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Updated: Jul 20, 2026
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USMLE USMLE Exam Overview:
| Certification Vendor: | USMLE |
| Exam Name: | United States Medical Licensing Examination |
| Exam Number: | USMLE |
| Passing Score: | Pass/Fail (Step 1) |
| Exam Duration: | 480 (Step 1) |
| Available Languages: | English |
| Related Certifications: | USMLE Step 1 USMLE Step 2 Clinical Knowledge (CK) USMLE Step 3 |
| Exam Format: | Computer-based Examination, Multiple Choice Questions (MCQs), Single Best Answer Questions |
| Real Exam Qty: | Up to 280 (Step 1) |
| Exam Price: | USD 680 |
| Certificate Validity Period: | No fixed expiration; subject to individual state medical licensure requirements |
| Sample Questions: | USMLE USMLE Sample Questions |
| Exam Way: | Computer-based examination administered at Prometric test centers worldwide. |
| Pre Condition: | Applicants must meet eligibility requirements established by USMLE, including enrollment in or graduation from an accredited medical school recognized by the appropriate authorities. |
| Official Syllabus URL: | https://www.usmle.org/ |
USMLE Step 1 is a one-day (8 hours) examination. It includes 322 multiple-choice questions divided into 7 blocks of 46 items (60 minutes are given for completion of each block).
USMLE Step 3 is open to candidates who already hold their USMLE Step 1 and Step 2 certificates. Step 3 is a two-day exam that assesses whether candidates are able apply medical knowledge and understanding of biomedical and clinical science essential to unsupervised medical practice. This is the final USMLE exam which leads to the license to practice medicine without supervision - the ultimate goal of medical students and professionals willing to practice medicine in the United States. Step 3 represents the final assessment of physicians assuming independent responsibility for delivering general medical care.
Reference: http://www.usmle.org/step-1/#question-formats
USMLE USMLE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Multisystem Processes and Disorders | - Systemic Conditions
|
| Skin and Related Connective Tissue | - Dermatologic Conditions
|
| Human Development | - Growth and Development
|
| General Principles | - Foundational Medical Sciences
|
| Renal and Urinary System | - Kidney and Urinary Disorders
|
| Cardiovascular System | - Cardiac and Vascular Disorders
|
| Endocrine System | - Hormonal Regulation and Disease
|
| Central and Peripheral Nervous Systems | - Neurologic Disorders
|
| Reproductive System | - Male and Female Reproductive Health
|
| Respiratory System | - Pulmonary Medicine
|
| Musculoskeletal System | - Bones, Joints, and Muscles
|
| Gastrointestinal System | - Digestive System Disorders
|
| Hematopoietic and Lymphoreticular Systems | - Blood and Immune Disorders
|
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Frequently Asked Questions
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Online Test Engine can supports Windows / Mac / Android / iOS, etc., because it is the software based on WEB browser. You can use it on any electronic device and practice with self-paced.
Online Test Engine supports offline practice, while the precondition is that you should run it with the internet at the first time.
Self Test Engine is suitable for windows operating system, running on the Java environment, and can install on multiple computers.
PDF Version: can be read under the Adobe reader, or many other free readers, including OpenOffice, Foxit Reader and Google Docs.
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PDF (duplicate of the test engine): the contents are the same as the test engine, support printing.
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