Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 42-year-old man with no significant past medical history presents to the emergency department with acute substernal chest pain, diaphoresis, and dyspnea. Vital signs show BP 145/…
A 72-year-old man with chronic atrial fibrillation not on anticoagulation presents with acute left lower extremity pain and coolness. Vital signs show HR 102 and irregular, BP 138/…
A 62-year-old man with a 40-pack-year smoking history presents with sudden-onset severe tearing back pain radiating to the anterior chest. Vital signs show BP 180/110 mmHg (right a…
A 42-year-old woman with systemic lupus erythematosus presents with recurrent deep vein thrombosis in both lower extremities despite therapeutic warfarin (INR 2.5). Vital signs sho…
A 38-year-old man with untreated HIV (CD4 count 85/μL) presents with subacute fever, dry cough, and progressive dyspnea over 3 weeks. Vital signs show temperature 38.2°C, heart rat…
A 7-year-old boy with no prior respiratory disease presents to the emergency department with acute onset dyspnea and bilateral wheezing that began 10 minutes after sprinting during…
A 29 year old woman has progressive exertional dyspnea, chest discomfort, and near syncope. Examination shows a loud pulmonic component of the second heart sound. Right heart cathe…
A 58 year old man with alcohol use disorder is brought to the hospital after being found unconscious. One week later he develops fever, productive cough with foul smelling sputum, …
A 17 year old boy with cystic fibrosis has worsening wheezing and cough despite adherence to airway clearance therapy. He has low grade fever, eosinophilia, and markedly elevated s…
A 33 year old man has progressive dyspnea and decreased exercise tolerance. He has never smoked. Physical examination shows hyperresonance to percussion and decreased breath sounds…
A 61 year old man presents with chronic productive cough for several years and worsening dyspnea. He has smoked 1.5 packs of cigarettes daily since age 18. Physical examination sho…
A 40 year old man is found unconscious in his garage with the car engine running. In the emergency department he is confused and reports headache. Pulse oximetry reads 99 percent. …
A 59 year old man has progressive exertional dyspnea and dry cough for 1 year. He worked in construction and now has bibasilar end inspiratory crackles. Pulmonary function testing …
A 65-year-old man with a 40-pack-year smoking history and known emphysematous changes on prior imaging presents to the emergency department with acute-onset pleuritic chest pain an…
A 48-year-old woman with systemic sclerosis presents with progressive dyspnea, tight shiny skin over her fingers, and positive anti-topoisomerase I antibodies. Vital signs show BP …
A 44-year-old aerospace engineer with a 3-year history of progressive dyspnea and chronic cough presents with vital signs: BP 128/82, HR 92, RR 22, SpO2 88% on room air, and afebri…
A 22-year-old previously healthy man presents with acute dyspnea and wheezing. Vital signs: BP 118/76 mmHg, HR 112/min, RR 28/min, temperature 37.2°C, SpO2 92% on room air. Chest X…
A 71-year-old man with untreated chronic atrial fibrillation presents with sudden-onset severe left leg pain and numbness. Vital signs: BP 138/82 mmHg, HR 112 bpm and irregular, RR…
A 70-year-old man with hypertension and hyperlipidemia presents for screening. Vitals: BP 158/92 mmHg, HR 88/min, RR 16/min, temp 37.2°C. Abdominal ultrasound reveals a 3.2 cm infr…
A 58-year-old diabetic man with end-stage renal disease on hemodialysis presents with a non-healing ulcer on his left foot and progressive toe gangrene. Vital signs show BP 158/92 …
A 62-year-old woman with COPD on postoperative day 4 following total hip replacement presents with acute dyspnea, pleuritic chest pain, and tachycardia. Vital signs show HR 112 bpm…
A 58-year-old woman with a 40-year smoking history presents with claudication in both legs that worsens with walking and improves with rest. She has diminished femoral pulses bilat…
A premature female infant is born at 29 weeks gestation to a mother with poorly controlled diabetes mellitus. Soon after birth, the infant develops tachypnea, nasal flaring, and in…
A 54-year-old woman presents with a 6-month history of progressive right leg swelling and dull pain that worsens throughout the day but improves with leg elevation and ambulation. …