Skip to main content

Table 7 Response change patterns and outcomes for block 8

From: Investigation of answer changes on the USMLE® Step 2 Clinical Knowledge examination

 

Number of examinees

% (Based on all examinees)

% (Based on examinees with response change)

Examinees who revisited at least one item

27,521

99.0%

 

Examinees who changed at least one response

19,178

68.9%

100.0%

Examinees with score gain

8742

31.4%

45.6%

Examinees with score loss

5142

18.5%

26.8%

Examinees with unchanged score

5294

19.0%

27.6%

 

Mean number of items

% (Based on all items)

% (Based on items with revisits)

Items with revisits

15.8

35.9%

100.0%

Items with revisits and no response change

14.4

32.7%

91.1%

Items with revisits and response change

1.4

3.2%

8.9%

W-R

0.60

  

R-W

0.40

  

R-R

0.03

  

W-W

0.39

  

W-R/R-W ratio

0.60/0.40 = 1.50

  

Overall mean score change

0.005

  
  1. W-R wrong to right response changes, R-W right to wrong response changes, W-W wrong to wrong response changes, R-R right to right response changes