Step 1 questions, written from your own notes.
Upload your lecture slides or notes and QuizMed writes mechanism-focused MCQs in the exact Step 1 format — 5-option SBA, clinical vignettes, NBME lab ranges, and US drug names.
Free for your first 5 quizzes — no credit card required.
A 62-year-old woman started on a drug for atrial fibrillation develops bluish-gray skin and an elevated TSH. Which mechanism best explains the responsible drug?
What Step 1 actually tests
Mechanisms over management. Here's the shape of the exam QuizMed mirrors.
Basic sciences
Pathology, physiology, pharmacology, biochemistry and microbiology — tested as mechanisms, not facts.
280 questions, 7 blocks
Up to 280 single-best-answer items across seven 40-question blocks. Pass/fail since January 2022.
Clinical vignettes
A patient scenario, then a question about the underlying enzyme, pathway, or pathogenesis.
Engineered to the Step 1 blueprint
Every question QuizMed writes follows the same rules the NBME does.
Mechanism-focused lead-ins
Questions ask 'most likely mechanism' or 'enzyme deficiency' — never management or next step.
5-option single best answer
Standard A–E format, expanding to longer option sets for biostatistics and anatomy items.
NBME lab reference ranges
US conventional units, official NBME ranges. Abnormal values aren't flagged — you spot them.
Correct discipline weighting
Pathology 45–55%, physiology 30–40%, pharmacology 10–20% — matching the content outline.
3-identifier vignette stems
Who (age, sex), when (time course), what (defining feature) — the NBME stem skeleton.
US clinical context
US generic drug names, US settings, HIPAA-based ethics, and US spelling conventions.
Three steps to Step 1 practice
Upload your notes
PDF, images, or pasted text from any lecture.
Pick USMLE Step 1
The exam skill tunes every question to Step 1 format.
Practice & export
Take the quiz in-app or export to Anki for spaced repetition.
USMLE Step 1 questions, answered
Can QuizMed generate USMLE Step 1 questions from my notes?
Yes. Upload your lecture slides, notes, or pasted text and QuizMed writes Step 1-style MCQs — mechanism-focused, 5-option single best answer, with clinical vignettes and explanations — from your own material.
Does it match the real Step 1 format?
Questions follow the NBME rules Step 1 uses: mechanism-focused lead-ins (not management), 5-option SBA, NBME lab reference ranges in US conventional units, 3-identifier vignette stems, and US clinical context.
Is it free to try?
Your first five quizzes are free with no credit card required. You can upload your own notes and generate Step 1-style practice immediately.
Can I export the questions to Anki?
Yes. QuizMed exports your generated questions to Anki (.apkg) in one click for spaced-repetition review alongside the rest of your prep.
Start practicing Step 1 from your own material.
Upload your lecture notes and have Step 1-style MCQs ready in under a minute. Free for your first five quizzes.
No credit card required.