USMLE Step 1 Readiness Test

10 questions, balanced across the exam's topics. Answer each one, then submit for your practice readiness estimate and per-topic breakdown. This is a practice estimate — not a prediction or guarantee of your official exam result.

Question 1

A patient has avoidant-restrictive food intake disorder. How does it differ from anorexia?

No body image distortion Body image distortion present Weight loss absent Same as anorexia

Question 2

A patient has Bartter syndrome. What is the defective transporter?

NCC in the distal tubule NKCC2 in the thick ascending limb ENaC ROMK alone

Question 3

A woman has a uterine rupture with fetal bradycardia. What is the management?

Observation Emergency cesarean with uterine repair or hysterectomy Tocolysis Vaginal delivery

Question 4

A neonate has fever and irritability. CSF shows bacteria. What organisms are most likely and what is the treatment?

Listeria treated with vancomycin Streptococcus pneumoniae treated with ceftriaxone Neisseria meningitidis treated with penicillin Group B streptococcus and E. coli treated with ampicillin plus cefotaxime

Question 5

A Hashimoto patient develops a rapidly enlarging thyroid mass. What complication must be considered?

Thyroid lymphoma Papillary thyroid cancer Thyroid adenoma Multinodular goiter

Question 6

A study reports a relative risk of 2.0 with a 95 percent confidence interval of 0.8 to 5.0. What is the interpretation?

Significant decreased risk No interpretation possible Not statistically significant because the interval includes 1.0 Significant increased risk

Question 7

A patient has hepatitis B with elevated ALT and high viral load. What determines treatment?

Patient age alone Evidence of active inflammation or fibrosis Viral load alone ALT alone

Question 8

Which type of transplant rejection is T-cell mediated and occurs days to weeks after transplant?

Antibody-mediated rejection alone Chronic rejection Hyperacute rejection Acute cellular rejection

Question 9

A patient has prolonged PT and PTT, low fibrinogen, and elevated D-dimer after placental abruption. What is the treatment?

Aspirin alone Heparin infusion Warfarin therapy Treat the underlying cause with blood product support

Question 10

A patient has negative pressure pulmonary edema after laryngospasm. What is the mechanism?

Cardiogenic failure Forced inspiration against a closed glottis Fluid overload ARDS

Unanswered questions count as incorrect. Your answers are graded on the server; no answer key is sent to your browser.

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