How many can you miss on Step 2?

You can miss a significant number of questions on Step 2 CK and still pass, as the passing score is around 60% correct, but the exact number varies, with recent data suggesting you might miss up to 100-120 questions out of ~300 and still pass, while aiming for a strong score (like mid-250s) allows for roughly 65 incorrect answers, depending on the specific test form's difficulty and curve, but it's best to aim for as few as possible.

How many questions can I miss 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 75% correct on step 2?

Getting 75% correct on Step 2 CK (Clinical Knowledge) is generally considered a very strong performance, often placing you well above the average (around the 75th percentile or higher), translating to a strong 3-digit score (likely in the mid-250s or higher), making you a competitive applicant for most specialties, though top-tier programs in highly competitive fields might look for even higher scores.
 

How many times can you fail USMLE step 2?

Retaking Failed Examinations

You may not take the same Step more than three times within a 12-month period. Your fourth attempt must be at least 12 months after your first attempt at that examination and at least six (6) months after your most recent attempt at that examination. This includes incomplete attempts.

Is 242 a bad step 2 score?

No, a 242 is not a bad USMLE Step 2 score; it's a solid, above-average score that's competitive for many core residency programs, placing you well within the general average range, though competitiveness varies by specialty. It's considered strong, particularly for International Medical Graduates (IMGs) and is competitive in fields like Psychiatry and Family Medicine, while more competitive specialties (e.g., Dermatology, Plastics) may look for higher scores (250+).
 

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

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 are the odds of failing step 2?

Pass rates for Step 2 CK remain high despite the increased standard, with 98% of US MD first-time test-takers and 89% of international medical graduates successfully passing.

What is the Canadian equivalent of the USMLE?

The Medical Council of Canada Qualifying Examination (MCCQE) Part I is a summative examination that assesses the critical medical knowledge and clinical decision-making ability of a candidate at a level expected of a medical student who is completing their medical degree in Canada.

What is the 7 year rule for USMLE?

The USMLE 7-Year Rule mandates that most applicants must pass USMLE Steps 1, 2 CK, and Step 3 within seven years of passing their first step, starting from the date of that initial pass, for ECFMG Certification and medical licensure. Failure to meet this deadline invalidates earlier scores, requiring retesting, though waivers or extensions may be possible for documented extenuating circumstances like MD/PhD programs or severe illness, requiring contact with the specific state medical board or ECFMG. 

What is 60% on step 2?

To pass the Step 2 CK exam, you must answer at least 60% of the questions correctly, giving you a minimum score of 214. If you want a good chance of securing your desired residency placement, you should aim for a score of at least 245.

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.

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.

Is 60% enough to pass Step 1?

Yes, around 60% correct is generally considered the approximate pass mark for USMLE Step 1, though the exact percentage varies with each exam form, and the score is reported as Pass/Fail, not a number, so consistently scoring higher (like 65-70%) on practice exams (NBMEs) is recommended for a comfortable pass. The official passing score (around 196 before 2022, now just "Pass") isn't a fixed number of questions, as some are experimental, but aiming for about 60% on practice tests is a good benchmark, with 70%+ being a safer target for a strong pass. 

Is USMLE harder than McCQE?

Both exams need you to understand medical things well. The MCCQE1 focuses on the basics, while the USMLE Step 1 exam is broader and harder. No matter which exam you choose, you'll need to work hard to get ready. Passing either exam is a big achievement and a step toward a successful medical career.

Is it easier to get into med school in Canada or the USA?

Of this applicant pool, only about 3,000 will be accepted, underscoring the extraordinarily narrow funnel for those aspiring to become doctors. On average, only 7.5 per cent of applicants will be accepted to Canadian schools, versus 36 per cent of applicants who apply to American schools.

Can I retake step 2 if I pass?

If you pass a Step, you are not allowed to retake it, except to comply with certain state board requirements which have been previously approved by USMLE governance.

What is 75% correct on step 2?

Getting 75% correct on Step 2 CK (Clinical Knowledge) is generally considered a very strong performance, often placing you well above the average (around the 75th percentile or higher), translating to a strong 3-digit score (likely in the mid-250s or higher), making you a competitive applicant for most specialties, though top-tier programs in highly competitive fields might look for even higher scores.
 

What is the lowest passing score on Step 2?

The United States Medical Licensing Examination (USMLE) Management Committee recently raised the minimum Step 2 Curriculum Knowledge (CK) score required to pass from 214 to 218.

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.
 

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.

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.