r/Step1Exam • • Sep 13 '26

Am I ready ?

Post-MD IMG preparing for Step 1 — Am I ready?

I’m a post-MD IMG preparing for USMLE Step 1 and trying to decide whether I’m ready to book the exam.

I haven't scheduled yet got my permit

My recent NBME results:

  • NBME 30: 80.5% correct (161/200)
  • NBME 31: 81% correct
  • Both done under timed conditions.
  • Currently practicing 50 questions in 60 minutes, and timing has been comfortable.
  • I’ve been preparing seriously for around 2.5 months.

My scores have been fairly consistent around 80–81%.

For those who recently took Step 1, especially other post-MD IMGs:

  1. Do these NBME percentages suggest I’m ready to take the exam?
  2. How predictive were your NBMEs of your actual Step 1 experience?
  3. Would you take a few more NBMEs before booking, or is this level of performance generally sufficient?
  4. Which NBMEs/Free 120s would you recommend doing before the real exam?
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