The exam contains 280 multiple choice questions in a clinical vignette format. A clinical vignette is a long patient description with associated labs that is followed by a question regarding the case. Each question will have at least five multiple choice options to pick from. In addition, some questions will have two parts.
The difficulty of each question can vary. The questions can be first, second, or third order. These three orders describe the difficulty of the question and how many mental steps it takes to find the answer. Most questions are second or third order in difficulty.