MCAT

MCAT Biochemistry Overview: Everything You Need to Know

Struggling with MCAT Biochemistry? Learn what’s tested, common pitfalls, and study tips—plus how Sketchy can help you master this high-yield section.


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What to Know About the MCAT Biochemistry Section?

Common MCAT Biochemistry Challenges

Tips for Success for the MCAT Biochemistry Section

Test Your Knowledge with Data Dumps

One Last Piece of Advice

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This section can seem intimidating but don’t worry. With a good plan, it can be your best section even if you’re not a biology or biochem major!

My name is Mary-Arden Guillory, and I’m finishing up my first year of medical school. To share a little about my MCAT journey: I had to retake my MCAT and completely readjust my study plan. I initially underestimated how much preparation it takes to truly excel—and how essential it is to take multiple full-length practice tests to build stamina.

While studying for my retake, one of my friends in medical school told me about Sketchy MCAT. It made a huge difference in my score. In this blog, I’ll walk you through what to expect on the Bio/Biochem section and how Sketchy can help you crush it!

 

 

What to Know About the MCAT Biochemistry Section?

The Biological and Biochemical Foundations of Living Systems (Bio/Biochem) section of the MCAT evaluates your knowledge of core biological and biochemical principles, as well as your ability to apply scientific reasoning to complex passages and questions. This section covers a broad spectrum of topics, including molecular biology, physiology, genetics, and foundational biochemistry.

The breakdown of this section typically includes:

  • Introductory biology (65% of the content)
  • First-semester biochemistry (25%)
  • Smaller portions of general (5%) and organic chemistry (5%)

The MCAT Biochemistry section is the third section you will take during your MCAT and it consists of 59 questions to be completed in 95 minutes. The questions are a mix of passage-based and discrete questions, and require both content knowledge and critical thinking skills. A very good score is considered above 128 which is around the 90th percentile. Some of the most commonly tested topics include:

1. Molecular & Cellular Biology

2. Human Physiology & Organ Systems

3. Genetics & Evolution

4. Biochemistry (High-Yield)

  • Amino Acids & Proteins: structure, properties, and classifications; peptide bonds & protein structure (primary, secondary, tertiary, quaternary)
  • Enzyme Kinetics: Michaelis-Menten, competitive vs. noncompetitive inhibition
  • Metabolism Pathways: glycolysis, gluconeogenesis, pentose phosphate pathway, citric acid cycle, electron transport chain, fatty acid metabolism (β-oxidation and synthesis); hormonal regulation (insulin vs. glucagon)
  • DNA & RNA: replication, transcription, translation, operons and gene regulation, mutations and repair mechanisms

5. Laboratory Techniques

 

 

Want a 2 week breakdown of Sketchy MCAT Biochemistry lessons?

 

How The MCAT Biochemistry Section Differs from Other MCAT Sections

  • Unlike the Chemical and Physical Foundations of Biological Systems section, which is heavily calculation-based, the MCAT Biochemistry section focuses more on conceptual understanding and critical analysis of biological processes. 
  • While the Psych/Soc section also involves interpreting research and experiments, Bio/Biochem requires a deeper grasp of biological mechanisms and molecular pathways to answer questions accurately.
  • Compared to CARS (Critical Analysis and Reasoning Skills), which assesses reasoning through humanities and social science passages, Bio/Biochem requires analytical reasoning within the context of experimental and biological data.

 

How to Leverage Strengths from Other MCAT Sections

  • From Chem/Phys: Knowledge of enzyme kinetics and metabolism pathways translates directly to understanding biochemical reactions.
  • From Psych/Soc: Understanding neurotransmitters and endocrine signaling is beneficial in both sections.
  • From CARS: Strong passage analysis skills help break down complex biological studies and research questions.

Use what you know to your advantage— narrowing down the answer choices can be very helpful in answering a question you don't know.

 

 

Common MCAT Biochemistry Challenges

From organizing a study plan to managing question timing and preventing fatigue, it can be difficult to balance content review with strategic test-taking skills. The vast amount of material covered in this section requires a targeted approach to studying, and without a clear strategy, you can easily feel lost or unprepared.

Understanding these common struggles and implementing effective solutions can make a significant difference in your performance on test day. Below, we explore the most frequent issues you may face, and provide practical advice to overcome them.

 

Most Common Misconceptions & Mindset Shifts for Success

Many students approach this section thinking that rote memorization is enough. However, the MCAT tests application and critical reasoning rather than just pure recall. A successful mindset shift includes:

  • Understanding mechanisms instead of just memorizing facts— knowing why a process happens makes it easier to answer complex questions.
  • Recognizing experimental design and data interpretation—many questions require the ability to analyze graphs, experimental results, and trends.
  • Thinking in an interdisciplinary way—drawing from physics, chemistry, and even psychology to understand biological phenomena.

 

What if I am Not Completing All My MCAT Practice Questions?

When doing a practice test, you might notice that you’re not able to finish all of the questions on time in a given section. Improving question timing is very important, so that you don’t miss questions that you might’ve known the answer to just because you ran out of time. 

If you’re struggling with timing while you test, that's okay! Practice makes perfect. Try to increase the amount of practice questions you do daily. It’s the best way to improve your question timing without sacrificing accuracy.

 

What if I Have Question Fatigue?

If you lose focus halfway through a section, try gradually increasing both the number of questions and the amount of time you practice. For example, if you lose focus around question 24, start practicing in blocks of 30 until that feels more natural. Continue this process until you can do five more questions than the block you are studying for! This process will overall help you increase your exam stamina. I personally struggled more with timing on CARS compared to Bio/Biochem. I felt like doing lots of timed practice questions prevented me from feeling fatigued on test day!

