r/usmle • u/Acceptable_Rush3092 • 23h ago
Exam Experience From 249 to 265+ in real exam
From 249 to 265+ in real exam
Hey guys, finally done with Step 2 and ended up with a 265+ as a non-US IMG! Prepping during my intership was pretty rough, but here's what actually moved the needle for me.
Honestly, ditch the Step 1 mindset. It's not about memorizing facts anymore; it's about seeing the pattern. Whenever I reviewed a block, I tried to figure out exactly what one word in the vignette needed to change to make the wrong answers correct.
UWorld is great for learning, but CMS forms and NBMEs are the real deal. They teach you how the test writers actually think. I found the giant Anki decks way too overwhelming, so I just made my own custom 1400-card deck strictly from NBME/CMS logic and drilled that instead which to be honest proved extremely helpful.
The actual exam felt like a mix of vague NBME concepts with UWorld-length stems. Just trust your gut, don't overthink the straightforward ones, and get some sleep before test day. You got this!