Beta Blockers USMLE Step 1 Practice Questions
54 board-style USMLE Step 1 questions in Pharmacology. Each question shows the correct answer; create a free account for the full explanation and adaptive practice.
- USMLE Step 1 · hard25. A 48-year-old man with a history of poorly controlled hypertension presents to the emergency department with sudden onset tearing chest pain radiating to his back. CT angiograph…
- USMLE Step 1 · medium26. A 64-year-old woman with hypertension initiated a calcium channel blocker one month ago. She now presents with bilateral ankle edema, facial flushing, and headache. Vital signs…
- USMLE Step 1 · easy27. A 60-year-old man with hypertension on lisinopril presents with a persistent dry cough for 3 weeks. Vital signs show BP 148/92 mmHg, HR 78/min, RR 16/min. His physician switches…
- USMLE Step 1 · easy28. A 57-year-old woman with type 2 diabetes and hypertension is started on lisinopril 10 mg daily. Two weeks later, she presents with a persistent dry cough, dyspnea, and wheezing.…
- USMLE Step 1 · hard29. A 65-year-old man with severe COPD taking theophylline presents with nausea, tremor, and insomnia. Vital signs show HR 128 bpm, BP 142/88 mmHg, RR 22, temperature 37.2°C, and Sp…
- USMLE Step 1 · easy30. A 17-year-old girl with asthma presents with tremor and palpitations after repeated albuterol use during soccer practice. Vital signs show HR 118 bpm, BP 132/78 mmHg, RR 22/min,…
- USMLE Step 1 · medium31. A 26-year-old man presents to the emergency department with acute chest pain following cocaine use. Vital signs show BP 168/104 mmHg, HR 138/min, RR 22/min, and normal SpO2. He…
- USMLE Step 1 · medium32. A 4-year-old boy presents to the emergency department after ingesting multiple tablets from his grandfather's pill organizer. He is lethargic with BP 70/45 mmHg, HR 42 bpm, RR 1…
- USMLE Step 1 · hard33. A 59 year old man with hypertension forgot to refill one of his medications and stopped it abruptly 2 days ago. He now presents with severe headache, agitation, blood pressure o…
- USMLE Step 1 · medium34. A 44-year-old woman presents with episodic headaches, palpitations, and diaphoresis. Vital signs show BP 180/110 mmHg, HR 98 bpm, RR 16, temp 37°C, SpO2 98%. Plasma metanephrine…
- USMLE Step 1 · medium35. A 33-year-old military veteran with PTSD presents with recurrent trauma-related nightmares unresponsive to psychotherapy. Vital signs show BP 128/82 mmHg, HR 92 bpm, RR 16/min,…
- USMLE Step 1 · medium36. A 70-year-old man presents to his primary care physician with a 6-month history of urinary hesitancy, weak urinary stream, and nocturia occurring three to four times per night.…
- USMLE Step 1 · medium37. A 24-year-old woman with no significant past medical history presents to an ophthalmology clinic for a routine retinal examination. Prior to fundoscopic evaluation, she receives…
- USMLE Step 1 · easy38. A 68-year-old former smoker with COPD presents with persistent dyspnea (RR 22, SpO2 88% on room air). He denies chest pain or palpitations. His current medications include albut…
- USMLE Step 1 · medium39. A 52-year-old pesticide worker exposed to organophosphate presents with excessive salivation, wheezing, and marked skeletal muscle weakness with visible fasciculations. Vital si…
- USMLE Step 1 · medium40. A 41-year-old male farm worker is brought to the emergency department by coworkers after collapsing in a field where he had been spraying organophosphate insecticide for approxi…
- USMLE Step 1 · medium41. A 19-year-old college student presents to the ED with agitation and altered mental status after ingesting homemade tea from ornamental plant seeds. Vital signs show BP 158/92, H…
- USMLE Step 1 · medium42. A 27-year-old woman with myasthenia gravis undergoes thymectomy. Postoperatively, she develops abdominal distention, absent bowel sounds, and nausea consistent with ileus. Vital…
- USMLE Step 1 · easy43. A 58-year-old man develops suprapubic discomfort and inability to void 12 hours after undergoing elective inguinal hernia repair under general anesthesia. He has no prior histor…
- USMLE Step 1 · easy44. A 63-year-old man with hypertension controlled on metoprolol presents with progressive eye pain and blurred vision over 2 days. Vital signs show BP 168/94 mmHg, HR 58 bpm, RR 16…
- USMLE Step 1 · medium45. A 29-year-old woman with a known history of seasonal allergic rhinitis presents to her primary care physician complaining of progressively worsening nasal congestion over the pa…
- USMLE Step 1 · easy46. A 67-year-old man with atrial fibrillation presents with heart rate 52 bpm, blood pressure 98/62 mmHg, and respiratory rate 16/min. He takes digoxin and metoprolol. Recent serum…
- USMLE Step 1 · medium47. A 36-year-old woman with opioid use disorder presents 2 days after stopping oxycodone with rhinorrhea, abdominal cramping, diarrhea, piloerection, and mydriasis. Vital signs sho…
- USMLE Step 1 · medium48. A 45-year-old man with a history of hypertension and resting heart rate consistently above 90 beats per minute is enrolled in a phase 1 clinical trial evaluating a novel antihyp…