Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 70-year-old man with a bicuspid aortic valve and a history of stable aortic stenosis is found to have a new systolic ejection murmur grade 3/6 at the right upper sternal border. …
A 65-year-old man with a history of myocardial infarction 2 years ago presents for follow-up evaluation. He reports no dyspnea, orthopnea, or lower extremity edema. Vital signs are…
A 65-year-old man presents for a routine physical examination. He is asymptomatic and denies dyspnea, orthopnea, or palpitations. Vital signs: heart rate 78/min, blood pressure 142…
A 1-day-old male infant born at term presents to the neonatal intensive care unit with severe cyanosis and respiratory distress. Vital signs show heart rate 168/min, respiratory ra…
A 6-week-old female infant presents with poor feeding, failure to thrive, and respiratory distress. Physical examination reveals a hyperdynamic precordium, bounding pulses, and a c…
A 63-year-old woman presents with episodic flushing, chronic diarrhea, and wheezing. She reports progressive fatigue and bilateral leg edema. Vital signs: BP 118/76 mmHg, HR 102 bp…
A 37 year old woman develops sudden left arm weakness shortly after a long airplane flight. Duplex ultrasound of the leg reveals a deep venous thrombosis. Transthoracic echocardiog…
A 42-year-old woman presents for routine health maintenance. She reports no current symptoms and denies chest pain, dyspnea, or claudication. She works as an accountant and exercis…
A 60-year-old man with severe osteoporosis and chronic kidney disease presents with dyspnea on exertion and a systolic ejection murmur at the right upper sternal border. Echocardio…
A 48-year-old woman with mitral valve prolapse presents with sudden-onset severe dyspnea. Vital signs show BP 92/58, HR 118, RR 28, SpO2 88% on room air. Physical examination revea…
A 68-year-old woman with a history of infective endocarditis 10 years ago now presents with progressive dyspnea and a wide pulse pressure. On examination, she has a water-hammer pu…
A 35-year-old woman presents to the emergency department with acute-onset dyspnea at rest and orthopnea that awakened her from sleep. She reports a history of acute rheumatic fever…
A 67-year-old man with a history of bicuspid aortic valve presents to the emergency department after experiencing syncope during his morning jog. He reports progressive dyspnea on …
A 52-year-old man with chronic atrial fibrillation and rheumatic heart disease presents with dyspnea and new onset hemoptysis. Examination reveals an opening snap, loud S1, and dia…
A 28-year-old woman with Marfan syndrome presents with acute chest pain, dyspnea, and syncope. On examination, she has a blood pressure difference between arms (systolic 160 mmHg r…
A 27-year-old woman presents with intermittent palpitations and brief atypical chest pain. Vital signs: BP 118/76 mmHg, HR 88 bpm, RR 16/min, temp 37°C, SpO2 98% on room air. Cardi…
A 31-year-old woman with systemic lupus erythematosus presents with dyspnea and palpitations. Vital signs show BP 128/82 mmHg, HR 102 bpm, RR 18/min, temp 37.2°C, SpO2 98% on room …
A 69-year-old man with metastatic pancreatic adenocarcinoma presents with transient right arm weakness resolving within 20 minutes. Vital signs: BP 128/76 mmHg, HR 88 bpm, RR 16, t…
A 51 year old woman with a history of rheumatic fever presents with worsening dyspnea and palpitations. Pulse is irregularly irregular. Auscultation reveals a loud S1, opening snap…
A 42 year old woman presents with progressive exertional dyspnea and intermittent hemoptysis. She emigrated from an area where streptococcal infections were common and reports repe…
A 29 year old tall thin man presents with exertional dyspnea and a sensation of chest pounding. He has hyperextensible joints and long fingers. Cardiac examination shows an early d…
A 48 year old man presents with palpitations and awareness of a forceful heartbeat. He recently recovered from infective endocarditis. Blood pressure is 162/54 mm Hg. Examination s…
A 12-year-old boy presents with a heart murmur detected on routine examination. Vital signs show BP 110/72 mmHg, HR 88 bpm, RR 18/min, temperature 37°C, and SpO2 98% on room air. P…
A 48-year-old man with history of inferior myocardial infarction three days ago presents with acute dyspnea and orthopnea. Vital signs show BP 98/62, HR 118, RR 22, SpO2 89% on roo…