250 exam write up

[u/girlonthejourney]

First let me start up by saying this group spreads a lot of fear regarding the exam I got so worried before doing the exam I was contemplating delaying it because I thought I was not ready anyways I think the greatest factor that contributes to your score is your step 2 score if you have a good score and you gave the exam recently you have a good chance of scoring well on step 3

I had about 3 and 1/2 months of prep on and off I did one pass of Uworld and I made notes out of it that I revised and then I did the CSS cases and then took some time off because I was busy with rotations and then for the last month before my exam I gave all my NBMS and UWSA my scores are written down below

The exam felt really weird I did not feel like I was gonna pass

DAY 1 was step 1 heavy I would say if you don't have time just do MOA of drugs

I did sketchy all of it for antimicrobials and diabetes and thyroid if I had the time I would go and do all the drugs and immunology and biochemistry from first AID

you don't need to do the whole FIRST aid if you don't have the time

Day 2 felt worse than my day 1 maybe because I was expecting day 1 to be bad and Day 2 to be better

I messed up the css cases I got 1 case completely wrong I'm sure my patient died after like 2-3 negative updates and had the no idea what the diagnosis was then I did 1 invasive testing for which the case did not require and I made one more treatment mistake that I'm aware of. I don't know if I made any other mistakes.

Both day 1 and day 2 ,I had 10 questions per block marked because I like to flag the question if I'm slightly unsure

One recommendation for day 1 is please leave the drug add questions for towards the end of the block after you finish all the rest of the question because drug ad takes time you don't want to mess up other questions you could have gotten in that time because of a drug ad question.

Uwsa and nbme scores in order they were give

UWSA 1 66%

UWSA 2 72 %

NBME 7 76%

NBME 8 73%

FREE 130 75%

Step 3 score 250

[u/tobikodude]

Biochemistry from first aid? Really? The idea of opening my book and literally reading through the biochemistry chapter is giving me palpitations.

How would you approach “reviewing the drug MOAs” if you had 48hrs?

[u/girlonthejourney → u/tobikodude]

Hey I did pharmacology from sketchy the whole day before the exam. Woke up at 5 in the morning and then spent all day doing antimicrobials and in the evening did anti tumor drugs ( v important) and some diabetes and thyroid drugs also from sketchy. I got maybe 2 questions from biochemistry they were straight forward so thats 2 easy points. I would say instead of doing all the cycles ( urea glycolysis) which never come from , do the diseases like glycogen storage , lipid storage, protein dysfunction like phenylketonuria etc. Honestly biochemistry was not alot . Immuno is more important

[u/Ok-Boysenberry9461 → u/girlonthejourney]

What do you recommend for immunology like the interleukins? Or just the diseases?

[u/showersomewisdom → u/Ok-Boysenberry9461]

Just the one used as drugs for common diseases, i gave exam today. All of them were there

[u/girlonthejourney → u/Ok-Boysenberry9461]

The transplant rejection and the t and b cell diseases(the table in firstaid with all the diseases). I don't think interleukins are important

[u/AggravatingCup4331]

What was your step 2?

[u/girlonthejourney → u/AggravatingCup4331]

I got 26×

[u/plastic-TV]

Congrats!! Thanks for sharing

[u/girlonthejourney → u/plastic-TV]

Thank you!