Cerebrovascular Disease USMLE Step 1 Practice Questions
55 board-style USMLE Step 1 questions in Neurology. Each question shows the correct answer; create a free account for the full explanation and adaptive practice.
- USMLE Step 1 · medium25. A 67-year-old man with hypertension and atrial fibrillation presents with acute onset left facial droop and arm weakness. Vital signs: BP 158/92 mmHg, HR 102 bpm (irregular), RR…
- USMLE Step 1 · hard26. A 63-year-old man with hypertension presents after sudden collapse. Vital signs: BP 168/94 mmHg, HR 92/min, RR 16/min, temp 37.2°C. He is intubated and awake. Examination reveal…
- USMLE Step 1 · medium27. A 26-year-old obese woman presents with progressive daily headaches and recurrent transient visual obscurations. Vital signs show BP 138/88 mmHg, HR 82/min, RR 16/min, temp 37.2…
- USMLE Step 1 · medium28. A 79-year-old man on warfarin for atrial fibrillation presents with progressive confusion and headache 2 weeks after a minor fall. Vital signs show BP 158/92 mmHg, HR 88/min, RR…
- USMLE Step 1 · medium29. A 19-year-old male presents to the emergency department following blunt head trauma from a motor vehicle collision 90 minutes ago. Initially he was alert and oriented with a bri…
- USMLE Step 1 · easy30. A 48-year-old woman develops sudden, severe "thunderclap" headache while exercising. She is nauseated, photophobic, and confused. Vital signs: BP 168/94 mmHg, HR 112 bpm, RR 18,…
- USMLE Step 1 · medium31. A 52-year-old woman with hypertension develops sudden severe retro-orbital headache followed by diplopia. Vital signs: BP 168/98 mmHg, HR 92/min, RR 16/min, temp 37.2°C. Examina…
- USMLE Step 1 · hard32. A 59 year old man is brought to the emergency department after abrupt onset of right arm and leg weakness. Examination shows weakness of the right upper and lower extremities, d…
- USMLE Step 1 · medium33. A 61-year-old woman with hypertension presents with sudden-onset vertigo, vomiting, hoarseness, and dysphagia. Vital signs: BP 168/94 mmHg, HR 88, RR 18, temp 37.2°C, SpO2 98%.…
- USMLE Step 1 · medium34. A 75 year old man develops sudden inability to see objects on the left side of his visual field. He has no motor deficits. He can write normally but cannot read what he has writ…
- USMLE Step 1 · medium35. A 68 year old woman presents with sudden weakness while walking to the bathroom. She has hypertension and hyperlipidemia. Examination shows 1 out of 5 strength in the left leg,…
- USMLE Step 1 · easy36. A 72 year old man is brought to the emergency department 45 minutes after sudden onset of slurred speech and inability to move his right arm. He has a history of atrial fibrilla…
- USMLE Step 1 · hard37. A 68-year-old man with atrial fibrillation not on anticoagulation presents with sudden, painless loss of vision in his left eye. Vital signs: BP 158/92 mmHg, HR 98 bpm (irregula…
- USMLE Step 1 · hard38. A 28-week premature infant presents on day 2 of life with seizures, a bulging anterior fontanelle, and recurrent apneic episodes. Vital signs show HR 165 bpm, RR 48/min, BP 45/2…
- USMLE Step 1 · medium39. A 76-year-old man presents with progressive wide-based gait, urinary incontinence, and memory impairment over 6 months. Vital signs: BP 160/90 mmHg, HR 78/min, RR 16/min, T 37°C…
- USMLE Step 1 · medium40. A 44-year-old woman develops sudden severe occipital headache while exercising, describing it as the worst headache of her life. She is febrile (38.2°C), hypertensive (168/98 mm…
- USMLE Step 1 · hard41. An 81-year-old man with cerebral atrophy falls at home and strikes his head. Two weeks later, he presents with progressive confusion, headache, and gait disturbance. Vital signs…
- USMLE Step 1 · hard42. A 17-year-old boy is struck in the temple during a baseball game and briefly loses consciousness. He regains alertness and feels well for an hour, then becomes increasingly somn…
- USMLE Step 1 · hard43. A 58-year-old woman with hypertension presents after sudden collapse. Vital signs: BP 168/94 mmHg, HR 102, RR 18, temp 37.2°C, SpO2 98%. She is awake and alert with intact verti…
- USMLE Step 1 · hard44. A 62-year-old man with hypertension presents with sudden onset vertigo and vomiting. Vital signs: BP 168/94, HR 88, RR 16, Temp 37.2°C, SpO2 98%. Examination reveals right facia…
- USMLE Step 1 · hard45. A 70-year-old man with hypertension presents with sudden-onset left arm and leg weakness and loss of left-sided proprioception. Vital signs: BP 168/95 mmHg, HR 88/min, RR 16/min…
- USMLE Step 1 · medium46. A 57-year-old woman with hypertension presents with sudden onset vertigo, vomiting, hoarseness, and dysphagia. Vital signs show BP 168/94, HR 88, RR 16, Temp 37.2°C, SpO2 98%. E…
- USMLE Step 1 · medium47. A 59-year-old hypertensive man presents with sudden-onset pure motor weakness of the left face, arm, and leg. Vital signs show BP 168/94 mmHg, HR 88/min, RR 16/min, temperature…
- USMLE Step 1 · medium48. A 64-year-old hypertensive man on aspirin presents with sudden loss of vision on the left side in both eyes while reading. Vital signs show BP 168/94 mmHg, HR 88/min, RR 16/min,…