USMLE Step 1 Q-Bank · 2026

Real NBME questions.
Unlimited practice.
One unfair advantage.

6,100+ questions across 29 forms — retired NBME items, official Free 120, and unlimited SynkForms. Axon explains every wrong choice. One platform, everything you need.

No credit card required  ·  Full access instantly  ·  Cancel anytime

6,100+Total Exam Questions
3229 NBME + 3 Free 120
87+AI SynkForm Sets
104Lecture Chapters In-App
$249Per Year — vs $579 UWorld
No login needed — try it now

This is what happens
when you miss a question.

Pick any answer. Watch the SynkMind system respond in real time.

NBME 20 · Block 2 · Item 34 Live Demo
A 58-year-old man with a 15-year history of hypertension presents to the emergency department with sudden-onset chest pain that he describes as “tearing” and radiating to his back. On examination, blood pressure is 185/110 mmHg in the right arm and 140/85 mmHg in the left arm. A chest radiograph shows a widened mediastinum.
Which of the following is the most likely diagnosis?
📚
Aortic Dissection
Mehlman High-Yield Notes — surfaced automatically
77,000+ units
  • Intimal tear → blood dissects into the tunica media
  • Type A (ascending aorta involved) → surgical emergency
  • Type B (descending only) → medical: IV labetalol + nitroprusside to reduce dP/dt
  • Risk factors: HTN #1 · Marfan syndrome (fibrillin-1 mutation) · bicuspid aortic valve · cocaine
  • Triad: tearing/ripping pain radiating to back · arm BP differential · widened mediastinum on CXR
  • Dx: CT angiography (preferred) · TEE if hemodynamically unstable
+ Added to spaced repetition deck ⚡ AI generating 3 new questions on this topic…

This happens on every single question. 6,100+ times.

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Everything in one place

Every tool you need.
Nothing you don’t.

Other platforms give you a question bank. SynkMind gives you a complete learning engine — real questions, AI that teaches, spaced repetition that remembers for you, and analytics that tell you exactly where to focus.

📝
The #1 differentiator
Real retired NBME questions — not practice replicas

Every other platform writes original questions modeled after NBME style. SynkMind gives you the actual retired items that appeared on real exams — Forms 1 through 33. When you practice here, you’re practicing on what the NBME actually wrote. That’s not a feature. That’s a structural advantage.

6,100+ verified questions · 29 forms
🤖
Axon AI — on every question

Not just “B is correct.” Every wrong choice gets its own rationale. Ask Axon follow-ups. Trigger a full Teach Me session. Full post-block debrief after each form.

SynkForms — questions that never run out

After 6,100+ NBME questions, Axon generates unlimited new ones matching the exact system distribution of each real form. 87+ forms. Zero repeats.

🧠
SM-2 Spaced Repetition
The algorithm that makes you remember

The same algorithm behind Anki, applied at the individual question level and synced to your account. Due items surface automatically in Smart Practice — you never have to manage flashcard decks.

How it works
✓ Answer correctly → interval extends (days → weeks) ✗ Answer wrong → resurfaces next session ⏱ Due count shown in sidebar daily ☁ Synced across devices — never lost
🎯
Weak Spots Heat Map

Every missed topic ranked by miss count. Drill any weak topic in one click. Tracks not just what you got wrong — but what you confused it with (confusion matrix).

📊
Pass Probability Engine

Multi-factor model with 5-tier raw score calibration. Score trend, system breakdown, cohort percentile — after every form. Know where you stand before exam day.

📚
104 Lecture Chapters In-App

Becker Step 1, Kaplan, First Aid, Mehlman HY, and integrated Anki cards — all subjects in the sidebar. Read, drill, review. No tab-switching required.

📅
Study Plan + Daily Prescription

Set your exam date. Get a daily task list — lectures to watch, forms to run, SR queue to clear. Everything integrated, nothing to coordinate manually.

280
Full Step 1 Mock Exam

7 blocks × 40 questions · 65 min/block · Optional breaks · Real exam-day simulation from your unseen pool.

Axon AI

Not a chatbot.
A clinical reasoning engine.

Most platforms explain the right answer. Axon explains why every wrong choice is wrong — and what disease/mechanism it actually describes. That’s what stops you from falling for the same trap twice.

