Restrictive Lung Disease USMLE Step 1 Practice Questions
54 board-style USMLE Step 1 questions in Pulmonology. Each question shows the correct answer; create a free account for the full explanation and adaptive practice.
- USMLE Step 1 · hard1. A 2-year-old boy is brought to the emergency department by his mother who reports he was playing with his older brother's toy collection when he suddenly began coughing and deve…
- USMLE Step 1 · easy2. A 52-year-old man with a 10-year history of raising pigeons and parrots presents to the emergency department with acute onset of fever (38.9°C), chills, dyspnea, and nonproducti…
- USMLE Step 1 · hard3. A 28-year-old woman with limited cutaneous systemic sclerosis presents with a 6-month history of progressive dyspnea on exertion. She denies orthopnea, peripheral edema, or ches…
- USMLE Step 1 · medium4. A 55-year-old man with a 3-year history of sarcoidosis presents to clinic with progressive dyspnea on exertion over the past 6 months. He denies fever, night sweats, or weight l…
- USMLE Step 1 · medium5. A 68-year-old male former shipyard worker presents to clinic with a 2-year history of progressive dyspnea on exertion and persistent nonproductive cough. He worked in naval ship…
- USMLE Step 1 · medium6. A 42-year-old woman with a 15-year history of rheumatoid arthritis presents with progressive dyspnea on exertion over 6 months. Chest X-ray shows bilateral lower lobe interstiti…
- USMLE Step 1 · easy7. A 28-year-old woman presents with progressive dyspnea, erythema nodosum, and arthralgia. Vital signs show BP 118/76, HR 92, RR 20, SpO2 92% on room air. Chest X-ray demonstrates…
- USMLE Step 1 · hard8. A 58-year-old man with a 10-year history of systemic lupus erythematosus presents to the emergency department with acute-onset dyspnea and pleuritic chest pain. He reports hemop…
- USMLE Step 1 · medium9. A 68-year-old man with rheumatoid arthritis presents with progressive dyspnea and dry cough over 6 months. Vital signs: BP 138/82 mmHg, HR 96 bpm, RR 24/min, SpO2 91% on room ai…
- USMLE Step 1 · medium10. A 52-year-old man with a 20-year history of occupational asbestos exposure presents with progressive dyspnea and pleuritic chest pain. Vital signs: BP 138/82, HR 92, RR 22, SpO2…
- USMLE Step 1 · hard11. A 62-year-old man with 40 pack-year smoking history and COPD presents with acute dyspnea, hemoptysis, and malaise. Vital signs show BP 148/92, HR 102, RR 26, SpO2 88% on room ai…
- USMLE Step 1 · medium12. A 67-year-old man with prior mediastinal radiation for lymphoma 15 years ago presents with progressive dyspnea. Vital signs: BP 142/88, HR 98, RR 22, SpO2 88% on room air. Chest…
- USMLE Step 1 · hard13. A 41-year-old man with a 6-year history of systemic sclerosis presents to clinic with progressive dyspnea on exertion over the past 8 months. He denies orthopnea or paroxysmal n…
- USMLE Step 1 · medium14. A 52-year-old woman presents to clinic with a 6-month history of progressive dyspnea on exertion and dry cough. She denies occupational exposures, smoking history, and recent in…
- USMLE Step 1 · hard15. A 35-year-old grain silo worker presents 4 hours after occupational exposure with acute fever (38.9°C), productive cough, and dyspnea. Vital signs show HR 102/min, RR 24/min, BP…
- USMLE Step 1 · medium16. A 62-year-old man with asbestos exposure 40 years ago presents with progressive dyspnea and pleuritic chest pain. Vital signs: BP 138/82, HR 92, RR 22, SpO2 88% on room air, afe…
- USMLE Step 1 · medium17. A 45-year-old woman with a 10-year history of rheumatoid arthritis presents to clinic with progressive dyspnea on exertion and a dry cough over the past 8 months. She reports no…
- USMLE Step 1 · medium18. A 36-year-old bird breeder presents with subacute dyspnea, fever (38.2°C), and malaise after cleaning bird cages. Vital signs show HR 102/min, RR 24/min, BP 118/76 mmHg, SpO2 91…
- USMLE Step 1 · medium19. A 42-year-old woman with rheumatoid arthritis presents with progressive dyspnea and dry cough for 3 months. Vital signs: BP 128/82, HR 92, RR 22, SpO2 88% on room air, afebrile.…
- USMLE Step 1 · hard20. A 55-year-old man presents with a 3-month history of progressive dyspnea on exertion. He reports no fever, weight loss, or sick contacts. Past medical history is significant for…
- USMLE Step 1 · medium21. A 67-year-old man with a 40-year history of occupational asbestos exposure presents to clinic with progressive dyspnea on exertion over the past 2 years. He denies chest pain, o…
- USMLE Step 1 · easy22. A 28-year-old woman with a 3-year history of progressive dyspnea undergoes bronchoscopic lung biopsy showing non-caseating granulomas in multiple lobes without evidence of mycob…
- USMLE Step 1 · medium23. A 32-year-old male farmer with a 10-year history of hay baling presents to the emergency department with acute-onset dyspnea, productive cough, and malaise that began 6 hours af…
- USMLE Step 1 · hard24. A 45-year-old woman with a 10-year history of systemic sclerosis presents to clinic with progressive dyspnea on exertion over the past 6 months. She reports difficulty climbing…