Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 58-year-old male sandblaster with 30-year exposure history presents with progressive dyspnea, cough, and chest tightness over 6 months. Vital signs: BP 138/88 mmHg, HR 102/min, R…
A 78-year-old nonsmoking woman with no history of lung disease presents for annual examination. She remains active, walking daily without dyspnea. Vital signs: BP 128/76 mmHg, HR 7…
A 67-year-old retired shipyard worker presents with progressive exertional dyspnea and dry cough for 18 months. Vital signs show BP 138/82, HR 98, RR 22, SpO2 88% on room air. Biba…
A 20-year-old college student presents with a 6-day history of low-grade fever (38.2°C), headache, malaise, and persistent dry cough. Vital signs show HR 102/min, RR 24/min, BP 118…
A 35-year-old African American woman presents with a 3-week dry cough, fatigue, and painful red nodules on her anterior shins. Vital signs: BP 118/76, HR 88, RR 16, Temp 37.2°C, Sp…
A 47-year-old man with acute pancreatitis develops acute respiratory distress two days after admission. He presents with dyspnea, hypoxemia (SpO2 78% on room air), and bilateral pu…
A 68-year-old man with a 50 pack-year smoking history presents with progressive dyspnea and 12-pound weight loss over three months. Vital signs show BP 142/88, HR 102, RR 22, SpO2 …
A 66-year-old man presenting with cough and dyspnea has vital signs: BP 138/88, HR 92, RR 18, SpO2 92% on room air. CT chest reveals a 3.4 cm spiculated right upper lobe nodule wit…
A 52-year-old obese man with hypertension presents with loud snoring, witnessed apneic episodes during sleep, and excessive daytime somnolence. Vital signs show BP 158/92 mmHg, HR …
A 22-year-old woman presents with chronic productive cough producing large volumes of foul-smelling sputum and recurrent pneumonia since childhood. Vital signs: BP 118/76, HR 92, R…
A 3-year-old boy presents with 6 days of high fever (39.8°C), bilateral conjunctival injection, strawberry tongue, cracked lips, and cervical lymphadenopathy. On examination, he ha…
A 7 year old boy recently immigrated from an area with high tuberculosis prevalence. He is asymptomatic but has a positive tuberculin skin test. Chest x-ray shows a small calcified…
A 2-year-old boy presents with fever (38.5°C), hoarse voice, and barking cough worse at night with inspiratory stridor. Vital signs show HR 115/min, RR 28/min, SpO2 98% on room air…
A 72-year-old retired insulation worker presents with progressive dyspnea and pleuritic chest pain. Vital signs show BP 142/88 mmHg, HR 98/min, RR 22/min, and SpO2 88% on room air.…
A 36-year-old woman presents with a 2-week history of fever, productive cough, and pleuritic chest pain following travel to Arizona. Vital signs show temperature 38.5°C, heart rate…
A 39-year-old man with severe asthma presents with fever (38.5°C), sinus pain, and hemoptysis. Vital signs show BP 128/82 mmHg, HR 102/min, RR 22/min, SpO2 94% on room air. He repo…
A 72-year-old man with hypertension and hyperlipidemia presents with sudden onset of severe tearing chest pain radiating to the back. He has a blood pressure of 180/110 mmHg and an…
A 25-year-old man with COPD on home BiPAP presents with acute onset dyspnea and hypotension (BP 88/52). Vital signs show HR 128/min, RR 28/min, SpO2 78% on supplemental oxygen, and…
A 42-year-old woman with a 3-year history of intermittent asthma presents to occupational medicine clinic. She works as a quality control technician at a chemical manufacturing pla…
A 42-year-old man from Wisconsin presents with a 3-month history of productive cough, unintentional weight loss, and a verrucous skin lesion on his forearm. Vital signs show temper…
A 23-year-old man is hospitalized for a femoral shaft fracture from a motorcycle collision. Thirty-six hours later, he develops acute dyspnea, confusion, and a petechial rash over …
A 70-year-old man with a 15-year history of COPD and systolic heart failure (EF 35%) presents with progressive dyspnea. Vital signs: BP 148/92, HR 102, RR 24, SpO2 88% on room air.…
A 63-year-old male with a 45 pack-year smoking history and COPD presents with progressive cough, unintentional weight loss, and acute confusion. Vital signs show BP 138/82, HR 102,…
A 72-year-old man with a 50-pack-year smoking history and COPD (GOLD Stage 3, FEV1 32% predicted) presents to the emergency department with acute worsening dyspnea over 2 days. He …