[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-213347-en":3,"doc-seo-213347-105":30,"detail-sidebar-cat-0-en-105":90},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":4,"is_deleted":4,"is_public":20,"is_downloadable":20,"audit_status":20,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":14,"update_tm":28,"read_time":29},213347,1099514068035,"Ezra","https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c",4,"Exam","USMLE Step 1 Sample Test Questions - Step 1","USMLE Step 1 sample test questions provide item formats and guidance for answering one-best-answer questions. The booklet explains vignette (paragraph) and chart/tabular patient scenario presentations, including use of graphic or pictorial materials and familiar medical abbreviations in chart format. It also outlines practical strategies such as understanding the question, generating or eliminating options, selecting the most correct choice, and noting that unanswered items are scored as wrong. Sample items and answer materials are included.","Sample Test Questions  \nStep 1  \nA Joint Program of the Federation of State Medical  \nBoards of the United States, Inc. (FSMB), and National  \nBoard of Medical Examiners (NBME)  \nThis booklet was updated April 2026.  \nFor Public Release  \nCopyright © 2026 by the Federation of State Medical Boards of the United States, Inc. (FSMB), and National Board of Medical Examiners (NBME). All rights reserved. Printed in the United States of America. The United States Medical Licensing Examination®(USMLE®) is a joint program of the FSMB and NBME.  \nCONTENTS  \nUSMLE Step 1 Test Question Formats …………………………………………………………………… 3  \nIntroduction to USMLE Step 1 Sample Test Questions ………………………………………….. 6  \nUSMLE Laboratory Values …………………………………………………………………………………….. 7  \nUSMLE Step 1 Sample Test Questions……………………………………………………………………. 10  \nBlock 1, Items 1–20 ........................................................................................ 10  \nBlock 2, Items 21–40 ...................................................................................... 17  \nBlock 3, Items 41–60 ...................................................................................... 25  \nBlock 4, Items 61–80 ...................................................................................... 33  \nBlock 5, Items 81–100 .................................................................................... 41  \nBlock 6, Items 101–119 .................................................................................. 48  \nAnswer Form for USMLE Step 1 Sample Test Questions………………………………………… 55  \nAnswer Key for USMLE Step 1 Sample Test Questions…………………………………………… 56  \nUSMLE STEP 1 TEST QUESTION FORMATS  \nPatient Scenario Formats and Single-Item Questions  \nPatient scenarios for any single test item may be provided in either vignette (paragraph) format, or in chart/tabular format, followed by four or more response options. The response options are lettered (A, B, C, D, E) . You are required to select the best answer to the question. Other options may be partially correct, but there is only ONE BEST answer.  \nThe vignette format is the traditional, most frequently used multiple-choice question format on the examination. Test items using the chart/tabular format are designed to resemble patient charts but are not intended to be an exact representation of a patient chart. Questions written in chart/tabular format will contain relevant patient information in list form, organized in clearly marked sections for ease of review. Familiar medical abbreviations may be used within chart/tabular format questions.  \nA portion of the questions require interpretation of graphic or pictorial materials.  \nStrategies for Answering Single One-Best-Answer Test Questions  \nThe following are strategies for answering one-best-answer items:  \n• Read each patient scenario and question carefully. It is important to understand what is being asked.  \n• Try to generate an answer and then look for it in the response option list.  \n• Alternatively, read each response option carefully, eliminating those that are clearly incorrect. Of the remaining options, select the one that is MOST correct.  \n• If unsure about an answer, it is best to guess since unanswered questions are automatically counted as wrong answers.  \nExample Item 1 (Vignette format)  \nA 32-year-old woman with type 1 diabetes mellitus has had progressive renal failure during the past 2 years. She has not yet started hemodialysis. Examination shows no abnormalities. Hemoglobin concentration is 9.0 g/dL, hematocrit is 28%, and mean corpuscular volume is 94 μm3. Peripheral blood smear shows normochromic, normocytic cells. Which of the following is the most likely cause of this patient’s current condition?  \n(A) Acute blood loss  \n(B) Chronic lymphocytic leukemia  \n(C) Erythrocyte enzyme deficiency  \n(D) Erythropoietin deficiency  \n(E) Immunohemolysis  \n(Answer: D)  \nExample Item 2 (Chart format)  \nPatient Information  \nAge: 82 years  \nGender: F, self-","cbCaic2yMTuOv1F9","https://ap.wps.com/l/cbCaic2yMTuOv1F9","pdf",2053723,1,57,"English","en",105,"# USMLE Step 1 Test Question Formats\n## Patient Scenario Formats and Single-Item Questions\n## Strategies for Answering Single One-Best-Answer Test Questions\n## Example Item 1 (Vignette format)\n## Example Item 2 (Chart format)\n## Answer Form for USMLE Step 1 Sample Test Questions\n## Answer Key for USMLE Step 1 Sample Test Questions","[{\"question\":\"What formats are used for USMLE Step 1 single test items?\",\"answer\":\"Items may use a vignette (paragraph) format or a chart/tabular format followed by four or more response options.\"},{\"question\":\"How should test takers approach one-best-answer questions?\",\"answer\":\"Read the scenario and question carefully, try to generate an answer or eliminate clearly incorrect options, then choose the option that is MOST correct among the remaining choices.\"},{\"question\":\"Does chart/tabular format questions represent a real patient chart exactly?\",\"answer\":\"Chart/tabular items resemble patient charts but are not intended to be an exact representation; information is organized into clearly marked sections for review.\"}]","USMLE Step 1 Sample Test Questions - Step 1 | PDF",1788757850,144,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":13,"keywords":34,"description":14,"schema_data":35,"social_meta":85,"head_meta":87,"extra_data":89,"updated_unix":28},"usmle-step-1-sample-test-questions-step-1","",{"@graph":36,"@context":84},[37,53,67],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,48,51],{"item":41,"name":42,"@type":43,"position":20},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":47},"https://docshare.wps.com/document/","Document",2,{"item":49,"name":12,"@type":43,"position":50},"https://docshare.wps.com/document/exam/",3,{"item":52,"name":13,"@type":43,"position":11},"https://docshare.wps.com/document/usmle-step-1-sample-test-questions-step-1/213347/",{"url":52,"name":13,"@type":54,"author":55,"headline":13,"publisher":57,"fileFormat":60,"inLanguage":23,"description":14,"dateModified":61,"datePublished":61,"encodingFormat":60,"isAccessibleForFree":62,"interactionStatistic":63},"DigitalDocument",{"name":9,"@type":56},"Person",{"url":41,"name":58,"@type":59},"DocShare","Organization","application/pdf","2026-09-07",true,{"@type":64,"interactionType":65,"userInteractionCount":4},"InteractionCounter",{"@type":66},"ViewAction",{"@type":68,"mainEntity":69},"FAQPage",[70,76,80],{"name":71,"@type":72,"acceptedAnswer":73},"What formats are used for USMLE Step 1 single test items?","Question",{"text":74,"@type":75},"Items may use a vignette (paragraph) format or a chart/tabular format followed by four or more response options.","Answer",{"name":77,"@type":72,"acceptedAnswer":78},"How should test takers approach one-best-answer questions?",{"text":79,"@type":75},"Read the scenario and question carefully, try to generate an answer or eliminate clearly incorrect options, then choose the option that is MOST correct among the remaining choices.",{"name":81,"@type":72,"acceptedAnswer":82},"Does chart/tabular format questions represent a real patient chart exactly?",{"text":83,"@type":75},"Chart/tabular items resemble patient charts but are not intended to be an exact representation; 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