The Miss USA 1978 pageant ended with Judi Andersen winning the title of Miss USA 1978 and getting the opportunity to advance to the Miss Universe 1978 pageant!
Top 5 finalists at the Miss USA 1978 pageant were:
First Runner-Up - Diane Pollard
Second Runner-Up - Barbra Horan
Third Runner-Up - Jayme Buecher
Fourth Runner-Up - Marlena Garland
Top 12 at the Miss USA 1978 pageant were:
Special Awards at Miss USA 1978 were:
Nancy Wierzbicki who won Miss Congeniality.
Suzanna Timberlake who won Miss Photogenic.