Step 3 · Two days · For doctors in the US
USMLE Step 3 question bank
Step 3 is the final Step, taken over two days by doctors working in the US. Learn the exam, then practise its multiple-choice content in 30-minute blocks.
The exam in six facts
Step 3 at a glance
Two days
Day 1 is about 7 hours and Day 2 is 9 hours.
Format
Multiple-choice blocks of 30 minutes, plus case simulations on Day 2.
Result
A score and a pass or fail outcome.
Where
Prometric test centres in the United States only.
Who can sit it
Candidates who have passed Step 1 and Step 2 CK and hold a medical degree.
Exam fee
US$ 955 for both days.
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Everything about Step 3
For Step 3
Past papers and syllabus
USMLE does not release past papers, and remembered exam questions are unlawful to share, so none are used here. Your syllabus is the official Step 3 content outline, and the questions are written to follow it.
FAQ
Step 3 questions answered
What is different about Step 3?
Step 3 is a two-day exam taken by doctors who are working in the US. Day 1 tests the foundations of independent practice, and Day 2 tests advanced clinical medicine, including case simulations.
What does the Qbank cover for Step 3?
The multiple-choice content of both days: foundations of independent practice, advanced clinical medicine, biostatistics, and ethics, professionalism and patient safety. Practise the computer-based case simulations with the official tutorial on usmle.org.
Where can I take Step 3?
Step 3 is given only at Prometric test centres in the United States, so there is no international surcharge, and the exam fee is US$ 955.
How long is each Step 3 day?
Day 1 is about 7 hours with 12 blocks of 30 minutes. Day 2 is 9 hours with 9 multiple-choice blocks of 30 minutes and 13 to 14 case simulations of up to 10 or 20 minutes each.
When should I take Step 3?
Candidates often take it during residency, but timing depends on eligibility and on your programme. Check the USMLE Bulletin of Information and your programme's guidance.
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