Movement Disorders USMLE Step 1 Practice Questions
54 board-style USMLE Step 1 questions in Neurology. Each question shows the correct answer; create a free account for the full explanation and adaptive practice.
- USMLE Step 1 · medium1. A 28-year-old right-handed woman presents with a 3-month history of progressive involuntary hand posturing that occurs exclusively when she attempts to write. She reports that h…
- USMLE Step 1 · medium2. A 35-year-old woman presents to neurology with a 2-year history of progressive involuntary jerking movements of her arms and legs, facial grimacing, and difficulty with voluntar…
- USMLE Step 1 · easy3. A 62-year-old man presents with progressive tremor at rest that worsens with stress and anxiety. He also reports difficulty initiating gait, stooped posture, and bradykinesia. O…
- USMLE Step 1 · hard4. A 35-year-old man presents with a 5-year history of progressive dystonia that began in his left foot. Over the past year, dystonia has developed in his left leg, and more recent…
- USMLE Step 1 · hard5. A 68-year-old man with no family history presents with asymmetric akinesia, rigidity on the more affected side, and progressive cortical sensory loss. He develops apraxia and al…
- USMLE Step 1 · hard6. A 42-year-old woman presents with a 6-year history of progressive rigidity, dysarthria, and frequent episodes of sudden-onset involuntary muscle contractions causing abnormal ne…
- USMLE Step 1 · medium7. A 58-year-old woman is brought to the clinic by her husband who reports that she has become increasingly clumsy and forgetful over the past 18 months. He notes that she frequent…
- USMLE Step 1 · medium8. A 71-year-old man with Parkinson disease on levodopa/carbidopa for 8 years develops sudden uncontrolled dyskinetic movements of the limbs and trunk for 30 minutes after each dos…
- USMLE Step 1 · medium9. A 2-year-old boy presents with progressive dysarthria, dystonia, toe-walking, and trunk arching. Vital signs: BP 95/60, HR 98, RR 22, Temp 37°C, SpO2 98%. He denies recent fever…
- USMLE Step 1 · medium10. A 34-year-old woman presents with a 2-day history of acute-onset involuntary jerking movements of the right arm and leg, along with facial droop, dysarthria, and dysphagia. She…
- USMLE Step 1 · easy11. A 45-year-old man presents to neurology clinic with an 8-year history of progressive bilateral hand tremor that interferes with writing and holding a coffee cup. The tremor is a…
- USMLE Step 1 · easy12. A 52-year-old woman with a 10-year history of involuntary, irregular jerking movements of the arms and legs develops progressive cognitive decline and mood disturbances. Brain M…
- USMLE Step 1 · easy13. A 68-year-old man presents with a 3-year history of progressive difficulty initiating movement, muscle rigidity, and a resting tremor that disappears with action. He walks with…
- USMLE Step 1 · medium14. A 62-year-old woman with no significant past medical history presents to neurology with a 18-month history of progressive gait ataxia, lower extremity incoordination, and dysart…
- USMLE Step 1 · medium15. A 45-year-old woman presents to neurology with a 5-year history of progressive involuntary twisting movements of the neck with rightward deviation, accompanied by elevation of t…
- USMLE Step 1 · hard16. A 72-year-old man with a 15-year history of Parkinson disease presents to the clinic with progressive cognitive decline over the past 18 months, recurrent visual hallucinations…
- USMLE Step 1 · medium17. A 58-year-old man with a 6-year history of Parkinson disease presents with severe involuntary writhing movements of his arms and legs that develop 45 minutes after taking levodo…
- USMLE Step 1 · medium18. A 65-year-old woman with a 10-year history of Parkinson disease on levodopa develops sudden fluctuations in motor control—periods of excellent mobility ('on' states) alternating…
- USMLE Step 1 · easy19. A 7-year-old boy presents to the emergency department with a 3-week history of involuntary jerking movements of his arms and legs, emotional outbursts, and difficulty with fine…
- USMLE Step 1 · medium20. A 32-year-old man presents with progressive cognitive decline, myoclonic jerks, and visual disturbances over 6 months. Vital signs: BP 128/82, HR 88, RR 16, Temp 37.2°C, SpO2 98…
- USMLE Step 1 · medium21. A 55-year-old woman with no psychiatric history presents to the emergency department with involuntary choreiform movements of the face, tongue, and extremities that began 3 mont…
- USMLE Step 1 · easy22. A 42-year-old woman presents with involuntary jerking movements of her arms and legs that worsen with stress and improve during sleep. Family history is significant for similar…
- USMLE Step 1 · easy23. A 68-year-old man presents to clinic with a 2-year history of progressive tremor that is most noticeable when his hands are at rest. He notes that the tremor improves when he re…
- USMLE Step 1 · hard24. A 64-year-old man with a 2-year history of progressive ataxia, vertical supranuclear gaze palsy, and postural instability presents with newly documented bradykinesia and cogwhee…