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Updated: Sep 06, 2026
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USMLE USMLE Exam Overview:
| Certification Vendor: | NBME / FSMB / ECFMG |
|---|---|
| Exam Name: | United States Medical Licensing Examination |
| Exam Number: | USMLE Step 1, Step 2 CK, Step 3 |
| Available Languages: | English |
| Certificate Validity Period: | No expiration for passed steps; must complete all steps within 7 years in most jurisdictions |
| Passing Score: | Step 1: Pass/Fail; Step 2 CK: 214; Step 3: 200 |
| Exam Duration: | Step 1: 480; Step 2 CK: 540; Step 3: 960 (over 2 days) |
| Exam Price: | Step 1: $670 (US/Canada), $1,000 (IMG); Step 2 CK: $670 (US/Canada), $1,000 (IMG); Step 3: $935 (all candidates) – 2026 rates |
| Exam Format: | Multiple Choice Questions (MCQs), Computer-Based Case Simulations (CCS – Step 3 only) |
| Related Certifications: | ECFMG Certification State Medical License |
| Real Exam Qty: | Step 1: 280; Step 2 CK: 318; Step 3: ~412 + 13-14 CCS cases |
| Recommended Training: | USMLE Official Bulletin & Content Outlines |
| Exam Registration: | ECFMG (for IMGs) NBME Registration FSMB Registration USMLE Official Site |
| Sample Questions: | USMLE USMLE Sample Questions |
| Exam Way: | Computer-based testing at Prometric centers; Step 1/2 CK worldwide; Step 3 only in US and territories |
| Pre Condition: | Step 1: Enrolled/graduate of LCME/COCA-accredited US med school or IMG with ECFMG eligibility; Step 2 CK: Completion of core clinical rotations; Step 3: Pass Step 1 + Step 2 CK + MD/DO degree or equivalent + ECFMG certification |
| Official Syllabus URL: | https://www.usmle.org/exam-resources |
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.
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.
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 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.
Reference: http://www.usmle.org/step-1/#question-formats
USMLE USMLE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Step 2 CK – Clinical Knowledge | - Psychiatry - Obstetrics & Gynecology - Emergency Medicine - Pediatrics - Surgery - Population Health & Ethics - Internal Medicine |
| Step 1 – Basic Medical Sciences | - Pharmacology - Anatomical Sciences - Biochemistry & Nutrition - Behavioral Sciences & Biostatistics - Microbiology & Immunology - Physiology - Pathology |
| Step 3 – Clinical Decision Making | - Computer-Based Case Simulations - Advanced Clinical Medicine - Foundations of Independent Practice |
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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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