Chronic Kidney Disease USMLE Step 1 Practice Questions
66 board-style USMLE Step 1 questions in Nephrology. Each question shows the correct answer; create a free account for the full explanation and adaptive practice.
- USMLE Step 1 · medium49. A 29-year-old woman develops polydipsia and polyuria 2 days after transsphenoidal pituitary adenoma resection. Vital signs show HR 98/min, BP 132/84 mmHg, RR 16/min. Serum sodiu…
- USMLE Step 1 · medium50. A 44-year-old man with bipolar disorder on lithium for 5 years presents with polydipsia and polyuria. Vital signs: BP 138/85, HR 92, RR 16, Temp 37°C, SpO2 98%. Serum sodium is…
- USMLE Step 1 · hard51. A 17-year-old boy presents with severe hypertension (BP 160/105 mmHg) discovered during a sports physical. Vital signs show HR 88 bpm, RR 16, temperature 37°C. Laboratory studie…
- USMLE Step 1 · medium52. A 19-year-old woman presents with progressive muscle cramps and weakness. Vital signs: BP 104/64 mmHg, HR 92/min, RR 16/min, temp 37°C. Labs reveal serum potassium 2.8 mEq/L, pH…
- USMLE Step 1 · medium53. A 12-year-old boy presents with progressive muscle weakness and poor growth. Vital signs show BP 118/76 mmHg, HR 94/min, RR 18/min, temperature 37°C, and SpO2 98% on room air. L…
- USMLE Step 1 · medium54. A 64 year old man with long standing diabetes mellitus is evaluated for progressive weakness. Blood pressure is 148/88 mm Hg. Laboratory studies show potassium 6.0 mEq/L, bicarb…
- USMLE Step 1 · medium55. A 31-year-old man presents with progressive weakness and fatigue. Vital signs: BP 138/88 mmHg, HR 92/min, RR 16/min, Temp 37°C, SpO2 98%. Laboratory studies reveal normal anion…
- USMLE Step 1 · medium56. A 23-year-old woman presents with fatigue and recurrent nephrolithiasis. Vital signs show BP 128/82 mmHg, HR 88/min, RR 16/min, temperature 37°C. Laboratory studies reveal norma…
- USMLE Step 1 · medium57. A 14-year-old boy presents with recurrent renal colic and hematuria. Vital signs show BP 118/76 mmHg, HR 88/min, RR 16/min, temperature 37.2°C. Urine microscopy reveals hexagona…
- USMLE Step 1 · easy58. A 47-year-old woman with recurrent urinary tract infections presents with persistent bilateral flank discomfort. Vital signs: BP 142/88 mmHg, HR 88/min, RR 16/min, Temp 37.2°C,…
- USMLE Step 1 · medium59. A 56-year-old man with acute myeloid leukemia develops severe bilateral flank pain and oliguria 3 days after induction chemotherapy. Vital signs: BP 158/92 mmHg, HR 102/min, RR…
- USMLE Step 1 · medium60. A 45 year old man comes to the emergency department with sudden severe right flank pain radiating to the groin. He has a history of Crohn disease and multiple small bowel resect…
- USMLE Step 1 · medium61. A 61 year old man presents with gross hematuria, weight loss, and dull flank pain. He has a 40 pack year smoking history. Examination reveals a left sided varicocele that does n…
- USMLE Step 1 · easy62. A 3-year-old girl presents with a painless left flank mass discovered by her mother during bathing. Vital signs show BP 110/68 mmHg, HR 98/min, RR 22/min, temperature 37.2°C, an…
- USMLE Step 1 · medium63. A newborn boy presents with severe respiratory distress (RR 68/min, SpO2 78% on room air) shortly after birth. Prenatal ultrasound demonstrated oligohydramnios and bilaterally e…
- USMLE Step 1 · medium64. A 38 year old woman presents with early satiety, flank discomfort, and episodic gross hematuria. Her father required dialysis in his 50s. Blood pressure is 156/92 mm Hg. Abdomin…
- USMLE Step 1 · medium65. A 57 year old woman with a 20 year history of type 2 diabetes mellitus comes for follow up. She has diabetic retinopathy and peripheral neuropathy. Urine albumin excretion has p…
- USMLE Step 1 · medium66. A 15-year-old boy presents with persistent microscopic hematuria discovered on routine urinalysis. He is hypertensive (BP 145/92 mmHg) with normal renal function (creatinine 0.9…