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TheCodexes · USMLE Step 1 Board Mastery

Numbers registry

Every threshold in the Step 1 review book, alphabetically.

ThresholdValueTopic IDs
2-hour OGTT glucose≥200 mg/dLENDO-DMP-02
5-year survival~10%GI-PANT-01
AAA definition≥3 cm aortic diameterCV-AAD-01
Accreta (attachment only)~75% of the spectrumREPRO-PP-01
AFE mortality20–40%REPRO-OE-01
Alcohol withdrawal seizures12–48 h after last drinkPSY-SUIW-03
ALF mortality without transplant~40–50%GI-ALFHE-01
Alpha-globin gene copies4HEME-THALAS-01
alteplase window≤4.5 hNEURO-GSWM-01
Amiodarone half-life~40–55 daysCV-AD-02
Annual progression risk to adenocarcinoma~0.2–0.5%/yearGI-GBE-01
Anti-AChR sensitivity~85%MSK-MGLEMP-03
Anti-CCP specificity for RA~95–98%MSK-ORA-01
Apnea definition≥10 seconds airflow cessationRESP-OSA-01
Apnea test threshold≥60 mmHg and ≥20 mmHg above baselineSOC-ELCBD-01
APP locuschromosome 21NEURO-AND-01
artery of Adamkiewicz levelT9–L2NEURO-SCS-01
Atherosclerotic RAS share~90%RENAL-RAS-01
ATP from complete palmitate oxidation~106 ATPBIOCHEM-FAKBS-02
ATP yield per glucose~30–32 ATPBIOCHEM-TC-01
Atrial flutter rate~300/min atrial, ~150/min ventricular with 2:1 blockCV-EI-01
Autoregulation range80–180 mmHg MAPRENAL-GFNP-01
Average age at menopause~51 yearsREPRO-UPLE-03
BNP rule-out threshold<100 pg/mLCV-HF-03
CD4 threshold for cryptococcal meningitis risk<100 cells/µLNEURO-CI-02
Cecal diameter perforation risk>12 cmGI-IOMI-01
Cerebral autoregulation curveshifted right in chronic hypertensionCV-HYPERT-04
Cerebral autoregulation rangeMAP 60–160 mmHgCV-COPAFS-03
Chiari I tonsillar descent>5 mm below foramen magnumNEURO-SCS-03
Coarctation-BAV association~50%CV-CFE-01
COHb half-life, room air~5 hoursPHARM-TA-01
Colesevelam TG contraindication>500 mg/dLCV-SLLP-01
Compartment pressure threshold≥30 mmHgMSK-CSFC-01
Complete mole choriocarcinoma risk~2–3%REPRO-GTD-01
COPD O2 target88–92% SpO2RESP-CECB-03
Cord separation delay>30 daysCELL-AIVCE-01
CSF/serum glucose ratio threshold<0.4NEURO-CI-01
Cup-to-disc ratio>0.5NEURO-GC-01
Cystic fibrosis carrier frequency~1/25GEN-HWE-01
Cystic fibrosis incidence~1/2500GEN-HWE-01
Delirium tremens48–96 hPSY-SUIW-03
Delirium tremens mortality (untreated)up to 5–15%PSY-SUIW-01
DMD creatine kinase>10,000 IU/LMSK-MGLEMP-02
DMD onsetbefore age 5 yearsMSK-MGLEMP-02
Down syndrome AD pathologyby ~age 40NEURO-AND-01
Dressler syndrome windowweeks 2–6CV-ACSM-01
Early noncontrast CT sensitivity for nontraumatic SAHvery high within 6 hNEURO-IH-01
EDH sourcemiddle meningeal arteryNEURO-IH-01
Empirical rule68% / 95% / 99.7%BIO-CICT-01
Eruptive xanthoma trigger>1000 mg/dL triglyceridesMSK-PRSL-01
Exercise heart rate70→180/minCV-COPAFS-03
Exercise stroke volume70→130 mLCV-COPAFS-03
F:M ratio2–3:1NEURO-MSDD-01
Fasting plasma glucose≥126 mg/dLENDO-DMP-02
Filtration fraction~20%RENAL-GFNP-01, RENAL-GFNP-02
