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Step 2 CK · Clinical knowledge · Scored

USMLE Step 2 CK question bank

Step 2 CK tests clinical decisions and gives the three-digit score residency programmes read. Learn the exam, then practise it in 30-minute blocks.

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The exam in six facts

Step 2 CK at a glance

Result

A score from 1 to 300 and a pass or fail outcome.

Passing standard

218 for exams on or after 1 July 2025.

Test day

One day, a 9-hour testing session.

Format

16 blocks of 30 minutes, up to 20 questions each.

Who can sit it

Students and graduates of schools listed in the World Directory of Medical Schools.

What comes next

Step 3, usually taken during residency.

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Everything about Step 2 CK

Start preparing

Pick a subject, build a timed block and learn from every explanation.

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Exam guide

How the exam day is built: blocks, timing, breaks and fees.

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Eligibility and criteria

Who can sit Step 2 CK and what you need before you register.

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Scores and statistics

Passing standard, how results work and official pass rates.

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Content outline

What the exam tests, by system and physician task.

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Plans and pricing

Choose a plan in US dollars or PKR for Step 2 CK.

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The USMLE sequence

Where Step 2 CK fits in

1

Step 1

Basic science, reported as pass or fail.

2

Step 2 CK

Clinical knowledge. You are here.

3

Step 3

Independent practice, usually taken in residency.

For Step 2 CK

Past papers and syllabus

USMLE releases no past papers, and remembered exam questions are unlawful to share, so none are used here. Your syllabus is the official Step 2 CK content outline, and the questions are written to it. The free official sample questions on usmle.org show the real interface.

FAQ

Step 2 CK questions answered

Is Step 2 CK scored?
Yes. Step 2 CK reports a three-digit score as well as pass or fail, and residency programmes read that score closely. The passing standard is 218.
How is Step 2 CK different from Step 1?
Step 1 tests basic science. Step 2 CK tests clinical decisions: diagnosis, investigations, management, prevention and prognosis, across Medicine, Paediatrics, Obstetrics and Gynaecology, Psychiatry and Surgery.
How long is the Step 2 CK day?
The testing session is 9 hours: 16 blocks of 30 minutes, at least 55 minutes of breaks and a 5-minute optional tutorial. Before 7 May 2026 it used eight 60-minute blocks.
What does nutrition mean for Step 2 CK?
Nutrition is coded across the other systems rather than examined as a separate subject. You will meet it inside questions on any organ system.
Do I need Step 1 first?
Passing Step 1 is part of the usual sequence. Check the USMLE Bulletin of Information for the current eligibility rules.

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