USMLE Step 3 Board Review Questions

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“I tutor students at a local medical school on the weekends and questions are a huge part of my teaching strategy. I've found BoardVitals' questions are excellent teaching tools, because the answer explanations are always on point and provide good clinical context. I would recommend your Step 2 Question Bank to any medical student studying for USMLE who wishes to supplement their core notes and their learning, overall.”

Resident Physician at Glendale Adventist

gold key Key Board Review Features


USMLE Step 3 Board Review Topics Covered:

  • Pediatrics
  • Dermatology
  • Gastroenterology
  • Neurology
  • Cardiology
  • Hematology/Oncology
  • Psychiatry
  • Endocrinology
  • Renal
  • Pulmonology
  • Immunology/Rheumatology
  • Biostats/Ethics
  • Pharmaceutical Advertisement
  • Research Abstracts

About the USMLE Step 3 Exam

Step 3 is the third written 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 medical knowledge and an understanding of biomedical and clinical science essential for the unsupervised practice of medicine, with emphasis on patient management in ambulatory settings. Our question bank is specifically designed to teach you the kind of thinking that you need to know.

How long is the USMLE Step 3 Exam?

The USMLE Step 3 is a two-day exam:

  • Day 1: Foundations of Independent Practice (FIP) determine's the student's knowledge of basic medical and scientific principles essential for effective health care.

    • 7 hours long
    • No more than 235 MCQ's
    • Divided into six 60-minute sections, each containing approx. 44 items
  • Day 2: Advanced Clinical Medicine (ACM) evaluate's the student's ability to apply comprehensive knowledge of health and disease in the context of patient management and the evolving manifestation of disease over time.

    • 9 hours
    • No more than 180 MCQ's
    • Divided into six 45-minute sections, each containing approx. 33 items

USMLE Step 3 Tips and Tricks

Based on 2016 data, the pass rates for Step 3 are quite high (over 96%). It’s one of the easier exams, but this may be in part that students are quite well prepared for this type of exam after taking the first two. Starting 2014, the exam can be taken on two separate, non-consecutive days.

However, there is some advice that we hear pretty frequently:

  • Watch out for timing! The question stems are quite a bit longer than for Step 1 and Step 2.
  • If you are having trouble with the timing, skip the drug ads and research questions. (We have a block of these in our USMLE Step 3 question bank that should help you get your speed up)
  • The first day is very long. Make sure you’re well rested.
  • The cases are shorter and are given on the second day, so it tends to be a much easier experience.
  • Kaplan is pretty good for the other Step exams, but misses the mark on Step 3.
  • You’re better off doing more and more questions than doing a topics-based review (we suggest UWorld and BoardVitals, obviously).

Looking for Step 1 or Step 2 exam content?

Check out our Step 1 question bank and Step 2 question bank.