Heart Failure USMLE Step 1 Practice Questions
56 board-style USMLE Step 1 questions in Cardiovascular. Each question shows the correct answer; create a free account for the full explanation and adaptive practice.
- USMLE Step 1 · medium1. A 62-year-old woman with a 10-year history of hypertension presents to the emergency department with progressive dyspnea on exertion over the past 3 months, orthopnea requiring…
- USMLE Step 1 · medium2. A 62-year-old man with a history of hypertension and anterior wall myocardial infarction 2 years ago presents to the emergency department with a 3-week history of progressive dy…
- USMLE Step 1 · medium3. A 62-year-old man with a 10-year history of hypertension presents to the clinic complaining of progressive dyspnea on exertion for 3 months, waking at night short of breath, and…
- USMLE Step 1 · medium4. A 62-year-old man with a 10-year history of hypertension presents with progressive dyspnea on exertion, orthopnea, and bilateral ankle edema over the past 3 months. Physical exa…
- USMLE Step 1 · medium5. A 72-year-old man with a 10-year history of hypertension presents with progressive dyspnea on exertion, orthopnea, and lower extremity edema. Physical examination reveals a late…
- USMLE Step 1 · medium6. A 17-year-old competitive basketball player presents with exertional syncope and dyspnea on exertion. Vital signs show BP 118/76 mmHg, HR 92 bpm, RR 18, and SpO2 98% on room air…
- USMLE Step 1 · hard7. A 23-year-old male collapses during intense exercise. Vital signs reveal HR 118/min, BP 92/58 mmHg, RR 22/min, SpO2 94% on room air. ECG demonstrates T-wave inversions in V1–V3…
- USMLE Step 1 · medium8. A 22 year old man has exertional syncope during sprinting. His uncle died suddenly at age 30. Cardiac examination reveals a harsh systolic murmur at the left sternal border. The…
- USMLE Step 1 · medium9. A 63-year-old man with ischemic cardiomyopathy presents with progressive exertional dyspnea and orthopnea. Vital signs show BP 118/76 mmHg, HR 102 bpm, RR 22/min, and SpO2 88% o…
- USMLE Step 1 · medium10. A 76-year-old woman with a 20-year history of hypertension presents with progressive exertional dyspnea and orthopnea for 3 months. She takes lisinopril but remains non-adherent…
- USMLE Step 1 · hard11. A 34 year old woman develops fatigue, dyspnea on exertion, and bounding peripheral pulses several months after creation of a large arteriovenous fistula for hemodialysis access.…
- USMLE Step 1 · medium12. A 19 year old man collapses during basketball practice and is successfully resuscitated. His father died suddenly at age 32. Electrocardiogram shows ventricular tachycardia with…
- USMLE Step 1 · medium13. A 64 year old woman comes to the emergency department because of sudden substernal chest pain and shortness of breath that began after attending her husband's funeral. Electroca…
- USMLE Step 1 · hard14. A term newborn develops tachypnea and cyanosis shortly after birth. The infant aspirated meconium during delivery. Echocardiography shows no structural heart defect, but pulmona…
- USMLE Step 1 · hard15. A 23-year-old man with chronic sinusitis, recurrent childhood otitis media, and infertility presents with a chronic productive cough and progressive dyspnea. Vital signs: BP 118…
- USMLE Step 1 · medium16. A 3-month-old male with trisomy 21 presents with poor feeding and failure to thrive. Vital signs show HR 156 bpm, RR 48/min, BP 82/56 mmHg, and SpO2 94% on room air. Physical ex…
- USMLE Step 1 · medium17. A 63-year-old man with long-standing poorly controlled hypertension (BP 168/102 mmHg, HR 88 bpm) presents for routine follow-up. He denies dyspnea or orthopnea. Cardiac examinat…
- USMLE Step 1 · hard18. A 22-year-old previously healthy student who has been studying all night stands up quickly and experiences brief dizziness. Vital signs show BP 92/58 mmHg, HR 118/min, RR 16/min…
- USMLE Step 1 · medium19. A 76-year-old man with a history of heart failure and atrial fibrillation presents with dyspnea and peripheral edema. Vital signs show BP 148/92 mmHg, HR 118 bpm, RR 22/min, and…
- USMLE Step 1 · hard20. A 70-year-old man presents with hypotension (BP 85/52 mmHg), tachycardia (HR 118/min), and cool, clammy extremities several hours after a large anterior myocardial infarction. P…
- USMLE Step 1 · medium21. A 26-year-old woman with a 2-year history of recurrent episodes presents with fingers turning white, then blue, then red upon cold exposure. Episodes are painful and resolve wit…
- USMLE Step 1 · medium22. A 34-year-old male with a 20 pack-year smoking history presents with severe pain in his fingers and toes. Vital signs show BP 128/82 mmHg, HR 92 bpm, RR 16, temp 37.2°C, SpO2 98…
- USMLE Step 1 · medium23. A 67-year-old man with hypertension controlled on lisinopril presents with bilateral calf claudication after walking two blocks, relieved by rest. Vital signs show BP 158/92 mmH…
- USMLE Step 1 · medium24. A 74-year-old man with a 50 pack-year smoking history and hypertension presents for routine follow-up. Vital signs show BP 158/92 mmHg, HR 88 bpm, RR 16, temp 37°C. On abdominal…