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USMLE Test Lengths and Formats
- Step 1 has approximately 336 multiple-choice test items, divided into seven 60-minute blocks,
administered in one eight-hour testing session.
- Step 2 CK has approximately 370 multiple-choice test items, divided into eight 60-minute blocks,
administered in one nine-hour testing session.
- Step 2 CS has 12 patient cases. You will have 15 minutes for each patient encounter and
10 minutes to record each patient note. If you do not use the entire 15 minutes for the patient
encounter, the remaining time will be added to the time you have to record the patient note. The
testing session is approximately eight hours.
- Step 3 has approximately 480 multiple-choice test items, divided into blocks of 35 to 50 items.
You will have 45 to 60 minutes to complete each of these blocks. There are approximately nine
computer-based case simulations, with one case in each block. You will have a
maximum of 25 minutes to complete each of these blocks. Step 3 is administered in two eight-
hour testing sessions.
For Step 1, Step 2 CK, and Step 3 multiple-choice sections, during the defined time to complete the items in each block, you may answer the items in any order, review your responses, and change answers. After you exit the block, or when time expires, you can no longer review test items or change answers.
Step 2 CS cases and Step 3 case simulations must be taken in the order presented. After you exit the case or session, or when time expires, you can no longer review test items or cases, change answers, or collect additional information.
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