Inflammatory Bowel Disease USMLE Step 1 Practice Questions
50 board-style USMLE Step 1 questions in Gastroenterology. Each question shows the correct answer; create a free account for the full explanation and adaptive practice.
- USMLE Step 1 Ā· medium25. A 71-year-old man presents with painless large-volume hematochezia. Vital signs show BP 128/76, HR 92, RR 16, temperature 37.2Ā°C, SpO2 98%. He reports chronic constipation but dā¦
- USMLE Step 1 Ā· hard26. A 68-year-old woman with peripheral artery disease and hypertension presents with severe crampy abdominal pain onset 30 minutes postprandially for 2 months. She has lost 8 kg duā¦
- USMLE Step 1 Ā· medium27. A 23-year-old woman with a 2-year history of abdominal pain and nonbloody diarrhea presents with 8-pound weight loss. Vital signs: BP 118/76, HR 88, RR 16, Temp 37.2Ā°C, SpO2 98%ā¦
- USMLE Step 1 Ā· hard28. A 60-year-old woman presents with a 3-month history of episodic facial flushing, watery diarrhea, and wheezing. Vital signs show BP 128/82 mmHg, HR 102 bpm, RR 18/min, temp 37.2ā¦
- USMLE Step 1 Ā· hard29. A 55-year-old man with a 3-month history of chronic diarrhea and 12-lb weight loss presents with migratory arthralgias and progressive confusion. Vital signs show BP 128/76, HRā¦
- USMLE Step 1 Ā· easy30. A 19-year-old college student presents with acute-onset bloating, abdominal cramping, and watery diarrhea after consuming milkshakes. Vital signs: BP 118/76, HR 88, RR 16, Tempā¦
- USMLE Step 1 Ā· medium31. A 24-year-old woman presents with a 3-month history of chronic diarrhea, bloating, and fatigue. She reports a pruritic blistering rash on extensor surfaces of her elbows. Vitalā¦
- USMLE Step 1 Ā· medium32. An 11-month-old boy presents with sudden onset intermittent episodes of severe crying and leg-drawing posture. He has vomited twice and passed bloody, mucus-laden stools. Vitalā¦
- USMLE Step 1 Ā· medium33. A full-term male newborn presents with progressive abdominal distention and bilious vomiting; meconium has not been passed by 48 hours of life. Vital signs show HR 145/min, RR 3ā¦
- USMLE Step 1 Ā· easy34. A 4-year-old boy presents to the emergency department with painless maroon-colored stools for 2 days. Vital signs show BP 95/60, HR 110, RR 22, temperature 37.2Ā°C, and SpO2 98%ā¦
- USMLE Step 1 Ā· medium35. A 42-year-old woman presents with abnormal uterine bleeding. Vital signs show BP 128/82, HR 88, RR 16, Temp 37.2Ā°C, SpO2 98% on room air. Endometrial biopsy confirms adenocarcinā¦
- USMLE Step 1 Ā· medium36. A 19-year-old woman presents with abdominal pain and diarrhea. Colonoscopy reveals hundreds of adenomatous polyps throughout the colon. Vital signs show BP 118/76 mmHg, HR 88 bpā¦
- USMLE Step 1 Ā· hard37. A 76-year-old man with severe aortic stenosis and stage 3 chronic kidney disease presents with recurrent episodes of painless maroon-colored stools and chronic iron deficiency aā¦
- USMLE Step 1 Ā· medium38. A 65-year-old man with a 12-year history of ulcerative colitis presents with fever (38.5Ā°C), left lower quadrant pain, and nausea. Vital signs show BP 128/76 mmHg, HR 92/min, RRā¦
- USMLE Step 1 Ā· medium39. A 3-day-old premature infant born at 28 weeks gestation presents with abdominal distension, feeding intolerance, and lethargy. Vital signs show temperature 36.8Ā°C, heart rate 16ā¦
- USMLE Step 1 Ā· easy40. A full-term newborn presents with abdominal distension and failure to pass meconium beyond 48 hours of life. Vital signs show HR 145/min, RR 48/min, temperature 37.2Ā°C. Physicalā¦
- USMLE Step 1 Ā· medium41. A 30-year-old man presents with 4 months of bloody diarrhea, tenesmus, and lower abdominal cramping. Vital signs show BP 128/82 mmHg, HR 92/min, RR 16/min, temperature 37.2Ā°C, aā¦
- USMLE Step 1 Ā· medium42. A 24-year-old woman presents with a 3-month history of chronic diarrhea, crampy abdominal pain, and 6-kg weight loss. Vital signs show BP 118/76, HR 92, RR 16, temperature 37.2Ā°ā¦
- USMLE Step 1 Ā· medium43. A 3-year-old boy presents with painless maroon-colored rectal bleeding and abdominal pain. Vital signs show BP 95/60, HR 102/min, RR 22/min, temperature 37.2Ā°C, and SpO2 98% onā¦
- USMLE Step 1 Ā· easy44. A 10-month-old boy presents with episodic severe colicky abdominal pain and leg flexion, followed by bilious vomiting and lethargy. Vitals show HR 128/min, RR 26/min, BP 95/60 mā¦
- USMLE Step 1 Ā· medium45. A 49-year-old man with a 20-year history of heavy alcohol use presents with chronic epigastric pain, greasy foul-smelling stools, and 8-kg weight loss over 6 months. Vital signsā¦
- USMLE Step 1 Ā· medium46. A 50-year-old man presents with a 3-month history of chronic diarrhea, progressive weight loss, and migratory arthralgias. On examination, he is febrile (38.5Ā°C), tachycardic (1ā¦
- USMLE Step 1 Ā· medium47. A 24-year-old man presents with bloating, crampy abdominal pain, and diarrhea following ice cream consumption after recent viral gastroenteritis. Vital signs show HR 88 bpm, BPā¦
- USMLE Step 1 Ā· easy48. A 16-year-old girl is evaluated for chronic fatigue, bloating, intermittent diarrhea, and poor weight gain. Laboratory studies show iron deficiency anemia. She has a pruritic veā¦