Glomerular Diseases USMLE Step 1 Practice Questions
56 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 · hard25. A 32-year-old man presents with progressive bilateral sensorineural hearing loss and progressive vision changes. Laboratory evaluation reveals persistent hematuria, proteinuria…
- USMLE Step 1 · easy26. A 24-year-old woman with no significant past medical history presents to clinic with 3 weeks of progressive lower extremity edema and foamy urine. She denies recent infections,…
- USMLE Step 1 · hard27. A 62-year-old woman with a history of systemic sclerosis presents with acute kidney injury, hypertension (200/120 mmHg), and microangiopathic hemolytic anemia. Serum creatinine…
- USMLE Step 1 · medium28. A 35-year-old man with systemic lupus erythematosus presents with hematuria and dysuria. Vital signs show BP 145/92 mmHg, HR 88/min, RR 16/min, temperature 37.2°C, SpO2 98%. Uri…
- USMLE Step 1 · medium29. A 45-year-old woman with a 15-year history of type 2 diabetes presents with nephrotic syndrome. Vital signs: BP 154/92 mmHg, HR 88 bpm, RR 16, Temp 37°C, SpO2 98%. Labs reveal p…
- USMLE Step 1 · medium30. A 28-year-old man presents with a 3-week history of gross hematuria following an upper respiratory infection. He reports mild flank discomfort but denies arthralgia, abdominal p…
- USMLE Step 1 · easy31. A 32-year-old woman presents 2 weeks after pharyngitis with gross hematuria, periorbital edema, and hypertension (BP 148/92 mmHg, HR 88, RR 16, Temp 37.2°C, SpO2 98%). Urinalysi…
- USMLE Step 1 · easy32. A 43-year-old woman presents with progressive generalized edema and weight gain. Vital signs show BP 138/88 mmHg, HR 88 bpm, RR 16, temperature 37°C, SpO2 98% on room air. Urina…
- USMLE Step 1 · medium33. A 46-year-old man with type 2 diabetes and diabetic nephropathy presents with persistent albuminuria despite HbA1c of 6.8%. Vital signs: BP 148/92 mmHg, HR 88/min, RR 16/min, Te…
- USMLE Step 1 · medium34. A 55-year-old man with chronic hepatitis C infection presents with peripheral edema and hematuria. Vital signs show BP 158/94 mmHg, HR 88/min, RR 16/min, and temperature 37.2°C.…
- USMLE Step 1 · medium35. A 44-year-old man with chronic hepatitis B infection presents with progressive bilateral lower extremity edema and frothy urine for 3 weeks. Vital signs: BP 148/92 mmHg, HR 88/m…
- USMLE Step 1 · medium36. A 3-year-old boy presents with periorbital and pedal edema. Vital signs show BP 95/60 mmHg, HR 102/min, RR 22/min, temperature 37.2°C, and SpO2 98% on room air. Urinalysis demon…
- USMLE Step 1 · medium37. A 51-year-old man with biopsy-confirmed membranous nephropathy presents with sudden left flank pain and gross hematuria. Vital signs: BP 156/94, HR 102, RR 18, Temp 37.2°C, SpO2…
- USMLE Step 1 · medium38. A 24-year-old woman with photosensitivity, oral ulcers, and polyarthritis presents with hematuria and proteinuria. Vital signs show BP 138/88 mmHg, HR 92/min, RR 16/min, tempera…
- USMLE Step 1 · hard39. A 13-year-old boy presents with periorbital and lower extremity edema. Vital signs reveal BP 142/88 mmHg, HR 88/min, RR 18/min, and Temp 37.2°C. Urinalysis shows hematuria and p…
- USMLE Step 1 · medium40. A 16-year-old girl presents with facial edema and cola-colored urine for 2 weeks. Vital signs show BP 148/92 mmHg, HR 88 bpm, RR 16, temp 37°C, SpO2 98%. Serum creatinine is 1.2…
- USMLE Step 1 · medium41. A 22-year-old woman with a family history of benign hematuria presents with persistent microscopic hematuria on routine urinalysis. Vital signs are normal (BP 118/76, HR 72, RR…
- USMLE Step 1 · medium42. A 14-year-old boy presents with persistent hematuria and progressive high-frequency sensorineural hearing loss. Ophthalmologic examination reveals anterior lenticonus. Vital sig…
- USMLE Step 1 · hard43. A 58-year-old woman with recurrent sinusitis and hemoptysis presents with rapidly progressive renal failure. Vital signs: BP 152/94 mmHg, HR 102, RR 22, Temp 37.2°C, SpO2 94% on…
- USMLE Step 1 · medium44. A 27-year-old man presents with hemoptysis and cola-colored urine. Vital signs show BP 148/92 mmHg, HR 102/min, RR 20/min, SpO2 94% on room air. Chest imaging reveals diffuse al…
- USMLE Step 1 · medium45. A 42-year-old man comes to the emergency department because of fatigue, dark urine, and reduced urine output for 1 week. Serum creatinine has risen from 1.0 mg/dL to 3.9 mg/dL i…
- USMLE Step 1 · medium46. A 65-year-old man with multiple myeloma presents with progressive lower extremity edema. Vital signs reveal BP 142/88 mmHg, HR 88/min, RR 16/min, temperature 37.2°C, and SpO2 98…
- USMLE Step 1 · easy47. A 57-year-old man with poorly controlled type 2 diabetes mellitus for 20 years presents with bilateral ankle edema. Vital signs: BP 156/94 mmHg, HR 88, RR 16, Temp 37°C. Urinaly…
- USMLE Step 1 · medium48. A 63-year-old man with a 45 pack-year smoking history presents with nephrotic syndrome. Vital signs show BP 142/88 mmHg, HR 88/min, RR 16/min, temperature 37.2°C, and SpO2 98% o…