Are step 2 questions weighted?

Yes, USMLE Step 2 CK questions have weighted categories, meaning some organ systems and general principles appear more often, and while all scored questions contribute, difficulty can slightly alter individual question impact, with the final score based on a curve relative to other test-takers, not just raw marks. Residency programs also weigh Step 2 scores more heavily now that Step 1 is Pass/Fail, making strong performance crucial.

What is 75% correct on step 2?

Getting 75% correct on Step 2, especially on practice tests like NBMEs or UWorld, usually translates to a strong score in the mid-to-high 240s or even into the mid-250s, placing you well above average and competitive for many specialties, though top-tier competitive fields might require even higher scores (around 255-270+). A 75th percentile score means you scored better than 75% of test-takers, indicating solid performance and often helping balance a weaker Step 1 or improving residency options. 

Are all step 2 questions graded?

USMLE Step 2 CK is graded on a distribution, meaning that your score is relative to other test-takers. Questions carry more weight for those in the 99th percentile than the 50th. Missing questions is acceptable for passing, but every question matters for acing the exam.

What score is 50% on step 2?

A 50% score on USMLE Step 2 (CK) usually translates to a score around 250, placing you at the 50th percentile, which is considered an average-to-good score but may be limiting for highly competitive specialties, though it's a passing score and often sufficient for many programs with strong applications. The actual percentile can vary slightly as more people take the test, but a score in the mid-240s to low-250s generally puts you around the 50th percentile. 

What percentage of questions are right to pass step 2?

However, examinees typically must answer approximately 60% of questions correctly to achieve a passing score.

Step 1 vs Step 2: Study Strategy Differences for 270+

What is a 60% correct Step 2 score?

A 60% correct on USMLE Step 2 CK, which equals a score of around 218 (the new passing score as of July 2025), means you've met the minimum competency requirement, but to be competitive for residency, you generally need a much higher score, with averages often in the mid-240s to 250s, depending on the specialty, with higher scores like 245 (around 37th percentile) or 255 (around 60th percentile) being good targets for competitiveness, as residency programs look for scores well above the passing threshold.
 

Has anyone ever gotten a 300 on Step 2?

The highest possible score for the USMLE Step 2 CK is 300, but no one has ever achieved a “perfect” score. A score around 280 would be considered a top Step 2 CK score.

Is a 70% average on UWorld good?

Based on historical data, a student with an average points score of 70% and earned a “High” or “Very High” result on a Self-Assessment Test would have a 99% likelihood of passing the NCLEX-RN.

What's a good step 2 score in 2025?

What Is the Average USMLE Step 2 Score Range?

• 230 and below → Passing but below average; limits competitiveness in more selective specialties.
• 240–250 → Solidly within the average range; competitive for many core specialties.
• 255+ → Above average; strong candidate for competitive programs.

Is step 2 graded on a curve?

Step 2 CK Scoring

Your raw score is converted into a scaled score, which reflects your performance compared to other test-takers. The score distribution follows a bell curve, meaning most students cluster around the average, while fewer students score at the extremes.

What is the 7 year rule for USMLE?

The USMLE 7-year rule, primarily for International Medical Graduates (IMGs) seeking ECFMG Certification, mandates completing all required USMLE Steps (1, 2 CK/CS, and eventually 3) within seven years of passing the first exam; failure to do so invalidates earlier scores, requiring retakes, though waivers or extensions may be granted for documented issues like PhD programs, severe illness, or certain military service. Most U.S. medical licensing boards also enforce this timeframe for state licensure, starting from the first successful Step pass. 

Which is the hardest step exam?

Traditionally, Step 1 has been thought of as both the most difficult and most important USMLE Step exam.

Which NBME is hardest step 2?

NBME 9 and 12 are known to be the hardest, maybe not because of true difficulty but , especially for 9, there are some poorly written questions. People tend to score slightly lower on these forms.

Are UWorld self assessments accurate step 2?

Your score on UWorld questions may feel like a marker of your progress. However, your percentile on UWorld is not an accurate predictor of how you should expect to perform on Step 2 CK. As a reminder, UWorld is a learning resource, not a testing resource.

How many questions are wrong on step 2?

How many can I get wrong on Step 2? The exact number of questions you can get wrong on Step 2 CK depends on the test's difficulty and scoring algorithm. The test comprises about 310 multiple-choice questions, and achieving a passing score of 218 usually means answering approximately 60-65% of the questions correctly.

What score is 60% correct on step 2?

A 60% correct on USMLE Step 2 CK, which equals a score of around 218 (the new passing score as of July 2025), means you've met the minimum competency requirement, but to be competitive for residency, you generally need a much higher score, with averages often in the mid-240s to 250s, depending on the specialty, with higher scores like 245 (around 37th percentile) or 255 (around 60th percentile) being good targets for competitiveness, as residency programs look for scores well above the passing threshold.
 

How many times can you retake USMLE step 2?

Attempt Limit

The total number of attempts allowed per Step is four (4). Examinees who have attempted any USMLE Step (including Step 2 CS) four or more times and have not passed are ineligible to apply for USMLE Steps.

What percent correct is a 240 on step 2 USMLE?

An examinee with a Step 2 CK score of 240 is at the 24th percentile. The 24th percentile means that 24% of the Step 2 CK first-takers from LCME-accredited US/Canadian medical schools in the three-year cohort described previously scored lower than 240.

How many UWorld questions a day is reasonable?

However, during a dedicated study period, it's advisable to allocate a significant portion of your day to UWorld. Initially, many students ease in by tackling around 40 questions daily, equivalent to one full block. As you progress, aim to complete 80 to 120 questions each day, equating to 2-3 blocks.

Is 60% enough to pass step 1?

Yes, approximately 60% correct is generally considered the threshold to pass USMLE Step 1, as the USMLE program states examinees typically need to answer around 60% of questions correctly for a pass/fail result, though the exact percentage varies slightly by exam form. However, many experts recommend aiming for higher scores (like 70% or more) on practice exams (NBMEs) for a safer margin, as 60% can be cutting it close due to test-day factors, and lower scores can still pass, while some with higher scores might not. 

How accurate are UWorld self-assessments?

Alongside the NBME®'s practice exams, our USMLE self-assessments are considered by students to be the most helpful at gauging exam readiness. Our test forms are highly representative of the real exam, offer accurate score predictions, and deliver detailed score reports to help with remediation.

How important is Step 2 for IMGs?

IMGs can and do match with strong Step 2 scores.

A standout Step 2 CK score can be particularly important for international graduates, as it helps demonstrate readiness for U.S. clinical practice.

How many questions per day is Step 2 dedicated?

UWorld STEP 2 CK Qbank

Strategy Tip: Aim to complete 100 questions/day, ideally in timed mode to simulate the exam environment. If you're short on time, 80/day is still solid, but consistency is critical.

What is an elite step 2 score?

While a score of 245 generally places you at the 37th percentile, and is enough for some specialties, aiming for a score closer to the 75th percentile (around 260) is recommended.