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Updated: Sep 08, 2026

No. of Questions: 400 Questions & Answers with Testing Engine

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USMLE Online Engine

USMLE Online Test Engine
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USMLE Self Test Engine

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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 Duration:Step 1: ~420; Step 2 CK: ~540; Step 3: 2-day exam (Day 1 ~420, Day 2 ~480 including CCS)
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 Format:Computer-based testing, Multiple-choice questions (single best answer), Clinical Case Simulations (Step 3)
Real Exam Qty:Step 1: ~280; Step 2 CK: ~318; Step 3: ~412 multiple-choice + CCS cases
Available Languages:English
Exam Price:Varies: approximately USD 1000–1500 per step (international test centers may include additional fees)
Related Certifications:ECFMG Certification
Medical Licensure (US)
Residency Training Eligibility
Recommended Training:USMLE Official Resources
NBME Practice Materials
Exam Registration:FSMB Step 3 Registration
ECFMG (International Medical Graduates)
USMLE Official 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 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.

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.

Reference: http://www.usmle.org/step-1/#question-formats

USMLE USMLE Exam Syllabus Topics:

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

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                                    The Pass4training USMLEtraining pdf has been organized reasonably which is easy for you to understand. The content of the USMLE are valid and related to the actual test, which can give you good guidance during preparation. Besides, one year free update of USMLE is available for all of you. 100% pass is our guarantee.

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                                    Frequently Asked Questions

                                    is it possible to pass the actual test just by studying USMLE training mmaterial?

                                    Certainly sure! Our USMLE questions & answers are selected and verified by the professional team, which has high quality and hig h pass rate. Please take time to prepare for it and easy pass will be done.

                                    Do you have any discounts?

                                    We offer some discounts to our customers. There is no limit to some special discount. You can check regularly of our site to get the coupons.

                                    What kinds of study material Pass4training provides?

                                    Test Engine: USMLE study test engine can be downloaded and run on your own devices. Practice the test on the interactive & simulated environment.
                                    PDF (duplicate of the test engine): the contents are the same as the test engine, support printing.

                                    How long can I get the USMLE products after purchase?

                                    You will receive an email attached with the USMLE study material within 5-10 minutes, and then you can instantly download it for study. If you do not get the study material after purchase, please contact us with email immediately.

                                    Are the update of USMLE products free?

                                    The free update offer is valid for one year after you've purchased the USMLE products. You will be informed if there is any update

                                    What's the different of the three versions?

                                    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.

                                    How does your Testing Engine works?

                                    Once download and installed on your PC, you can practice USMLE test questions, review your questions & answers using two different options 'practice exam' and 'virtual exam'.
                                    Virtual Exam - test yourself with exam questions with a time limit.
                                    Practice Exam - review exam questions one by one, see correct answers.

                                    How often do you offer your USMLE products updates?

                                    All the products are updated frequently but not on a fixed date. Our professional team pays a great attention to the exam updates and they always upgrade the content accordingly.

                                    Do you have money back policy? How can I get refund if fail?

                                    Sure. We have the money back guarantee in case of failure by our products. The process of money back is very simple: you just need to show us your failure score report within 60 days from the date of purchase of the exam. We will then verify the authenticity of documents submitted and arrange the refund after receiving the email and confirmation process. The money will be back to your payment account within 7 days.

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