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Step 1 form guide Medium
Step 1 NBME 24: what's on it and how hard it is
NBME 24 has 105 questions in our copy. The average question is 78 words long and 90% take two or more steps to answer. It leans most on brain and nerves, heart and vessels and kidneys and urinary.
- Difficulty (0–100)
- 73
- Average question
- 78 words
- Take 2+ steps
- 91%
- Have an image
- 21%
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 about as hard as it is.
Our original practice examsSystems it tests most
Share of the questions in each system.
- Brain and nerves13%
- Heart and vessels11%
- Kidneys and urinary10%
- GI and liver9%
The full breakdown
Every system and subject, what the questions ask, and what changed from older forms.