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WHAT IS TESTED

USMLE high-yield topics from the official content outline.

The share of Step 1, Step 2 CK and Step 3 questions in each area, taken from usmle.org, and how to turn it into a study plan.

"High yield" is a study idea, not an official category. The most reliable guide to what is tested is the content outline that USMLE publishes for each Step, which gives the range of questions in each area. This page summarizes those ranges so you can set your study time by evidence, not by rumor.

Step 1: by discipline

Step 1 disciplines (source: usmle.org Step 1 content outline; percentages are subject to change)
DisciplineShare of questions
Pathology45-55%
Physiology30-40%
Nutrition15-20%
Gross anatomy and embryology10-20%
Microbiology10-20%
Pharmacology10-20%
Behavioral sciences10-15%
Biochemistry5-15%
Histology and cell biology5-15%
Immunology5-15%
Genetics5-10%

These ranges add up to more than 100%, so a single question can count toward more than one discipline. By system, the largest ranges are reproductive and endocrine (12-16%), respiratory and renal (11-15%) and behavioral health and nervous system (10-14%).

Step 2 CK: by clinical science

  • Medicine 55-65%, pediatrics 17-27%, obstetrics and gynecology 10-20%, psychiatry 10-15%, surgery 5-15%.
  • Among the physician tasks, diagnosis (16-20%), laboratory and diagnostic studies (13-17%) and mixed management (12-16%) have the largest ranges.

Step 3

Step 3's multiple-choice items give biostatistics, epidemiology, population health and the medical literature 11-13%, a larger share than on the other Steps. See biostatistics for the USMLE and CCS.

Turning percentages into a plan

  1. Spend the most time on the largest ranges, but do not skip the small ones; they still appear.
  2. Use a QBank's reports (UWorld, AMBOSS) to find your own weak areas inside the large ones.
  3. Re-check the official outline each year; USMLE states the percentages can change at any time.

Read how to use the content outline and the USMLE Step 1 guide and USMLE Step 2 CK guide.

Frequently asked questions

What is high yield on the USMLE?

"High yield" is a study idea, not an official category. The content outlines show what share of questions each area has.

What is the biggest discipline on Step 1?

Pathology, listed at 45-55% of questions.

What is the biggest clinical science on Step 2 CK?

Medicine, listed at 55-65%.

Do the percentages change?

USMLE states they are subject to change at any time.