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With 4,200+ multiple-choice questions written specifically for the USMLE Step 3 exam, you get the most questions of any QBank available. Because of the quality of our exam-reflective MCQs with explanations, we guarantee you’ll pass your USMLE Step 3 exam or we’ll give you 100% of your money back AND Free subscription renewal! Our unique QBank system allows you to study through flashcard mode or practice exam mode to let you prepare in the most efficient ways possible.
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USMLE Step 3 Prep Course Comparison Chart
| Organization | MCQs | Guarantee |
| The Pass Machine | 4200+ | Full refund plus subscription renewal |
| Board Vitals | 1500+ | Renew subscription until pass |
| Kaplan | 900+ | N/A |
| UWorld | 1600+ | N/A |
MedChallenger : 5000+ questions (total for Steps 2CK, 2CS and 3 combined.)
Board-Style Practice QuestionsCOMPREHENSIVE QUESTION BANK: Access to 4,200+ 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 Q Banks, 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: Includes phone app for on the go MCQ access. (Search for “American Physician Institute” in Google Play or the Apple App Store.) |
Step 3 Topics & FAQs
What topics are covered on the USMLE® Step 3 Exam?
The USMLE® Step 3 Content Outline consists of the following:
| System | Range, % |
| General Principles of Foundational Science** | 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 & the Puerperium | 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 |
| Biostatistics & Epidemiology/Population Health/Interpretation of Medical Literature | 3–5 |
| Social Sciences: Communication Skills/Ethics/Patient Safety | 7–9 |
| 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 | 5–9 |
| Practice-based Learning & Improvement | 11–13 |
| Communication/Professionalism/Systems-based Practice & Patient Safety | 7–9 |
Percentages are subject to change at any time. See the USMLE website for the most up-to-date information.
**The general principles category for the Step 3 MCQ examination includes test items concerning normal processes not limited to specific organ systems. These test items are typically related to normal development. Categories for individual organ systems include test items concerning those normal and abnormal processes that are system-specific.
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 say 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.
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