Cardiovascular Drugs USMLE Step 1 Practice Questions
56 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 · easy1. A 30-year-old woman is brought to the emergency department because of severe headache and vomiting that started after she was hiking in the mountains at high altitude. She norma…
- USMLE Step 1 · easy2. A 72-year-old man with a 3-year history of coronary artery disease presents with complaints of chest pain that occurs predictably when climbing stairs or walking briskly, but re…
- USMLE Step 1 · hard3. A 40-year-old man with a BMI of 31 kg/m² presents for hypertension screening. He has no significant past medical history and takes no medications. Vital signs are normal. Labora…
- USMLE Step 1 · hard4. A 68-year-old woman with heart failure with reduced ejection fraction and stage 3 chronic kidney disease presents with a 2-day history of nausea, vomiting, and yellow-green visu…
- USMLE Step 1 · hard5. A 55-year-old man with hypertension started on hydrochlorothiazide 25 mg daily presents with muscle weakness and fatigue. Vital signs: BP 138/82 mmHg, HR 92 bpm, RR 16/min, Temp…
- USMLE Step 1 · medium6. A 58-year-old man presents with chest pain and dyspnea. Vital signs: BP 128/82 mmHg, HR 102/min, RR 18/min, temp 37.2°C, SpO2 98% on room air. He receives aspirin, clopidogrel,…
- USMLE Step 1 · medium7. A 65-year-old woman with atrial fibrillation presents to her cardiologist for rate control. She has been stable on warfarin (target INR 2-3) for 6 months for stroke prevention.…
- USMLE Step 1 · medium8. A 72-year-old man with a history of hypertension and chronic kidney disease (stage 3) presents to his primary care physician complaining of a persistent dry, nonproductive cough…
- USMLE Step 1 · easy9. A 52-year-old woman with atrial fibrillation for 2 years on digoxin presents with nausea, visual disturbances with yellow-green halos, and dizziness. Vital signs: BP 98/62 mmHg,…
- USMLE Step 1 · hard10. A 58-year-old woman with a 10-year history of hypertension and stage 3b chronic kidney disease secondary to diabetic nephropathy is started on lisinopril 10 mg daily. Her baseli…
- USMLE Step 1 · medium11. A 62-year-old man with heart failure (EF 30%) started on carvedilol 2 weeks ago presents with fatigue and orthostatic dizziness. Vital signs: BP 98/62 mmHg (baseline 125/80), HR…
- USMLE Step 1 · medium12. A 55-year-old man with hypertension has been on hydrochlorothiazide monotherapy for 2 years. He presents with blood pressure 148/92 mmHg, heart rate 78/min, and denies dyspnea.…
- USMLE Step 1 · hard13. A 68-year-old man with a history of ischemic cardiomyopathy (ejection fraction 28%) and stage 3 chronic kidney disease presents to clinic with progressive dyspnea on exertion ov…
- USMLE Step 1 · hard14. A 70-year-old woman with a history of myocardial infarction 2 years ago presents for follow-up. She has been adherent to atorvastatin 80 mg daily for the past 18 months. Current…
- USMLE Step 1 · medium15. A 73-year-old man with a history of coronary artery disease and preserved left ventricular ejection fraction (55%) presents to the emergency department with acute substernal che…
- USMLE Step 1 · medium16. A 70-year-old man with heart failure (EF 35%) and Stage 3b chronic kidney disease presents with weakness and palpitations. Vitals: BP 128/76 mmHg, HR 92/min, RR 16/min, Temp 37°…
- USMLE Step 1 · medium17. A 52-year-old woman with hypertension initiated on lisinopril presents 2 weeks later with a persistent dry cough. Vital signs show BP 128/82 mmHg, HR 76/min, RR 18/min, and norm…
- USMLE Step 1 · medium18. A 65-year-old man with a history of atrial fibrillation and normal renal function is prescribed digoxin 0.25 mg daily for rate control after inadequate response to metoprolol. H…
- USMLE Step 1 · hard19. A 73-year-old man with a 10-year history of chronic kidney disease (GFR 25 mL/min) and hypertension presents to his primary care physician for a routine follow-up. He has been o…
- USMLE Step 1 · easy20. A 56-year-old woman with a known history of heart failure with reduced ejection fraction (EF 28%) and hypertension presents to her cardiologist for a follow-up visit. She was in…
- USMLE Step 1 · medium21. A 52-year-old woman with dilated cardiomyopathy presents to the ICU with acute decompensated heart failure. Vital signs: BP 88/54 mmHg, HR 122/min, RR 24/min, SpO2 90% on 4L nas…
- USMLE Step 1 · easy22. A 59-year-old man with a history of hypertension and stable angina presents to clinic for medication adjustment. His current antihypertensive regimen includes lisinopril and hyd…
- USMLE Step 1 · hard23. A 65-year-old woman with heart failure and reduced ejection fraction (HFrEF, EF 35%) presents to clinic for follow-up. Current medications include lisinopril 10 mg daily, metopr…
- USMLE Step 1 · hard24. A 71-year-old man with hypertension and type 2 diabetes presents to the emergency department with inferior ST-elevation myocardial infarction (STEMI). His vital signs on arrival…