Practice exams
What's on each NBME practice exam
Pick a form to see how hard it is, how long its questions are, which systems it tests most and when to take it. Pass Plan students also see the full subject mix, what changed from older forms and the topics that keep coming back.
How we made these: our models read every question on each released practice form and tagged its system, subject, question type and topic. Difficulty comes from our form ranking. We only publish totals and topic names, never the questions.
Step 1
Newest first. NBME 25 and up match today's pass/fail exam best.
- Free 120 (2026)Hardest96-word questions · 79% take 2+ stepsMost on heart and vessels and blood and immune system
- NBME 34Hard90-word questions · 86% take 2+ stepsMost on brain and nerves and blood and immune system
- NBME 33Hard77-word questions · 82% take 2+ stepsMost on blood and immune system and general principles
- NBME 32Medium84-word questions · 82% take 2+ stepsMost on blood and immune system and brain and nerves
- Free 120 (2024)Hard108-word questions · 90% take 2+ stepsMost on reproductive and blood and immune system
- NBME 31Medium78-word questions · 81% take 2+ stepsMost on general principles and blood and immune system
- NBME 30Medium72-word questions · 79% take 2+ stepsMost on brain and nerves and blood and immune system
- NBME 29Medium68-word questions · 75% take 2+ stepsMost on brain and nerves and blood and immune system
- NBME 28Medium69-word questions · 77% take 2+ stepsMost on blood and immune system and brain and nerves
- Free 120 (2021)Hard99-word questions · 80% take 2+ stepsMost on blood and immune system and brain and nerves
- NBME 27Medium74-word questions · 79% take 2+ stepsMost on brain and nerves and blood and immune system
- NBME 26Medium72-word questions · 76% take 2+ stepsMost on blood and immune system and heart and vessels
- NBME 25Medium67-word questions · 79% take 2+ stepsMost on blood and immune system and heart and vessels
- NBME 24Medium78-word questions · 91% take 2+ stepsMost on brain and nerves and heart and vessels
- NBME 23Hard78-word questions · 80% take 2+ stepsMost on blood and immune system and brain and nerves
- NBME 22Hard69-word questions · 83% take 2+ stepsMost on blood and immune system and brain and nerves
- NBME 21Medium67-word questions · 83% take 2+ stepsMost on blood and immune system and brain and nerves
- NBME 20Medium64-word questions · 83% take 2+ stepsMost on blood and immune system and heart and vessels
- NBME 18Medium71-word questions · 72% take 2+ stepsMost on reproductive and heart and vessels
- NBME 17Medium70-word questions · 78% take 2+ stepsMost on blood and immune system and heart and vessels
- NBME 16Medium69-word questions · 78% take 2+ stepsMost on brain and nerves and heart and vessels
- NBME 15Easier67-word questions · 72% take 2+ stepsMost on blood and immune system and gi and liver
- NBME 13Medium74-word questions · 68% take 2+ stepsMost on blood and immune system and brain and nerves
- NBME 12Medium69-word questions · 83% take 2+ stepsMost on heart and vessels and blood and immune system
- NBME 11Medium74-word questions · 79% take 2+ stepsMost on brain and nerves and lungs
- NBME 7Medium67-word questions · 76% take 2+ stepsMost on blood and immune system and brain and nerves
- NBME 6Medium54-word questions · 71% take 2+ stepsMost on brain and nerves and general principles
- NBME 5Easier48-word questions · 67% take 2+ stepsMost on blood and immune system and general principles
- NBME 4Easier47-word questions · 69% take 2+ stepsMost on general principles and heart and vessels
- NBME 3Easier54-word questions · 71% take 2+ stepsMost on blood and immune system and brain and nerves
- NBME 2Easier40-word questions · 68% take 2+ stepsMost on heart and vessels and general principles
- NBME 1Easier38-word questions · 57% take 2+ stepsMost on brain and nerves and multisystem
Step 2 CK
Newest first.
- NBME 15Medium122-word questions · 86% take 2+ stepsMost on brain and nerves and reproductive
- NBME 14Medium122-word questions · 84% take 2+ stepsMost on reproductive and brain and nerves
- Free 120 (2023)Hardest144-word questions · 88% take 2+ stepsMost on general principles and heart and vessels
- NBME 13Hard133-word questions · 85% take 2+ stepsMost on reproductive and lungs
- Free 120 (2021)154-word questionsMost on reproductive and heart and vessels
- NBME 12Medium130-word questions · 86% take 2+ stepsMost on brain and nerves and gi and liver
- NBME 11Medium124-word questions · 81% take 2+ stepsMost on heart and vessels and general principles
- NBME 10Medium119-word questions · 79% take 2+ stepsMost on heart and vessels and reproductive
- NBME 9Medium128-word questions · 87% take 2+ stepsMost on blood and immune system and reproductive
- NBME 8Medium140-word questions · 82% take 2+ stepsMost on heart and vessels and lungs
Shelf exams
One page per shelf, with a row for each practice form we have.
- Emergency Medicine shelf146-word questionsMost on brain and nerves and heart and vessels
- Family Medicine shelf112-word questionsMost on heart and vessels and lungs
- Internal Medicine shelf121-word questionsMost on heart and vessels and kidneys and urinary
- Neurology shelf124-word questionsMost on brain and nerves and muscles, bones and joints
- OB/GYN shelf98-word questionsMost on reproductive and kidneys and urinary
- Pediatrics shelf105-word questionsMost on blood and immune system and lungs
- Psychiatry shelf148-word questionsMost on psychiatry and brain and nerves
- Surgery shelf104-word questionsMost on gi and liver and heart and vessels