United States · Pass / fail
USMLE Step 1
Mechanisms: physiology, pathology, pharmacology and microbiology applied to clinical vignettes.
At a glance
FormatOne day: up to 280 multiple-choice questions in seven 60-minute blocks, about 8 hours including breaks.
ScoringReported as pass/fail since 26 January 2022.
What it testsMechanisms: physiology, pathology, pharmacology and microbiology applied to clinical vignettes.
- Questions are single-best-answer clinical vignettes; some include images, audio or video.
- Students and graduates of US and Canadian schools register through the NBME; international medical graduates register through ECFMG.
- Passing Step 1 is required before Step 3 and for ECFMG certification.
Exam formats, dates, fees and rules change. Always confirm them with USMLE (FSMB and NBME) before you book. Medverion is independent and not affiliated with any exam body.
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85 questions are tagged for USMLE Step 1. Questions per system (top 8):
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