Exam prep · USMLE Step 1
Step 1 is pass/fail, which changes the goal: broad, reliable recall across every system rather than a chase for a score. Flashcards made from your own lectures and review book are the most direct route there. The decks below cover the shared foundations.
Updated 2026-10-23. Decks are shared by Quizcard and its users; study them on the page or copy them into a free account.
Missing a topic? Upload the chapter from your prep book and Quizcard builds the deck for you, grouped by topic, with figures kept from PDFs. How it works.
Each quiz scores you at the end and explains every answer. Redo it any time; the questions reshuffle.
Match insulin types to onset and peak.
Answer: Rapid (lispro): onset 15 min, peak 1 h. Regular: onset 30 min, peak 2–3 h. NPH: onset 1–2 h, peak 4–12 h. Long-acting (glargine): no pronounced peak.
Hypoglycemia risk is highest at peak times.
What should be monitored with phenytoin?
Answer: Serum levels (10–20 mcg/mL), gingival hyperplasia, and signs of toxicity such as nystagmus and ataxia.
Do not stop abruptly; good oral hygiene helps gums.
What range is therapeutic for lithium and what are signs of toxicity?
Answer: About 0.6–1.2 mEq/L; toxicity shows as coarse tremor, vomiting, diarrhea, confusion, and ataxia.
Maintain steady sodium and fluid intake; dehydration raises levels.
What dietary restriction applies to MAOIs?
Answer: Avoid tyramine-rich foods (aged cheese, cured meats, red wine) to prevent hypertensive crisis.
Includes phenelzine and tranylcypromine.
What is serotonin syndrome and what causes it?
Answer: A dangerous excess of serotonin: agitation, hyperthermia, tremor, diarrhea; caused by combining SSRIs with MAOIs, tramadol, or other serotonergic drugs.
SSRIs can take 4–6 weeks for full effect; monitor for suicidal ideation early.
What should patients avoid while taking metronidazole?
Answer: Alcohol, during and for 48–72 hours after, because of a disulfiram-like reaction.
Metallic taste is a common side effect.
Showing 6 of 30 cards. Study the whole deck or copy it into your account.
If it works for you, yes. Quizcard is useful for turning this week’s lectures into cards fast; export to CSV and review in Anki if you prefer its scheduler.
Yes. Figures are cropped from the PDF onto the cards, which matters for pathways, ECGs and histology.
Making cards by hand is free. Generating from lectures is 10 documents a month on Plus ($6.99) or 40 a month on Pro ($12.99), which also reads longer documents.
Official information: USMLE: Step 1. Formats and weights change; check the official page before test day.
Try it with your own material
Upload a PDF, slides or notes and study the deck in minutes. Making your own cards is free with no limits.