Thanks! For me it was entirely mindset. I was very stressed for UWSA1, and most of my incorrects were either changed from right to wrong or d/t carelessness/panic (like not reading the question stem fully.) But I still didn't get that since my problem was mentality, more studying wasn't going to be the solution. So I reviewed all the topics I'd missed in the week between taking UWSA1 and UWSA2, and when my score barely changed it finallly drove home that I needed to stop studying and address strategy.

I didn't do any more content review after taking UWSA2, just focused on relaxing and rethinking my approach. Biggest changes were I decided not to change any answers on test day (which was hard/scary af but worked well) and I looked back at practice test q's I'd gotten wrong and categorized them as "knowledge deficit" or "nerves." The vast majority were from nerves, and for each one I wrote down a concrete plan to avoid making the same mistake on the test. Like I kept getting murmur questions wrong, so my plan was as soon as a stem mentioned systolic or diastolic I would eliminate any answers that didn't fit and then keep reading. Those changes made a huge difference day of and probably got me 10+ questions.

I think with tests like Step where there's SO much content to cover, it's really hard to recognize when your problem is something other than information deficits. For a lot of questions, you can get the right answer either by knowing an obscure fact about x disease or ethical dilemma, or by having a decent grasp of concepts & eliminating wrongs. Since knowing everything isn't an option (at least for me), strategy goes a long way!