Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 35-year-old woman with no past medical history presents to the emergency department with sudden-onset, severe, tearing abdominal pain radiating to her back. She reports feeling f…
A 62-year-old man with hypertension and type 2 diabetes controlled on metformin and lisinopril presents with sudden-onset left leg pain and coldness. Vital signs: BP 158/92 mmHg, H…
A 67-year-old man with type 2 diabetes and 40 pack-year smoking history presents with cramping left calf pain after walking two blocks, relieved by rest. Vital signs: BP 158/92 mmH…
A 55-year-old man with a 12-year history of type 2 diabetes and hypertension presents to the emergency department with progressive dyspnea on exertion over 3 months. He reports ort…
A 62-year-old hypertensive man with a 40-pack-year smoking history presents with sudden-onset severe substernal chest pain radiating to the back. Vital signs show BP 168/95 mmHg, H…
A 45-year-old woman with a 30 pack-year smoking history presents with claudication in her right lower extremity that develops after walking approximately 50 meters. She reports the…
A 24-year-old woman presents with episodic finger color changes during winter exposure. She reports digits turning white, then blue, and finally red upon rewarming. Vital signs tod…
A 64-year-old man with hyperlipidemia and hypertension taking lisinopril presents with recurrent episodes of monocular transient vision loss lasting 5-10 minutes. Vital signs: BP 1…
A 68-year-old man with a 12-year history of hypertension and type 2 diabetes mellitus presents to the emergency department with acute painless vision loss in his right eye that beg…
A 68-year-old man with a 2-year history of chronic venous insufficiency presents to the clinic with a painful, necrotic ulcer on the medial aspect of the left ankle. The ulcer has …
A 72-year-old man with a 15-year history of hypertension presents to the emergency department with sudden-onset, severe, tearing substernal chest pain radiating to the interscapula…
A 58-year-old man with untreated syphilis presents with substernal chest discomfort and progressive hoarseness. Vital signs show BP 165/92 mmHg, HR 88 bpm, RR 16, temp 37°C, SpO2 9…
A 72-year-old man with a 50 pack-year smoking history and hypertension presents for routine care. Vital signs show BP 158/92 mmHg, HR 84 bpm, RR 16, temp 37°C. On abdominal examina…
A 26-year-old tall man with long extremities and prior lens dislocation presents with acute severe tearing chest pain radiating to the back after weightlifting. Vital signs: BP 165…
A 62-year-old man with poorly controlled hypertension presents with sudden-onset tearing chest pain radiating to the back. Vital signs show BP 180/110 mmHg (right arm) and 150/95 m…
A 28-year-old woman presents with progressive fatigue, low-grade fever (38.2°C), and left arm claudication during exertion. Vital signs show BP 145/92 mmHg right arm versus 118/76 …
A 29-year-old woman presents with refractory hypertension (BP 168/104 mmHg, HR 92 bpm). She denies smoking, diabetes, and hyperlipidemia. Physical examination reveals no abdominal …
A 6-year-old boy presents with short stature, hypertelorism, and webbed neck. Vital signs show BP 118/76 mmHg, HR 92 bpm, RR 20/min, temperature 37°C, and SpO2 98% on room air. Car…
A 54-year-old man with type 2 diabetes and 40 pack-year smoking history presents with rest pain in his left foot and a non-healing heel ulcer for 6 weeks. Vital signs: BP 148/92, H…
A 35 year old man presents with painful fingertip ulcers and episodic color changes of his hands. He has smoked two packs of cigarettes daily since age 16. Distal pulses are dimini…
A 14 year old girl is evaluated for headaches. She is short with a broad chest and widely spaced nipples. Blood pressure is 158/92 mm Hg in the arms and 108/70 mm Hg in the legs. F…
A 3-year-old girl with Turner syndrome (45, X) presents to clinic for routine evaluation. Her parents report she becomes tired quickly during play and has had several upper respira…
A 2-hour-old term male infant presents with severe cyanosis, shock, and metabolic acidosis. He has been dependent on prostaglandin E1 infusion since birth. Echocardiography shows a…
A 4-month-old male infant born at 35 weeks gestation to a mother with poorly controlled gestational diabetes presents with poor feeding, failure to gain weight, and increased work …