USMLE computer-based Testing (CBT) Practice Session 

If you registered for USMLE Step 1, Step 2 CK, or Step 3 and received your scheduling permit, you are eligible to register to take a practice Session for that examination at a Prometric test center. You may take only one session per exam registration and must take it in the same testing region as your Step exam. Please note that practice Sessions are not available on major local holidays and during the first two weeks of January.

Before deciding to register for a Practice session, please be aware of the following:

  • practice Sessions are provided PRIMARILY to give examinees the opportunity to become familiar with the Prometric test center environment.
  • All test items are drawn from the practice materials that are available for free download on the USMLE website. NO NEW SAMPLE TEST MATERIALS ARE PRESENTED AT PRACTICE SESSIONS.
  • Examinees who take a practice session may see user adjustable display features, but should be aware that the display features are NOT currently available on live USMLR administrations or in practice materials available on the USMLE website.
  • Performance on a SUMLE Practice Session cannot be used to approximate performance on a USMLE Step examination.

If you register for a Practice session, a corresponding scheduling permit will be issued to you within seven business days. Upon receipt of your practice session scheduling permit you may contact parametric to schedule an appointment and pay the Practice session fee by credit card:

Step 1 and 2 Testing Regions – Fee details:

USM and Canada  – $75

Africa, Asia (including Hong Kong and Pakistan), Australia, China, India, Indonesia, Latin America, Meddle East (including Egypt), Thailand – $155

Europe (including Israel), Korea, Taiwan – $173

Japan – $77

Step 3 (available in US only) – $77

Step 1 and Step 2 CK:

The Practice Session is a maximum of 3.5 hours and is divided into a brief tutorial section and three 1-hour blocks of 46-50 multiple-choice test items each. When you complete the session, you will receive a printed percent correct score.

Step 3

The Practice session is a maximum of 4 hours and includes brief tutorial sections for both the multiple choice question blocks and the premium Computer based case simulation blocks, three blocks of multiple choice items totaling 96 questions, and four CCS cases. You you complete the session, you will receive a printed percent correct score for the multiple choice items.


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