USMLE Pattern

USMLE Step 1

Medical licensure for physicians in the US

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Quick facts

Conducted by: NBME / FSMB
Country / Region: United States
Test fee: USD 1,020 + international fee
Frequency: Year-round, by appointment at Prometric centers
Results: Released 3–4 weeks after test

Accepted by

All state medical boards in the US

Scoring

Pass / Fail since January 2022 (was a 3-digit numerical score before). Pass mark set by NBME. A passing Step 1 does not produce a numeric score.

Purpose

Medical licensure for physicians in the US

Pattern

Section breakdown

Each section follows the official USMLE Step 1 format exactly.

Multiple Choice Questions

Single best answer MCQs across 18 content areas including anatomy, behavioral science, biochemistry, biostatistics, microbiology, pathology, pharmacology, physiology, and organ systems. Up to 7 unused break minutes may be redistributed.

Duration

~8 hours (14 blocks of 30 min since 14 May 2026)

Questions

280

Why practise on PassPilot

Real USMLE Step 1 pattern.

Every USMLE Step 1 paper on PassPilot follows the official structure — sections, time, item types, and scoring all match. We randomise questions on every retake so you can never memorise the bank.