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USMLE STEP THREE TEST DURATION
Step 3 examination is for two days and it can be taken in US only. Each day of testing must be completed within eight hours. The first day of testing includes 336 multiple-choice items divided into blocks, each consisting of 48 items, time limit for each block is sixty minutes.
The second day of testing includes 144 multiple-choice items, divided into blocks of 36 items. Time limit to complete each block is forty-five minutes. Approximately 3 hours are allowed for these multiple-choice item blocks. Also on the second day are nine Clinical Case Simulations, also known as CCS, where the examinees are required to 'manage' patients in real-time case simulations. Examinees enter orders for medications and/or investigations into the simulation software, and the condition of the patient changes accordingly. Each case must be managed in a maximum of 25 minutes of actual time.
Approximately forty five minutes of break is available each of the two days of testing.