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  • Total Questions: 400
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The exam engine's two practice modes exist because candidates differ: some drill weak topics, others rehearse the full timed experience. Prep4away built both into the USMLE package — 400 practice questions, your way.

USMLE USMLE Exam Overview:

Certification Vendor:USMLE (NBME, FSMB, ECFMG)
Exam Name:United States Medical Licensing Examination
Exam Number:USMLE
Related Certifications:Medical Licensure (US)
Residency Training Eligibility
ECFMG Certification
Exam Price:Varies: approximately USD 1000–1500 per step (international test centers may include additional fees)
Exam Duration:Step 1: ~420; Step 2 CK: ~540; Step 3: 2-day exam (Day 1 ~420, Day 2 ~480 including CCS)
Exam Format:Computer-based testing, Multiple-choice questions (single best answer), Clinical Case Simulations (Step 3)
Certificate Validity Period:Step exams do not expire individually; validity applies through ECFMG certification and state medical board requirements
Passing Score:Step 1: Pass/Fail; Step 2 CK: ~214 (varies by NBME updates); Step 3: ~200 (varies by FSMB updates)
Available Languages:English
Real Exam Qty:Step 1: ~280; Step 2 CK: ~318; Step 3: ~412 multiple-choice + CCS cases
Recommended Training:NBME Practice Materials
USMLE Official Resources
Exam Registration:ECFMG (International Medical Graduates)
USMLE Official Registration
FSMB Step 3 Registration
Sample Questions: DOWNLOAD DEMO
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 USMLE Exam Syllabus Topics:

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

                                    USMLE Exam FAQ: Honest Answers Only

                                    Three versions of the same study materials, each with its own character: a printable, expert-prepared PDF with free demo download and instant access; a Desktop Test Engine for Windows with customizable simulation and timed modes that works offline; and an Online Test Engine for any browser on Windows, Mac, Android, and iOS with test history and performance review. All 400 practice questions are identical across versions. Every purchase includes 365 days of free updates, a 50% renewal discount afterward, and unlimited computer installations.

                                    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 Since requirements change over time, confirm the latest on the official USMLE exam page before scheduling.

                                    The official USMLE United States Medical Licensing Examination outline defines 3 domains. The leading three are Step 1 - Basic Medical Sciences, Step 2 CK - Clinical Knowledge, and Step 3 - Clinical Management. The full list is in the topics section above, and Prep4away's 400 practice questions cover each one.

                                    USMLE recommends these training resources for the USMLE United States Medical Licensing Examination exam:

                                    Follow the training with steady self-testing — the 400 practice questions from Prep4away help you apply theory and fill any gaps the training leaves.

                                    The USMLE exam is a USMLE certification exam validating the USMLE United States Medical Licensing Examination syllabus shown above. It belongs to these credential paths: ECFMG Certification, Medical Licensure (US), Residency Training Eligibility. Candidates in 2026 prepare for it with Prep4away's 400 practice questions, available as a printable PDF, a Windows Desktop Test Engine, and an Online Test Engine — three versions of the same materials.

                                    The USMLE United States Medical Licensing Examination exam requires Step 1: Pass/Fail; Step 2 CK: ~214 (varies by NBME updates); Step 3: ~200 (varies by FSMB updates) to pass, and registration costs Varies: approximately USD 1000–1500 per step (international test centers may include additional fees). A failed attempt means paying the same fee again — a readiness check with the Prep4away engines before booking is the cheaper option.

                                    Prep4away issues a full refund if you take the USMLE United States Medical Licensing Examination exam within 60 days of purchase and do not pass. The policy does not apply if the exam is taken within 3 days of purchase, if the exam was never actually taken, or to free materials or expired orders, and the candidate name must match the payer name. Submit a scan of your enrollment slip and the official Score Report PDF within 2 days of the exam; claims are processed within 7 days. Alternatively, exchange for two free exam products of equal value and keep your original update service. Orders arrive by email within 1 minute — contact support if nothing arrives within 2 hours.

                                    Computer-based testing at Prometric centers; Step 3 includes a second-day CCS simulation component Register for the USMLE United States Medical Licensing Examination exam through these official channels:

                                    After booking, Prep4away delivers your practice questions within 1 minute — preparation starts the same day.

                                    The USMLE United States Medical Licensing Examination exam contains Step 1: ~280; Step 2 CK: ~318; Step 3: ~412 multiple-choice + CCS cases to complete within Step 1: ~420; Step 2 CK: ~540; Step 3: 2-day exam (Day 1 ~420, Day 2 ~480 including CCS). Timed simulation in the Prep4away Desktop Test Engine teaches that rhythm before exam day does.

                                    USMLE United States Medical Licensing Examination Sample Questions:

                                    Which of the following is the first branch off the aortic arch?

                                    • A. Thoracic
                                    • B. Right Subclavian
                                    • C. Common carotid
                                    • D. Brachiocephalic
                                    Reveal Solution  Discussion  0

                                    Correct Answer: D  🗳️

                                    Pompe's disease is a type ___ glycogen storage disease.

                                    • A. III
                                    • B. IV
                                    • C. II
                                    • D. I
                                    Reveal Solution  Discussion  0

                                    Correct Answer: C  🗳️

                                    1 gram of protein is equal to ____ of energy.

                                    • A. 6 kcals
                                    • B. 3 kcals
                                    • C. 5 kcals
                                    • D. 4 kcals
                                    Reveal Solution  Discussion  0

                                    Correct Answer: D  🗳️

                                    Which of the following is not a function of Angiotensin II?

                                    • A. Causes increased posterior pituitary activation
                                    • B. Elevates blood pressure
                                    • C. Causes vasodilation
                                    • D. Causes release of aldosterone
                                    Reveal Solution  Discussion  0

                                    Correct Answer: C  🗳️

                                    Which of the following are not treated with Barbiturates?

                                    • A. Anxiety
                                    • B. Insomnia
                                    • C. Hypotension
                                    • D. Seizures
                                    Reveal Solution  Discussion  0

                                    Correct Answer: C  🗳️

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