Terms of use
Effective November 11, 2026
These are the rules for using firstpass. By creating an account or using the site, you agree to them. If you do not agree, please do not use firstpass.
What firstpass is
firstpass is a practice tool for the USMLE Step 1 exam. It presents practice questions on a screen built to work like the exam software.
firstpass is independent. It is not affiliated with, endorsed by, or produced by the FSMB or the NBME. USMLE is a joint program of the FSMB and the NBME. The questions are written for firstpass. They are not real exam questions and have never appeared on an exam.
For exam preparation only
Everything on firstpass is for studying. It is not medical advice, and it is not a reference for the care of patients. Do not rely on it to diagnose or treat anyone, including yourself.
We work to make every question accurate, but medicine changes and questions can contain mistakes. If you think one is wrong, please tell us at team@holosbio.co.
No promise about your result
How you do on firstpass does not predict how you will do on Step 1. We do not promise that using firstpass will lead to a passing result or to any particular outcome.
Your account
- You must be at least 18 to create an account.
- An account is for one person. Do not share it or let anyone else use it.
- Register with an email address you control. We do not verify it, and it is the only way to reset your password.
- Keep your password to yourself. You are responsible for what happens under your account.
- If you think someone else has used your account, tell us at team@holosbio.co.
What you may and may not do
You may use firstpass for your own exam preparation. That permission is personal to you, is not for commercial use, and ends if your account is closed.
You may not:
- copy, publish, share, sell or give away the questions, in whole or in part;
- collect the questions in bulk, by hand or with software, or use a script or bot on the site;
- use the questions to build another question bank, study product or dataset;
- try to see another person’s account or practice record;
- test, get around or break the site’s security, or interfere with how it runs;
- use firstpass in any way that breaks the law.
Our content
The questions, the text and design of the site, and the software behind it belong to firstpass and are protected by copyright and other laws. Some of the photographs and scans shown in questions come from other sources. They are in the public domain or are used under a licence from their authors, and the image credits page lists them. These terms give you permission to use firstpass as described above and nothing more.
Your information
The privacy policy says what we collect and how we use it.
If you send us a correction, a suggestion or other feedback, we may use it to improve firstpass without owing you anything for it.
Changes to the service
We may add, change or remove questions and features, and we may suspend or stop the service. We try to keep your practice record intact, but we do not promise that it will always be available, so do not treat firstpass as the only record of your studying.
Closing an account
You can stop using firstpass at any time, and you can ask us to delete your account by writing to team@holosbio.co. We may suspend or close an account that breaks these terms.
No warranty
firstpass is provided as it is and as it is available. To the fullest extent the law allows, we make no warranties of any kind, express or implied, including that the service will be uninterrupted, that it will be free of errors, or that its content is accurate, complete or fit for any particular purpose.
Limit of liability
To the fullest extent the law allows, firstpass is not liable for any indirect, incidental, special or consequential loss arising from your use of the service. That includes an exam result, exam fees, lost time, lost opportunities and lost data. Our total liability for any claim relating to firstpass is limited to US $100.
Some places do not allow some of these limits. Nothing in these terms limits liability that the law does not allow to be limited.
Governing law
These terms are governed by the laws of the State of California, without regard to its rules on conflicts of law. Any dispute about them or about firstpass will be heard in the state or federal courts located in San Francisco County, California, and you and we agree to those courts.
Changes to these terms
When these terms change, the date at the top changes with them. If a change is significant, we will say so on the site or by email before it takes effect. If you keep using firstpass after a change takes effect, you accept the new terms.
General
These terms and the privacy policy are the whole agreement between you and firstpass about the service. If a court finds part of these terms unenforceable, the rest still applies. If we do not enforce a term at some point, we have not given up the right to enforce it later.
Contact
Questions about these terms: team@holosbio.co.