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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 |
| 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 Duration: | Step 1: 480; Step 2 CK: 540; Step 3: 960 (over 2 days) |
| 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 |
| Real Exam Qty: | Step 1: 280; Step 2 CK: 318; Step 3: ~412 + 13-14 CCS cases |
| Related Certifications: | ECFMG Certification State Medical License |
| Exam Format: | Computer-Based Case Simulations (CCS – Step 3 only), Multiple Choice Questions (MCQs) |
| Available Languages: | English |
| Recommended Training: | USMLE Official Bulletin & Content Outlines |
| Exam Registration: | USMLE Official Site NBME Registration ECFMG (for IMGs) 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 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.
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:
| Section | Objectives |
|---|---|
| Topic 1: Step 2 CK – Clinical Knowledge | - Obstetrics & Gynecology - Surgery - Population Health & Ethics - Emergency Medicine - Internal Medicine - Psychiatry - Pediatrics |
| Topic 2: Step 3 – Clinical Decision Making | - Advanced Clinical Medicine - Computer-Based Case Simulations - Foundations of Independent Practice |
| Topic 3: Step 1 – Basic Medical Sciences | - Physiology - Pathology - Behavioral Sciences & Biostatistics - Anatomical Sciences - Pharmacology - Biochemistry & Nutrition - Microbiology & Immunology |
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