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Step 1 form guide Medium
Step 1 NBME 26: what's on it and how hard it is
NBME 26 has 179 questions in our copy. The average question is 72 words long and 76% take two or more steps to answer. It leans most on blood and immune system, heart and vessels and general principles.
- Difficulty (0–100)
- 61
- Average question
- 72 words
- Take 2+ steps
- 76%
- Have an image
- 22%
When to take it
A good first practice test, early in dedicated: it scores fairly and sticks close to the usual study books.
Students say it feels about as hard as it is.
Our original practice examsSystems it tests most
Share of the questions in each system.
- Blood and immune system12%
- Heart and vessels12%
- General principles10%
- Brain and nerves9%
The full breakdown
Every system and subject, what the questions ask, and what changed from older forms.