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These are very basic things that do not qualify as rocket science to any degree yet. If you don't know which nerve/vessel is vulnerable to injury due to midshaft fractures of humerus, or which nerve root you are testing while eliciting knee jerk reflex, then the Step 2 exam is not for you (sorry for being blunt). Remember Step 1 content is heavily tested/incorporated in the Step 2 exam so much so it would feel highly uncomfortable during Step 2 exam to not be atleast well versed to some extent in Step 1 syllabus. Spend time carefully on these topics given that you have a full year ahead of you. The only problem would be psychiatry/ethics/biostatistics however this is almost as much a problem as is during your Step 1 preparation so that leaves not much difference. If you have studied the Kaplan series, this means it would be even more efficient time- and effort-wise to go through these subjects quickly. It would not require any extra effort other than a once-a-time revision of your old textbooks and/or notes which should not take much time. You have just come off the fourth year with a strong background (hopefully!) in Pathological basis of diseases, Histopathology, Pharmacology and Microbiology. You have a full 1 year ahead of you for Step 2 preparation.

If you are at the beginning of your final year, and are serious about Step 2 preparation, I would strongly recommend attempting Step 2 before 1. The answer to this question is highly relative and circumstancial. I have heard this question a lot more than I expected, especially from students who thought about giving Step 1 before or within their final year but changed their minds. Let me start by reviewing some issues the same way I did for my Step 1 article. I am not too sure about the situation for Indian medical students. This holds especially true for Pakistani medical students. It is highly advisable that you do this since the content is not too different and the USMLE curriculum gives a much greater stronghold over medicine and related disciplines rather than your own final year curriculum.

My score is 268/99. This article would be a fantastic review especially for those candidates who wish to maintain their Step 2 study in parallel to their final year curriculum. Let me start in God's name whose blessings have been innumerable.