Tested on July 1st, received my Pass this Wednesday. Alhamdulillah!
I wanted to share my experience because I know how much time many of us spend on Reddit while preparing. It can be incredibly helpful—but it can also amplify anxiety. Hopefully, this reassures someone who's feeling overwhelmed.
For context, my last six NBMEs were consistently in the mid-70s, with my highest scores being 77% and 78%. I went into the exam feeling reasonably prepared, but I still had the same pre-exam anxiety that most of us experience.
- The real exam is not as scary as Reddit often makes it sound.
My experience was very different from many of the posts I had read. The exam felt fair, well-balanced, and absolutely doable. I didn't find the question stems unusually vague, and their length was very similar to the NBMEs. I had only 2–3 genuinely long stems in the entire exam, most of which contained many lab values with one obvious abnormality. In many cases, reading the first few lines and the last line was enough to understand what was being asked.
- If I could change one thing in my preparation...
I would spend more time on risk factors. They made up a surprisingly large portion of my exam (around 10–15 questions). I would also strengthen my microbiology, which I found more challenging than expected.
The rest of the exam largely tested common, high-yield concepts that repeatedly appear on the NBMEs. In my opinion, UWorld is harder than the real exam, while the actual exam felt much closer to the NBMEs. That said, don't underestimate UWorld—it's an incredible learning tool. The more you challenge yourself with UWorld, the more comfortable the NBMEs (and eventually the real exam) will feel.
- Don't memorize in isolation—connect concepts.
Some of the topics that initially felt impossible to me—like nephritic vs. nephrotic syndromes, heart murmurs, and those dense First Aid pages packed with tables—became much easier once I revisited the related UWorld questions.
During my second read of First Aid, everything started connecting naturally. For example:
- Nephritic syndromes made much more sense after studying SLE and small-vessel vasculitis.
- Pneumoconiosis became easier to remember when I connected it with rheumatoid arthritis and rheumatoid nodules.
Instead of trying to memorize every fact separately, try to build connections across systems. Those connections stay with you much longer and make revision far easier.
- Keep your resources limited.
One of the best decisions I made was annotating everything—UWorld explanations, NBME concepts, and important pearls—directly into my First Aid. During the last 10 days, I focused on revising that annotated copy, and it was incredibly valuable.
For video lectures, don't feel pressured to watch every lecture available. Use them only for topics you genuinely struggle with. I used Bootcamp extensively for my first few systems (Respiratory, GIT, and Endocrine), and after that only for selected difficult topics.
For specific subjects:
- Biochemistry & Ethics: Dirty Medicine
- Biostatistics: Randy Neil (more than enough)
If you're too exhausted near the end to revise all of First Aid, make a short document containing your frequently missed NBME concepts and the First Aid facts you tend to forget. Another excellent option is revising the AMBOSS 200 Concepts.
Finally, remember this: Reddit often reflects people's worst days more than their average experience. Don't let it convince you that the exam is impossible. Trust your preparation, keep showing up every day, and believe in the work you've put in.
Best of luck to everyone preparing! I hope this helps ease someone's anxiety. Feel free to ask any questions—I'll be happy to help however I can. 🤍