My school also has us take the test for practice at the end of 3rd year, and again during 4th year as practice for step 2. I would say it is very similar, but shorter. Most people take the practice test cold, so almost everyone's score goes up quite a bit. I scored a 205 for the Step I practice with no prep, and my score went up about 50 points for the real test after a month or so of studying. For Step 2, I scored a 215 on the practice and my score went up about 30 points with one week of study. Some friends of mine scored around 170-180 on the practice, and went up to about 220 for the real thing, so you can raise your score substantially with a few weeks of study.