USMLE Step 2 Exam


About USMLE Step 2

What is USMLE Exam?

United States Medical Licensing Examination: USMLE Test is a sequential US medical licensing exam for licensing of the medical graduate who want to practice unsupervised medicine in USA. It is a three-step exam, the three USMLE steps include:

  1. USMLE Step 1

  2. USMLE Step 2 CK and Step 2 CS

  3. USMLE Step 3

The next step after clearing the USMLE Step 1 test is USMLE Step 2. Here we are providing all the information about USMLE Step 2 registration, USMLE Step 2 exam dates, USMLE Step 2 questions, USMLE step 2 fees, and USMLE step 2 scores to clear the examination:

USMLE Step 2 Eligibility:

  • For international students who want to apply for USMLE Step 2 exam, should be enrolled / have completed their MBBS from a medical school, which is listed in World Directory of Medical School. Candidates can check if their medical school is listed in World Directory of Medical School or not on WDOMS website.
  • Student should meet eligibility criteria set for ECFMG certification.
  • Student must meet eligibility criteria at the time of the application for USMLE step 2 registration.

USMLE Step 2 Subjects & Syllabus:

USMLE Step 2 CS Syllabus:

1. Spoken English Proficiency (SEP)

2. Integrated Clinical Encounter (ICE)

3. Communication and Interpersonal Skills (CIS)

Listed below is the information about the subjects and its weightage range for the respective subject for Step 2 CK:



General Principles of Foundational Science

1% - 3%

Population Health / Biostatistics & Epidemiology

Interpretation of the Medical Literature

1% - 5%

Immune System

Multisystem Processes & Disorders

Blood & Lymph reticular Systems

Endocrine System

Behavioural Health

Male Reproductive System

Female Reproductive System & Breast

Nervous System & Special Senses

Renal & Urinary Systems

Skin & Subcutaneous Tissue

Gastrointestinal System

Musculoskeletal System

Respiratory System

Cardiovascular System

85% - 95%

USMLE Step 2 Exam Dates:

  • For Step 2 CK, the rules are the same as the USMLE step 1 examination. Students will have to choose a three-month eligibility period and appear for the USMLE exam dates in those months. As per USMLE regulations, students cannot choose the first fortnight of January or major public holidays as their USMLE dates for eligibility.
  • The eligibility period for USMLE Step 2 CS examination is 12 months as students will have to go to the USA to take the said examination.

USMLE Scores for Step 2:

How to Prepare for USMLE Step 2 CK and CS?

There are no sanctioned limited courses for USMLE Step 2. Have a good look at USMLE Exam Pattern, USMLE sample questions, and prepare for the exam by practicing on USMLE practice tests.

Complete as many practice tests as you can, and go through your Question Bank.

For Step 2 CS preparation, understand the scoring system. It is based on three components: Spoken English Proficiency, Integrated Clinical Encounter, Communication and Interpersonal Skills (CIS). These consist of mostly how you communicate with the patient and reach a conclusion afterwards. Practice that with your peers.

USMLE Step 2 Registration:

To register for USMLE step 2, the candidates from USA and Canada will have to submit their forms through NBME (National Board of Medical Examiners)

For students outside USA and Canada, candidates should go for USMLE Registration through ECFMG (Education Commission for Foreign Medical Graduates) / USMLE website. This applies for both Step 2 CK and Step 2 CS registration.

USMLE Step 2 Questions and Exam Pattern:

  • USMLE Step 2 CK is a one-day examination just like USMLE step 1 exam. The test duration is 9 hours, divided into 8 blocks of one hour each. Each of the blocks will have not more than 40 questions, and the total number of questions will be 350. The questions will be MCQ type.

Step 2 CK:


Total Questions


No. of Question in each Block

9 Hours




  • USMLE Step 2 exam has emphasis on patient care under supervision. It is assessment of candidate’s knowledge of clinical science, to be applied in patient care and disease prevention.
  • In Step 2 CS, the candidate have to interact with a standardised patient, diagnose and treat the patient. A standardised patient is a person who is trained to act like a real patient.

Step 2 CS:

  • For Step 2 CS, candidate will have to listen to 12 patients, communicate with them, diagnose them and professionally treat them. The time duration with each patient will be 15 minutes each.



12 Patients

15 Minutes Each

USMLE Test Centers: Step 2 CK

USMLE Costs for Test Centers and Surcharge:

USMLE Test Region

Prometric Testing Centres Location



Singapore, Philippines, People’s Republic of China, Pakistan, Nepal, Malaysia, Bangladesh



Australia and New Zealand



Ghana, Uganda, South Africa, and Kenya



People’s Republic of China








Latin America

Venezuela, Trinidad and Tobago, Peru, Mexico, Guatemala, Dominican Republic, Costa Rica, Colombia, Chile, Brazil, Bolivia, Argentina


Middle East

Egypt, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, and United Arab Emirates









UK, Turkey, Switzerland, Spain, Portugal, Netherlands, Latvia, Italy, Israel, Ireland, Greece, Germany, France, Denmark, Croatia, Armenia









USMLE Step 2 Fees:

Given below is the USMLE Step 2 CK and Step 2 CS fees, and additional costs.

For aspirants from USA and Canada:


Step 2 CK

Step 2 CS

Application Fees



Additional Surcharge




For International Students:

USMLE Exam Fees: Structure for Step 2 CK and CS:




Application Fees



Extension of Eligibility Period



Testing Region Change



Rescheduling Fees



Score Recheck



Paper transcript

$70/request (up to 10 transcripts)


USMLE Transcript: ERAS(Electronic Transmission)

$80 per ERAS



Rescheduling Fees:

Days before scheduled test

Testing Region

Step 2 CK

31+ days before the test date

All testing regions

No Fee

Less than 31 days to more than 5 days before the test date

All testing regions


5 or fewer days before the scheduled test

US and Canada


Africa, Asia (including Hong Kong and Pakistan),

Australia, China, India, Indonesia, Latin America,

Middle East (including Egypt), Thailand


Europe (including Israel), Korea, Taiwan




USMLE Step 2 Scores:

USMLE Step 2 CS results are declared as Pass / Fail. There is no USMLE Scores for USMLE Step 2 CS. USMLE Step 2 CK, just as Step 1 is scored in 3 digits. There is no minimum qualifying figure set for the candidates, but the latest qualifying scores for USMLE Step 2 CK is 209.

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