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Step 1 form guide Medium
Step 1 NBME 7: what's on it and how hard it is
NBME 7 has 165 questions in our copy. The average question is 67 words long and 76% take two or more steps to answer. It leans most on blood and immune system, brain and nerves and GI and liver.
- Difficulty (0–100)
- 64
- Average question
- 67 words
- Take 2+ steps
- 76%
- Have an image
- 19%
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 examsSystems it tests most
Share of the questions in each system.
- Blood and immune system16%
- Brain and nerves13%
- GI and liver10%
- Heart and vessels9%
The full breakdown
Every system and subject, what the questions ask, and what changed from older forms.