The offline version of the NBME is not legal and is a pirated material from people who just made copies of the original online version.
I urge you not to use the offline version for three important reasons:
First, the act of downloading pirated materials is considered a crime in USA and you don't want to jeopardize your future career in USA.
Second, the single most important purpose of doing the NBME is to predict your score. If you do the offline version you can't do that! It's only the online version that will assess you and tell you your expected three digit score.
Third, the offline versions are accompanied by answers written by students. Most of the times these answers are wrong which can potentially mislead you and results in misinformed knowledge.
Fourth, you can't predict on the basis of how many questions you get right and wrong because questions have different weights and the scoring algorithm is complicated. Someone can score 240 by getting 50 questions wrong and another can score only 180 by getting another 50 questions wrong.
I read in some post that they stay the same and aren't updated, though a new one is released every now and then. So yeah the material is the same, but the keys available are made by other people, which means they can be wrong. Plus you don't get the analysis that the online one gives you after the test, which I hear is really helpful, but I haven't taken any yet so I wouldn't know for sure.
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