1
Per-option wrong-answer rationale
Every wrong choice has its own 1-sentence explanation — what condition it describes and exactly why it’s not the answer here.
2
Follow-up chat — mid-session
Ask Axon anything about that question while you’re still in the block. Get an instant, structured response.
3
Post-block AI debrief
After each 50-question form, Axon analyzes your entire block — which systems you struggled in, what patterns are emerging, what to study next.
4
Teach Me — on-demand mini-lectures
Ask Axon to teach any topic from scratch: concept → mechanism → clinical application → high-yield facts. On demand, any topic.
5
High-Yield Notes per question
Every question shows Key Concepts, Common Pitfalls, NBME forms coverage, and matching Mehlman flashcards. Full panel, every time.
NBME 1 · Block 1 · Item 15 — Incorrect
A 27-year-old man has a solitary thyroid nodule. Thyroid scintiscan shows uptake of radioactive iodine by the nodule. Which of the following is the most likely diagnosis?
✓ B.
Follicular adenoma
A hot nodule (takes up radioiodine) is almost always a benign functioning follicular adenoma.
✗ C.
Granulomatous thyroiditis
Granulomatous thyroiditis destroys follicles → decreased uptake (cold node), not increased.
D.
Medullary carcinoma
Medullary carcinoma is a cold nodule — does not take up radioiodine.
💬 Ask Axon
“Why is papillary carcinoma also a cold nodule?”
→ Papillary carcinoma consists of follicular cells that have lost their ability to trap iodine — the TSH-stimulated NIS pathway is disrupted by malignant transformation…
SynkForms — AI Practice Sets

29 forms × 3 variants.
You’ll never run out.

SynkForms mirror the exact topic distribution of each real NBME form — then fill it with brand-new clinical vignettes. Same system breakdown, zero repeated questions. Three variants per form: A, B, and C.

Blueprint-matched, not random
If NBME Form 1 has 12 Cardiovascular and 8 Renal questions, SynkForm SF-1A has exactly the same split — with completely new vignettes. Same difficulty target. Different patients, different scenarios.
3 variants per form = 87 extra practice sets
Drill the same topics from NBME Form 1 in SF-1A, SF-1B, SF-1C — three passes with fresh questions, perfect for spaced repetition over weeks.
Full AI features — same as NBME forms
Every SynkForm question has per-option wrong rationale, key concepts, pitfalls, NBME coverage badge, and Mehlman match. Identical experience.
Why it matters for retention
Research shows 3–7 exposures to a concept builds long-term retention. One NBME form tests a topic once. Three variants test it three more times — with novel vignettes that force generalization.
Select a form
NBME 1
NBME 7
NBME 13
NBME 20
NBME 26
NBME 33
Select variant
α Variant A
β Variant B
γ Variant C
SF-1A — NBME Form 1 Variant A
200 AI-generated questions · mirrors NBME 1 system distribution · Full Axon AI + HY notes · per-option rationale
200Questions
87+Total forms
Never repeats
Question Bank

All 29 forms.
6,100+ verified questions.

Forms 1 through 33 (excluding 8, 9, 10, 14). Every answer independently verified — the actual retired items that appeared on real USMLE Step 1 exams.

NBME 1NBME 2NBME 3NBME 4NBME 5NBME 6NBME 7NBME 11NBME 12NBME 13NBME 15NBME 16NBME 17NBME 18NBME 19NBME 20NBME 21NBME 22NBME 23NBME 24NBME 25NBME 26NBME 27NBME 28NBME 29NBME 30NBME 31NBME 32NBME 33 Free 120 (2021)Free 120 (2022)Free 120 (2024)+ 87 SynkForms
Lecture Library

104 lecture chapters.
Built into the Q-Bank.

Read from Becker, Kaplan, First Aid, or Mehlman HY notes, then drill questions from that chapter — without leaving the app. All your resources integrated in one place.

🔬
Pathology
28 chapters · Complete
💊
Pharmacology
12 chapters · Complete
🦠
Microbiology
8 chapters · Complete
🛡
Immunology
13 chapters · Complete
Biochemistry
15 chapters · Complete
🧬
Genetics
7 chapters · Complete
🫚
Physiology
11 chapters · Complete
📈
Biostatistics
10 chapters · Complete
Competitive Comparison

Why SynkMind
is the obvious choice.

