 | USMLE |
The World’s Largest USMLE Step 3 QBank!
 | Lectures Included |
3 Months Access to The Pass Machine’s USMLE Step 3 QBank for only $97! | Get the Course for $97! |
If you’re preparing for Step 3 during intern year or residency — while juggling rotations, call, and everything else — this course was built for you. For just $97 (regularly $297), you’ll get 3 months of access to The Pass Machine’s high-yield resources: three focused ethics modules (Legal Issues, Elder Care, and End-of-Life Decision-Making), a QBank aligned to the official exam blueprint, a personalized study schedule, and a 100-question practice exam to test pacing and accuracy.
No fluff. Just what you need to study efficiently between shifts and show up ready on exam day, clear, confident, and prepared to pass. Enroll Now.
USMLE Step 3 Prep Course Comparison Chart
| Organization | MCQs | Guarantee |
| The Pass Machine | 4500+ | Full refund plus 10% plus subscription renewal |
| StatPearls | 3400+ | Yes |
| Board Vitals | 1500+ | Renew subscription until pass |
| Kaplan | 900+ | N/A |
| UWorld | 2300+ | N/A |
MedChallenger: 1800+ questions (total for Steps 2 CK and 3 combined.)
Why Risk a Low Score Because of Inadequate Preparation?
Get Instant Access to 4500+ Step 3 Practice Questions
Board-Style Practice QuestionsCOMPREHENSIVE QUESTION BANK: Access to 4500+ United States Medical Licensing Examination® multiple-choice questions (MCQs) are included. Each question carefully follows the USMLE exam content outline and format. FLASHCARD AND PRACTICE EXAM MODES: Our question bank allows you to study through flashcard mode or practice exam mode, to let you study how YOU want! OPTIMIZED FOR LEARNING: Unlike other QBanks, The Pass Machine United States Medical Licensing Examination® practice questions include referenced explanations, so you learn the “how” and “why” behind every question. |
Study CommunityPEER COLLABORATION: A study community welcomes you. Ask and answer colleague questions, form study groups, and track your progress Strength in numbers: Help and be helped, stay motivated, and get connected. All with The Pass Machine! |
Anytime, Anywhere AccessON-THE-GO CONVENIENCE: Fit your NBME Step 3 Review around your busy schedule. Get 24/7 online access optimized for smartphone, tablet, and desktop. MOBILE APP: Download our mobile app for on the go MCQ access. (Search for “American Physician Institute” in Google Play or the Apple App Store.) |
Step 3 Topics & FAQs
View Step 3 Topics, Tips, & FAQs
How long is the USMLE Step 3 Exam?
Step 3 is a two-day examination. The first day will last approximately 7 hours and consist of 6 blocks of 38-39 questions each. The second day will be approximately 9 hours with 6 blocks of 30 items each.
How many questions are on the USMLE Step 3 Exam?
The Step 3 exam is made up of about 232 MCQs on the first day and 180 MCQs on day 2. Day 2 will also include 13 case simulations with an allowed time of 10-20 minutes each.
USMLE Step 3 Study Tip:
When preparing for the Step 3, allow yourself up to 90 seconds per question, to reflect the actual exam.
Does this Step 3 course include CCS (Clinical Case Simulation) practice?
No. This course focuses on Step 3 multiple-choice mastery. CCS interactive case simulations are not included.
Where can I try a sample CCS or learn the format?
The USMLE provides an official CCS tutorial, video, and sample/practice CCS cases. Use these first to learn the software and case flow.
Note: The official content outline sets the overall blueprint for Step 3. We map our QBank to that blueprint to target the high-yield domains and competencies you’ll need.
USMLE® Step 3 MCQ Test Content Specifications*
| System | Range, % |
| Human Development** | 1–3 |
| Immune System, Blood & Lymphoreticular System, and Multisystem Processes/Disorders | 6–8 |
| Behavioral Health | 4–6 |
| Nervous System & Special Senses | 8–10 |
| Skin & Subcutaneous Tissue | 4–6 |
| Musculoskeletal System | 5–7 |
| Cardiovascular System | 9–11 |
| Respiratory System | 8–10 |
| Gastrointestinal System | 6–8 |
| Renal/Urinary & Male Reproductive Systems | 4–6 |
| Pregnancy/Childbirth & Female Reproductive System & Breast | 7–9 |
| Endocrine System | 5–7 |
| Biostatistics & Epidemiology/Population Health & Interpretation of the Medical Literature | 11–13 |
| Social Sciences: Communication Skills/Ethics/Patient Safety | 7–9 |
Step 3 MCQ Physician Tasks/Competencies Specifications
Step 3 Foundations of Independent Practice (Day 1)
| Physician Tasks / Physician Competencies | Range, % |
| Medical Knowledge: Applying Foundational Science Concepts | 11–12 |
| Patient Care: Diagnosis | 33–36 |
| History/Physical Exam | 5–9 |
| Laboratory/Diagnostic Studies | 9–12 |
| Diagnosis | 6–10 |
| Prognosis/Outcome | 8–11 |
| Patient Care: Management | 32–35 |
| Health Maintenance/Disease Prevention | 6–11 |
| Pharmacotherapy | 9–13 |
| Clinical Interventions | 5–9 |
| Mixed Management | 6–11 |
| Practice-based Learning & Improvement | 11–13 |
| Communication / Professionalism / Systems-based Practice & Patient Safety | 7–9 |
Step 3 Advanced Clinical Medicine (Day 2)
| Physician Tasks / Physician Competencies | Range, % |
| Medical Knowledge: Applying Foundational Science Concepts | 11–12 |
| Patient Care: Diagnosis | 33–36 |
| History/Physical Exam | 5–9 |
| Laboratory/Diagnostic Studies | 9–12 |
| Diagnosis | 6–10 |
| Prognosis/Outcome | 8–11 |
| Patient Care: Management | 32–35 |
| Health Maintenance/Disease Prevention | 6–11 |
| Pharmacotherapy | 9–13 |
| Clinical Interventions | 5–9 |
| Mixed Management | 6–11 |
| Practice-based Learning & Improvement | 11–13 |
| Communication and Professionalism | 7–9 |
* Percentages are subject to change at any time. See the USMLE website for the most up-to-date information.
** The Human Development topic includes Normal Age-Related Findings and Care of the Well Patient.
American Physician
Surgery
Anesthesiology
Psychiatry
