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Step 1 consists of 7 blocks with 40 questions per block with 1 hour allotted each. There are a total of 280 questions. The NBME Practice Exams, on the other hand, are longer. There are 4 blocks in total, 200 questions each with a time allotment of 1 hour and 15 minutes. The United States Medical Licensing Examination® (USMLE®) is a three-step examination for medical licensure in the U.S. The USMLE assesses a physician's ability to apply knowledge, concepts, and principles, and to demonstrate fundamental patient-centered skills, that are important in health and disease and that constitute the basis of safe and effective patient care.

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