What happens to my other tags if I add the Optional Tag UWorld_NBME

Hello,

Yes correct, if you add the UWorld_NBME optional tag. It will not affect other tags, it just adds a new one you can use.

The recommended settings can be enabled upon installing a new deck. It will prompt you whether you want to use recommended settings or not and this is enabled by default.

More info here: What are AnkiHub's "recommended settings"?

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