STEP
1

USMLE Step 1 — Image Practice Set (PS1-IMG)

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STEP
1

USMLE Step 1 — Image Practice Set (PS1-IMG)

2026 test-delivery interface · 1 block × 30 minutes · Pass/Fail
Format and interface modelled on the post-14 May 2026 software (the NBME self-assessment look). Questions are original NBME-style vignettes for practice — the real exam never releases its items; not affiliated with USMLE/NBME/FSMB.

Confirmed specification

Test-day length
8 hours
Blocks
1 block
Time per block
30 minutes
Questions per block
up to 20
Maximum questions
20
Scoring
Pass / Fail (≈196)

Interface tools (matched to the real software)

  • Left item navigator rail · Mark (red flag) · Previous / Next
  • Lab Values · Notes · Calculator · Reverse Color · Text Zoom
  • Highlight and strike-out by selecting text in the stem; strike-out on options
  • Block Time and Day Time remaining; Lock; red End Block
  • Review is locked to the open block; a closed block cannot be reopened. No scores, answers or explanations are shown until the final block is closed — exactly as on the real exam.
Loaded: a practice set of 20 items in 1 blocks — not a full-length form — the complete 1 block / 20-item exam (— blocks). Taking as —. Progress auto-saves; you can Pause and resume later.
Break bank is the official Step 1 minimum: 55 minutes of break plus a 5-minute optional tutorial — confirmed on usmle.org for exams on/after 14 May 2026 (identical to Step 2 CK). Time saved by finishing a block or the tutorial early is added to the bank.
Item: 1 of 20
Block: 1 of 1
    Block Time Remaining: 30:00
    Day Time Remaining: 8:00:00

    USMLE Step 1 — Image Practice Set (PS1-IMG)

    The real exam offers a 5-minute tutorial before Block 1. You may use it to look over the interface, or skip it. Any time you do not use is added to your break bank.
    5:00
    Tutorial time remaining. Block 1 begins automatically when it reaches zero.

    USMLE Step 1 — Image Practice Set (PS1-IMG)

    00:00
    Break time remaining in your bank.

    USMLE Step 1 — Image Practice Set (PS1-IMG)

    USMLE Step 1 — Image Practice Set (PS1-IMG)

    Step 1 is Pass/Fail. This sim maps a working pass threshold to percent-correct (directional only).
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    Performance by discipline

    Performance by system

    Reference lab values

    Notes

    Calculator

    End this block?