All form guides
Step 1 form guide Hardest
Step 1 Free 120 (2026): what's on it and how hard it is
Free 120 (2026) has 115 questions in our copy. The average question is 96 words long and 79% take two or more steps to answer. It leans most on heart and vessels, blood and immune system and brain and nerves.
- Difficulty (0–100)
- 87
- Average question
- 96 words
- Take 2+ steps
- 79%
- Have an image
- 33%
When to take it
Save it for your last 2–3 weeks. It is the closest thing to today's exam.
Students say it feels easier than the questions really are.
Our original practice examsSystems it tests most
Share of the questions in each system.
- Heart and vessels12%
- Blood and immune system10%
- Brain and nerves10%
- GI and liver9%
The full breakdown
Every system and subject, what the questions ask, and what changed from older forms.