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Step 1 form guide Hard
Step 1 NBME 34: what's on it and how hard it is
NBME 34 has 188 questions in our copy. The average question is 90 words long and 86% take two or more steps to answer. It leans most on brain and nerves, blood and immune system and general principles.
- Difficulty (0–100)
- 81
- Average question
- 90 words
- Take 2+ steps
- 86%
- 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 about as hard as it is.
Our original practice examsSystems it tests most
Share of the questions in each system.
- Brain and nerves12%
- Blood and immune system12%
- General principles11%
- Heart and vessels10%
The full breakdown
Every system and subject, what the questions ask, and what changed from older forms.