USMLE

USMLE information including USMLE test question help.

USMLE What You Need To Know

The United States Medical Licensing Exam, or USMLE, is one of the most difficult, rigorous exams used for any kind of licensing in the country. Divided into three separate steps, the USMLE exam assesses a medical student's or graduate's ability to apply science concepts when practicing medicine, apply medical knowledge to patient care under supervision, and to understand and employ knowledge of biomedical and clinical science in practice without supervision. Upon completing all three steps of the exam, attendees will receive a license to practice medicine.

USMLE test questions are divided into the three various steps and three test sections that must be passed in order to receive a license. USMLE Step 1 questions are multiple choice and have a single correct answer among several answer choices. All questions are prepared by teachers, clinicians, faculty members, and investigators who are quite prominent in their respective fields and have a broad knowledge of applied medical practices. A committee is also selected from the licensing, academic, and practice communities in both the United States and Canada. Step 1 is geared toward the assessment of basic science knowledge and consists mostly of graphic and tabular models that must be interpreted by the candidate in order to solve problems by applying basic science principles. Test takers will need to by able ot identify gross and microscopic pathologic and normal specimens. Test questions in this section of the USMLE will be recognized as related to either general principles of organ systems or individual organ systems.

Step 2 of the USMLE is referred to as Clinical Knowledge assessment and also consists of multiple choice questions. In this section, some situations presented will have multiple questions following that are to be answered based on the same information. However, each question will still have only one correct answer. Normal Conditions and Diseases make up the major part of Step 2, dealing with basic concepts, general principles, and normal growth and development processes. Individual disorders are covered and divided by Physician Task, including:
  • Promoting Preventive Medicine and Health Maintenance (assessing risk factors, epidemiologic data, and use of primary and secondary preventive measures)
  • Understanding Mechanisms of Disease (pathophysiology and etiology, as well as effects of various treatment modes)
  • Establishing a Diagnosis (interpretation of findings including review of patient history, lab work, imaging, and other diagnostic measures)
  • Applying Principles of Management (care of chronic and acute patient conditions for in- and outpatient care)
It is quite important to use USMLE Step 2 books and study materials to prepare for this portion of the exam, as it is quite tedious and specific. Sources of free USMLE questions can also provide a USMLE free Step 2 question set so that candidates can become familiar with the configuration of the test and better attend to any weak points in their knowledge base prior to testing.

USMLE Step 3 questions are even more difficult than in the preceding sections of the exam. The purpose of this portion of the test is to determine if a physician has and can apply knowledge of medicine and clinical science that is essential to unsupervised medical practice. The test emphasizes management of ambulatory patient care. Individuals taking the Step 3 portion of the test may first want to review a USMLE Step 3 study guide and perhaps access USMLE Step 3 sample questions to assess the level of preparation for such an exam prior to registration. In the Step 3 exam, students are expected to have a clear knowledge of the following:
  • Physician tasks (evaluating severity of patient needs and managing the therapy of patients; clinical judgment is important in this phase)
  • Mainstream, high-impact diseases (management of crisis)
  • Ambulatory patient encounters (as well as a brief overview of inpatient care)
  • Incorporation of applied basic science concepts (justification for prognosis, patient management, and use of fundamentals learned in other sections of the test)
  • Handling of test items and cases (action related challenges requiring judgment and clinic decisions)


In order to pass the exams, each must receive a 3-digit score of 187, 182, and 184 respectively for Steps 1, 2, and 3 of the exam out of a possible 260 on the scaled scoring system. This is equivalent to somewhere between 60-70%. Because the exam is so very prominent and it is impossible to practice medicine without a valid license, candidates for the USMLE are encouraged to find outside materials that will help to further their knowledge of the testing objectives, including USMLE books, free USMLE downloads, and free USMLE review CDs/DVDs. Aspiring doctors also attend several seminars in a lifetime, and USMLE lecture notes taken during these periods are major advantage for testing candidates. More free USMLE notes are often also presented in writing during these gatherings.

USMLE prep demands that candidates find USMLE questions, download these questions and answers, and use every piece of material available to prepare for the three steps of the examination. When dealing with the health of others, it is necessary to be as accurate as possible, so the test was not created as a fun or exciting adventure but rather as a skills assessment to verify that medical professionals are really prepared to practice full time medicine. USMLE web prep materials are some of the best and least expensive methods of studying for the USMLE and have proven time and again to assist in mastering the skills and knowledge needed to become a doctor.

Doctors need to receive a license because they are each responsible for the lives of hundreds and even thousands of patients, and the USMLE assessment is geared to guarantee that the lives of this many patients are not endangered by lack of knowledge.
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