Practice Step 1 on the screen you’ll test on.
firstpass rebuilds the Step 1 exam software in your browser, down to the timer, the question list and the lab values panel, and fills it with original questions weighted to the published content outline.
The sample block opens the full exam screen, which is sized for a laptop like the exam itself. On a phone, turn it sideways.
A 42-year-old woman comes to the office because of a 3-month history of numbness and tingling of the right hand that wake her from sleep. The symptoms involve the thumb, index finger, and middle finger and improve when she shakes her hand. She has hypothyroidism treated with levothyroxine. Physical examination shows decreased sensation to light touch over the palmar surface of the first three digits of the right hand. Tapping over the palmar aspect of the wrist reproduces the tingling. Further examination is most likely to show weakness of which of the following muscles?
A working sample of the exam screen. Choose an answer, strike one out, or mark the question. To use the whole screen with the clock running, sit a five-question sample block. It needs no account.
Every tool is where it will be on test day.
The software is part of the exam. Learn where everything lives now, and on the day your attention goes to the questions.
- Question list
- Every question in the block runs down the left edge. Unanswered and marked questions stand out, so you can find them before the clock does.
- The clock
- Time remaining sits in the bottom corner and counts down at exam pace: 90 seconds a question.
- Lab values
- The reference ranges open in a panel beside the question, laid out the way the exam lays them out.
- Calculator and notes
- A four-function calculator with memory and square root, and a notes pad, one click away in the header.
- Highlight, strike out, mark
- Highlight the stem as you read it, strike out the options you have ruled out, and flag a question to come back to.
- Text size and contrast
- Enlarge the text or switch to light-on-dark from Settings, as you can on test day.
Original questions, weighted like the exam.
Step 1 publishes how much of the exam comes from each organ system. The bank is built to those ranges, and a 40-question block is dealt to them too, so a block feels like a slice of the exam and not a topic quiz.
Every question is a clinical vignette with one best answer, written in the form of the exam’s own sample questions. That includes lab tables, graphs, and the tables that ask which set of changes you would expect.
| System | Published share | Share of the bank |
|---|---|---|
| Human development | 1 to 3 percent of the exam | 2% |
| Blood, lymphoreticular and immune | 9 to 13 percent of the exam | 11% |
| Behavioral health and nervous system | 10 to 14 percent of the exam | 12% |
| Musculoskeletal and skin | 8 to 12 percent of the exam | 10% |
| Cardiovascular | 7 to 11 percent of the exam | 9% |
| Respiratory and renal | 11 to 15 percent of the exam | 13% |
| Gastrointestinal | 6 to 10 percent of the exam | 8% |
| Reproductive and endocrine | 12 to 16 percent of the exam | 14% |
| Multisystem processes | 8 to 12 percent of the exam | 10% |
| Biostatistics and epidemiology | 4 to 6 percent of the exam | 5% |
| Communication and ethics | 6 to 9 percent of the exam | 7% |
Rehearse the whole day, or fit a block between lectures.
Exam day
The full eight hours in the current format. No question repeats, your place is saved if you close the tab, and the day ends the way the real one does: without a score.
Study block
One timed block at exam pace. End it to see your score and the answer key.
| Block length | Time allowed |
|---|---|
| 10 questions | 15 minutes |
| 20 questions | 30 minutes |
| 30 questions | 45 minutes |
| 40 questions | 1 hour |
Walk in having done this before.
Create an account and sit your first block today.