USMLE® Step 3 Board Review Questions

Get ready to pass the USMLE Step 3 Exam with BoardVitals. Gain access to more than 1500 difficult USMLE Step 3 board review practice questions with detailed explanations for both correct and incorrect responses. The USMLE Step 3 questions are specifically focused on providing challenging content. We also regularly talk to board-certified physicians who make sure that we’re keeping the questions and topics that are relevant to the boards while removing questions that do not appear on the board. The USMLE Step 3 question bank follows the exam content outline for the Federation of State Medical Boards (FSMB) and National Board of Medical Examiners® (NBME®) USMLE® Step 3 Exam. Enhance your studies when you add on our NEW Full-Length Practice Exam that mimics the exam interface and blueprint of the exam you'll see on test day!

Also check out our USMLE® Step 1 and USMLE® Step 2 Question Banks.

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  • Timed option to simulate real test conditions
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“I would recommend BoardVitals to anyone preparing for USMLE exams for a couple of reasons: First, the questions are of all levels, from basic to advanced and all of them are of high quality. Second, I was able to get feedback very shortly from a practicing physician associated with BoardVitals regarding any questions I had on BoardVitals material. This separates it from practically any other question bank where it may take weeks or months to receive any feedback.”

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gold key Key USMLE Step 3 Board Review Features

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Challenging USMLE Step 3 Board Review questions with images in similar format/quality to the actual exam
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AI-powered risk assessment performance data provides insight into your most at-risk subjects to optimize study efficiency
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Create quizzes with adaptive testing technology, which presents questions tailored to your current competency level
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Condensed and concise Clinical Pearls highlight key points, essential concepts, and practical tips related to patient care

USMLE Step 3 Board Review Topics Covered:

  • Musculoskeletal
  • Dermatology
  • Gastroenterology
  • Neurology
  • Cardiovascular
  • Hematology/Oncology
  • Multisystem Processes
  • Endocrinology
  • Renal/Urinary and Male Reproductive Systems
  • Respiratory System
  • Biostats/Ethics
  • Pharmaceutical Advertisement
  • Research Abstracts
  • Biostatistics and Epidemiology
  • General Principles of Foundational Science
  • Communication/Professionalism/Systems-based Practice & Patient Safety
  • Behavioral Health
  • Pregnancy, Childbirth, Female Reproductive System, and Breast
  • Immune System, Blood & Lymphoreticular System

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.

What is covered on the USMLE® Step 3 Exam?

According to the USMLE® Step 3 Content Outline, the following is covered:

  • Human Development 1–3%
  • Immune System, Blood & Lymphoreticular System, and Multisystem Processes/Disorders 6–8%
  • Behavioral Health 4–6%
  • Nervous System & Special Senses 8–10%
  • Skin & Subcutaneous Tissue 4–6%
  • Musculoskeletal System 5–7%
  • Cardiovascular System 9–11%
  • Respiratory System 8–10%
  • Gastrointestinal System 6–8%
  • Renal/Urinary & Male Reproductive Systems 4–6%
  • Pregnancy/Childbirth & Female Reproductive System & Breast 7–9%
  • Endocrine System 5–7%
  • Biostatistics & Epidemiology/Population Health & Interpretation of the Medical Literature 11–13%
  • Social Sciences: Communication Skills/Ethics/Patient Safety 7–9%

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 Pass Rate

The 2022 pass rate for Step 3 was 91%. Step 3 is 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.