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You may take the USMLE Step 1 exam a maximum of three times within a 12-month period. Your fourth attempt must be at least 12 months after your first attempt, and at least six months after your most recent attempt.
The MEND exam is more thorough than the CPSS but takes less than 3 minutes to perform and requires no additional tools. This allows for quick, yet detailed initial exams and interval assessments. A recent study evaluating the use of the MEND examination as part of a decision tool to air transport patients from the scene to a comprehensive stroke center found that it had a 90% correlation with the NIHSS.