Vascular Disease USMLE Step 1 Practice Questions
54 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 · medium1. A 54-year-old woman presents with a 6-month history of progressive right leg swelling and dull pain that worsens throughout the day but improves with leg elevation and ambulatio…
- USMLE Step 1 · easy2. A 45-year-old man with no significant past medical history presents with sudden onset of a cold, painful left leg with skin mottling and diminished sensation. Exam shows absent…
- USMLE Step 1 · medium3. A 58-year-old woman with a 40-year smoking history presents with claudication in both legs that worsens with walking and improves with rest. She has diminished femoral pulses bi…
- USMLE Step 1 · medium4. A 62-year-old man with hypertension and hyperlipidemia presents with acute onset of severe, tearing chest pain radiating to the back. He is diaphoretic with blood pressure 180/1…
- USMLE Step 1 · medium5. A 28-year-old woman presents to the emergency department with acute-onset right-sided hemiparesis and expressive aphasia that began 90 minutes ago. She denies recent trauma, fev…
- USMLE Step 1 · hard6. A 42-year-old woman with systemic lupus erythematosus presents with recurrent deep vein thrombosis in both lower extremities despite therapeutic warfarin (INR 2.5). Vital signs…
- USMLE Step 1 · medium7. A 58-year-old man with stage 3 chronic kidney disease presents with persistent hypertension (BP 168/98 mmHg, HR 88) despite triple-agent antihypertensive therapy. He denies ches…
- USMLE Step 1 · easy8. A 55-year-old man with a 12-year history of type 2 diabetes and hypertension presents to the emergency department with progressive dyspnea on exertion over 3 months. He reports…
- USMLE Step 1 · medium9. A 35-year-old woman with no past medical history presents to the emergency department with sudden-onset, severe, tearing abdominal pain radiating to her back. She reports feelin…
- USMLE Step 1 · medium10. A 72-year-old man with a 15-year history of hypertension presents to the emergency department with sudden-onset, severe, tearing substernal chest pain radiating to the interscap…
- USMLE Step 1 · easy11. A 62-year-old man with hypertension and type 2 diabetes controlled on metformin and lisinopril presents with sudden-onset left leg pain and coldness. Vital signs: BP 158/92 mmHg…
- USMLE Step 1 · medium12. A 64-year-old woman with a 15-year history of hypertension and type 2 diabetes mellitus presents to the emergency department with acute onset left flank pain and gross hematuria…
- USMLE Step 1 · medium13. A 58-year-old man with a history of atrial fibrillation not on anticoagulation presents with acute left leg pain, coolness, and pallor. Vital signs show HR 118 bpm, BP 142/88 mm…
- USMLE Step 1 · medium14. A 62-year-old hypertensive man with a 40-pack-year smoking history presents with sudden-onset severe substernal chest pain radiating to the back. Vital signs show BP 168/95 mmHg…
- USMLE Step 1 · easy15. A 38-year-old woman with no significant past medical history presents to the emergency department with acute-onset left leg swelling, warmth, and erythema that began 6 hours ago…
- USMLE Step 1 · medium16. A 64-year-old man with hyperlipidemia and hypertension taking lisinopril presents with recurrent episodes of monocular transient vision loss lasting 5-10 minutes. Vital signs: B…
- USMLE Step 1 · hard17. A 42-year-old woman with a 10-year history of migraine with aura presents to the emergency department with acute-onset left-sided hemiparesis and dysarthria. Vital signs include…
- USMLE Step 1 · hard18. A 58-year-old diabetic man with end-stage renal disease on hemodialysis presents with a non-healing ulcer on his left foot and progressive toe gangrene. Vital signs show BP 158/…
- USMLE Step 1 · medium19. A 68-year-old woman with a 15-year history of poorly controlled hypertension presents to the emergency department with acute onset of left leg pain and coldness that began 2 hou…
- USMLE Step 1 · easy20. A 62-year-old man with a 40-pack-year smoking history presents with sudden-onset severe tearing back pain radiating to the anterior chest. Vital signs show BP 180/110 mmHg (righ…
- USMLE Step 1 · easy21. A 70-year-old man with hypertension and hyperlipidemia presents for screening. Vitals: BP 158/92 mmHg, HR 88/min, RR 16/min, temp 37.2°C. Abdominal ultrasound reveals a 3.2 cm i…
- USMLE Step 1 · hard22. A 38-year-old woman with a 15-year history of migraine with aura presents to the emergency department with acute-onset left leg swelling, calf pain, and warmth that began this m…
- USMLE Step 1 · medium23. A 45-year-old man with a 20-year smoking history and uncontrolled hypertension (BP 168/98 mmHg, HR 92 bpm) presents with transient monocular vision loss lasting 15 minutes that…
- USMLE Step 1 · medium24. A 68-year-old man with a 2-year history of chronic venous insufficiency presents to the clinic with a painful, necrotic ulcer on the medial aspect of the left ankle. The ulcer h…