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Step 3 is the final exam in the USMLE series of examinations. It is part of the licensing requirements for Doctors of Medicine (M.D.), including international medical graduates aiming to practice medicine in the United States. Generally, it is a pre-requisite of the majority of the state licensing boards.
The questions on STEP 2 and 3 were about the same difficulty. Both STEP 2 and STEP 3 are harder than STEP 1. [6] For the 2019 examinations onwards, the specifications have been updated to reflect the reforms in A Level Mathematics and Further Mathematics; [7] in addition, the number of questions in each paper has been reduced. Specifically:
Series 42 – Registered Options Representative Exam; Series 44 – NYSE Arca Options Market Maker Exam; Series 47 – Japanese Module of the General Securities Exam; Series 50 – Municipal Advisor Representative Exam; Series 52 – Municipal Securities Representative Exam; Series 55 – Equity Trader – Limited Representative Exam; Series 56 ...
Each Series 65, Uniform Investment Adviser Law Examination, contains a total of 140 questions. One hundred thirty (130) of the questions count toward whether the candidate passes or fails the Series 65 exam. The other 10 questions are pretest and could appear in any position within the exam but do not count towards the final grade.
From the examinee's perspective, the difficulty of the exam seems to tailor itself to their level of ability. For example, if an examinee performs well on an item of intermediate difficulty, they will then be presented with a more difficult question. Or, if they performed poorly, they would be presented with a simpler question.
The competition consists of 15 questions of increasing difficulty, where each answer is an integer between 0 and 999 inclusive. Thus the competition effectively removes the element of chance afforded by a multiple-choice test while preserving the ease of automated grading; answers are entered onto an OMR sheet, similar to the way grid-in math questions are answered on the SAT.
What makes level 3 questions difficult is the likely existence of more than one correct answer forcing the individual to decide which answer is the best choice. Level 2 and Level 3 questions make up about 95 percent of the questions on the NCLEX exam. However, it is possible for the exam to have no Level 1 question. [4]
Candidates have a total of four hours to complete an exam, regardless of the number of questions or perceived difficulty. Each exam is broken out into 5 testlets. Candidates are permitted to take a break between testlets. However, with the exception of a standardized 15-minute break between testlets three and four, the exam timer is not paused.
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