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 · hard25. A 28-year-old woman with no significant past medical history presents to the emergency department with acute onset severe bilateral lower extremity pain and cyanosis. She report…
- USMLE Step 1 · medium26. A 52-year-old woman with no prior migraine history presents with sudden-onset severe frontal headache, neck stiffness, and left-sided weakness. Vital signs: BP 156/92 mmHg, HR 9…
- USMLE Step 1 · medium27. A 56-year-old man with a 30-pack-year smoking history and recently diagnosed atrial fibrillation presents with acute onset of unilateral leg pain, coolness, and pallor. Vital si…
- USMLE Step 1 · easy28. A 58-year-old man with type 2 diabetes presents with an expanding pulsatile abdominal mass. Vital signs: BP 142/88 mmHg, HR 78 bpm, RR 16, temp 37°C, SpO2 98% on room air. Abdom…
- USMLE Step 1 · medium29. A 72-year-old man with hypertension and hyperlipidemia presents with sudden onset of severe tearing chest pain radiating to the back. He has a blood pressure of 180/110 mmHg and…
- USMLE Step 1 · hard30. A 42-year-old man with no significant past medical history presents to the emergency department with acute substernal chest pain, diaphoresis, and dyspnea. Vital signs show BP 1…
- USMLE Step 1 · hard31. A 58-year-old woman with a 10-year history of hypertension presents to the emergency department with acute-onset right-sided hemiparesis and expressive aphasia. Symptoms began 4…
- USMLE Step 1 · medium32. A 72-year-old man with chronic atrial fibrillation not on anticoagulation presents with acute left lower extremity pain and coolness. Vital signs show HR 102 and irregular, BP 1…
- USMLE Step 1 · medium33. A 68-year-old man with a 12-year history of hypertension and type 2 diabetes mellitus presents to the emergency department with acute painless vision loss in his right eye that…
- USMLE Step 1 · easy34. A 54-year-old man with type 2 diabetes and 40 pack-year smoking history presents with rest pain in his left foot and a non-healing heel ulcer for 6 weeks. Vital signs: BP 148/92…
- USMLE Step 1 · easy35. A 28-year-old woman presents to the emergency department 10 days after an uncomplicated vaginal delivery with acute left calf swelling, erythema, and tenderness. She reports the…
- USMLE Step 1 · medium36. A 45-year-old woman with a 30 pack-year smoking history presents with claudication in her right lower extremity that develops after walking approximately 50 meters. She reports…
- USMLE Step 1 · medium37. A 62-year-old man with a 20-year history of poorly controlled hypertension presents with sudden onset of severe, tearing chest pain radiating to the back. Vital signs show BP 18…
- USMLE Step 1 · medium38. A 63-year-old obese woman with hypertension presents with progressive ankle edema worsening by evening and brown discoloration around the medial malleolus. She reports aching le…
- USMLE Step 1 · medium39. A 44-year-old woman presents with unilateral left calf swelling and pain 5 days after pelvic surgery. Vital signs: BP 118/76 mmHg, HR 98/min, RR 18/min, SpO2 98% on room air, te…
- USMLE Step 1 · hard40. A 54-year-old man with hypertension presents with hemoptysis, malaise, and dark urine over two weeks. Vital signs show BP 158/92 mmHg, HR 98 bpm, RR 20/min, Temp 37.2°C, SpO2 98…
- USMLE Step 1 · medium41. A 7-year-old boy presents with palpable purpura on the buttocks and lower extremities, colicky abdominal pain, and bilateral knee arthralgia one week after upper respiratory inf…
- USMLE Step 1 · easy42. A 3-year-old boy presents with 6 days of high fever (39.8°C), bilateral conjunctival injection, strawberry tongue, cracked lips, and cervical lymphadenopathy. On examination, he…
- USMLE Step 1 · medium43. A 46-year-old man presents with a 3-month history of progressive weight loss, postprandial abdominal pain, and painful nodules on his lower extremities. He has hypertension (BP…
- USMLE Step 1 · medium44. A 28-year-old woman presents with progressive fatigue, low-grade fever (38.2°C), and left arm claudication during exertion. Vital signs show BP 145/92 mmHg right arm versus 118/…
- USMLE Step 1 · easy45. A 74-year-old woman presents with unilateral temporal headache and scalp tenderness for 3 weeks. She reports jaw claudication while eating. Vital signs show BP 158/92 mmHg, HR 8…
- USMLE Step 1 · hard46. A 29-year-old woman presents with refractory hypertension (BP 168/104 mmHg, HR 92 bpm). She denies smoking, diabetes, and hyperlipidemia. Physical examination reveals no abdomin…
- USMLE Step 1 · medium47. A 24-year-old woman presents with episodic finger color changes during winter exposure. She reports digits turning white, then blue, and finally red upon rewarming. Vital signs…
- USMLE Step 1 · medium48. A 35 year old man presents with painful fingertip ulcers and episodic color changes of his hands. He has smoked two packs of cigarettes daily since age 16. Distal pulses are dim…