Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 5-year-old girl born to a mother with first-trimester rubella infection presents with cataracts, sensorineural deafness, and a continuous "machinery" murmur at the left infraclav…
A 3-month-old infant with hypotonia, upslanting palpebral fissures, and a single transverse palmar crease presents with poor feeding and tachypnea. Vital signs show HR 155/min, RR …
A 28-year-old woman with a lifelong cardiac murmur presents with progressive cyanosis and digital clubbing. She has never undergone corrective surgery for her congenital atrial sep…
A 4-month-old infant with no significant past medical history presents with poor feeding, failure to thrive, and recurrent respiratory infections. Physical examination reveals a ho…
A 4-year-old boy with Down syndrome presents to clinic with progressive exertional dyspnea and fatigue over the past 6 months. His mother reports he tires easily compared to his si…
A 2-day-old male infant born at 39 weeks gestation presents with progressive cyanosis and respiratory distress. Vital signs show SpO2 of 28% on room air, heart rate 168 bpm, respir…
A 6-year-old boy with Down syndrome presents to the clinic with progressive dyspnea on exertion over the past 6 months. His mother reports he can no longer keep up with peers durin…
A 2-day-old male infant presents to the neonatal intensive care unit with cyanosis and poor feeding. The infant was born at term to an unvaccinated mother without prenatal care. Vi…
A 7-year-old boy presents with palpable purpura on the buttocks and lower extremities, colicky abdominal pain, and bilateral knee arthralgia one week after upper respiratory infect…
A 74-year-old woman presents with unilateral temporal headache and scalp tenderness for 3 weeks. She reports jaw claudication while eating. Vital signs show BP 158/92 mmHg, HR 88/m…
A 58-year-old woman with a 10-year history of hypertension presents to the emergency department with acute-onset right-sided hemiparesis and expressive aphasia. Symptoms began 4 ho…
A 68-year-old woman with a 15-year history of poorly controlled hypertension presents to the emergency department with acute onset of left leg pain and coldness that began 2 hours …
A 58-year-old man with stage 3 chronic kidney disease presents with persistent hypertension (BP 168/98 mmHg, HR 88) despite triple-agent antihypertensive therapy. He denies chest p…
A 33 year old woman develops sudden right arm weakness after a long flight. Venous duplex ultrasound shows a calf deep venous thrombosis. Brain imaging confirms a small ischemic in…
A 46-year-old man presents with a 3-month history of progressive weight loss, postprandial abdominal pain, and painful nodules on his lower extremities. He has hypertension (BP 158…
A 3-week-old male infant born at 28 weeks gestation presents with poor feeding and weight loss. On examination, he is tachypneic (RR 58/min), tachycardic (HR 172 bpm), and afebrile…
A 5-year-old boy with tetralogy of Fallot presents to the emergency department with acute dyspnea and presyncope during soccer practice. His parents note he frequently assumes a sq…
A 2-year-old boy with Down syndrome is brought to the physician by his mother for a follow-up examination. His blood pressure is increased in the upper extremities and decreased in…
A 42-year-old woman with a 10-year history of migraine with aura presents to the emergency department with acute-onset left-sided hemiparesis and dysarthria. Vital signs include BP…
A 44-year-old woman presents with unilateral left calf swelling and pain 5 days after pelvic surgery. Vital signs: BP 118/76 mmHg, HR 98/min, RR 18/min, SpO2 98% on room air, tempe…
A 38-year-old woman with a 15-year history of migraine with aura presents to the emergency department with acute-onset left leg swelling, calf pain, and warmth that began this morn…
A 38-year-old woman with no significant past medical history presents to the emergency department with acute-onset left leg swelling, warmth, and erythema that began 6 hours ago. S…
A 54-year-old man with hypertension presents with hemoptysis, malaise, and dark urine over two weeks. Vital signs show BP 158/92 mmHg, HR 98 bpm, RR 20/min, Temp 37.2°C, SpO2 98% o…
A 28-year-old woman presents to the emergency department with acute-onset right-sided hemiparesis and expressive aphasia that began 90 minutes ago. She denies recent trauma, fever,…