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Step 1 NBME 5: what's on it and how hard it is

NBME 5 has 172 questions in our copy. The average question is 48 words long and 67% take two or more steps to answer. It leans most on blood and immune system, general principles and brain and nerves.

Difficulty (0–100)
52
Average question
48 words
Take 2+ steps
67%
Have an image
14%

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%
  • General principles13%
  • Brain and nerves11%
  • Heart and vessels11%

The full breakdown

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

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