Here's Exactly What to Do the Day Before Your USMLE Exam

Tomorrow is the big day: your USMLE Step 1 or Step 2 exam is finally here. Knowing what to do the day before your test can make a big difference in your results. So after weeks or months of relentless studying, practice questions, and review sessions, you’re wondering: What should I do the day before my test? How exactly can I make the most of these last 24 hours and set myself up for success?

Here’s a practical (and calming) guide to help you make the most of those hours:

1. Don’t Cram

While it is tempting to want to cram as much as you can up until your test day, cramming the day before Step 1 or Step 2 can do more harm than good. Your brain needs to consolidate what you’ve already learned—not absorb new material under stress. Instead, do a light review (like flashcards, high-yield notes, skimming the First Aid rapid review section), but limit this to no more than 2-3 hours in the morning. Once that’s done, close the books (and your laptop) and step away. 

Go for a walk, do some yoga, or engage in other light exercise to clear your mind. Physical movement boosts your mood and sleep quality, both of which are essential for optimal test performance. Consider meditation, breathing exercises, spending time with family or friends, listening to music, or doing something creative. The goal is to mentally reset and recharge.

2. Be Prepared Logistically  

Reducing uncertainty will help reduce anxiety. Prepare everything you need so that your exam day goes smoothly.

• Know how to get to the testing center and how long your commute will take. You can even visit the testing center a day in advance to familiarize yourself with the building entrance and parking logistics. If you tend to run late, target a slightly earlier time to arrive than you actually "need" to.

• Plan your breaks: Think through how you want to schedule your breaks – for how long and between which sections? Decision fatigue is real – you do not want to be figuring this out on test day. If you're working with a tutor, definitely talk with them about planning this out.

• Prepare your food: Pack foods that you can eat quickly during breaks and that you know your body can handle. This should be high in protein, so it sustains your energy. Avoid simple sugars, as they can cause a crash later. Also, keep in mind that most, if not all, testing centers will not have a fridge. 

• Pack your bag: Be sure to bring your government-issued ID, testing permit, any necessary medications, a light jacket, snacks/lunch, water, and coffee (if needed). You can also bring your own earplugs to the testing center. 

Most importantly, do not try anything new on test day. Stick to your routine; now is not the time to be trying something new (we're looking at you, energy drinks). 

3. Set Yourself Up for a Good Night’s Rest 

Have a balanced dinner with protein, complex carbs, and healthy fats. Avoid excessive caffeine or sugar late in the day. Focus on sleep hygiene—minimize exposure to electronics at least an hour before going to bed. Aim for a full night’s sleep. Give yourself grace if you are having trouble falling asleep. It is normal to feel anxious the night before and to have some difficulty sleeping. Avoid checking the clock repeatedly, as this will only fuel more anxiety. Make sure you set your alarms (and backup alarms using a second method, like a physical alarm clock) with plenty of time to spare in the morning.  

4. Trust Your Prep

Remind yourself: You’ve done the hard work. This is the culmination of weeks of hard work. Trust your preparation. If you've done the work, you are ready. Tomorrow, show up confident, clear-headed, and ready to let all your knowledge shine.

The author, Rachel Lee, is a fourth-year medical student at Duke who scored a 270 on Step 2. She tutors for the USMLE Step 1 and Step 2 CK with USMLE Pro.

Need guidance on your USMLE prep? Learn more about our 1-on-1 USMLE tutoring services by scheduling a free consult call with USMLE Pro's founder, Dr. Missant.