Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 24-year-old woman presents to the emergency department after her first witnessed generalized tonic-clonic seizure. She reports a 2-year history of brief jerking movements of her …
A 68-year-old man presents with his first focal motor seizure involving the left leg followed by 48-hour post-ictal paralysis. Vitals: BP 142/88, HR 92, RR 18, Temp 37.2°C, SpO2 98…
A 9-month-old infant presents with sudden onset of brief flexion of the trunk and extremities occurring in clusters, followed by crying. Episodes last 1-2 seconds and occur 10-15 t…
A 58-year-old man with history of left MCA stroke 8 years ago presents with sudden-onset focal motor seizure of the right arm, followed by Todd's paralysis lasting 36 hours. Vital …
A 7-year-old boy is brought to clinic by his mother who reports brief episodes of unresponsiveness occurring 5-10 times daily over the past 3 weeks. During these episodes, lasting …
A 68-year-old man with prior anterior myocardial infarction presents with exertional dyspnea, orthopnea, and bilateral ankle edema. Vital signs show BP 128/82 mmHg, HR 94 bpm, RR 1…
A 7-year-old girl presents for evaluation of an incidental systolic murmur discovered on routine physical examination. She reports normal exercise tolerance and denies dyspnea or c…
A 68-year-old woman hospitalized 5 days post-transmural myocardial infarction presents with acute hemodynamic collapse. Vital signs show BP 70/45 mmHg, HR 120/min, RR 22/min, temp …
A 61-year-old woman presents 6 weeks after anterior myocardial infarction with low-grade fever (38.2°C), sharp pleuritic chest pain improved by leaning forward, and malaise. Vital …
A 17-year-old competitive basketball player presents with exertional syncope and dyspnea on exertion. Vital signs show BP 118/76 mmHg, HR 92 bpm, RR 18, and SpO2 98% on room air. E…
A 30-year-old woman presents 2 months postpartum with progressive dyspnea, orthopnea, and bilateral lower extremity edema. Vital signs show BP 128/82 mmHg, HR 102 bpm, RR 18/min, a…
A 3-month-old boy presents with poor feeding and tachypnea for 2 weeks. Vital signs show HR 160 bpm, RR 52/min, BP 85/55 mmHg, SpO2 94% on room air, and normal temperature. Physica…
A 62-year-old man with a 10-year history of hypertension presents to the clinic complaining of progressive dyspnea on exertion for 3 months, waking at night short of breath, and sw…
A 63-year-old man with ischemic cardiomyopathy presents with progressive exertional dyspnea and orthopnea. Vital signs show BP 118/76 mmHg, HR 102 bpm, RR 22/min, and SpO2 88% on r…
A 70-year-old man presents with hypotension four days following an anterior myocardial infarction. Vital signs show BP 85/52 mmHg, HR 118/min, RR 22/min, temperature 37.2°C, and Sp…
A 76-year-old man with a history of heart failure and atrial fibrillation presents with dyspnea and peripheral edema. Vital signs show BP 148/92 mmHg, HR 118 bpm, RR 22/min, and Sp…
A 19-year-old male presents to the emergency department following blunt head trauma from a motor vehicle collision 90 minutes ago. Initially he was alert and oriented with a brief …
A 48-year-old woman develops sudden, severe "thunderclap" headache while exercising. She is nauseated, photophobic, and confused. Vital signs: BP 168/94 mmHg, HR 112 bpm, RR 18, Te…
A 61-year-old woman with hypertension presents with sudden-onset vertigo, vomiting, hoarseness, and dysphagia. Vital signs: BP 168/94 mmHg, HR 88, RR 18, temp 37.2°C, SpO2 98%. She…
A 33-year-old woman presents with progressive burning injuries to both hands sustained while cooking that she did not notice. Vital signs show BP 118/76, HR 82, RR 16, Temp 37.2°C,…
A 44-year-old woman develops sudden severe occipital headache while exercising, describing it as the worst headache of her life. She is febrile (38.2°C), hypertensive (168/98 mmHg)…
A 57-year-old woman with hypertension presents with sudden onset vertigo, vomiting, hoarseness, and dysphagia. Vital signs show BP 168/94, HR 88, RR 16, Temp 37.2°C, SpO2 98%. Exam…
A 28-year-old woman presents with recurrent episodes of epigastric rising sensation followed by lip smacking, staring, and confusion lasting 2 minutes, with complete post-ictal amn…
A 34-year-old woman presents with recurrent episodes beginning with olfactory hallucinations and déjà vu, followed by lip smacking and 2-3 minutes of altered consciousness. She rep…