Does the free 120 change every year?

Yes, the NBME Free 120 questions for the USMLE Step exams (Step 1, Step 2 CK, Step 3) are updated periodically, usually with a new set released annually or at least every couple of years, meaning they change over time and aren't static, with new questions replacing some older ones, so doing the "new" Free 120 is generally recommended over older versions.

When should you take the free 120?

It's essentially a dry run of what you'll do on test day and has no psychological impact on your prep, as it doesn't give you a three-digit score. One key reason you should take the Free 120 within a few days of your exam is that these questions have a chance to show up on Step 1.

What is a good score on free120?

This reddit tends to agree that 65%+ is a good spot to be for the exam. I had a 62% on it (Block 1: 53, Block 2: 65, Block 3:73), still took the real exam, passed.

How often does the free 120 change?

Every year the NBME releases a set of practice questions colloquially known as the “USMLE Free 120” or the “NBME Free 120”.

Is there a new free 120?

The NBME updated the Free 120 Step 1 questions in February 2024. Below are explanations for every question in Blocks 1-3. If you're studying for USMLE Step 1, check out Med School Bootcamp.

"Should I do both old and new Free 120s? What % is good score?"

Is there a 2025 free 120?

You can download the Free 120 STEP 1 Sample Test Questions on the USMLE website here. The order of answers and explanations here is based on the online NBME platform (not the pdf) as of February 2025.

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. 

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. 

Is free 120 harder than NBME reddit?

I finally sat down and did the updated free 120 and it honestly felt tougher than most of my recent nbmes. the stems were longer, the answer choices felt closer together, and there were a few questions where i had no idea what they were even trying to test until i looked at explanations afterward.

Can residency programs see if you fail Step 1?

Does a Pass on Step 1 Affect Your Residency Chances? Now that Step 1 is pass/fail, residency programs can't compare students based on Step 1 scores anymore. Instead, they focus on other factors: Step 2 CK scores: This is now the most critical numerical exam result.

What is a 75% on Step 1?

A 75% on a USMLE Step 1 practice exam (like an NBME) generally indicates a very strong chance of passing the actual exam, often correlating to a high percentile (around the 70th-90th percentile range) on the actual score report, while a 75 on the old two-digit Step 1 score meant passing, but now Step 1 is pass/fail, so this percentage refers to your performance relative to peers on practice tests, suggesting excellent preparedness for the pass/fail outcome.
 

How rare is 120 in TOEFL?

A score of 120 on the TOEFL is the maximum possible score, meaning it's the rarest and best score, placing you in the 100th percentile (perfect) for all test-takers, indicating exceptional English proficiency, often required for top-tier universities or competitive programs. While not incredibly common, it's a realistic goal for highly proficient non-native speakers, with many scoring in the 100-115 range for excellent results, but 120 signifies absolute mastery.
 

Is the free 120 curved?

Just took the new free 120 and the questions were very straightforward, high-yield for the most part, without any of the curveballs I've seen in UWORLD and the niche details of NBMEs.

What score 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. 

Is August too late to take Step 2?

These students need to take Step 2 CK early enough to allow their results to be available for programs. In these cases, Step 2 CK should be taken in July-August so the results will be back in time for review by the programs beginning Sept.

Is Step 1 harder than mcat?

Most students find the MCAT harder than USMLE Step 1, primarily because the MCAT tests foundational science and critical reasoning for entry into medical school with a high-stakes score, while Step 1, now pass/fail, tests deep medical school knowledge and is more about integrated pathophysiology and clinical correlation, but less about raw score pressure. The MCAT is often described as a challenging critical thinking/reading test, whereas Step 1, though extensive (8+ hours), is a knowledge-based exam covering pre-clinical subjects, making it feel different, but generally less daunting than the MCAT by many. 

What is the hardest Step 1 in NBME?

While it varies, NBME 30, 32, and older forms like 28 are frequently cited as the hardest Step 1 NBMEs due to challenging questions, longer stems, increased detail (especially anatomy), and demanding integration of concepts, often feeling longer or more difficult to finish on time, with NBME 30 especially noted for difficulty in converting to Step 1 scores. 

Can you fail Step 1 more than once?

This includes any combination of passes and fails. Here's how it breaks down: Maximum Attempts: You can take Step 1 no more than four times. Time Limit Between Attempts: You must wait at least 60 days before retaking the exam.

Which NBMEs are most important?

For Step 1, the most important NBMEs are the newer forms (28, 29, 30, 31), especially NBME 30, considered highly predictive, alongside the UWorld Self-Assessments (UWSAs), with UWSA 2 being strongly correlated with the actual score. For Step 2 CK, the newest NBME forms (9-11) and the CMS Forms (Clinical Mastery Series) are crucial for assessing specific clinical areas and predicting performance. 

What is a 90% chance of passing Step 1?

A 90% chance of passing USMLE Step 1, often from an NBME practice test, means that for every 100 people with that score, 90 pass, but 10 still fail, so it's a strong indicator but not a guarantee, highlighting the need to focus on weak areas identified in the report, especially for Step 1's new pass/fail format where recent pass rates hover around 90-92%.
 

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.

How common is failing Step 1?

While most people pass USMLE Step 1, failure rates have increased, especially since the scoring change to pass/fail in 2022, with overall pass rates for first-time test-takers dropping, and international medical graduates (IMGs) and repeat test-takers facing significantly lower odds, though the exact number varies yearly, with thousands failing in recent years (e.g., over 11,000 in 2023). For MD students, first-time pass rates were around 90-93% in 2022-2023, compared to 82-83% for DO students and ~72% for IMGs in 2023, with repeaters seeing even lower success.
 

What is the shortest residency to become a doctor?

The shortest MD residencies are typically 3 years and include primary care fields like Family Medicine, Internal Medicine, Pediatrics, Emergency Medicine (sometimes 3-4 yrs), and Preventive Medicine, allowing doctors to start practicing sooner, with some specialties like Genetics & Genomics also listed at 3 years. 

Is 4 months enough for USMLE Step 1?

FAQs About USMLE Step 1 and Step 2 Preparation

You need enough time to thoroughly review all the material, take practice exams for each Step, and address weaker areas: For Step 1: at least 4-6 months. For Step 2: at least 3-4 months.

Is residency harder than med school?

Yes, residency is generally considered harder than medical school, but in a different way; medical school is academically intense with exams, while residency trades academic pressure for real-world responsibility, longer hours, physical exhaustion, critical patient-care decisions, and emotional stress, though it's where you truly become a doctor. Residency shifts focus from book learning to hands-on, high-stakes clinical practice, often involving 80+ hour weeks, overnight calls, and constant responsibility for patients' lives, making it more draining on stamina and time.