Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 45-year-old man with Marfan syndrome presents with acute, tearing chest pain radiating to the back. Vital signs show BP 180/110 mmHg (right arm) and 140/95 mmHg (left arm), HR 10…
A 28-year-old woman who is 7 months pregnant presents with orthopnea and paroxysmal nocturnal dyspnea. Vital signs show BP 145/92 mmHg, HR 108/min, RR 22/min, SpO2 92% on room air.…
A 42-year-old woman presents to the emergency department with progressive dyspnea, orthopnea, and nocturnal cough for 3 weeks. She reports a history of acute rheumatic fever at age…
A 64-year-old man with a history of myopia and lens dislocation presents to the clinic with progressive dyspnea on exertion and fatigue over the past 3 months. He denies chest pain…
A 32-year-old woman presents to clinic with progressive dyspnea on exertion and fatigue over the past 2 years. She has a history of acute rheumatic fever at age 8 and reports being…
A 58-year-old man with a history of rheumatic mitral stenosis presents to the emergency department with palpitations, dyspnea, and chest discomfort. On examination, he is tachycard…
A 73-year-old man with a 15-year history of hypertension and stage 3 chronic kidney disease presents to the clinic with progressive dyspnea on exertion and bilateral lower extremit…
A 71-year-old man with a history of hypertension and type 2 diabetes mellitus presents to the clinic with progressive dyspnea on exertion over the past 6 months. He reports he can …
A 58-year-old woman with a 10-year history of atrial fibrillation presents to the emergency department with acute dyspnea and orthopnea that began 2 days ago. She reports no recent…
A 35-year-old man with a history of intravenous drug use presents to the emergency department with a 1-week history of fever, malaise, and dyspnea. Vital signs show temperature 39.…
A 23-year-old woman with hypermobile joints and translucent skin presents with palpitations. Vital signs: BP 118/76 mmHg, HR 92/min, RR 16/min, SpO2 98% on room air. Cardiac examin…
A 49-year-old man with Marfan syndrome presents with progressive exertional dyspnea. Vital signs show BP 160/45 mmHg, HR 92 bpm, RR 18, and SpO2 98% on room air. Physical examinati…
A 2-year-old boy presents with recurrent cyanotic episodes triggered by crying and exertion. Vital signs show HR 128/min, RR 32/min, BP 95/60 mmHg, SpO2 78% during distress. Physic…
A 76-year-old woman with hypertension presents with repeated episodes of lightheadedness and intermittent palpitations followed by prolonged pauses. Vital signs show BP 142/88 mmHg…
A 59-year-old man with hyperlipidemia and hypertension presents with acute onset crushing substernal chest pain at rest. Vital signs show BP 168/94 mmHg, HR 102 bpm, RR 20, SpO2 98…
A 31-year-old man presents to the emergency department after a stab wound to the left anterior chest. He is confused and diaphoretic with BP 82/56 mm Hg, HR 118/min, RR 24/min, and…
A 61-year-old woman with long-standing type 2 diabetes mellitus and hypertension on lisinopril presents with progressive dyspnea and chest discomfort with exertion. Vital signs sho…
A 52 year old man with poorly controlled blood pressure comes to the emergency department because of severe headache and blurry vision. Blood pressure is 242/138 mm Hg. Funduscopic…
A 29 year old woman has recurrent headaches and newly diagnosed severe hypertension. She has no history of diabetes. An abdominal bruit is heard on examination. Serum creatinine ri…
A 24 year old tall thin man is evaluated for chest discomfort. He has long extremities, pectus excavatum, and lens subluxation. A decrescendo early diastolic murmur is heard at the…
A 28-year-old woman with systemic lupus erythematosus presents with progressive fatigue and exertional dyspnea. Vital signs: BP 118/76 mmHg, HR 92 bpm, RR 18, Temp 37.2°C, SpO2 98%…
A 61-year-old woman with metastatic pancreatic adenocarcinoma presents with acute right arm weakness. Vital signs: BP 128/76 mmHg, HR 92/min, RR 16/min, Temp 37.2°C, SpO2 98% on ro…
A 62-year-old man with hyperlipidemia and active smoking (1 pack daily) presents with substernal chest pressure that occurs predictably with uphill walking and resolves within 5 mi…
A 23 year old woman is brought to the hospital because of progressive shortness of breath and palpitations for 5 days. She had a flu like illness 2 weeks ago. Temperature is 38 C (…