Passing exam with USMLE latest training materials

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Updated: Sep 10, 2026

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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.

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 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
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
Available Languages:English
Related Certifications:State Medical License
ECFMG Certification
Exam Format:Computer-Based Case Simulations (CCS – Step 3 only), Multiple Choice Questions (MCQs)
Passing Score:Step 1: Pass/Fail; Step 2 CK: 214; Step 3: 200
Certificate Validity Period:No expiration for passed steps; must complete all steps within 7 years in most jurisdictions
Real Exam Qty:Step 1: 280; Step 2 CK: 318; Step 3: ~412 + 13-14 CCS cases
Exam Duration:Step 1: 480; Step 2 CK: 540; Step 3: 960 (over 2 days)
Recommended Training:USMLE Official Bulletin & Content Outlines
Exam Registration:NBME Registration
ECFMG (for IMGs)
USMLE Official Site
FSMB Registration
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 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 USMLE Exam Syllabus Topics:

TopicDetails
Topic 1
  • Deficiency of phagocytic cells and natural killer cells
  • Adverse effects of drugs on the nervous system
Topic 2
  • Adverse effects of drugs on the hematologic and lymphoreticular systems
  • Disorders associated with immunodeficiency
Topic 3
  • Maladaptive behavioral responses to stress and illness
  • Immunologic and inflammatory disorders
Topic 4
  • Adaptive behavioral responses to stress and illness
  • Biochemistry and molecular biology
Topic 5
  • Cranial and peripheral nerve disorders
  • Cellular basis of the immune response and immunologic mediators
Topic 6
  • Deficiency primarily of humoral immunity
  • Immunologic and inflammatory disorders
Topic 7
  • Eating disorders and impulse control disorders
  • Pharmacodynamic and pharmacokinetic processes
Topic 8
  • Infectious and inflammatory disorders of the eye
  • Adverse effects of drugs on the immune system

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

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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.
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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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