First-degree AV block PR interval>0.20 sCV-EI-01
Flare duration1–2 weeksREPRO-MHB-01
FMD share~10%RENAL-RAS-01
FRC≈2400 mLRESP-LVORD-01
Free wall/septal/papillary rupture windowdays 3–14CV-ACSM-01
FTD onset age45–65 yNEURO-AND-01
Full-penetrance repeats≥40NEURO-HDTRCD-01
GFR~120 mL/minRENAL-GFNP-01, RENAL-GFNP-02
GFR increase40–65%REPRO-MPCP-01
GTN risk after complete mole15–20%REPRO-GTD-01
Hb-bound O2 share>98%RESP-OTHDC-01
HCC tumor markerAFPGI-HT-02
Hemoglobin A1C≥6.5%ENDO-DMP-02
Hepatic B12 stores3–5 yearsHEME-MBFA-01
HEV third-trimester mortalityup to 20–25%GI-VAHC-02
HFpEF cutoff≥50%CV-COPAFS-01
HFrEF cutoff≤40%CV-COPAFS-01
HIT platelet fall onset5–10 daysHEME-PDI-02
HLA-B27 in AS>90%MSK-SS-01
HPV 16/18 attributable fraction~70%REPRO-CPC-01
HSV encephalitis mortality~70% untreated vs ~20% with early acyclovirNEURO-CI-02
HTT CAG repeat threshold≥36 repeatsGEN-TRED-01
Hypernatremia correction≤10–12 mEq/L per 24 hRENAL-ELEC-01
Hypertriglyceridemia threshold>1000 mg/dLGI-ACP-01
Hyperuricemia threshold6.8 mg/dLMSK-GP-02
Intermediate repeats27–35NEURO-HDTRCD-01
Klinefelter breast cancer risk~20×REPRO-KTS-01
L:S ratio maturity≥2.0RESP-LCHV-01
Lecithin:sphingomyelin ratio, mature≥2.0RESP-PFT-01
LEMS-SCLC association~60%MSK-MGLEMP-03
Lipase diagnostic threshold≥3× upper limit of normalGI-ACP-02
Lithium maintenance level0.6–1.2 mEq/LPSY-BDL-01
Low tidal volume ventilation6 mL/kg predicted body weight, plateau <30 cmH2ORESP-ARDS-01
Luteal phase length~14 daysREPRO-MCP-01
macroalbuminuria>300 mg/dayRENAL-DNHS-02
MAP vasopressor threshold<65 mmHgCV-SC-01
MASLD (formerly NAFLD) prevalence~30%GI-NALD-01
Maximum tensile strength~80%CELL-WHPS-03
Measles herd immunity threshold92–95%SOC-CMR-02
Measles R012–18SOC-CMR-02
Medullary osmolality~1200 mOsm/kgRENAL-GFNP-01
Medullary osmolality at papilla~1200 mOsm/kgRENAL-GFNP-02
Melanoma diameter threshold>6 mmMSK-SC-01
Menopause definition12 consecutive monthsREPRO-UPLE-03
Microalbuminuria30–300 mg/dayRENAL-DNHS-01
microalbuminuria30–300 mg/dayRENAL-DNHS-02
Minimum core temperature≥36°CSOC-ELCBD-01
Most common cardiomyopathyDilatedCV-CDHR-01
Most specific IDA marker↓FerritinHEME-MIDA-04
MS oligoclonal bandspositive in >90%NEURO-MSDD-02
MS onset age20–40 yNEURO-MSDD-01
Normal A-a5–15 mmHgRESP-AGEG-01
Normal cardiac output~5 L/minCV-COPAFS-03
Normal CO~5 L/minCV-COPAFS-01
Normal compartment pressure<10 mmHgMSK-CSFC-01
Normal EF55–70%CV-COPAFS-01
Normal ejection fraction55–70%CV-CCHS-02
Normal HTT CAG repeats<27NEURO-HDTRCD-01
Normal intraocular pressure10–21 mmHgNEURO-GC-02
Normal IOP10–21 mmHgNEURO-GC-01
Normal MAP70–105 mmHgCV-COPAFS-01, CV-COPAFS-03
Normal PO42.5–4.5 mg/dLENDO-CPP-01
Normal PTH10–65 pg/mLENDO-CPP-01
Normal serum Ca2+8.5–10.2 mg/dLENDO-CPP-01
Normal serum osmolality280–295 mOsm/kgENDO-DIS-01
Normal V/Q≈0.8RESP-VPM-01
OCB sensitivity>90%NEURO-MSDD-01
Ovulation timing~36 hours after LH surge onsetREPRO-MCP-01
