The document summarizes the author's experience preparing for and taking the USMLE Step 1 exam. It describes their preparation process over 9 months, including resources used like UWorld, Anki, BnB, Sketchy, and NBME practice exams. Scores on practice exams ranged from the 240s to 262. However, 5 days before the exam the author got very sick with COVID-19 symptoms, losing 7kg in weight. On exam day they struggled through the first 3 blocks but couldn't continue due to illness, likely contributing to their final score of 225 instead of the expected 240-260 range. The author shares their experience to help others in a similar situation decide whether to postpone the exam.

1. IMG USMLE Step 1 Experience June
2021
My name is mahmoud moustafa, a 5th year medicalstudent at fayoum university. I thought of sharing my
experience will be useful as reading other’s experience was to me
Phase 1 took (28/11/2019 to almost 1/10 ) (3 months gaps in between ):
Phase 2 From ( 1/10 to 1/2):
Phase 3 from (1/2 to exam date 17/6) ( dedicated ):
For my weak points in either UWORLD OR NBMESI do dirty medicine or osmosis VIDEOS
Anki reviews
. BnB
. Sketchy micro , pharma
. Pathoma
. FA
. RX Q BANKS
. ANKI ( zanki cards ) about 31,000 card
. Amboss qbank and taking some notes from my mistakes in anki
. Took also in this phase old nbmes as a learning tool
. Anki reviews
. UWORLD in random mode (GOLD)
. Nbme(20, 21, 22,23,24)
. Nbme (27,28 )
. UWSA1 , UWSA2
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2. Assessment Scores:
NBME 20 (45 mistake )4.5 months out
NBME 21 ( 38 mistake) 4 months out
NBME 22( 30 mistake )3.5 month out
NBME 23 (28 mistake ) 3 month out
NBME 19 ( 15 mistake ) 2 months out
NBME 24 ( 24 mistake )
UWSA1 256 5 weeks out
NBME 27 250 4 weeks out
NBME 18 (12 mistake ) on curve 258
Free 120 in prometric 95% (10 days out )
UWSA2 ( 262 ) nally the score i have been waiting for 260+ (8 days out )
Real deal 225 so why this drop?
THISTHE MOST IMPORTANT PART IN MYEXPERIENCE
5 days out from my exam,corona virus said hello to me.
With the stress of exam and the symptoms ( SEVERE HEADACHE )+ fever + malaise + anorexia+ breathing issues >> 7
kg weight loss in 6 days,a ter all of this I didn’t decide to postpone my exam , all I could think of at that moment was
to be done with step 1 whatever the consequences ,I expected score drop to be like 240 or 235 but never expected to
be in 225 range( pass and fail from the next year was the something that made me never think about postponing+
nal exams in my college in 28/6 ).
Exam day:
But a ter the third block I couldn’t resist any more so it highly a fect my performance
I wrote my experience to help anyone fall in my situation , to know the nearly expected consequences and help him
to decide whether or not to postpone.
I woke up at 4 Am. ( feverish )
I couldn’t sleep till the exam
In exam the rst 3 blocks i tried as much as i can to overcome my headache and di culty in breathing.
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