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 Ā· easy25. A 64-year-old man with COPD presents with fever (39.2Ā°C), cough, confusion, and diarrhea after returning from a hotel conference. Vital signs show HR 104/min, BP 118/72 mmHg, RRā¦
- USMLE Step 1 Ā· medium26. A 20-year-old college student presents with a 6-day history of low-grade fever (38.2Ā°C), headache, malaise, and persistent dry cough. Vital signs show HR 102/min, RR 24/min, BPā¦
- USMLE Step 1 Ā· medium27. A 58 year old man with alcohol use disorder is brought to the hospital after being found unconscious. One week later he develops fever, productive cough with foul smelling sputuā¦
- USMLE Step 1 Ā· easy28. A 47-year-old man with acute pancreatitis develops acute respiratory distress two days after admission. He presents with dyspnea, hypoxemia (SpO2 78% on room air), and bilateralā¦
- USMLE Step 1 Ā· medium29. A 66-year-old male smoker presents with 2 years of progressive exertional dyspnea and dry cough. Vital signs show BP 138/82, HR 92, RR 18, SpO2 88% on room air. Examination reveā¦
- USMLE Step 1 Ā· medium30. A 35-year-old African American woman presents with a 3-week dry cough, fatigue, and painful red nodules on her anterior shins. Vital signs: BP 118/76, HR 88, RR 16, Temp 37.2Ā°C,ā¦
- USMLE Step 1 Ā· hard31. A 43-year-old woman who breeds pigeons presents with intermittent fever (38.2Ā°C), cough, and dyspnea developing several hours after cleaning bird cages. Vital signs show HR 102,ā¦
- USMLE Step 1 Ā· medium32. A 63-year-old male coal miner with 40-year smoking history presents with chronic productive cough and exertional dyspnea. Vital signs: BP 142/88, HR 94, RR 22, SpO2 88% on roomā¦
- USMLE Step 1 Ā· medium33. A 58-year-old male sandblaster with 30-year exposure history presents with progressive dyspnea, cough, and chest tightness over 6 months. Vital signs: BP 138/88 mmHg, HR 102/minā¦
- USMLE Step 1 Ā· medium34. A 67-year-old retired shipyard worker presents with progressive exertional dyspnea and dry cough for 18 months. Vital signs show BP 138/82, HR 98, RR 22, SpO2 88% on room air. Bā¦
- USMLE Step 1 Ā· hard35. A 48-year-old woman with severe obesity and a 40 pack-year smoking history presents with morning headaches and daytime somnolence. Vital signs show BP 148/92 mmHg, HR 102 bpm, Rā¦
- USMLE Step 1 Ā· medium36. A 52-year-old obese man with hypertension presents with loud snoring, witnessed apneic episodes during sleep, and excessive daytime somnolence. Vital signs show BP 158/92 mmHg,ā¦
- USMLE Step 1 Ā· medium37. A 3-week-old male infant presents with abdominal distension, failure to pass meconium within 48 hours of life, and now exhibits recurrent cough with poor weight gain. Vital signā¦
- USMLE Step 1 Ā· hard38. A 6-year-old boy presents with failure to thrive, recurrent sinopulmonary infections, and bulky, foul-smelling stools despite adequate caloric intake. Vital signs show HR 110/miā¦
- USMLE Step 1 Ā· hard39. A 17 year old boy with cystic fibrosis has worsening wheezing and cough despite adherence to airway clearance therapy. He has low grade fever, eosinophilia, and markedly elevateā¦
- USMLE Step 1 Ā· medium40. A 22-year-old woman presents with chronic productive cough producing large volumes of foul-smelling sputum and recurrent pneumonia since childhood. Vital signs: BP 118/76, HR 92ā¦
- USMLE Step 1 Ā· easy41. A 68-year-old man with a 50 pack-year smoking history presents with progressive dyspnea and 12-pound weight loss over three months. Vital signs show BP 142/88, HR 102, RR 22, Spā¦
- USMLE Step 1 Ā· medium42. A 61 year old man presents with chronic productive cough for several years and worsening dyspnea. He has smoked 1.5 packs of cigarettes daily since age 18. Physical examinationā¦
- USMLE Step 1 Ā· medium43. A 33 year old man has progressive dyspnea and decreased exercise tolerance. He has never smoked. Physical examination shows hyperresonance to percussion and decreased breath souā¦
- USMLE Step 1 Ā· medium44. A 40 year old man is found unconscious in his garage with the car engine running. In the emergency department he is confused and reports headache. Pulse oximetry reads 99 percenā¦
- USMLE Step 1 Ā· hard45. A 59 year old man has progressive exertional dyspnea and dry cough for 1 year. He worked in construction and now has bibasilar end inspiratory crackles. Pulmonary function testiā¦
- USMLE Step 1 Ā· medium46. A 34-year-old woman presents with sudden pleuritic chest pain and dyspnea 5 days post-cesarean delivery. Vital signs show HR 110 bpm, RR 24/min, BP 128/82 mmHg, SpO2 88% on roomā¦
- USMLE Step 1 Ā· medium47. A 26 year old man travels from Boston to a ski resort in Colorado at 3200 meters above sea level. On the first day he develops headache and tachypnea. Two days later his tissuesā¦
- USMLE Step 1 Ā· medium48. A 24-year-old man on mechanical ventilation post-motor vehicle collision presents with BP 118/76, HR 92, RR 16 (set), temp 37.2Ā°C, and SpO2 98% on FiO2 0.4. Measured minute ventā¦