UWorld vs. TrueLearn

This blog was originally published in 2023, and updated in August, 2025 by Dr. Rishabh Lohray.

UWorld has long been considered the gold standard for USMLE prep, but it’s not the only Qbank on the market. In recent years, many of our students at Elite Medical Prep have been asking a new and increasingly popular question: “Should I use UWorld or TrueLearn when preparing for the USMLE or COMLEX?” (And for those wondering, “Wait – there are other high-quality Qbanks aside from UWorld?” The answer is: absolutely!) 

While UWorld’s reputation is well earned, TrueLearn offers several unique features that make it a serious contender, especially for students prepping for COMLEX. 

In this post, we’ll take a closer look at how TrueLearn stacks up against UWorld in terms of content, pricing, user experience, and more.

Here’s our honest review of the TrueLearn question bank and how it stacks up next to UWorld’s.

UWorld vs. TrueLearn: Pricing and Question Volume

Both TrueLearn and UWorld have USMLE Step 1, 2 and COMLEX Level 1 and 2 question banks. On average, UWorld has a higher question volume than TrueLearn. This is partly why UWorld’s prices are higher across the board when compared to TrueLearn. In terms of subscription duration both UWorld and TrueLearn have offerings for 30, 90, 180, and 365 days. Please find below a table with prices and number of questions by exam (as of August 2025):

The Content, Difficulty, and Length of the Questions

TrueLearn questions are similar in difficulty, length, and complexity when compared with UWorld. Subjectively, when taking a TrueLearn test, it does feel very much like taking a UWorld test. The same test-taking strategies were applicable and the material is what one would expect to be covered in UWorld questions. 

There is a mixture of single-step and multi-step questions in TrueLearn. There are one- and two-part questions as well. Some rely just on buzz-word recognition (e.g., cigar shaped on microscopy for Sporotrichosis), and some require more thought, which we believe is appropriate and reflective of the NBME (for USMLE) /NBOME (for COMLEX) board exams. TrueLearn also has very concise explanations with links to videos and further reading to enhance its explanations. 

Questions are better coded in TrueLearn. Each question is coded in several domains, including Specialty, System, Process [normal vs disease], Discipline [anatomy], Interdisciplinary areas, Competencies [medical knowledge, patient care]. This is probably why the search function is better. This can also help students draw big-picture connections between individual questions, if they understand broadly what is being asked (a pathology question about cardiology disease processes, for example).

Finally, TrueLearn questions seem to have more content similarities to the questions tested on COMLEX Level 1 and 2 for DO students. Based on our students’ personal experiences with the two Qbanks, they feel that the difficulty of questions is slightly more challenging on UWORLD. However, the other content that may be relevant to COMLEX Level 1 and 2, is better represented on TrueLearn.  

TrueLearn’s Test Creation Tools

TrueLearn has some unique and useful tools regarding test creation that UWorld does not. In TrueLearn, you can specify any combination of new, incorrect, and/or correct questions. In UWorld on the other hand, you must choose one of these options only. As mentioned previously, TrueLearn also has a better search function to find questions. Searching for a term or concept yields a number of relevant questions that a student could use to actively review the topic. It is much more user friendly and also yields more questions than UWorld’s search function. Again, you can use the search results to make a test from any combination of new, incorrect, and/or correct questions, while in UWorld you must choose one of these options only.

Feedback and Tutor Mode

TrueLearn also has some useful features regarding feedback (in Tutor mode), that are superior to UWorld. Immediately after answering a question, students are provided with answer choice explanations, a ‘Bottom Line’, and ‘TrueLearn insights’. The answer choice explanations and ‘Bottom Line’ are fairly similar to UWorld’s. Links to outside resources for further reference seem primarily to include UpToDate and various textbooks, for the most part. In this regard the feedback is similar to UWorld.

*Of note, TrueLearn allows ‘Bottom Line’ prompts to be texted to students directly, so that they can have a running list of short, high-yield reminders. We think this is a great feature and would be extremely convenient / helpful to many students!

Unique TrueLearn Insights

The ‘TrueLearn Insights’ that are provided are unique to TrueLearn and we believe they could be very useful. TrueLearn Insights provide useful test-taking tips and big-picture advice for approaching questions that are the types of things that we tell students during tutoring sessions. For example, the insights might tell a student that while approaching an endocrinology question, it’s important to remember all the pathways that a hormone is involved in (to get questions right about TSH, PRL, FSH, etc.).

Alternatively, TrueLearn Insights might explain that usually in trauma questions, you can get the right answer by following the ABC’s of stabilization. This is an extremely valuable resource, especially for students who do not have a tutor. It could also prod a tutor to make important connections for students, and gives a good jumping-off point for discussion. The TrueLearn insights are very high yield, and so far we have not seen any other resources that feature anything similar.

Smart Cards: TrueLearn’s Study Advice

TrueLearn’s Smart Cards are also potentially useful for similar reasons. They offer generalized and more targeted study advice. For example, one Smart Card talks about ‘memory palaces’, and another reinforces the concept of spaced repetition. These are present on the dashboard on log-in, and can be viewed passively or actively. They take up a large portion of the dashboard and can’t be missed. The Smart Cards seem to reinforce many of the general study tips many of our tutors find themselves telling their students, and we think the passive reminder could be useful to a student who is having trouble remember to integrate these into their studying.

Smart Cards also provide targeted advice for students based on their prior performance. For example, they will alert students whether they typically change answers to or from the correct answer. A student could use this to change their test-taking strategy accordingly. However, it is worth noting that UWorld also does this to a similar degree.

TrueLearn vs. UWorld: Final Thoughts

In conclusion, TrueLearn definitely has the capacity to be a real challenger to UWorld in the future. This being said, for the time being we recommend to students that TrueLearn be used as a supplement to UWorld ONLYbecause it is less well tested and may have a different topical breakdown less reflective of NBME/NBOME.We love the nice study tools, such as the Smart Cards, that may be helpful for some students who want a more tailored set of flashcards. We are also very excited to see what the future holds for TrueLearn once it is tested some more!

Since TrueLearn is fairly similar to UWorld and users of either platform will have no trouble learning to use the other, we recommend students access TrueLearn after completing UWorld twice. We believe users will enjoy the additional questions TrueLearn provides and also that the user interfaces and progress tracking between both platforms are similar.

If you need additional information, all USMLE studying resources are listed on our reviews page.