Download a FREE comprehensive MCAT Anki Deck Ready to ace your MCAT? The Sketchy MCAT Anki deck contains 3,300+ cards covering all AAMC content to help you crush exam day.

 

 

Tips for MCAT Biochemistry Success

Mastering high-yield topics is essential for excelling in the Bio/Biochem section of the MCAT. Since the majority of questions focus on fundamental biological and biochemical principles, it’s important to prioritize content that frequently appears on the exam. 

A strategic approach involves:

  • First, reinforcing knowledge in general biology, then moving into biochemistry concepts that build upon that foundation.
  • Retain key information efficiently by:
    • Committing rate-limiting metabolic reactions to memory
    • Using mnemonics, and leveraging visual learning techniques such as concept maps and Sketchy videos.
  • Understand the relationship between various biological processes and how they apply to experimental scenarios; this will help you excel in passage-based questions.

One of the most effective ways to learn complex pathways? Use visual mnemonics (like Sketchy) and then practice writing them out from memory.

 

How to Review for the MCAT Biochemistry Section

Do a dedicated content review for each section. For the MCAT Biochemistry section, I spent about 2 weeks reviewing the Sketchy content. While practice questions are helpful, content review is essential—especially if it’s been a while since you took the core courses.

Determine the amount of review you need for the MCAT Biochemistry section by taking a practice exam. There are free practice exams that will help you to get a baseline. From there, identify your weak points.

I took my MCAT 3 years after taking General Biology, so I was a bit rusty. I needed to do a significant amount of review for this section compared to others like Psych/Soc. I would watch the Sketchy videos and take notes on a screenshot of the video so that I actively engaged in the symbols and storytelling.

Here’s an example of some of my Sketchy notes from Immunology: 


The red writing you see is where I added quick memory tips and notes as I watched the video.

Focus your studies based on the section breakdown! For example, general biology is heavily tested in this section, so focus your studies on high-yield topics there first before working your way down to lower-yield sections like organic chemistry. 

Want a 2 week breakdown of Sketchy MCAT lessons? 

 

Building Confidence in The MCAT Biochemistry Section

Confidence plays a crucial role in tackling this section effectively. You can build it by:

  • Mastering high-yield topics first to ensure a strong foundation.
  • Practicing passage-based questions to improve analytical skills.
  • Developing a systematic approach to questions—breaking down passages, identifying key variables, and making connections.

By adopting a strategic approach, leveraging strengths from other sections, and focusing on application rather than memorization, you can excel in the MCAT Biochemistry section and boost your overall MCAT performance.

Download a FREE Junior Year Premed Guide Get more advice on how to tackle your junior year: how you you balance MCAT and premed course work, what do you need to know about the application process. Answers here and more!

 

 

Test Your Knowledge with Data Dumps 

A data dump is a study strategy where you write down all the information you know about a topic before reviewing new material. This technique helps identify knowledge gaps, reinforce key concepts, and improve recall. For MCAT prep, data dumps can be especially useful for memorizing biochemical pathways, amino acids, and physiology concepts before tackling passage-based questions.

I did a data dump on test day (check with your testing center to see if you can do this during the tutorial time). In the lead up to test day, I would spend about 5-10 minutes writing out equations, reactions, and amino acids on a sheet. This way, I committed the sheet to memory and replicated it on test day. It helped prevent me from missing easy points and helped increase my score. I recommend crafting your own data dump sheet that is specific to topics that you tend to forget when you’re under pressure. You can identify these topics by tracking your most frequently missed questions.

 

How to use Sketchy Anki

Anki is a flashcard platform that is commonly used by premed and medical students. It uses spaced-base repetition to help you memorize and review content. Anki has many flash card “decks” that can be downloaded online. That includes Sketchy, which has a deck that perfectly follows the order of the videos and the content covered. 

Here’s how I used Anki in medical school:

  1. I watch the Sketchy video.
  2. Then, I unsuspend the relevant cards from the Sketchy MCAT deck, and move them over to a new deck.
  3. I study those cards immediately after watching the video, so I see the information more than once—repetition is key.

If Anki is not your style, no worries! I have some friends who will watch the Sketchy videos and regurgitate them out loud or write it out on a whiteboard. Doing so helps them with information recall, and it also allows them to identify where they get stuck.

 

How to Pull Anki Cards!

Here’s how to pull Anki cards after you download Anki and the Sketchy MCAT deck. 

  1. Go to “Browse” at the top (or press “B”).
  2. Under Tags on the left, click Sketchy MCAT Deck.
  3. Expand the dropdown to find the course/unit you’re watching.
  4. Highlight the cards you want and move them to your study deck!

FREE GUIDE: MCAT Roadmap to 520+ Get the full list of the best test-taking tips to score a 520+ on the MCAT. Download it now!

 

 

One Last Piece of Advice

To prevent burnout during your dedicated study time, remember to schedule time for the activities you enjoy. Find an outlet whether it be a good friend, the gym, or a walk outside—  whatever helps ground you and provides a mental reset. This also helped me keep a positive mindset around the exam. 

The MCAT is designed to be mentally draining — it’s meant to test your endurance as much as your knowledge. In those moments, remember why you want to be a doctor. I say this as a first-year medical student who often has to remember my “why medicine” when studying becomes overwhelming. I promise you it will all be worth it in the end. You got this!

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