The brain is usually fresh and works best during the onset hours of the exam, and suffers exhaustion after seven hours. Most students measure themselves with a single 4-hour test which unfortunately overestimates their performance. Building the stamina or having the experience of an 8-hour test may require you to complete at least two NBME tests. Each unit has 50 questions, and the entire test takes only 4 hours. However, the NBME exam has four sections, each with a time frame of 75 minutes. The entire test lasts up to 8hours, which is equivalent to a whole workday. The USMLE exam content has a sum of 280 questions – 7 blocks each with 40 queries. Below are the major differences between NBME and USMLE Step 1. Since the two tests have striking similarities, most students tend to overlook the differences in the exams. However, you can get the hang of it by sitting for NBME subject exams which is an excellent way to gauge how well prepared you are for the USMLE. With the fear of failure and competition from peers, getting set for the exam can be overwhelming. For this reason, students spend sleepless nights getting ready for the test. It is a substantial determinant in different areas, including your residency programs and specialty choices. USMLE Step 1 is a significant exam that students sit for towards the end of the semester in their second year of school.
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