Updated: Oct 23, 2026
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| Certification Vendor: | USMLE (NBME, FSMB, ECFMG) |
|---|---|
| Exam Name: | United States Medical Licensing Examination |
| Exam Number: | USMLE |
| Exam Format: | Multiple-choice questions (single best answer), Clinical Case Simulations (Step 3), Computer-based testing |
| Related Certifications: | Medical Licensure (US) Residency Training Eligibility ECFMG Certification |
| Exam Duration: | Step 1: ~420; Step 2 CK: ~540; Step 3: 2-day exam (Day 1 ~420, Day 2 ~480 including CCS) |
| Available Languages: | English |
| Passing Score: | Step 1: Pass/Fail; Step 2 CK: ~214 (varies by NBME updates); Step 3: ~200 (varies by FSMB updates) |
| Certificate Validity Period: | Step exams do not expire individually; validity applies through ECFMG certification and state medical board requirements |
| Exam Price: | Varies: approximately USD 1000–1500 per step (international test centers may include additional fees) |
| Real Exam Qty: | Step 1: ~280; Step 2 CK: ~318; Step 3: ~412 multiple-choice + CCS cases |
| Recommended Training: | USMLE Official Resources NBME Practice Materials |
| Exam Registration: | USMLE Official Registration ECFMG (International Medical Graduates) FSMB Step 3 Registration |
| Sample Questions: | USMLE USMLE Sample Questions |
| Exam Way: | Computer-based testing at Prometric centers; Step 3 includes a second-day CCS simulation component |
| Pre Condition: | Medical students or graduates of accredited or recognized medical schools; Step 1/2 CK typically taken during or after medical school; Step 3 requires prior Step 1 and Step 2 CK completion |
| Official Syllabus URL: | https://www.usmle.org/ |
USMLE Step 2 is open to all medical students and graduates who have successfully passed the USMLE Step 1. The Step 2 exam assesses the candidates' medical knowledge, skills, and understanding of clinical science essential for patient treatment and care, health promotion and disease prevention.
USMLE Step 2 is a one-day (8 hours) exam. Similar to the Step 1, the test items are divided into blocks, and test item formats vary within each block, with the total number of exam questions equaling to 355.
Step 1 of the USMLE (United States Medical Licensing Examination) is the first part of the United States Medical Licensing Examination. It is open to medical school student and graduates to assess their ability to apply important concepts fundamental to the practice of medicine. While American medical students usually take USMLE Step 1 at the end of the second year of medical school, all graduates of foreign medical schools must take this exam is they intend to practice medicine in the United States.

USMLE stands for United States Medical Licensing Examination. This is a series of medical exams coming in a few stages that all new doctors need to pass (starting from their time in med school) to be able to practice medicine.
Reference: http://www.usmle.org/step-1/#question-formats
| Section | Objectives |
|---|---|
| Topic 1: Step 1 - Basic Medical Sciences | - Foundations of Disease and Treatment
|
| Topic 2: Step 3 - Clinical Management | - Advanced Clinical Practice
|
| Topic 3: Step 2 CK - Clinical Knowledge | - Organ Systems and Clinical Medicine
|
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