USMLE Step 1

USMLE Step 1 exam at a glance

USMLE Step 1 section breakdown

• Block 1 (40 Q)
  40 questions · 60 minutes
• Block 2 (40 Q)
  40 questions · 60 minutes
• Block 3 (40 Q)
  40 questions · 60 minutes
• Block 4 (40 Q)
  40 questions · 60 minutes
• Block 5 (40 Q)
  40 questions · 60 minutes
• Block 6 (40 Q)
  40 questions · 60 minutes
• Block 7 (40 Q)
  40 questions · 60 minutes

Sample question

Start the full test → to attempt 280 questions across 7 sections.

Frequently asked questions

What is the USMLE Step 1 exam pattern?

USMLE Step 1 contains 280 questions across 7 sections: Block 1 (40 Q), Block 2 (40 Q), Block 3 (40 Q), Block 4 (40 Q), Block 5 (40 Q), Block 6 (40 Q), Block 7 (40 Q). Total duration is 420 minutes.

Does USMLE Step 1 have negative marking?

No — USMLE Step 1 has no negative marking. Each correct answer is worth 1 mark.

How is USMLE Step 1 scored?

Scaled score range: 0 to 100. USMLE Step 1 (pass/fail).

How can I practise USMLE Step 1 for free?

Wrexa Edge offers free full-length USMLE Step 1 mock tests with instant scoring, detailed explanations, and 50 distinct variants. Sign up for free at Wrexa Edge and start practising in under a minute.

What is the difficulty level of USMLE Step 1?

USMLE Step 1 is rated Elite difficulty on Wrexa Edge. 7 blocks × 40 Q × 60 min = 280 total. Pass/fail.

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