All form guides

Step 2 CK form guide Medium

Step 2 CK NBME 9: what's on it and how hard it is

NBME 9 has 193 questions in our copy. The average question is 128 words long and 86% take two or more steps to answer. It leans most on blood and immune system, reproductive and heart and vessels.

Difficulty (0–100)
74
Average question
128 words
Take 2+ steps
87%
Have an image
17%

When to take it

Middle of your study period, once you have a first score. Expect close calls between two "next step" answers.

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 system13%
  • Reproductive11%
  • Heart and vessels10%
  • GI and liver9%

The full breakdown

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

USMLE®, MCAT®, SAT®, ACT® and other names mentioned are trademarks of their owners, who are not affiliated with and do not endorse Ivy Tutoring, LLC or IvyMed.