Free USMLE Step 3 practice questions.
Step 3-style questions and CCS-style cases with every answer explained, in short sets that fit around residency.
IvyMed's Step 3 question bank is free. Questions are written in NBME style and focus on what Step 3 tests most: management, prognosis, biostatistics and patient safety. Every explanation covers each answer choice, interactive cases let you practice the order-and-manage thinking the CCS tests, and the passing standard to beat is 200.
What Step 3 tests
| Foundations of Independent Practice (day 1) | Diagnosis, biostatistics and epidemiology, ethics, patient safety and the science behind treatment |
|---|---|
| Advanced Clinical Medicine (day 2) | Management and prognosis questions, plus the computer-based case simulations (CCS) |
| Passing standard | 200, for exams on or after January 1, 2024 |
How it works
- Short timed or tutor-mode sets you can finish between shifts.
- Every answer choice explained, with the clue in the stem that rules it in or out.
- Interactive cases: take the history, order the workup and choose management.
- The Step 3 Brain shows which content areas you have covered and which you have not.
- Ask Ivy, the AI tutor, to walk you through any question.
Start here
Want a tutor to work through it with you?
The Step 3 Pass Plan gives you a plan built around your shifts and a fixed package of 1-on-1 tutoring hours, so you pass without it taking over your life.
Book a free Step 3 strategy callCommon questions
Are these Step 3 practice questions free?+
Yes. The Step 3 question bank, explanations and review are free with an IvyMed account. Paid plans add live classes and 1-on-1 tutoring.
Do you have CCS practice cases?+
Yes. IvyMed has interactive clinical cases where you take the history, order the workup and choose management, in the spirit of the Step 3 CCS. They are not the official CCS software: also use the official USMLE CCS practice cases before test day.
What is the Step 3 passing score?+
The Step 3 minimum passing score is 200 for exams taken on or after January 1, 2024.
How long should I study for Step 3?+
Most residents study a few weeks around their schedule. A short daily set of questions over several weeks usually works better than cramming on days off.
Can I get a Step 3 tutor?+
Yes. Ivy Tutoring offers the Step 3 Pass Plan with 1-on-1 tutoring built around your shifts. A free strategy call tells you whether it fits.