Questões de USMLE

A 64-year-old man with type 2 diabetes mellitus presents to the clinic with a 2-day history of severe burning pain along his right mid-thoracic region. He describes the pain as con…

A 34-year-old female epidemiologist working at a port authority in Taiwan presents to occupational health after discovering a shipment of poultry from mainland China with confirmed…

A 45-year-old man with a history of hepatitis C-related cirrhosis presents to the emergency department with acute dyspnea and hemoptysis that began 6 hours ago. He reports no fever…

A 20-year-old woman presents to urgent care with a 5-day history of severe pharyngitis, malaise, and fever. She reports that her roommate was ill with similar symptoms 3 weeks ago.…

A 44-year-old man with a history of HIV infection presents to clinic for evaluation of a new skin lesion. He reports poor adherence to antiretroviral therapy for the past 18 months…

A 58 year old man with prolonged neutropenia after induction chemotherapy for acute leukemia develops fever, pleuritic chest pain, and hemoptysis. CT scan of the chest shows multip…

A 63 year old asplenic man from Massachusetts presents in July with fever, malaise, and dark urine. He does not recall international travel. Laboratory studies show hemolytic anemi…

A 35 year old man with AIDS presents with headache, confusion, and a new onset seizure. CD4 count is 54 cells per microliter. MRI of the brain shows multiple ring enhancing lesions…

A 14 year old boy with sickle cell disease presents with fatigue, pallor, and lightheadedness for 3 days. He recently recovered from a mild febrile illness. Laboratory studies show…

A 54 year old man who emigrated from Bolivia presents with progressive dysphagia, constipation, and exertional dyspnea. Examination reveals an irregular pulse, and echocardiography…

A 71 year old woman presents with severe burning pain over the forehead followed by grouped vesicles on an erythematous base involving the scalp and tip of the nose. She has photop…

A 6-year-old unvaccinated boy presents with a 4-day history of high fever (39.8°C), cough, coryza, and conjunctivitis. Physical examination reveals a descending maculopapular rash …

A 57 year old man with poorly controlled diabetes mellitus is admitted with diabetic ketoacidosis. Two days later he develops facial pain, headache, fever, and a black necrotic les…

A 28-year-old man with a history of pulmonary tuberculosis treated 3 years ago presents to the emergency department with a 3-week history of progressive hemoptysis, low-grade fever…

A 46-year-old man from Egypt presents with painless gross hematuria, weight loss, and dysuria. Vital signs: BP 128/82, HR 92, RR 18, Temp 37.2°C, SpO2 98%. Cystoscopy reveals a bla…

A 45-year-old man from the Southwest presents with fever, cough, and erythema nodosum. Chest X-ray shows hilar lymphadenopathy and a cavitary lesion in the left upper lobe. Sputum …

A 6-year-old boy is brought to the emergency department with a 3-day history of progressive cough and dyspnea. His mother reports he has been wheezing and has had low-grade fevers.…

A 26 year old man presents with foul smelling greasy diarrhea, bloating, and abdominal cramps for 1 week after returning from a backpacking trip where he drank water from mountain …

A 28-year-old woman with HIV/AIDS (CD4 <50 cells/μL) presents with severe headache, fever, and neck stiffness. Vital signs show temperature 39.2°C, blood pressure 98/62 mmHg, and h…

A pregnant 24 year old woman who did not receive prenatal care develops a mild febrile illness with posterior auricular lymphadenopathy and a faint rash during the first trimester.…

A 28-year-old man from Brazil presents with oral lesions, difficulty swallowing, and lymphadenopathy. Examination shows painful nodules and ulcers on his lip. He works as a farmer …

A 52 year old kidney transplant recipient presents with fever, dyspnea, and nonproductive cough 6 weeks after transplantation. CT scan shows diffuse bilateral interstitial infiltra…

A 60 year old man who emigrated from rural Cambodia years ago is started on high dose prednisone for severe asthma. One month later he develops abdominal pain, cough, fever, and gr…

A 32-year-old woman presents with fever, pharyngitis, and exudative tonsils for 3 days. She reports contact with her roommate who had similar symptoms 1 week ago. Rapid strep test …