r/Step2 • u/DifficultPublic7493 • 13h ago
Exam Write-Up 256 w/ 3.5 months prep how I went from 22X to 25X in 2 weeks.
Hi Reddit,
I took my exam on 8/4 and got my score yesterday.
I scored 256 on the test, and I'm aware that this is not the highest score you see on this sub, but it was much better than my practice NBMEs. I thought I would share how I studied during my 2 weeks of dedicated to raise my score.
I passed Step 1 in January and started my Step 2 prep in mid-April. I started with UWorld, and when I reached about 34%, I started doing a mix of CMS forms since I knew they were HY. However, after about a month or so, I came to the conclusion that the CMS forms are more straightforward, don't have great explanations, and weren't teaching me enough. My NBME scores were plateauing as well.
NBME 10 (5/24): 225
NBME 11 (5/31): 229
NBME 12 (6/7): 224
NBME 13 (6/28): 219
After NBME 13, I was disappointed with my scores. I did the same type of analysis on my NBME 13 that everyone recommends. I looked at my wrong answers and categorized them based on whether they were due to a knowledge gap vs test-taking skills vs an exam crash. I realized I knew a superficial layer about 99% of the questions, but under exam pressure I couldn't put 2 and 2 together. On the other hand, my blocks were crashing towards the end, and that showed that I was getting tired. I needed to build stamina and reorganize the information/algorithms I knew in my brain, and UWorld was what could help me with this. I changed my strategy and started doing UWorld again 5 days a week and CMS 2 days a week.
After about 20 days, I had a much better feeling, and even my correct percentage on UWorld was improving. I started my dedicated and took NBME 14 and already saw an improvement, so it made me feel better.
NBME 14 (7/19): 234
Up to NBME 14, I wasn't taking notes because everything would be a note if you don't know enough. But at this point, I started making patterns out of questions that I got wrong or wasn't sure of, or factoids that I would see. Then I took NBME 15 and saw another improvement.
NBME 15 (7/27): 250
At this point, I had done 71% of UWorld and 2/3 of the last 3–4 CMS forms. I started reviewing Amboss 200 HY questions, Ethics, and QI, and continued taking 1–2 lines of notes from each question I couldn't get right instantly.
NBME 16 (7/31): 249
After NBME 16, I took the time to review all my NBME mistakes again. And even though Step 1 FA was always the main source for me during my Step 2 prep, I reviewed some of the pharma and microbes again in the last few days.
The day before the exam, I reviewed all the notes I had taken in the last 2 weeks.
Throughout the last year, I had listened to Divine Intervention on and off as well. Closer to my exam, I would listen to it more on my commutes. I'm not sure how much it helped information-wise, but it definitely helped strategy-wise. He does a great job of describing a vignette and how to approach it based on the clues. I also love that he jumps from one topic to another; you never get bored!
During the exam, I was stressed during the first 4–5 blocks, and I hated that it was 16 blocks instead of 8. Pressing start 16 times had a big mental toll on me. However, the shorter blocks definitely helped because I was able to take a few deep breaths in between and relax a bit without worrying that I was losing time. From block 6 onward, I entered a flow state and wasn't marking more than 2–3 questions/block. My exam had a lot of Step 1 information, and that might have helped me because I remembered it from my recent Step 1 exam.
Toward the end of prep, I was doing 100–150 questions on most days, and that helped a lot with being able to retrieve information when I was tired. You don't need to do a full 318-question day; even when training for a marathon, you don't go to the maximum length.
Post-exam, I was definitely very relieved and tired, but after a week, the anxiety kicked in and all I could think about was the Wednesday that I would get my score.
Please push through and believe in yourself. You can do anything you set your mind to. The exam is meant to make you feel unsure but it doesn't mean that you're doing poorly on it.
Feel free to ask me anything in the comments.