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 · medium25. A 62-year-old man with a 40-pack-year smoking history presents with progressive dyspnea and a nonproductive cough over 8 months. He reports no occupational exposures, recent inf…
- USMLE Step 1 · hard26. A 38-year-old woman with systemic lupus erythematosus presents to the pulmonary clinic with a 3-week history of progressive dyspnea and intermittent hemoptysis. She denies chest…
- USMLE Step 1 · hard27. A 62-year-old man with a history of stage IB seminoma treated with chemotherapy (including bleomycin and etoposide) 3 months ago presents to clinic with progressive dyspnea on e…
- USMLE Step 1 · medium28. A 42-year-old pigeon breeder presents with acute onset of fever (38.9°C), chills, and dyspnea 4 hours after cleaning his loft. Vitals show HR 110, RR 28, SpO2 88% on room air. C…
- USMLE Step 1 · medium29. A 34-year-old woman who works as a pottery maker presents to clinic with a 6-week history of progressive dyspnea, nonproductive cough, and low-grade fever. She also reports pain…
- USMLE Step 1 · medium30. A 52-year-old man with a 20-year history of cigarette smoking presents to the clinic with a 6-month history of progressive dyspnea on exertion and dry cough. He denies orthopnea…
- USMLE Step 1 · hard31. A 52-year-old woman with a 15-year history of polymyositis presents to clinic with a 3-month history of progressive exertional dyspnea and nonproductive cough. She reports mild…
- USMLE Step 1 · medium32. A 48-year-old woman with newly diagnosed hypercalcemia presents with progressive dyspnea. Vital signs show BP 128/82, HR 102, RR 22, SpO2 88% on room air. Chest X-ray reveals bi…
- USMLE Step 1 · medium33. A 68-year-old man with a 40 pack-year smoking history and 30 years of occupational exposure to asbestos presents to clinic with progressive dyspnea on exertion and pleuritic che…
- USMLE Step 1 · medium34. A 42-year-old woman with a 10-year history of rheumatoid arthritis presents with progressive dyspnea and nonproductive cough. Vital signs show BP 128/82, HR 94, RR 22, SpO2 91%…
- USMLE Step 1 · medium35. A 68-year-old retired construction worker presents with 6 months of progressive exertional dyspnea. Vital signs show BP 138/82, HR 98, RR 22, SpO2 88% on room air. Pulmonary fun…
- USMLE Step 1 · medium36. A 74-year-old retired shipyard worker presents with progressive dyspnea and recurrent unilateral pleural effusions. Vital signs show BP 138/82 mmHg, HR 92/min, RR 22/min, SpO2 8…
- USMLE Step 1 · easy37. A 35-year-old man on mechanical ventilation for pneumonia suddenly develops severe dyspnea and hypotension. Vital signs show BP 85/50, HR 128, RR 32, SpO2 78% on FiO2 1.0. Physi…
- USMLE Step 1 · easy38. A 22-year-old tall, thin man develops acute pleuritic right-sided chest pain and dyspnea while playing basketball. Vital signs show BP 118/76 mmHg, HR 102/min, RR 22/min, temper…
- USMLE Step 1 · medium39. A 27-year-old woman presents with 6 months of progressive exertional dyspnea and near syncope. Vital signs show BP 118/76 mmHg, HR 108 bpm, RR 24/min, SpO2 88% on room air. Exam…
- USMLE Step 1 · medium40. A 33-year-old man hospitalized for severe pancreatitis develops acute dyspnea on hospital day 3. Vital signs: BP 128/82 mmHg, HR 112/min, RR 28/min, SpO2 88% on room air. Chest…
- USMLE Step 1 · medium41. A 44-year-old woman who breeds pigeons presents with a 3-week history of recurrent cough, progressive dyspnea, and low-grade fevers (38.2°C) that worsen after cleaning bird cage…
- USMLE Step 1 · medium42. A 70-year-old male retired shipbuilder with 40-year occupational asbestos exposure presents with progressive dyspnea. Vital signs: BP 138/82, HR 92, RR 22, SpO2 88% on room air.…
- USMLE Step 1 · hard43. A 65-year-old man with progressive idiopathic pulmonary fibrosis presents with marked exertional dyspnea. Vital signs show BP 138/82 mmHg, HR 92 bpm, RR 18/min, temperature 37.2…
- USMLE Step 1 · medium44. A 61-year-old woman with a 5-year history of idiopathic pulmonary fibrosis presents with progressive dyspnea. Vital signs show BP 138/82 mmHg, HR 102 bpm, RR 22/min, SpO2 88% on…
- USMLE Step 1 · hard45. A 48 year old man with a body mass index of 47 kg per m2 presents with morning headaches, daytime somnolence, and progressive dyspnea. Arterial blood gas shows chronic hypercapn…
- USMLE Step 1 · easy46. A 54-year-old woman with septic shock from perforated diverticulitis is admitted. Two days post-admission, she develops acute dyspnea and hypoxemia requiring intubation. Current…
- USMLE Step 1 · medium47. A 30-week gestational age male infant born to a mother with poorly controlled diabetes develops respiratory distress within minutes of birth. Vital signs: HR 168, RR 62, BP 58/3…
- USMLE Step 1 · medium48. A 29-year-old African American woman presents with a 6-week history of dry cough, fatigue, and eye pain. Physical examination reveals tender erythematous nodules on the shins an…