Free USMLE Step 1 practice questions.
Thousands of NBME-style Step 1 questions with every answer choice explained, spaced review of what you miss, and free practice exams.
IvyMed's Step 1 question bank is free. Questions are written in NBME style and mapped to the concepts the official practice forms test. Every explanation covers each answer choice, with buzzwords, what rules a diagnosis in or out, and the key points to remember, and the questions you miss come back on a spaced-review schedule until you get them right.
What the bank covers
| Organ systems | Cardiovascular, respiratory, renal, gastrointestinal, endocrine, reproductive, musculoskeletal, nervous system, hematology and oncology, skin |
|---|---|
| Disciplines | Pathology, physiology, pharmacology, microbiology, immunology, biochemistry and genetics, anatomy, behavioral science and biostatistics |
| Practice exams | Full-length Ivy practice exams, plus a guide to every official NBME form and the Free 120 |
How it works
- Build a block by system or discipline, timed or tutor mode.
- Every answer choice explained, with buzzwords, rule-in and rule-out clues and key points.
- Missed questions come back on a spaced-review schedule.
- Ask Ivy, the AI tutor, to walk you through any question.
- A day-by-day study plan built from your results and your exam date.
Start here
Want a tutor to work through it with you?
Ivy Tutoring's Step 1 tutors work from your IvyMed results, with 1-on-1 sessions on your weakest systems and live classes every weekday.
Book a free Step 1 strategy callCommon questions
Is the IvyMed Step 1 question bank free?+
Yes. The Step 1 question bank, explanations, review and practice exams are free with an IvyMed account. Paid plans add live classes, a crash course and 1-on-1 tutoring.
Can I use IvyMed instead of UWorld?+
Many students use both. UWorld is the standard paid bank; IvyMed is a free bank that adds practice on the concepts official NBME forms test, spaced review of your misses, and a plan built from your results. If budget is tight, IvyMed alone plus the official NBME forms and the Free 120 is a workable plan.
Are these real NBME questions?+
No. They are original questions written in NBME style and mapped to the concepts the official practice forms test. For real exam items, use the official NBME self-assessments and the USMLE Free 120.
Which NBME practice form should I take first?+
Start with one of the easier newer forms, such as NBME 29 or NBME 26, and save the hardest ones (NBME 33, 34 and 25) for the last weeks. Our ranking of every form explains why.
Can I get a Step 1 tutor?+
Yes. Ivy Tutoring offers 1-on-1 Step 1 tutoring and live group classes built on your IvyMed results. A free strategy call tells you whether tutoring fits your timeline.