PaO2/FiO2 mild>200 to ≤300RESP-ARDS-02
PaO2/FiO2 severe≤100RESP-ARDS-02
PCWP cutoff≤18 mmHgRESP-ARDS-02
Peak incidence15–35 yearsREPRO-TT-01
Pembrolizumab targetPD-1 on T cellsIMM-TICI-01
Pertussis lymphocytosisWBC 20,000–50,000/µLRESP-PAI-01
PKD1 share~85%RENAL-PKD-01
Plasma metanephrine sensitivity~97%ENDO-PHEOCH-01
PPV formulaPPV = (Sn×Prev)/[(Sn×Prev)+(1−Sp)(1−Prev)]BIO-SSPV-01
Preeclampsia BP thresholdSBP ≥140 or DBP ≥90 mmHgREPRO-PEH-01
Prevalence formulaPrevalence ≈ Incidence × DurationBIO-IPMA-01
Primary ovarian insufficiency<40 yearsREPRO-AMENOR-01
Progression to SCC1–10%MSK-SC-01
Prolactin suggesting prolactinoma>200 ng/mLNEURO-CT-01
Proximal Na+/water reabsorption65–70%RENAL-GFNP-02
PSA in BPHnormal to mildly elevatedREPRO-MHB-01
PSEN1 locuschromosome 14NEURO-AND-01
Pulsus paradoxus threshold>10 mmHg inspiratory SBP dropCV-PD-01
Radiographic delay10–14 dMSK-OSA-01
Reduced-penetrance repeats36–39NEURO-HDTRCD-01
Resting O2 extraction~75%CV-CBFBR-01
Reynolds pentadCharcot triad + altered mental status + hypotensionGI-GDC-01
Rule of 2's2% prevalence, 2 ft from ileocecal valve, 2 in long, symptomatic by age 2GI-ADD-01
SAAG threshold for portal hypertension≥1.1 g/dLGI-CPH-01
SBP diagnostic threshold≥250 PMN/µLGI-CPH-01, GI-CPH-02
SCFE bilaterality20–40%MSK-POC-01
SDH sourcebridging veinsNEURO-IH-01
Secondary amenorrhea threshold≥3 monthsREPRO-AMENOR-01
Severe AHI≥30 events/hourRESP-OSA-01
Severe hypophosphatemia threshold<1.0 mg/dLPSY-ED-01
Severe thrombocytopenia threshold<100,000/µLREPRO-PEH-01
Severe-range BPSBP ≥160 or DBP ≥110 mmHgREPRO-PEH-01
Severely increased albuminuria>300 mg/dayRENAL-DNHS-01
Spermatogenesis duration~64 daysREPRO-OS-01
ST-elevation lead groupsV1–V4 anterior (LAD)CV-EI-01
Status epilepticus definition≥5 minutesNEURO-SAD-01
Status epilepticus duration≥5 min continuous, or ≥2 seizures without recoveryNEURO-SAD-02
Surfactant maturity threshold~35 weeks gestationRESP-PFT-01
Sweat chloride diagnostic≥60 mmol/LRESP-BCF-01
Sweat chloride diagnostic threshold≥60 mmol/LGEN-ARD-01
Synovial WBC threshold, native joint>50,000/μLMSK-OSA-01
Target SpO2 in exacerbation88–92%RESP-CECB-01
Tensile strength at 1 week~10%CELL-WHPS-03
Testosterone:DHT ratiomarkedly elevated, often >20:1REPRO-DSD-01
TG pancreatitis risk threshold>500 mg/dLCV-SLLP-01
Toxic megacolon threshold>6 cmGI-IBD-01
Transferrin saturation cutoff<20%HEME-MIDA-01
Trisomy 18 median survival5–15 daysGEN-ATCD-02
Trisomy 18 one-year survival<10%GEN-ATCD-02
Trisomy 21 risk, maternal age 20 vs 40~1/1500 → ~1/100GEN-ATCD-01
Tubular adenoma malignancy risk~5%GI-CCP-01
TV≈500 mLRESP-LVORD-01
Urate-lowering target<6 mg/dLMSK-GP-02
VF risk window<48 hCV-ACSM-01
Villous adenoma malignancy risk~40%GI-CCP-01
VT rateusually 150–250/minCV-EI-01
Whipple triad glucose<55 mg/dLGI-PANT-01
xanthochromia delay≥6–12 hNEURO-IH-01
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