Valvular Heart Disease USMLE Step 1 Practice Questions
59 board-style USMLE Step 1 questions in Cardiovascular. Each question shows the correct answer; create a free account for the full explanation and adaptive practice.
- USMLE Step 1 · hard · image1. An otherwise healthy 27-year-old woman is referred to a cardiologist because of a murmur detected by her general practitioner during a routine health maintenance examination. Sh…
- USMLE Step 1 · medium2. A 27-year-old primigravida at 12 weeks gestation presents to the obstetric clinic with progressive dyspnea on exertion over the past 6 weeks. She reports that she can now only w…
- USMLE Step 1 · hard3. A 65-year-old man presents for a routine physical examination. He is asymptomatic and denies dyspnea, orthopnea, or palpitations. Vital signs: heart rate 78/min, blood pressure…
- USMLE Step 1 · medium4. A 65-year-old man with a history of myocardial infarction 2 years ago presents for follow-up evaluation. He reports no dyspnea, orthopnea, or lower extremity edema. Vital signs…
- USMLE Step 1 · medium5. A 32-year-old woman presents to clinic with progressive dyspnea on exertion and fatigue over the past 2 years. She has a history of acute rheumatic fever at age 8 and reports be…
- USMLE Step 1 · medium6. A 68-year-old man with a 40-pack-year smoking history and chronic obstructive pulmonary disease presents with progressive dyspnea, orthopnea, and peripheral edema over 3 months.…
- USMLE Step 1 · medium7. A 70-year-old man with a bicuspid aortic valve and a history of stable aortic stenosis is found to have a new systolic ejection murmur grade 3/6 at the right upper sternal borde…
- USMLE Step 1 · hard8. A 45-year-old man with Marfan syndrome presents with acute, tearing chest pain radiating to the back. Vital signs show BP 180/110 mmHg (right arm) and 140/95 mmHg (left arm), HR…
- USMLE Step 1 · medium9. A 55-year-old man with a 20-year history of poorly controlled hypertension presents to the emergency department with progressive dyspnea on exertion and orthopnea for the past 3…
- USMLE Step 1 · medium10. A 28-year-old woman who is 7 months pregnant presents with orthopnea and paroxysmal nocturnal dyspnea. Vital signs show BP 145/92 mmHg, HR 108/min, RR 22/min, SpO2 92% on room a…
- USMLE Step 1 · easy11. A 35-year-old woman with childhood rheumatic fever presents with palpitations and progressive dyspnea. Vital signs show HR 110/min, BP 118/76 mmHg, RR 20/min, SpO2 94% on room a…
- USMLE Step 1 · easy12. A 72-year-old man with a 15-year history of hypertension (currently on amlodipine) presents to clinic with progressive dyspnea on exertion over 3 months. He denies orthopnea or…
- USMLE Step 1 · hard13. A 34-year-old woman presents to the emergency department with palpitations and a syncopal episode during exercise. Medical history is significant for Ehlers-Danlos syndrome type…
- USMLE Step 1 · medium14. A 68-year-old man with a history of myocardial infarction 2 weeks ago presents with acute dyspnea, hypotension, and a new holosystolic murmur at the left lower sternal border. P…
- USMLE Step 1 · easy15. A 42-year-old male with a history of intravenous heroin use presents to the emergency department with a 2-week history of fever, night sweats, and progressive dyspnea. On examin…
- USMLE Step 1 · hard16. A 58-year-old man with a history of rheumatic mitral stenosis presents to the emergency department with palpitations, dyspnea, and chest discomfort. On examination, he is tachyc…
- USMLE Step 1 · medium17. A 60-year-old man with severe osteoporosis and chronic kidney disease presents with dyspnea on exertion and a systolic ejection murmur at the right upper sternal border. Echocar…
- USMLE Step 1 · medium18. A 52-year-old woman with hypertension and atrial fibrillation presents with dyspnea and fatigue. Cardiac examination reveals an irregularly irregular rhythm and a holosystolic m…
- USMLE Step 1 · medium19. A 35-year-old man with Marfan syndrome presents with sudden-onset severe chest pain, dyspnea, and a new diastolic murmur at the left sternal border. His blood pressure is elevat…
- USMLE Step 1 · medium20. A 45-year-old woman with a 2-year history of systemic lupus erythematosus presents to the clinic with progressive dyspnea on exertion and lower extremity edema. Vital signs show…
- USMLE Step 1 · medium21. A 28-year-old woman with a history of acute rheumatic fever now presents with a new diastolic murmur at the apex, dyspnea at rest, and orthopnea. Echocardiography shows a thicke…
- USMLE Step 1 · easy22. A 72-year-old man with a 10-year history of hypertension presents with dyspnea on exertion and chest pain. On examination, he has a sustained apical impulse displaced laterally,…
- USMLE Step 1 · hard23. A 32-year-old woman with a 6-year history of systemic lupus erythematosus (SLE) presents to the emergency department with a 2-week history of progressive dyspnea, low-grade feve…
- USMLE Step 1 · medium24. A 45-year-old woman with a history of chronic mitral regurgitation presents to the emergency department with acute onset dyspnea, orthopnea, and pink frothy sputum. She reports…