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 · medium25. A 62-year-old woman with hypertension and hyperlipidemia presents to the emergency department with abrupt-onset rhythmic jerking of the right hand that began 6 hours ago. Over t…
- USMLE Step 1 · hard26. A 51-year-old man with a 12-year history of Parkinson disease presents to clinic complaining of unpredictable episodes where his medications "wear off" within 2-3 hours of takin…
- USMLE Step 1 · hard27. A 28-year-old man with no prior psychiatric history presents with acute-onset chorea, compulsive behaviors, and emotional lability three weeks after group A streptococcal pharyn…
- USMLE Step 1 · easy28. A 35-year-old woman presents with a 5-year history of progressive tremor affecting both hands that worsens when she reaches for objects or attempts fine motor tasks such as writ…
- USMLE Step 1 · medium29. A 58-year-old woman presents with a 2-year history of progressive leg stiffness and mild weakness. Examination reveals hyperreflexia, extensor plantar responses bilaterally, and…
- USMLE Step 1 · medium30. A 45-year-old woman presents to neurology clinic with a 2-year history of progressive involuntary jerky movements, cognitive decline, and mood disturbances. She reports her fath…
- USMLE Step 1 · easy31. A 67-year-old man with a 3-year history of progressive resting tremor, rigidity, and bradykinesia presents with emotional withdrawal and micrographia. His wife notes difficulty…
- USMLE Step 1 · hard32. A 38-year-old woman with childhood rheumatic fever presents with involuntary jerky movements of her face and limbs following a recent streptococcal pharyngitis. Vital signs: BP…
- USMLE Step 1 · medium33. A 72-year-old man with Parkinson disease on maximum-tolerated levodopa-carbidopa and ropinirole presents with worsening freezing episodes and bradykinesia. Vital signs: BP 138/8…
- USMLE Step 1 · medium34. A 44-year-old concert violinist presents with a 6-month history of painful involuntary flexion and abnormal posturing of the right hand exclusively during performance. Vital sig…
- USMLE Step 1 · medium35. A 67-year-old man presents with progressive tremor. Vital signs: BP 138/82, HR 78, RR 16, temp 37.2°C, SpO2 98%. On examination, he demonstrates a 4-Hz rhythmic pill-rolling tre…
- USMLE Step 1 · hard36. A 49-year-old man with Parkinson disease controlled on selegiline presents with fever (38.9°C), agitation, diarrhea, and inducible ankle clonus after starting sertraline for dep…
- USMLE Step 1 · hard37. A 59-year-old man with schizophrenia on haloperidol develops confusion, diffuse lead-pipe rigidity, and diaphoresis 3 days after a dose increase. Vital signs show temperature 39…
- USMLE Step 1 · medium38. A 58-year-old man with a history of toxic chemical exposure presents with slow, writhing, snake-like movements of his fingers and hands. Vital signs are stable (BP 128/82, HR 72…
- USMLE Step 1 · medium39. A 71-year-old woman with Parkinson disease treated with levodopa for 8 years presents with repetitive involuntary writhing and choreiform movements beginning 30 minutes after ea…
- USMLE Step 1 · hard40. A 47-year-old man presents with progressive chorea, irritability, and impulsive aggression affecting work performance. Vital signs: BP 128/82, HR 92, RR 16, Temp 37°C, SpO2 98%.…
- USMLE Step 1 · hard41. A 24-year-old man presents with new-onset dysarthria, tremor, behavioral changes, and difficulty writing. Vital signs show BP 118/76, HR 88, RR 16, temp 37°C, SpO2 98%. Examinat…
- USMLE Step 1 · medium42. A 63-year-old woman presents with uncomfortable creeping sensations in both legs that occur when sitting quietly in the evening and improve temporarily with ambulation. Vital si…
- USMLE Step 1 · medium43. A 34-year-old woman presents with increasingly frequent brief, shock-like jerking movements of her trunk and upper extremities lasting less than one second. She developed acute…
- USMLE Step 1 · medium44. A 30-year-old woman with multiple sclerosis presents with progressive coarse tremor worsening during intentional reaching. Vital signs: BP 118/76, HR 88, RR 16, Temp 37°C, SpO2…
- USMLE Step 1 · medium45. A 61-year-old woman with bipolar disorder treated with haloperidol for 8 years presents with involuntary repetitive lip smacking, tongue protrusion, and choreiform facial moveme…
- USMLE Step 1 · medium46. A 28-year-old man with acute psychosis receives high-dose haloperidol in the emergency department. Several hours later, he presents with severe neck extension, jaw spasm, and up…
- USMLE Step 1 · medium47. A 40-year-old man with schizophrenia started haloperidol 2 days ago. He now presents with severe subjective inner restlessness and cannot sit still. Vitals show BP 138/82, HR 98…
- USMLE Step 1 · medium48. A 65-year-old man with Parkinson disease for 8 years presents with wearing-off symptoms appearing 2 hours before his next levodopa dose. Vitals: BP 128/76, HR 82, RR 16, Temp 37…