USMLE Step 1

Get the Pastest Advantage!
Access to your exam for a one-off charge of $199!

A tried and trusted USMLE Step 1 resource packed with 3600+ questions and expert content that will take your test prep to the next level

USMLE Step 1 Banner

Choose your USMLE Step 1 resource

48-Hour Trial
1 Month
3 Months
USMLE Step 1

Take your first Step with Pastest

Our resource provide full access to a suite of proven, exam-relevant online content for every stage of your test prep. Check out our video and learn about our Qbank, Self-Assessment Exams and innovative Progressive System.

Now includes 2022 First Aid references!

99% of questions are now cross-referenced to the 2022 edition of the popular First Aid for the USMLE Step 1 text book

More than just a Step 1 Qbank...

High-Yield Step 1 Questions

2300+ test format questions and thorough explanations written by expert physicians and students from leading US medical schools

Self Assessments

Our two self assessment exams closely resemble the experience and style of a real NBME exam, and help you to evaluate your progress towards becoming test ready

The Progressive System

Featuring 46 patient cases and over 1000 individual questions, the Progressive System can be used alongside the main Step 1 Qbank to reinforce key concepts or as a primer in the earlier years of medical school

First Aid References

Questions cross-referenced to the 2020, 2021 and 2022 versions of the popular textbook

Contextual Clues

Innovative feature designed to hone your test taking skills

Bite-Sized Videos

Delivered by Yale and Harvard physicians, these short and sharp videos are integrated into some explanations, reinforcing key concepts

Excel in the exam

Setting our users up for exam success is our primary goal and we love playing a small part in their journey to becoming doctors in the United States.

That's why last year our US med student users scored an average of 242 - that's 10 points above the national mean!

USMLE Step 1 Diagrams

Study any time, anywhere

Whether you're traveling to medical school or have a spare 10 minutes before class, the highly-rated Pastest USMLE mobile app will help you fit your test prep around your busy schedule.

Designed with your convenience in mind, the free app provides access to questions from the Qbank even when you're offline.

App Store Google Play

High-yield, high quality

At the heart of our resource is our comprehensive bank of USMLE Step 1 exam-format questions, crafted by experts and high-performing US med students. All our questions are written on topics that are likely to come up in your exam, with many explanations supported by clear and informative diagrams and illustrations.

USMLE Step 1 High Yield Questions

The Pastest Advantage

Access right up to your exam date for $199...seems too good to be true, right?

Wrong! This is no gimmick; there are no confusing Ts and Cs, no hoops to jump through - just an incredible resource we've made super-affordable so as many Step 1 candidates as possible can get their hands on it.

Join the 40,000+ med students and doctors who put their faith in our extensive and innovative resources every single year - they have the Pastest Advantage. Do you?

USMLE Step 1 Pastest Advantage

The Progressive System

The Pastest Progressive System offers a powerful new approach to USMLE Step 1 test prep - & it changes the game!

Now you can start to build your foundational knowledge & the critical thinking skills essential to ace the Step 1 exam & do it right alongside your classes in med school.

The Progressive System challenges you to answer a series of related multiple-choice questions on the same patient case, that start with basic concepts & advance through to complex multi-order Step 1 questions. Each case is based on a high yield Step 1 topic & crosses multiple disciplines to reflect the integrated nature of medicine.

What our users say

About their Pastest product

Extremely useful Qbank that helps you get used to the question format and the clinical vignettes. The progressive system helps you fill some gaps in your knowledge depending on the topic of your choice. The pricing is reasonable and the staff are very eager to help and to clarify your questions.

Vladimir Filip

The USMLE Step 1 is very well covered in Pastest, the progressive system is world class medical learning, starting from an understanding of the basic science processes and progressing to actual USMLE level questions. I have noticed a big improvement in my medical knowledge since I subscribed to Pastest and I use it almost everyday. It is also the best priced USMLE Q bank, more affordable than Amboss, USMLE Rx and UWorld. The best advice I can give is get Pastest for 1 year of dedicated and in the last 3 months get UWorld and you will be ready to score 260+.

Desi Pardesi

It's a really good resource for Step 1 USMLE. The way questions are asked and the explanation for all the answers (even the wrong ones) make your learning so much better than Uworld.

Evelyne Lemay

Choose your USMLE Step 1 resource

48-Hour Trial
1 Month
3 Months
USMLE Step 1
  • *Full access until your exam!

With one subscription we've got you covered!

Pastest Progressive
Progressive System
Build your USMLE Step 1 critical thinking skills (1000+ Qs)
Pastest Questions
Covering high yield topics & with detailed explanations (2300+ Qs)
Pastest Timed Tests
Self Assessments
Get exam ready with 2 Board-style assessments (320 Qs)

What is USMLE Step 1?

The United States Medical Licensing Examination (USMLE) is a three-step exam for medical licensure in the United States. USMLE Step 1 is the first of the three exam stages aimed at assessing a physician’s ability to provide safe and effective patient care.

USMLE Step 1 Exam Format

Step 1 is a one-day examination divided into seven 60-minute blocks over the course of eight hours. The number of USMLE Step 1 questions in each block varies but does not exceed 40. All of the Step 1 questions have a vignette and a Single Best Answer (SBA). This means you must select the one best answer out of at least five potentials which may also be plausible. You can read more about the exam format and strategies for success in our Ultimate Guide to the USMLE Step 1 Exam.

How to study for USMLE Step 1

Practicing sample USMLE Step 1 questions is a great way to prep for the Step 1 exam. The Pastest USMLE Step 1 Qbank provides you with thousands of high-yield Step 1 questions and our test mode includes a realistic boards-style interface.

The Pastest USMLE Step 1 subscription also includes content and functions to enhance your Step 1 preparation. In our main Qbank bite-sized videos explain difficult concepts, dynamic explanations give you detailed feedback on both correct and incorrect answers and Contextual Clues highlight key concepts in patient vignettes.

The innovative and unique Progressive System uses a case-based, multi-discipline approach to allow you to build foundational knowledge and develop the critical thinking competencies vital for Step 1 exam performance. Finally, our self-assessment tests will help you to evaluate your progress toward becoming test ready.

In addition, our USMLE Step 1 question bank is available offline via our cutting edge Pastest app.

All of this is specifically designed to help you excel in your USMLE Step 1 exam and gain the Pastest Advantage!

The United States Medical Licensing Examination (USMLE™) is a joint program of the Federation of State Medical Boards (FSMB®) and National Board of Medical Examiners (NBME®). None of the trademark holders are affiliated with Pastest.

*The subscription is set to expire after two years. Should you need access for longer, in your final month just send an email to and we'll move your end date.