USMLE® Step 1 Board Review Questions and Practice Tests
Free access to select questions
Included with all plans
- Customize practice tests by subject
- Track your progress with advanced analytics and reports
- Timed option to simulate real test conditions
- Compare your progress against the national average
“Our medical school curriculum committee met, and student members expressed their like of the product, including that they really liked the video clips and also felt the questions were more like actual USMLE questions than those in UWorld."”Rachel R. Walden
MLIS, Associate Dean/Associate Professor
Key USMLE Step 1 Board Review Features
USMLE Step 1 Board Review Topics Covered:
- Biology of Tissue Response to Disease
- Multisystem Processes
- Quantitative Methods
- Hematopoietic and Lymphoreticular Systems
- Nervous System and Special Senses
- Skin and Subcutaneous Tissue
- Musculoskeletal System
- Respiratory System
- Cardiovascular System
- Gastrointestinal System
- Renal/Urinary System
- Endocrine System
- Audio Clip Questions
- Pregnancy, Childbirth, and Puerperium
- Biostatistics and Epidemiology
- Male Reproductive System
- Female Reproductive System and Breast
- Immune System
- Behavioral Health
- General Principles of Foundational Science
- Social Sciences
USMLE® Step 1 Question Bank Features
We’ve added new features to our USMLE® Step 1 question bank to help you learn better, gain relevant practice, and feel confident going into test day. These features include in-depth explanations for every answer, better visual aids, more questions, and our new "Vital Concepts" section.
Robust In-Depth Explanations
We've updated our USMLE® Step 1 question bank to include more robust and detailed explanations. These new questions have more in-depth explanations and enhanced features designed to help you learn the information better.
The BoardVitals USMLE® Step 1 question bank now includes our new "Vital Concepts" section. Vital Concepts details important information and/or a summary of key teaching points tested in the question. It is designed to help you optimize your understanding of the tested concept within each specific question. When you study this section with the updated explanations found in question banks, you will understand the key points for each concept and knowledge area on the exam.
Better USMLE® Visual Aids
The new USMLE® Step 1 question bank includes more questions with visual aids to give you a clearer look at difficult USMLE® concepts. These visual aids include diagrams, flow charts, tables, and more radiological and pathology images.
Information about the USMLE® Step 1 Exam
Step 1 is the first board exam you will take during Medical School that is sponsored by both the Federation of State Medical Boards and the National Board of Medical Examiners. The test is designed to determine if students can apply the basic sciences to the practice of Medicine. Our question bank is specifically designed to teach you the kind of thinking that you need to know.
What is covered on the USMLE® Step 1 Exam?
The following categories are found on the USMLE® Step 1 Content Outline:
- General Principles 12–16%
- Blood & Lymphoreticular/Immune Systems 7-11%
- Behavioral Health & Nervous Systems/Special Senses 9–13%
- Musculoskeletal, Skin & Subcutaneous Tissue 6-10%
- Cardiovascular System 5-9%
- Respiratory & Renal/Urinary Systems 9-13%
- Gastrointestinal System 5-9%
- Reproductive & Endocrine Systems 9-13%
- Multisystem Processes & Disorders 6-10%
- Biostatistics & Epidemiology/Population Health 4-6%
- Social Sciences: Communication and Interpersonal Skills 6-9%
How long is the USMLE® Step 1 Exam?
Step 1 is a one-day examination. It is divided into seven 60-minute blocks and administered in one 8-hour testing session The number of questions per block on a given examination form will vary, but will not exceed 40. The total number of items on the overall examination form will not exceed 280.
Generally, time is not a problem, but we strongly suggest that you practice the timing on the questions. We provide a timer for both the individual questions, as well as your overall practice exam. This should help give you a feel for the pace of the questions.
VIDEO: USMLE® Step 1: Child Neurology Review Question Explained
Adam Goodcoff, an Emergency Medicine resident physician, answers a Child Neurology question from our USMLE® Step 1 question bank. This lecture is part of our "Practice Connection" video series that we developed to highlight helpful practice questions and explanations.
USMLE® Step 1 Tips
For the Step 1 exam - choose a faculty advisor, and make friends with other MS2 and MS3 students. If you need help with shelf exams, visit our shelf exam prep section. And when you’re ready, check out our Step 2 question bank or Step 3 question bank.
Understand that no matter how well you prepare, there will be tough questions. Make sure to stay in touch with friends, and keep a steady schedule. Taking a practice exam each and every week is a great way to know how well you’re doing, and also to understand which categories you need to focus on (Our system individually suggests categories individualized to each person.) Make sure to use this to your advantage so that you’re optimizing your study time instead of going back to categories that you already know.
Most programs will give you 2 months (no classes) before the Step 1 exam so that you have time to prepare. It’s a difficult exam and the [national average score on the USMLE® Step 1 exam for 2018 was 230. The minimum passing score is 194.
Scores on the MCAT do have a correlation with performance on the Step 1 exam, though the correlation is weak. Most importantly, the USMLE® Step 1 is known to have a significant influence on residency match and is therefore known to be a high-pressure exam as those with the highest scores on this exam are thought to have the most options in terms of residency specialties and locations.
While there are no widely published studies on the pass rates for 2014, top tier programs that we interviewed had a pass rate of 95%+ and mid-tier programs had a pass rate of 90%. Some schools, such as Ross, publish their scores each year (with an average of over 96%).
We strongly suggest using First Aid as a study companion. We also suggest Rapid Review Pathology by Goljan.