Every competitor writes original questions. SynkMind pairs a full adaptive study engine with per-option wrong-answer rationale and AI-generated unlimited practice — at 57% less than UWorld.

Feature SynkMind
$249/yr
UWorld
$579/yr
Amboss
$448/yr
Kaplan
$399+/yr
Actual retired NBME questions✓ 6,100+✗ original only✗ original only✗ original only
Per-option wrong-answer rationale✓ every choiceCorrect onlyCorrect onlyCorrect only
AI explanation + follow-up chat✓ Axon AIBasic bolt-onHints only
Post-exam AI debrief✓ Every block
Infinite AI question generation✓ SynkForms
Spaced repetition (SM-2)✓ Per-questionFlagging onlyBasic
Lectures integrated in-app✓ 104 chaptersSeparate appSeparate
AI Teach Me sessions✓ Any topic
Pass probability model✓ Multi-factorScore projection
280-Q full mock exam
Annual price$249$579$448$399+
Student Reviews

What students
actually say.

Reviews from students currently using SynkMind will appear here as they come in.

★★★★★
Coming soon

Student reviews are on their way as we grow. Be among the first to try SynkMind and help shape the platform.

Pricing

One plan. Full access.
Try free first.

Every plan includes all 29 NBME forms, all 87+ SynkForms, Axon AI, spaced repetition, lectures, analytics — no tiers. Start your 3-day free trial, no credit card required.

Monthly
$49
per month · cancel anytime
  • The full study engine
  • Axon AI — all features
  • Spaced repetition
  • 104 lecture chapters
3 Months
$129
every 3 months · $43/mo
Save 12% vs monthly
  • Everything in Monthly
  • One dedicated study block
  • Switch plans anytime
6 Months
$179
every 6 months · $30/mo
Save 39% vs monthly
  • Everything in Monthly
  • Covers a full prep + dedicated
  • Switch plans anytime
Best Value
Annual
$249
per year · $588
Save 58% · $20.75/mo effective
  • Everything included
  • 57% less than UWorld
  • Best value for full prep

No credit card required  ·  Full access from day one  ·  All plans →

Questions

Common
questions answered.

What does the free trial include?

Full access to everything — all 29 NBME forms, all SynkForms, Axon AI, spaced repetition, lectures, analytics, and the 280-Q mock exam. No restricted tier. 3 days, no credit card.

Are these real NBME questions or AI imitations?

The 29 NBME Forms are actual retired items that appeared on real Step 1 exams — every answer independently verified. The SynkForms are AI-generated original vignettes that mirror each real form’s topic distribution, not imitations of specific questions.

What’s Axon AI and how is it different from a chatbot?

Axon explains every wrong answer choice individually, does a full post-block debrief, teaches any topic from scratch on demand, and answers follow-up questions mid-session. It’s grounded in First Aid, Kaplan, and Mehlman — not a general-purpose AI.

What are SynkForms exactly?

SynkForms are generated against the exact blueprint of a real NBME form — same system distribution, brand-new vignettes. Three variants per form (A, B, C) give you 87+ extra practice sets. After doing NBME Form 1, you can drill the same topics with fresh questions in SF-1A, SF-1B, SF-1C.

What’s included in all plans?

Every plan: all 29 NBME forms, all 87+ SynkForms, Axon AI (all modes), Smart Practice, SM-2 Spaced Repetition, Weak Spots Heat Map, High-Yield Drill, Analytics, 104 lecture chapters, Study Plan, Curriculum Map, 280-Q mock exam, and Focus Music. No tiers.

Can I cancel anytime?

Yes. Cancel from the billing portal anytime — access continues through the end of the paid period. No refunds on current periods but you’re never charged after cancellation.

I have a school access code. What do I do?

Go directly to the Q-Bank and enter your code in the access code box. No subscription needed.

Does this work alongside UWorld?

Yes — many students use both. At $249/yr vs UWorld’s $579, it’s affordable to add SynkMind for Axon AI and unlimited SynkForms practice. The AI-generated items extend your available practice far beyond a fixed question bank.

Start today.
Nothing to lose.

Real NBME questions · Axon AI on every wrong answer · SynkForms that never run out · 104 lecture chapters · $249/year. 3-day free trial, no card.

Cancel anytime · Full access from day one