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Step 1 Free 120 (2021): what's on it and how hard it is

Free 120 (2021) has 66 questions in our copy. The average question is 99 words long and 80% take two or more steps to answer. It leans most on blood and immune system, brain and nerves and lungs.

Difficulty (0–100)
80
Average question
99 words
Take 2+ steps
80%
Have an image
24%

When to take it

Middle of dedicated (weeks 3–4), once you have a first score to compare with.

Students say it feels easier than the questions really are.

Our original practice exams

Systems it tests most

Share of the questions in each system.

  • Blood and immune system12%
  • Brain and nerves12%
  • Lungs11%
  • Heart and vessels9%

The full breakdown

Every system and subject, what the questions ask, and what changed from older forms.

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