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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.
International medical graduates may find it helpful to take Step 3 pre-residency. The USMLE Step 3 exam assesses your ability to evaluate a patientâs medical history and physical exam information, order diagnostic tests, select initial therapies, and manage the patient. While itâs not an exam that requires months of prep, it is good to be familiar with the ins and outs of the Step 3. It is a two-day computerized exam with approximately 413 multiple-choice questions, as well as computer-based case simulations (CCS).