I know USMLE stands for United States Medical Licensing Examination, but I don't know the details. In my topic, MBBS vs MD, I got a chance to know that there are steps like step I, step II, step II (I don't know how much they are exactly). I also got to know that you have to take USMLE step I after the first two years of studying books. But I would like to have more details on it so I started a new topic. Let me ask a few questions so that you can help me easily. What type of test USMLE is? Yes, I know it is a tough one (no medical exam is easy), but how are the questions oriented. Like here in Pakistan, we have exams at the end of every year of the 5 years MBBS program. For example after the first year you have to take three: Anatomy, Physiology, and Biochemistry. Each of these is a 200 marks paper. 100 marks are for written paper and 100 for viva. The written paper includes two sections: objective (50 marks) and subjective (50 marks). The objective section includes 50 multiple choice questions where you have to choose one out of 5 possible choices. The subjective part has 13 questions (each of which carries 5 marks) and you have to attempt 10 of them. The viva has two to five or even six section depending on the subject. Like for anatomy in first year, there are sections like upper limb, lower limb, thorax, histology and embryology. A separate teacher takes viva for each of them. The viva actually is like the teacher asks you a question (orally) and you have to provide satisfactory answer to him (orally). In addition there is a practical included in the viva. Like doing wbc count, or ECG etc in physiology. You have to perform the experiment in front of the examiner and also answer to his questions. How many USMLEs are there in total? Like we have 5 exams, each at the end of every academic year and after clearing the final one, we get the license for medical practice. What is someone cannot pass USMLE step I? Suppose if someone is not able to pass USMLE step I. How many chances does he get to retake the exam. Here we a sort of strange system. In the first and second year you have a limited number of chances to clear all the papers. To be exact there are 4 chances (the fourth chance will waste one entire year of your education), and if you failed to pass even after the fourth chance, you will be banned from all medical insitutions of the country for ever. But if passed first year and second year, then you get practically infinite number of chances (but one year will be wasted every third or fourth chance). Rather strange system.