographing you and signing you in.
  • Make sure to bring a passport, driver's license, or other government ID to sign in!
  • The proctors really have no idea about any of the Step 1 test content.
  • The room itself is filled with only computers, chairs, and test-takers. There are proctors, but they typically sit outside the room, and monitor the examinees via closed-circuit camera.
  • Pack a light lunch, something that does not need any special heating or storage.
 

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Questions reduced

NBME just reduced the total number of questions to 280 as of May 9, 2016, with 40 or so in each block.
 
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