January 25, 2020
International Medical Graduates
The United States Medical Licensing Examination (USMLE®) is a three-step examination for medical licensure in the United States. This is a mandatory examination for American Medical Students, Canadian Medical Students and International Medical Graduates, prior to practicing medicine in the United States of America. The USMLE® is sponsored by the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME).
USLME Step 1
United States Medical Licensing Examination
- USMLE Step 1 assesses whether you understand and can apply important concepts of the sciences basic to the practice of medicine.
- USMLE Step 1 Topics emphaszies principles and mechanisms underlying health, disease, and modes of therapy.
- The USMLE Step 1 ensures mastery of not only the sciences that provide a foundation for the safe and competent practice of medicine, but also the scientific principles required for maintenance of competence through lifelong learning.
- SYSTEM and PROCESS are the two fundamental mandates of the USMLE Step 1 Examination
- Step 1 is a one-day examination divided into seven 60-minute blocks and administered in one 8-hour testing session.
- The number of questions per block on a given examination form will vary, but will not exceed 40.
- The total number of items on the overall examination form will not exceed 280.
USMLE Step 1
- behavioral sciences
- biostatistics and epidemiology
The USMLE Step 1 examination also covers content related to the following interdisciplinary areas:
- molecular and cell biology
SAMPLE USMLE STEP 1 QUESTION
A 32-year-old woman with type 1 diabetes mellitus has had progressive renal failure over the past 2 years. She has not yet started dialysis. Examination shows no abnormalities. Her hemoglobin concentration is 9 g/dL, hematocrit is 28%, and mean corpuscular volume is 94 m3. A blood smear shows normochromic, normocytic cells. Which of the following is the most likely cause?
- A. Acute blood loss
- B. Chronic lymphocytic leukemia
- C. Erythrocyte enzyme deficiency
- D. Erythropoietin deficiency
- E. Immunohemolysis
- F. Microangiopathic hemolysis
- G. Polycythemia vera
- H. Sickle cell disease
- I. Sideroblastic anemia
- J. β-Thalassemia trait
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