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Updated: Sep 17, 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 |
| 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 |
| Related Certifications: | ECFMG Certification State Medical License |
| Exam Format: | Multiple Choice Questions (MCQs), Computer-Based Case Simulations (CCS – Step 3 only) |
| Real Exam Qty: | Step 1: 280; Step 2 CK: 318; Step 3: ~412 + 13-14 CCS cases |
| Available Languages: | English |
| Exam Duration: | Step 1: 480; Step 2 CK: 540; Step 3: 960 (over 2 days) |
| Recommended Training: | USMLE Official Bulletin & Content Outlines |
| Exam Registration: | ECFMG (for IMGs) FSMB Registration NBME Registration USMLE Official Site |
| 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 |
Passing the USMLE is a requirement for obtaining a medical license in the United States. USMLE exam is highly competitive, and students must score well in order to be considered for residency programs. The USMLE is a computer-based exam, and scores are reported as a three-digit number. The passing score for each step of the exam is determined by the NBME and FSMB and may vary from year to year.
USMLE Step 2 is open to all medical students and graduates who have successfully passed the USMLE Step 1. The Step 2 exam assesses the candidates' medical knowledge, skills, and understanding of clinical science essential for patient treatment and care, health promotion and disease prevention.
Reference: http://www.usmle.org/step-1/#question-formats
USMLE USMLE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Step 1 – Basic Medical Sciences | - Anatomical Sciences - Physiology - Microbiology & Immunology - Pathology - Biochemistry & Nutrition - Behavioral Sciences & Biostatistics - Pharmacology |
| Topic 2: Step 3 – Clinical Decision Making | - Foundations of Independent Practice - Computer-Based Case Simulations - Advanced Clinical Medicine |
| Topic 3: Step 2 CK – Clinical Knowledge | - Internal Medicine - Population Health & Ethics - Surgery - Psychiatry - Obstetrics & Gynecology - Pediatrics - Emergency Medicine |
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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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