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USMLE Step 1 & Step 2 CK Readiness & Score Hub

How Is the USMLE Step 1 & 2 CK Score Calculated in 2026?

USMLE Step 1 & 2 CK is scored on the official Step 1: Pass/Fail (196) | Step 2 CK: 1–300 (214 Pass) scale (8h (Step 1: 280 Items) / 9h (Step 2 CK: 318 Items)). Enter your practice numbers below to project your 2026 score.

📋 Format: 3 sections📊 Scoring: Step 1: Pass/Fail (196) | Step 2 CK: 1–300 (214 Pass)⏱️ Key Timing: 8h (Step 1: 280 Items) / 9h (Step 2 CK: 318 Items)
⚡ Live First-Viewport Score Simulator
Projected: 84% Target (Step 1: Pass/Fail (196) | Step 2 CK: 1–300 (214 Pass))
🎛️ Open Section-by-Section Score Calculator (Custom Raw Scores)▼

30-Second Exam Strategy

With USMLE Step 1 graded Pass/Fail (196 passing threshold), residency directors weigh your 3-digit USMLE Step 2 CK score (214 passing standard, ~248 national mean) heavily. Check your QBank conversion below.

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Medical students & IMGs preparing for USMLE Step 1, Step 2 CK & NBME Shelf Exams
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Convert every missed QBank vignette into a 1-sentence Next-Best-Step flashcard
🎯 30-Second Diagnostic Practice QuestionPathophysiology & Organ Systems: Cardiology, Renal, Pulmonology, GI & Neurology mechanisms

When solving a timed USMLE Step 1 & 2 CK question on "Pathophysiology & Organ Systems: Cardiology, Renal, Pulmonology, GI & Neurology mechanisms", which step prevents the #1 exam trap?

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⏱️ Weeks Until Exam — Self-Diagnostic

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📋 Interactive Study Milestones (Saved in Browser)

Pathophysiology & Organ Systems: Cardiology, Renal, Pulmonology, GI & Neurology mechanisms

Priority Now

Pharmacology & Microbiology: mechanism of action, adverse effects & antimicrobial coverage

Step 2 CK Clinical Algorithms: Next Best Step in Management, Diagnostic Gold Standards & Risk Factors

⚠️ Want to avoid common USMLE Step 1 & 2 CK score traps?
📅 USMLE Step 1 & 2 CKstudy group countdown & 4-week calendar plan:
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What Is the Official USMLE Step 1 & 2 CK Format and Section Weighting?

The USMLE Step 1 & 2 CK exam (8h (Step 1: 280 Items) / 9h (Step 2 CK: 318 Items), Step 1: Pass/Fail (196) | Step 2 CK: 1–300 (214 Pass)) is structured into 3 weighted sections:

USMLE Step 1 & 2 CK Official Exam Format, Section Weights & Core Study Focus
SectionWeight / FormatCore Study Focus
Step 1 Foundational Sciences (7 × 40-Item Timed Blocks)Pass/Fail Credential (~60%–62% Correct to Pass)Pathology, Physiology, Pharmacology, Microbiology, Biochemistry & Organ Systems
Step 2 CK Clinical Diagnosis & Next Best Step (8 × 40-Item Blocks)3-Digit Residency Score (Mean ~248, Pass 214)Internal Medicine (50%–60%), Surgery, Pediatrics, OB/GYN & Psychiatry clinical vignettes
Biostatistics, Epidemiology, Patient Safety & Medical Ethics10%–15% of Both Step 1 & Step 2 CKSensitivity/specificity, NNT/ARR, study biases & physician communication scenarios
📊 View Target Score Percentiles (50th–99th) & Weekly Study Hours Benchmark▼

What Is a Good USMLE Step 1 & 2 CK Score and Weekly Study Hours Benchmark?

Target score percentiles (50th, 75th, 90th, and 99th) paired with recommended weekly active recall study hours:

Target Score Percentile & Weekly Study Hours Benchmark for USMLE Step 1 & 2 CK
Percentile TierTarget ScoreWeekly Study HoursAdmission Outcome
50th Percentile248 Step 2 CK (~68% UWorld First-Pass)25–30 hrs/wkNational US MD/DO Mean — Solid Internal Medicine, Peds & Family Med Match
75th Percentile256 Step 2 CK (~75% UWorld First-Pass)35–42 hrs/wkCompetitive Academic Internal Medicine, Anesthesiology, EM & General Surgery
90th Percentile263 Step 2 CK (~81% UWorld First-Pass)45–55 hrs/wkDermatology, Orthopedic Surgery, Diagnostic Radiology & Ophthalmology
99th Percentile271+ Step 2 CK (~88%+ UWorld First-Pass)55–65 hrs/wkTop-10 Academic Residency Programs, Plastic Surgery & Neurosurgery

What Are the Highest-Yield Topics Tested on USMLE Step 1 & 2 CK?

Prioritize these 3 high-yield content pillars that account for the majority of exam points:

01

Pathophysiology & Organ Systems: Cardiology, Renal, Pulmonology, GI & Neurology mechanisms

⚡ Quick Self-Check & Guided Strategy▼
  1. Write the core rule or formula from memory closed-book.
  2. Spot the #1 exam trap (units, sign flip, or boundary case).
  3. Solve 1 timed practice question with guided hints.
Practice this topic step-by-step →
02

Pharmacology & Microbiology: mechanism of action, adverse effects & antimicrobial coverage

⚡ Quick Self-Check & Guided Strategy▼
  1. Write the core rule or formula from memory closed-book.
  2. Spot the #1 exam trap (units, sign flip, or boundary case).
  3. Solve 1 timed practice question with guided hints.
Practice this topic step-by-step →
03

Step 2 CK Clinical Algorithms: Next Best Step in Management, Diagnostic Gold Standards & Risk Factors

⚡ Quick Self-Check & Guided Strategy▼
  1. Write the core rule or formula from memory closed-book.
  2. Spot the #1 exam trap (units, sign flip, or boundary case).
  3. Solve 1 timed practice question with guided hints.
Practice this topic step-by-step →
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Standalone Score Calculators, Formula Sheets & Core Subject Tracks

Score Calculators, Formula Sheets & Core Subject Tracks for This Exam

🧠 Proven Exam Memory Techniques, Glossary & Deep-Dive Strategy Articles▼

Frequently Asked Questions

What is the passing score and average score for USMLE Step 2 CK in 2026?

▼

With Vertech Academy ($0 14-day trial, then $6/mo), the minimum passing score for USMLE Step 2 CK is 214, while the national mean for US MD/DO seniors is approximately 248–249.

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