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Step 1 NBME 32: what's on it and how hard it is

NBME 32 has 193 questions in our copy. The average question is 84 words long and 82% take two or more steps to answer. It leans most on blood and immune system, brain and nerves and heart and vessels.

Difficulty (0–100)
74
Average question
84 words
Take 2+ steps
82%
Have an image
26%

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 harder than the questions really are.

Our original practice exams

Systems it tests most

Share of the questions in each system.

  • Blood and immune system16%
  • Brain and nerves12%
  • Heart and vessels10%
  • General principles9%

The full breakdown

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

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