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 · medium25. A 56-year-old man with long-standing hypertension presents with dyspnea on exertion. On examination, the carotid pulse has a slow rise and small amplitude. A systolic ejection m…
- USMLE Step 1 · medium26. A 34-year-old male with a history of intravenous drug use presents to the emergency department with a 2-week history of fever, night sweats, and progressive dyspnea. On examinat…
- USMLE Step 1 · easy27. A 68-year-old woman with a history of infective endocarditis 10 years ago now presents with progressive dyspnea and a wide pulse pressure. On examination, she has a water-hammer…
- USMLE Step 1 · easy28. A 42-year-old woman presents to the clinic with a 3-year history of exertional dyspnea and occasional palpitations. She denies syncope or chest pain. Her mother died suddenly at…
- USMLE Step 1 · medium29. A 52-year-old man with chronic atrial fibrillation and rheumatic heart disease presents with dyspnea and new onset hemoptysis. Examination reveals an opening snap, loud S1, and…
- USMLE Step 1 · medium30. A 28-year-old woman with Marfan syndrome presents with acute chest pain, dyspnea, and syncope. On examination, she has a blood pressure difference between arms (systolic 160 mmH…
- USMLE Step 1 · medium31. A 48-year-old man with history of inferior myocardial infarction three days ago presents with acute dyspnea and orthopnea. Vital signs show BP 98/62, HR 118, RR 22, SpO2 89% on…
- USMLE Step 1 · easy32. A 35-year-old woman presents to the emergency department with acute-onset dyspnea at rest and orthopnea that awakened her from sleep. She reports a history of acute rheumatic fe…
- USMLE Step 1 · easy33. A 72-year-old man with a 40-year history of hypertension presents to clinic with progressive dyspnea on exertion that began 3 months ago. He reports he can no longer walk up one…
- USMLE Step 1 · easy34. A 29-year-old woman with a 3-year history of systemic lupus erythematosus presents to the emergency department with acute-onset dyspnea, orthopnea, and hemoptysis. She reports c…
- USMLE Step 1 · hard35. A 73-year-old man with a 15-year history of hypertension and stage 3 chronic kidney disease presents to the clinic with progressive dyspnea on exertion and bilateral lower extre…
- USMLE Step 1 · medium36. A 64-year-old man with a history of myopia and lens dislocation presents to the clinic with progressive dyspnea on exertion and fatigue over the past 3 months. He denies chest p…
- USMLE Step 1 · hard37. A 48-year-old woman with mitral valve prolapse presents with sudden-onset severe dyspnea. Vital signs show BP 92/58, HR 118, RR 28, SpO2 88% on room air. Physical examination re…
- USMLE Step 1 · medium38. A 71-year-old man with a history of hypertension and type 2 diabetes mellitus presents to the clinic with progressive dyspnea on exertion over the past 6 months. He reports he c…
- USMLE Step 1 · medium39. A 58-year-old woman with a 10-year history of atrial fibrillation presents to the emergency department with acute dyspnea and orthopnea that began 2 days ago. She reports no rec…
- USMLE Step 1 · medium40. A 35-year-old man with a history of intravenous drug use presents to the emergency department with a 1-week history of fever, malaise, and dyspnea. Vital signs show temperature…
- USMLE Step 1 · easy41. A 42-year-old woman presents to the emergency department with progressive dyspnea, orthopnea, and nocturnal cough for 3 weeks. She reports a history of acute rheumatic fever at…
- USMLE Step 1 · medium42. A 67-year-old man with a history of bicuspid aortic valve presents to the emergency department after experiencing syncope during his morning jog. He reports progressive dyspnea…
- USMLE Step 1 · hard43. A 12-year-old boy presents with a heart murmur detected on routine examination. Vital signs show BP 110/72 mmHg, HR 88 bpm, RR 18/min, temperature 37°C, and SpO2 98% on room air…
- USMLE Step 1 · hard44. A 69-year-old man with metastatic pancreatic adenocarcinoma presents with transient right arm weakness resolving within 20 minutes. Vital signs: BP 128/76 mmHg, HR 88 bpm, RR 16…
- USMLE Step 1 · hard45. A 31-year-old woman with systemic lupus erythematosus presents with dyspnea and palpitations. Vital signs show BP 128/82 mmHg, HR 102 bpm, RR 18/min, temp 37.2°C, SpO2 98% on ro…
- USMLE Step 1 · medium46. A 68 year old woman underwent mechanical aortic valve replacement 3 months ago. She now presents with fever and malaise. Blood cultures repeatedly grow coagulase negative catala…
- USMLE Step 1 · medium47. A 50 year old man with poor dentition presents with fever, malaise, and a new heart murmur 2 weeks after a dental extraction. Blood cultures grow alpha hemolytic gram positive c…
- USMLE Step 1 · medium48. A 61 year old man with long standing chronic lung disease presents with worsening edema and abdominal fullness. Jugular venous distention is present. Cardiac examination shows a…