All form guides

Step 1 form guide Medium

Step 1 NBME 12: what's on it and how hard it is

NBME 12 has 139 questions in our copy. The average question is 69 words long and 83% 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)
60
Average question
69 words
Take 2+ steps
83%
Have an image
13%

When to take it

Extra practice early on. It is an older form: shorter questions and more straight recall than today's exam, so don't read much into the score.

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.

  • Heart and vessels14%
  • Blood and immune system14%
  • Brain and nerves12%
  • Reproductive11%

The full breakdown

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

USMLE®, MCAT®, SAT®, ACT® and other names mentioned are trademarks of their owners, who are not affiliated with and do not endorse Ivy Tutoring, LLC or IvyMed.