USMLE Step 1

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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.

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

The Pastest Advantage

Access right up to your exam date for $50...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?

Our US med student users score an average of 242

That's 12 points above the national mean!

More than just a USMLE 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 2019, 2020 and 2021 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

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.

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.
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Our Rock Star faculty

Our team of USMLE writers and editors comprise both physicians with expertise in their specialist fields as well as high-scoring students from top US medical schools who know exactly what is needed to ace the USMLE Step 1 exam.

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 increase your USMLE Step 1 score 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.