USMLE questions are primarily scenario-based multiple-choice questions designed to assess both knowledge and clinical reasoning. Step 1 questions focus on basic sciences, such as physiology, biochemistry, and pathology, often presenting clinical or laboratory scenarios that require understanding underlying mechanisms, for example, identifying the cause of microcytic anemia. Step 2 CK questions emphasize clinical application, testing diagnostic reasoning, patient management, and decision-making through realistic patient scenarios, such as determining the next step in managing a patient with chest pain and ECG changes. Step 3 includes both multiple-choice questions and computer-based case simulations (CCS), requiring candidates to prioritize interventions, order tests, and adjust treatment over time, reflecting real-world patient care. Practicing such sample questions helps students familiarize themselves with the exam format, style, and reasoning required, improving their ability to analyze clinical information, apply knowledge effectively, and make accurate decisions under timed conditions.