COPD USMLE Step 1 Practice Questions
55 board-style USMLE Step 1 questions in Pulmonology. Each question shows the correct answer; create a free account for the full explanation and adaptive practice.
- USMLE Step 1 · easy1. A 62-year-old man with moderate COPD presents with persistent dyspnea during daily activities despite 3 months of tiotropium monotherapy and good adherence. Vital signs: BP 138/…
- USMLE Step 1 · medium2. A 65-year-old man with a 40-pack-year smoking history and known emphysematous changes on prior imaging presents to the emergency department with acute-onset pleuritic chest pain…
- USMLE Step 1 · medium3. A 72-year-old man with a 50-pack-year smoking history and COPD (GOLD Stage 3, FEV1 32% predicted) presents to the emergency department with acute worsening dyspnea over 2 days.…
- USMLE Step 1 · medium4. A 68-year-old man with a 45-pack-year smoking history presents to clinic with progressive dyspnea on exertion over the past 2 years. He reports a chronic productive cough with c…
- USMLE Step 1 · medium5. A 63-year-old male with a 45 pack-year smoking history and COPD presents with progressive cough, unintentional weight loss, and acute confusion. Vital signs show BP 138/82, HR 1…
- USMLE Step 1 · medium6. A 59-year-old male smoker with COPD (FEV1 32% predicted) presents with acute severe left shoulder pain radiating down the medial arm. Vital signs: BP 158/92, HR 104, RR 22, SpO2…
- USMLE Step 1 · medium7. A 72-year-old retired insulation worker presents with progressive dyspnea and pleuritic chest pain. Vital signs show BP 142/88 mmHg, HR 98/min, RR 22/min, and SpO2 88% on room a…
- USMLE Step 1 · easy8. A 25-year-old man with COPD on home BiPAP presents with acute onset dyspnea and hypotension (BP 88/52). Vital signs show HR 128/min, RR 28/min, SpO2 78% on supplemental oxygen,…
- USMLE Step 1 · medium9. A 70-year-old man with a 15-year history of COPD and systolic heart failure (EF 35%) presents with progressive dyspnea. Vital signs: BP 148/92, HR 102, RR 24, SpO2 88% on room a…
- USMLE Step 1 · hard10. A 39-year-old man with severe asthma presents with fever (38.5°C), sinus pain, and hemoptysis. Vital signs show BP 128/82 mmHg, HR 102/min, RR 22/min, SpO2 94% on room air. He r…
- USMLE Step 1 · hard11. A 46-year-old woman presents with chronic sinusitis, recurrent otitis media, and hemoptysis. She reports progressive dyspnea and denies tobacco use. Vital signs: BP 148/92, HR 1…
- USMLE Step 1 · medium12. A 27-year-old man presents with hemoptysis, fatigue, and cola-colored urine. Vital signs show BP 142/88 mmHg, HR 98/min, RR 22/min, SpO2 92% on room air. Serum creatinine is 2.1…
- USMLE Step 1 · medium13. A 29 year old woman has progressive exertional dyspnea, chest discomfort, and near syncope. Examination shows a loud pulmonic component of the second heart sound. Right heart ca…
- USMLE Step 1 · hard14. A 32-year-old woman with no prior pulmonary history develops acute severe dyspnea, hypotension (BP 88/52), tachycardia (HR 128), and cyanosis (SpO2 88%) during labor shortly aft…
- USMLE Step 1 · medium15. A 23-year-old man is hospitalized for a femoral shaft fracture from a motorcycle collision. Thirty-six hours later, he develops acute dyspnea, confusion, and a petechial rash ov…
- USMLE Step 1 · easy16. A 62-year-old woman with COPD on postoperative day 4 following total hip replacement presents with acute dyspnea, pleuritic chest pain, and tachycardia. Vital signs show HR 112…
- USMLE Step 1 · medium17. A 2-year-old boy presents with fever (38.5°C), hoarse voice, and barking cough worse at night with inspiratory stridor. Vital signs show HR 115/min, RR 28/min, SpO2 98% on room…
- USMLE Step 1 · easy18. A 5-month-old boy presents to the emergency department in winter with cough, wheezing, poor feeding, and increased work of breathing. He attends daycare. Vital signs show temper…
- USMLE Step 1 · medium19. A 38-year-old man with untreated HIV (CD4 count 85/μL) presents with subacute fever, dry cough, and progressive dyspnea over 3 weeks. Vital signs show temperature 38.2°C, heart…
- USMLE Step 1 · hard20. A 42-year-old man from Wisconsin presents with a 3-month history of productive cough, unintentional weight loss, and a verrucous skin lesion on his forearm. Vital signs show tem…
- USMLE Step 1 · medium21. A 36-year-old woman presents with a 2-week history of fever, productive cough, and pleuritic chest pain following travel to Arizona. Vital signs show temperature 38.5°C, heart r…
- USMLE Step 1 · medium22. A 29-year-old man presents with a 2-week productive cough, fever to 38.5°C, and dyspnea after cleaning an abandoned chicken coop in the Ohio River Valley. Vital signs show HR 10…
- USMLE Step 1 · hard23. A 7 year old boy recently immigrated from an area with high tuberculosis prevalence. He is asymptomatic but has a positive tuberculin skin test. Chest x-ray shows a small calcif…
- USMLE Step 1 · medium24. A 49-year-old man with untreated HIV presents with fever (38.5°C), night sweats, and hemoptysis. He reports a 3-month history of progressive weight loss and denies current cough…