Thread: Step 1 score came in today: 233

Hey guys.
It was lower than NBME 6,7,11,12.
But I expected it. My timing was way off. Always rushed at the end of each block
and took too much time on hard ones that I probably couldn't get anyways. Which
left no time for easier ones towards the end.

Make sure you fly through it and trust your instincts. You know the material. Give yourself
enough time to get the ones you can get instead of wasting time on ones you probably can't get.

At least its over
Lets see what the MEAS office has in store for me for clinicals.

Originally Posted by aucdoctor

Simple things like that. If you're learning vitamins. Make sure besides their functions you're asking yourself which ones are co-factors for bio chem rxns. Or even with trace minerals. Where does selenium fit in? Copper? Zinc? You to jump to the enzymes that use them. Metalloproteinases, oxidases, etc etc.

If you're studying the anti-oxidants? Know how they fit in with acetaminophen. Tx for tylenol poisoning? Should lead you to the different zones in the liver. Where does CYP 450s live? Which ones are inducers/inhibitors? Do you know how they look on a Burke-Lineweaver plot? When you induce gene expression are your increasing Vm or Km?

Where does selenium fit in with the HMP shunt? Speaking of the HMP shunt what's its purpose? Where its link to micro? Where its link to purines & pyrimidines? How does GSH fit in? NADPH? How about cysteine and its relationship with GSH? Cysteine's role in the nitric oxide pathway.

You say copper and you think Wilson's or Menke's? You think of lysyl oxidase which then leads you to collagen and so know every single thing about collagen. Whats happening intracellularly and then after export from the cell? Then be able to jump about wound healing and how collagen is involved. Type III? Type I? etc etc What is keloids made of?
If you're constantly asking questions and being proactive you'll be good.

Yup...sure glad I don't have to take that test again....not so sure how it would go 3 years out!

Also, although it's not what you wanted, you still wound up with an excellent score!! I actually wound up about 15 points lower than what I was expecting based on practice exams!

Nice going, aucdoctor! Congratulations, and best of luck going forward.

Congrats to you AUCdoctor. Passing the step is a great feeling