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Updated: Jul 27, 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 |
| Real Exam Qty: | Step 1: 280; Step 2 CK: 318; Step 3: ~412 + 13-14 CCS cases |
| 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 |
| Related Certifications: | ECFMG Certification State Medical License |
| Exam Duration: | Step 1: 480; Step 2 CK: 540; Step 3: 960 (over 2 days) |
| Available Languages: | English |
| Exam Format: | Multiple Choice Questions (MCQs), Computer-Based Case Simulations (CCS – Step 3 only) |
| 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 |
| Recommended Training: | USMLE Official Bulletin & Content Outlines |
| Exam Registration: | ECFMG (for IMGs) NBME Registration 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 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.
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.
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.
Reference: http://www.usmle.org/step-1/#question-formats
USMLE USMLE Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Step 1 – Basic Medical Sciences | - Pathology - Pharmacology - Physiology - Behavioral Sciences & Biostatistics - Microbiology & Immunology - Anatomical Sciences - Biochemistry & Nutrition |
| Topic 2: Step 3 – Clinical Decision Making | - Advanced Clinical Medicine - Computer-Based Case Simulations - Foundations of Independent Practice |
| Topic 3: Step 2 CK – Clinical Knowledge | - Population Health & Ethics - Internal Medicine - Psychiatry - Surgery - Pediatrics - Obstetrics & Gynecology - Emergency Medicine |
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