Questões de USMLE

3.602 questões com gabarito e explicação.

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A 64-year-old woman with a 15-year history of hypertension and chronic kidney disease stage 4 presents to the emergency department with acute onset severe frontal headache, confusi
A 67-year-old man with a history of hypertension and type 2 diabetes presents to the emergency department with acute onset of left-sided weakness and dysarthria. His wife reports s
A 71-year-old man with a history of type 2 diabetes mellitus, hypertension, and prior myocardial infarction presents to the emergency department with sudden onset dysarthria and ri
A 52-year-old man with a 20-pack-year smoking history and hyperlipidemia presents to the emergency department after experiencing two episodes of right-sided facial droop and arm we
A 42-year-old woman on combined oral contraceptives presents to the emergency department with sudden-onset occipital headache followed by a focal seizure and right-sided hemiparesi
A 68-year-old man with a 10-year history of hypertension presents to the emergency department 5 hours after the acute onset of right facial droop, right arm weakness, and dysarthri
A 52-year-old woman with hypertension develops sudden severe retro-orbital headache followed by diplopia. Vital signs: BP 168/98 mmHg, HR 92/min, RR 16/min, temp 37.2°C. Examinatio
A 34-year-old woman without prior medical history presents to the emergency department 6 hours after acute onset of left-sided hemiparesis and expressive aphasia. She delivered via
A 74-year-old woman with a history of paroxysmal atrial fibrillation (not on anticoagulation) presents to the emergency department 7 hours after acute onset of right-sided facial d
A 61-year-old man with a history of hypertension and chronic kidney disease (stage 3b) presents to the emergency department with acute-onset left facial droop, left arm weakness, a
A 61-year-old man is brought to the emergency department after rhythmic clonic movements of the right arm and face lasting 90 seconds. After the event resolves, he is awake but can
A 16-year-old girl presents with a 3-month history of sudden bilateral arm jerks occurring shortly after waking, particularly after sleep deprivation. This morning, she experienced
A 16-year-old girl presents with a 3-month history of sudden bilateral arm jerks upon awakening, particularly after sleep deprivation. This morning, she experienced a generalized t
A 29-year-old woman presents with recurrent episodes beginning with epigastric aura, progressing to lip smacking and impaired awareness lasting several minutes, followed by 20-minu
A 67-year-old man with a history of hypertension and atrial fibrillation presents to the emergency department with acute onset left-sided weakness and left facial drooping that beg
A 62-year-old man with hypertension presents with sudden onset vertigo and vomiting. Vital signs: BP 168/94, HR 88, RR 16, Temp 37.2°C, SpO2 98%. Examination reveals right facial p
A 52-year-old woman with a history of migraine with aura presents to the emergency department with acute onset of right-sided weakness and numbness. Her symptoms completely resolve
A 70-year-old man with hypertension presents with sudden-onset left arm and leg weakness and loss of left-sided proprioception. Vital signs: BP 168/95 mmHg, HR 88/min, RR 16/min, t
A 45-year-old man with a 10-year history of hypertension, diet-controlled, presents to the emergency department with acute onset right-sided weakness and right facial droop. Examin
A 24-year-old woman with no prior medical history presents to the emergency department after experiencing a generalized tonic-clonic seizure lasting 2 minutes. She reports irregula
A 16-year-old boy with a 3-year history of juvenile myoclonic epilepsy, currently controlled on monotherapy with valproic acid, presents to the emergency department after experienc
A 7-year-old girl is brought to the emergency department after experiencing a focal seizure consisting of rhythmic jerking of her right arm and right corner of her mouth lasting ap
A 55-year-old man with newly diagnosed small-cell lung cancer presents with a single generalized tonic-clonic seizure. MRI brain reveals three hypodense lesions in the left tempora
A 58-year-old woman with a 2-year history of untreated atrial fibrillation presents to the emergency department with acute onset of slurred speech and right-sided weakness. She rep
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