Coming soon · USMLE® Step 1

Name the diagnosis. Then explain the mechanism.

USMLE BANK is a Step 1 question bank built around the two steps the exam asks for. Every explanation opens with the same three lines — clues, diagnosis, mechanism — and then goes through every answer choice.

We are writing the questions now. Step 1 first, Step 2 CK next.

We'll email you when Step 1 opens, and until then at most once a month (to invite testers, for example). By signing up you agree to these emails and to our privacy policy. You can unsubscribe at any time.

SAMPLE 1/3Genetics

A 17-year-old boy is brought to the office because he has not yet developed facial or axillary hair. He is at the 95th percentile for height. Physical examination shows bilateral gynecomastia, sparse pubic hair, and small, firm testes. A buccal smear is obtained. On light microscopy, most of the epithelial cell nuclei contain a single small, densely staining mass that lies against the inner surface of the nuclear envelope.

Compared with the chromatin in the rest of the nucleus, the chromatin in this mass is most likely characterized by which of the following?

Three original questions. In the app the explanations are in Japanese, with the medical terms kept in English; they are translated here.

What you get

Written for the way Step 1 asks.

01

Original, exam-style questions

Clinical vignettes with one best answer. Labs come as tables, and where the exam would show a photo, a slide or a scan, so do we. Every question is written from scratch.

02

Clues → Diagnosis → Mechanism

The same three lines open every explanation, so you practise the reasoning the exam rewards, not just the letter that was right.

03

Every answer choice explained

Each wrong answer says when it would have been right, and every explanation ends with HIGH-YIELD lines in English, one fact per line, ready for review.

04

Explanations in the language you think in

Questions and answer choices stay in exam English. Explanations come in Japanese first, with disease, enzyme and drug names kept in English. More languages are planned.

One place

One bank. Not a stack of tools.

Preparing for Step 1 usually means three or four things open at once, and part of every evening spent copying what you learned from one into another. Here it stays in one place.

  • Instead ofA question bank

    Original Step 1 questions

    Each one explained from the clues to the diagnosis to the mechanism, then through every answer choice.

  • Instead ofA flashcard app, and the evenings spent filling it

    Flashcards that write themselves

    Miss a question and the fact it was testing becomes a card. It comes back just before you would forget it, and stops once you know it. Any other HIGH-YIELD line is one tap.

  • Instead ofA vocabulary notebook for medical English

    Terms saved where you met them

    Tap any term in an explanation to hear it and save it, with its meaning in Japanese.

  • Instead ofA list of questions to redo

    Review

    What you missed, or were not sure of, waits there until you get it right.

One thing we leave to the people who write the exam: the official practice exams. Sit one before your test date to see where you stand. USMLE BANK is for the months of work before that.

Where we are

Step 1 first. Step 2 CK next.

  1. NOW

    Writing Step 1

    The foundations — biochemistry, genetics, pathology, pharmacology, microbiology and immunology — are written. The organ systems are under way, starting with the heart.

  2. NEXT

    Step 1 opens

    The question bank goes live as a web app.

  3. LATER

    Step 2 CK

    Same format, same account.

Pricing

Choose a period, pay once

Every plan opens the whole bank; only the length differs. Nothing renews, so there is nothing to cancel. These are the prices from launch.

1 month

$199

Paid once

If your current question bank doesn't feel like enough

Hear when it opens

6 months

$319

$53.17 a month

If you want to prepare at an easy pace while you work

Hear when it opens
  • Every Step 1 question and explanation, including the questions added after launch
  • Every explanation opens with Clues → Diagnosis → Mechanism, then goes through every answer choice
  • Real images wherever the exam shows a photo, a slide or a scan
  • The point of every question you miss comes back as a flashcard — nothing to write yourself
  • Terms saved to a vocabulary deck, and the questions you miss waiting in Review
  • 20 questions free to try before you choose
  • One payment — no automatic renewal
Hear when it opens

Paid once, by PayPal or card. Nothing is charged when the period ends. USMLE BANK is not open yet, so it cannot be bought today. Legal notice

Sister site · OET BANK

After the USMLE, the OET.

For ECFMG Certification you need OET Medicine as well as Step 1 and Step 2 CK. The OET is the English test built for healthcare. On OET BANK, our sister site, you can try free questions — no sign-up needed.

Try free OET questions → Best on a computer.
Luke, head of SOLO
LukeHead of SOLO, the company behind OET BANK, USMLE BANK and NCLEX BANK
Message from the founder

You already know the medicine. Step 1 asks it in its own way.

Through SOLO, I help doctors and nurses build careers abroad. For most of them, the first wall is English.

Step 1 is taken by people who have already studied medicine. Reading fast in English matters, but what separates scores is the shape of the question: name the disease from the case, then explain why it happens — often in a setting that assumes American epidemiology and American practice.

So every USMLE BANK explanation opens with the same three lines — clues, diagnosis, mechanism — and then goes through every answer choice. Where an instinct from training in Japan would point the wrong way, a US vs JP note says so.

— Luke, head of SOLO

FAQ

Questions

Who is USMLE BANK for?
Medical students and doctors preparing for USMLE® Step 1. Questions and answer choices are in exam English. Explanations are written in Japanese first, with the medical terms kept in English; more languages are planned.
Do I need anything else alongside it?
For practice questions, review and memorising, no. The question bank, the flashcards made from the questions you miss and the vocabulary deck are all on one account. Two things sit outside it. If a subject is new to you, read it in your textbook first: USMLE BANK teaches through questions and is not a textbook. And before your test date, sit the official practice exams from the organisations that run the USMLE®.
When does it open?
We are writing the Step 1 questions now. The opening date will be announced on this page, or leave your email and we'll write to you.
How much will it cost?
One payment for one month ($199), three months ($269) or six months ($319), the prices from launch. Nothing renews and nothing is charged when the period ends. To keep going, you add another period after the time you have left. Every question added later is included.
Are these real exam questions?
No. Every question is written from scratch for study. USMLE BANK is not affiliated with FSMB or NBME, which run the USMLE®.
What about Step 2 CK?
It comes after Step 1 opens, in the same format and on the same account.