Are you wondering how long Step 1 is? Curious to know how many questions are on Step 1? Are you struggling with time and need to know how much time you have per question?
In this article, we’ll discuss the length, the number of questions, the time allotment for the USMLE Step 1, and compare the USMLE Step 1 to the MCAT and the COMLEX Level 1.
Summary:
- Step 1 is 8 hours long and has 280 questions; you have up to 60 minutes of break time
- There are seven blocks of questions; each block is 1 hour and contains 40 questions
- You have 90 seconds per Step 1 question
- Mastering the content and reading carefully are key to ensuring adequate time to finish the test
- The USMLE Step 1, the MCAT, and the COMLEX Level 1 are different exams that different objectives
Table of Contents
How Important Is Step 1 for Residency Now It Is Pass Fail?
The USMLE Step 1 is a critical milestone for medical students to match into their desired specialty. Despite being pass-fail, doing well on Step 1 is now more critical than ever. Why? Because Step 1 can still help you stand out in the applicant pool. First, passing Step 1 is critical to passing automatic screens when you apply for residency. Although residency programs won’t see a numerical score, many automatically reject anyone with a USMLE fail. This means that doing well on Step 1 is essential if you want your application to make a good impression. Second, doing well on Step 1 is essential to success in clerkships, shelf exams, and Step 2 CK. With Step 1 being pass-fail, these other elements will have greater significance in residency selection. For more on how Step 2 CK is the new Step 1, read this article.How Long is Step 1?
The USMLE Step 1 exam is 8 hours long and has 280 multiple-choice questions. These 280 questions are divided into seven blocks lasting an hour each, with 40 questions per block. The USMLE Step 1 exam provides 60 minutes of break time. Forty-five minutes of this break time is available for resting between blocks of questions. The exam also provides an additional 15 minutes of rest time if you skip the orientation at the beginning of the exam. To summarize: Step 1 is 8 hours long, with 60 minutes of break time available.How Many Questions Are There And What Do They Cover?
How many questions are on Step 1? Step 1 has 280 multiple-choice questions, divided into seven blocks of 40 questions each. The USMLE Step 1 exam evaluates medical knowledge on various topics related to basic science and clinical subjects. The questions cover core concepts and principles from a wide range of fields. These fields include anatomy, physiology, biochemistry, pharmacology, pathology, microbiology, and other medical topics.How Much Time per Step 1 Question?
When preparing for USMLE Step 1, time management is key. You have 1.5 minutes to answer each question. As such, it’s essential to read each question carefully and efficiently. Avoid skimming or re-reading; careless mistakes can cost you precious time. Instead, take the time to read each question with care. Finding the right balance between speed and accuracy is the key to good time management. Reading too fast can result in mistakes that require re-reading, wasting valuable time. On the other hand, spending too much time on one question could leave you with little time for the rest. Balancing speed and accuracy is the key to successful time management on the USMLE Step 1 exam. For more on how to improve timing on the USMLEs, read this article.
You have 90 seconds per question on Step 1




