Try and practice the latest USMLE : USMLE real questions & answers

Updated: Oct 23, 2026

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USMLE USMLE Exam Overview:

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 United States Medical Licensing Examination

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

USMLE USMLE Exam Syllabus Topics:

SectionObjectives
Topic 1: Step 1 - Basic Medical Sciences- Foundations of Disease and Treatment
  • 1. Pharmacology
    • 2. Behavioral Sciences
      • 3. Microbiology and Immunology
        • 4. Biochemistry and Molecular Biology
          • 5. Physiology
            • 6. Pathology
              Topic 2: Step 3 - Clinical Management- Advanced Clinical Practice
              • 1. Patient Management and Diagnosis
                • 2. Health Maintenance
                  • 3. Emergency Medicine
                    • 4. Clinical Case Simulations (CCS)
                      • 5. Biostatistics and Epidemiology
                        Topic 3: Step 2 CK - Clinical Knowledge- Organ Systems and Clinical Medicine
                        • 1. Preventive Medicine and Public Health
                          • 2. Obstetrics and Gynecology
                            • 3. Pediatrics
                              • 4. Internal Medicine
                                • 5. Psychiatry
                                  • 6. Surgery

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