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Updated: Sep 11, 2026

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USMLE USMLE Exam Overview:

Certification Vendor:USMLE
Exam Name:United States Medical Licensing Examination
Exam Number:USMLE
Exam Price:USD 680
Exam Duration:480 (Step 1)
Real Exam Qty:Up to 280 (Step 1)
Available Languages:English
Passing Score:Pass/Fail (Step 1)
Related Certifications:USMLE Step 2 Clinical Knowledge (CK)
USMLE Step 1
USMLE Step 3
Certificate Validity Period:No fixed expiration; subject to individual state medical licensure requirements
Exam Format:Single Best Answer Questions, Multiple Choice Questions (MCQs), Computer-based Examination
Sample Questions:USMLE USMLE Sample Questions
Exam Way:Computer-based examination administered at Prometric test centers worldwide.
Pre Condition:Applicants must meet eligibility requirements established by USMLE, including enrollment in or graduation from an accredited medical school recognized by the appropriate authorities.
Official Syllabus URL:https://www.usmle.org/

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 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:

SectionObjectives
Multisystem Processes and Disorders- Systemic Conditions
  • 1. Nutrition
  • 2. Infectious Diseases
  • 3. Neoplasia
Reproductive System- Male and Female Reproductive Health
  • 1. Reproductive Disorders
  • 2. Reproductive Physiology
Gastrointestinal System- Digestive System Disorders
  • 1. Gastrointestinal Pathology
  • 2. Liver Disease
Human Development- Growth and Development
  • 1. Developmental Abnormalities
  • 2. Embryology
Central and Peripheral Nervous Systems- Neurologic Disorders
  • 1. Neuropathology
  • 2. Neuroanatomy
  • 3. Neurologic Diseases
Renal and Urinary System- Kidney and Urinary Disorders
  • 1. Renal Pathology
  • 2. Renal Physiology
General Principles- Foundational Medical Sciences
  • 1. Genetics
  • 2. Physiology
  • 3. Immunology
  • 4. Biochemistry
  • 5. Pathology
  • 6. Microbiology
  • 7. Pharmacology
  • 8. Behavioral Sciences
Cardiovascular System- Cardiac and Vascular Disorders
  • 1. Vascular Pathology
  • 2. Heart Disease
Musculoskeletal System- Bones, Joints, and Muscles
  • 1. Orthopedic Disorders
  • 2. Rheumatologic Diseases
Skin and Related Connective Tissue- Dermatologic Conditions
  • 1. Inflammatory Skin Disorders
  • 2. Skin Neoplasms
Hematopoietic and Lymphoreticular Systems- Blood and Immune Disorders
  • 1. Leukemias and Lymphomas
  • 2. Coagulation Disorders
  • 3. Anemias
Endocrine System- Hormonal Regulation and Disease
  • 1. Adrenal Disorders
  • 2. Pituitary Disorders
  • 3. Thyroid Disorders
Respiratory System- Pulmonary Medicine
  • 1. Lung Diseases
  • 2. Airway Disorders

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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.
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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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