USMLE A three-step examination for medical licensure in the United States Step 1 (Basic Sciences) System and Process 308 multiple choice questions/7 blocks 44 questions/hour (per block) 8 hours (45 min break time + 15 min optional tutorial) Current passing score for Step 1 = 192 Average score = 220 Can only retake if failed but the first fail shows up in residency application therefore not recommended Cost $865 US + International location $150 (Aus) Offered in Melbourne, Sydney
