What is the most accurate NBME for Step 1?

While no single NBME is definitively perfect, NBME 30 and NBME 31 are often cited as the most predictive and representative of the real Step 1 exam, with NBME 31 being the newest and therefore highly recommended, especially closer to test day, alongside the Free 120 for its real-exam feel. Newer forms (25-31) are generally better than older ones, but the average of several recent forms (like 25-31) offers the best overall picture, with some students finding all newer forms equally valuable.

Which NBME for Step 1 is the hardest?

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. 

Which NBME is most predictive for Step 1 2025 Reddit?

For Step 1 in 2025, Reddit users and resources point to NBME 30, 31, and the Free 120 as the most predictive and representative, with NBME 31 being the newest form, followed by the recently released NBME 32, all offering better insight into current exam style than older forms like 28 or below, which are less reflective of the reasoning-heavy, longer stems on the actual test. 

What is the best resource for USMLE Step 1?

For USMLE Step 1, the consensus gold standard resources are UWorld (Qbank), First Aid (high-yield overview), Pathoma (pathology videos), Sketchy Medical (visual mnemonics for micro/pharm), and Anki/AnKing (spaced repetition), often used with Boards and Beyond (videos) and NBME Self-Assessments to gauge progress. The key is strategic integration, using UWorld for practice and learning, First Aid as a core reference, and video resources like Pathoma/Sketchy for weak areas, supplemented by Anki. 

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. 

"Exactly how accurate are the NBMEs in predicting my real USMLE score?"

What is the best book for USMLE Step 1?

Summary: Best USMLE Step 1 Prep Books

• Kaplan USMLE Step 1 Lecture Notes: 7-Book Set.
• First Aid for the USMLE Step 1.
• Crush Step 1: The Ultimate USMLE Step 1 Review.

What is a 75% on Step 1?

A 75% on USMLE Step 1 usually refers to a high performance level, often meaning you scored better than 75% of other test-takers (75th percentile) or got around 75% of questions correct on practice exams, indicating a very high chance of passing, as a ~65% correct on NBMEs often predicts passing. While Step 1 is now pass/fail, historically, a score in the 75th percentile (around 240-250+ on the old scale) was considered strong for residency applications, and 70-75% on practice NBMEs suggests near-certain success on the actual exam.
 

Is UWorld harder than USMLE 1?

The frequently updated content ensures you learn and master the most relevant material that helps confront your individual USMLE Step 1 strengths and weaknesses. UWorld may be harder than Step 1, with some questions above the actual test's difficulty level.

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.

What is a 90% chance of passing Step 1?

A 90% chance of passing USMLE Step 1, often from an NBME practice exam, means you're very likely to pass but still have a 1 in 10 chance of failing, as it's a prediction not a guarantee, and validity depends on taking the real test soon after; it's calculated by the NBME, reflects statistical models, and isn't the same as mastering 90% of content, though strong practice scores usually indicate good readiness.
 

What is the best USMLE Step 1 prep course?

Best USMLE Prep Courses (Steps 1-2-3)

• USMLE Pass Program. The USMLE Pass Program focuses on giving students not just content review but also strategic insights to “pass” the exam. ...
• Kaplan USMLE Prep. ...
• Doctors In Training (DIT) ...
• AMBOSS. ...
• USMLE Success Academy.

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.
 

Which NBME is the hardest for Step 1?

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. 

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. 

Is 70% on UWorld bad?

No, 70% on UWorld is generally not bad; it's considered a solid, above-average score, especially on a first pass, indicating you're in good shape for exams like the NCLEX, where averages around this mark often predict high pass rates, though the key is learning from mistakes, not just the score itself.
 

What is the top 3 toughest exam in the world?

The three toughest exams globally often cited for their extreme difficulty, low pass rates, and high stakes are China's Gaokao (National College Entrance Exam) for its sheer scale and competitiveness, India's UPSC Civil Services Exam for its life-altering potential and minuscule selection, and India's IIT-JEE Advanced (Joint Entrance Exam) for its rigorous engineering entrance criteria, alongside prestigious UK fellowships like the All Souls Prize Exam, with difficulty varying by individual and goals. 

Is a 60% good on UWorld?

A 60% on UWorld is generally considered okay or borderline on a first pass, especially since UWorld is known for being difficult and is a learning tool, not just an assessment; focus on consistently reviewing incorrect answers and improving, as scores often rise significantly on a second pass, with many successful test-takers achieving 70%+ later, while scores in the 50s might be more concerning, but the ultimate gauge of readiness comes from NBME assessments after finishing the question bank.
 

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 UWorld enough for Step 1?

Based on internal and independent data, there's a notable correlation between completing UWorld Step 1 questions and improving your Step 1 score. While finishing our QBank once is enough to pass Step 1 for many students, we suggest reviewing it twice for the best results.

Is the step exam curved?

Contrary to popular belief, USMLE® scores and pass/fail decisions are not determined using a curve, which would mean a specific amount or percentage of examinees must fail. Rather, exam scores are determined by the performance on the content seen during the test administration.

What common mistakes to avoid on Step 1?

7 Most Common USMLE Step 1 Study Mistakes Students Make

• Using too many different resources: ...
• Memorizing over understanding: ...
• Over or under-reading rationales: ...
• Ignoring weaknesses: ...
• Not practicing media-based questions: ...
• Not taking full-length practice assessments before the exam: ...
• Not taking care of yourself:

How many hours a day to study for USMLE Step 1?

After completing preclinical courses, students typically dedicate four to eight weeks to full-time review before test day. Long-term (9-12 months): Study for 1-2 hours daily. Medium-term (6 months): Study for 2-3 hours daily. Dedicated (4-8 weeks): Study for 8-10 hours daily.

Is Kaplan QBank enough for Step 1?

The Kaplan QBank is no different. It does include a little more noise in its Step 1 questions than other QBanks. Some would say they go overboard with irrelevant details, making the questions unnecessarily long. The Kaplan QBank is a good tool to use for studying for Step 1.