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 · hard25. A 54-year-old man with uncontrolled hypertension presents with progressive exertional dyspnea and hoarseness. Vital signs show BP 168/95 mmHg, HR 102/min, RR 20/min, SpO2 96% on…
- USMLE Step 1 · medium26. A 58-year-old man with long-standing uncontrolled hypertension presents with abrupt onset of severe tearing chest pain radiating to the back. Vital signs show BP 185/110 mmHg (r…
- USMLE Step 1 · hard27. A 66 year old man presents 2 months after a large anterior myocardial infarction because of persistent fatigue and exertional dyspnea. ECG shows persistent ST segment elevation…
- USMLE Step 1 · medium28. A 61-year-old woman presents 6 weeks after anterior myocardial infarction with low-grade fever (38.2°C), sharp pleuritic chest pain improved by leaning forward, and malaise. Vit…
- USMLE Step 1 · medium29. A 70-year-old man presents with hypotension four days following an anterior myocardial infarction. Vital signs show BP 85/52 mmHg, HR 118/min, RR 22/min, temperature 37.2°C, and…
- USMLE Step 1 · medium30. A 63-year-old man develops acute shortness of breath 3 days after an inferior wall myocardial infarction. He presents with BP 92/58, HR 118/min, RR 28/min, and SpO2 82% on room…
- USMLE Step 1 · hard31. A 68-year-old woman hospitalized 5 days post-transmural myocardial infarction presents with acute hemodynamic collapse. Vital signs show BP 70/45 mmHg, HR 120/min, RR 22/min, te…
- USMLE Step 1 · hard32. A 58-year-old man presents with progressive abdominal distention and lower extremity edema 10 years after mediastinal radiation therapy for lymphoma. Vitals show BP 128/92 mmHg,…
- USMLE Step 1 · medium33. A 41-year-old woman presents to the emergency department following a stab wound to the left anterior chest. She reports dyspnea and anxiety. Vital signs: BP 82/54 mm Hg, HR 118/…
- USMLE Step 1 · medium34. A 68-year-old man with prior anterior myocardial infarction presents with exertional dyspnea, orthopnea, and bilateral ankle edema. Vital signs show BP 128/82 mmHg, HR 94 bpm, R…
- USMLE Step 1 · medium35. A 67-year-old man presents with progressive exertional dyspnea and bilateral lower extremity edema. Vital signs show BP 148/92 mmHg, HR 92 bpm, RR 18, temperature 37.2°C, and Sp…
- USMLE Step 1 · medium36. A 30-year-old woman presents 2 months postpartum with progressive dyspnea, orthopnea, and bilateral lower extremity edema. Vital signs show BP 128/82 mmHg, HR 102 bpm, RR 18/min…
- USMLE Step 1 · medium37. A 31 year old man who injects heroin presents with fever, pleuritic chest pain, and shortness of breath. Examination shows a new holosystolic murmur at the left lower sternal bo…
- USMLE Step 1 · medium38. A 12 year old boy is brought to the clinic because of fever and migratory pain in both knees and ankles. Three weeks ago he had a sore throat that was not treated. Examination r…
- USMLE Step 1 · hard39. A full-term newborn develops cyanosis (SpO2 78%), tachypnea (RR 68), and hepatomegaly within hours of birth. Heart rate is 165 bpm; blood pressure is normal. The mother took lit…
- USMLE Step 1 · medium40. A 34 year old woman develops sudden right arm weakness and aphasia that resolve within 30 minutes. She has no vascular risk factors, but she recently completed a long internatio…
- USMLE Step 1 · hard41. A 29 year old woman with a childhood history of an unrepaired congenital heart defect now reports progressive dyspnea and cyanosis. Examination shows digital clubbing and a loud…
- USMLE Step 1 · easy42. A 3-month-old boy presents with poor feeding and tachypnea for 2 weeks. Vital signs show HR 160 bpm, RR 52/min, BP 85/55 mmHg, SpO2 94% on room air, and normal temperature. Phys…
- USMLE Step 1 · easy43. A 7-year-old girl presents for evaluation of an incidental systolic murmur discovered on routine physical examination. She reports normal exercise tolerance and denies dyspnea o…
- USMLE Step 1 · easy44. A 15 year old girl is evaluated for headaches and leg fatigue with exercise. Blood pressure in the arms is 162/88 mm Hg and in the legs is 108/66 mm Hg. Femoral pulses are weak…
- USMLE Step 1 · medium45. A 3-week-old infant presents with tachypnea, poor feeding, and failure to gain weight. Vital signs show heart rate 165 bpm, respiratory rate 58/min, blood pressure 65/40 mmHg, a…
- USMLE Step 1 · medium46. A full term newborn develops profound cyanosis within hours of birth. The infant of a mother with poorly controlled diabetes remains severely hypoxemic despite supplemental oxyg…
- USMLE Step 1 · easy47. A 9-month-old male presents with cyanotic episodes triggered by crying during venipuncture. The mother reports the infant assumes a characteristic squatting position that reliev…
- USMLE Step 1 · easy48. A 2-month-old girl presents with poor feeding and diaphoresis during feeds. Maternal history reveals rubella infection during pregnancy. Vital signs show HR 160/min, RR 48/min,…