This PDF Includes 138 sample test questions. Please note that reviewing the sample questions as they appear on pages 7-41 is not a substitute for practicing with the test software. You should download & run the Step 1 tutorial and practice test items that are provided on the USMLE website well before your test date. The sample materials available at the USMLE Web site include additional items & item formats that do not appear in this booklet, such as items with associated audio or video findings and sequential item sets. You should become familiar with all item formats that will be used in the actual examination.
The following are strategies for answering one-best-answer items:
A single patient-centered vignette is associated with one question followed by four or more response options. The response options are lettered (ie, A, B, C, D, E). A portion of the questions involves interpretation of graphics or pictorial materials. You are required to select the best answer to the question. Other options may be partially correct, but there is only ONE BEST answer. This is the traditional, most frequently used multiple-choice question format on the examination.