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USMLE Step 1 prep available

USMLE Step 1 Exam Prep

Prepare for USMLE Step 1 with integrated basic-science questions across all of the foundational sciences - mechanism, pathology, and pharmacology, the way the real exam tests - in one bilingual 6-month subscription priced well under the big banks.

Authored by Ankur Fadia, MD. Integrated basic-science items with per-option rationales and source citations.
2,112 original questions
All of the basic sciences, integrated vignette style
40-question course exam
Unlimited practice included
Included backing

The 90 Club™ comes included with every enrollment

One price, no separate plan: every enrollment includes The 90 Club™. Score 90%+ on your first course-exam attempt and earn a real rebate. These exam-prep courses do not issue a certificate; everything is shown before payment.

One price

Pay $129.00 today - the only price. Get $40.00 back if the first course-exam attempt scores 90%+ and the records meet the terms.

One price
$129.00
Rebate
$40.00
Net
$89.00
The ComeBack Study Club™ included

If the real exam does not go your way, you can request a one-time free 6-month extension of course access after verification.

Cost
No extra cost
Extension
6 months

What students get

2,112 original basic-science questions with full English/Spanish parity
Built the way Step 1 actually tests: an integrated vignette, then the mechanism, the underlying diagnosis, or the most likely lab/pathology finding
Full basic-science coverage: cardiovascular/pulmonary/renal, GI/endocrine/reproductive/heme-onc, neuroscience/psychiatry/MSK/skin, microbiology/immunology, and biochemistry/genetics/general principles
Mechanism-focused: why the disease happens, what the drug does, and which finding follows - the reasoning the exam rewards
Per-option rationales with source citations, shown after you answer, so wrong answers teach
Unlimited realistic practice exams, randomized and shuffled, included in the price with no per-exam fee
Challenge exam mirrors a Step 1-style block: 40 questions in a timed 60-minute session
High-yield summaries for fast review before exam day
English/Spanish study access (the exam is administered in English; Spanish is a study-accessibility aid for ESL and IMG students)
The ComeBack Study Club™: if your exam does not go your way, course access can be extended for 6 more months at no cost under the posted terms
Independent prep product; not affiliated with, sponsored by, or endorsed by the NBME, FSMB, or the USMLE program

Cardiovascular, Pulmonary & Renal

Cardiovascular, pulmonary, and renal physiology, pathology, and pharmacology: pressure-volume and ventilation/perfusion relationships, acid-base and electrolyte handling, vascular and glomerular pathology, and the drugs that act on each system.

GI, Endocrine, Reproductive & Heme/Onc

Gastrointestinal, endocrine, reproductive, and hematology/oncology physiology and pathology: digestion and liver function, hormone axes and feedback, the reproductive systems, and blood cell lines, anemias, and neoplasia.

Neuroscience, Psychiatry, MSK & Skin

Neuroscience, behavioral/psychiatric science, musculoskeletal, and skin: neuroanatomy and tracts, neurotransmitters and psychopharmacology, behavioral science and biostatistics, bone/muscle/connective-tissue pathology, and dermatopathology.

Microbiology & Immunology

Bacteriology, virology, mycology, and parasitology with antimicrobial mechanisms, plus innate and adaptive immunity, immune cells and cytokines, hypersensitivity reactions, and immunodeficiencies.

Biochemistry, Genetics & General Principles

Biochemistry, molecular and cell biology, genetics, and general principles: metabolism and enzyme deficiencies, DNA/RNA/protein synthesis, cell organelles and signaling, inheritance patterns and population genetics, and core mechanisms of disease.

Public question-bank comparison

Public USMLE Step 1 prep labels checked June 16, 2026: the major banks run about $319-$649 for a single subscription, and none ship a full English/Spanish edition. National Course Portal ships 2,112 original basic-science questions at $129 with The 90 Club™ included ($89 net) - integrated physiology, pathology, pharmacology, microbiology, immunology, biochemistry, and genetics, in one bilingual 6-month subscription.

Bank
Public count
Price
Access / model
Source
National Course Portal USMLE Step 1 Exam Prep
2,112 original questions / English + Spanish study items
$129 - The 90 Club™ included ($89 net after the rebate) - 6-month access
6-month access - cardio/pulm/renal + GI/endo/repro/heme + neuro/psych/MSK/skin + micro/immuno + biochem/genetics - English + Spanish study aid
Major MD-student Qbank
Large multi-subject bank
About $319-$649 / subscription
Comprehensive Step 1 bank - English only
Integrated learning + Qbank platform
Large bank + library
About $299-$600 / year
Library + Qbank bundle - English only
Official NBME self-assessments
Per-form self-assessments, no teaching bank
About $60 per form
Score prediction only, not a study bank - English only

Competitor counts and prices are approximate public labels checked June 16, 2026; verify at the source before purchasing.

National Course Portal is not affiliated with, sponsored by, or endorsed by the NBME, FSMB, or the USMLE program. Exam names are used only to identify the exams students are preparing for. This is independent, non-certificate exam prep: it issues no license, certification, credit, official score, or approval. Spanish content here is a study-accessibility aid for ESL candidates.