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Step 1 form guide Hard
Step 1 NBME 33: what's on it and how hard it is
NBME 33 has 192 questions in our copy. The average question is 77 words long and 82% take two or more steps to answer. It leans most on blood and immune system, general principles and heart and vessels.
- Difficulty (0–100)
- 78
- Average question
- 77 words
- Take 2+ steps
- 82%
- Have an image
- 24%
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 examsSystems it tests most
Share of the questions in each system.
- Blood and immune system13%
- General principles10%
- Heart and vessels10%
- Brain and nerves10%
The full breakdown
Every system and subject, what the questions ask, and what changed from older forms.