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Step 1 NBME 3: what's on it and how hard it is

NBME 3 has 166 questions in our copy. The average question is 54 words long and 71% take two or more steps to answer. It leans most on blood and immune system, brain and nerves and general principles.

Difficulty (0–100)
45
Average question
54 words
Take 2+ steps
71%
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.

  • Blood and immune system13%
  • Brain and nerves13%
  • General principles12%
  • GI and liver11%

The full breakdown

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

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