Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 48-year-old woman presents with progressive pruritus and fatigue for 3 months. Vital signs: BP 118/76, HR 88, RR 16, Temp 98.6°F, SpO2 98% on room air. Laboratory studies reveal …
A 51-year-old man with 30-year history of heavy alcohol use presents with recurrent epigastric pain, chronic diarrhea, and 10-kg weight loss over 6 months. Vital signs: BP 128/82, …
A 28-year-old woman of Mediterranean descent presents with mild anemia (hemoglobin 10.2 g/dL), microcytia (MCV 72 fL), and normal iron stores. Serum ferritin is elevated at 145 ng/…
A 55-year-old man with alcohol-related cirrhosis presents with hematemesis. Vitals show BP 94/58 mmHg, HR 118 bpm, RR 22/min, and SpO2 98% on room air. Temperature is 36.8°C. Upper…
A 63-year-old woman with known cholelithiasis presents with fever, jaundice, and right upper quadrant pain. Vital signs show BP 88/54, HR 118, RR 22, temperature 39.2°C, and SpO2 9…
A 51-year-old woman presents with profuse watery diarrhea persisting during fasting. Vitals show BP 98/62, HR 112, RR 18, temp 37.2°C. She reports weakness and lightheadedness. Lab…
A 49-year-old man with a 20-year history of alcohol use presents with bulky, foul-smelling stools, progressive weight loss, and easy bruising. Vital signs show BP 128/76, HR 88, RR…
A 38-year-old man presents to the emergency department 48 hours after undergoing ERCP with sphincterotomy for choledocholithiasis. He reports right upper quadrant pain, nausea, and…
A 52-year-old man presents with progressive fatigue, arthralgias, and skin hyperpigmentation. Vital signs show BP 128/82, HR 88, RR 16, temperature 37°C, SpO2 98%. Laboratory studi…
A 60-year-old man with decompensated cirrhosis presents with fever (38.9°C), abdominal pain, and worsening confusion. Vital signs show BP 92/58, HR 108, RR 22, SpO2 98% on room air…
A 34-year-old woman with Wilson disease presents with acute liver failure, hemolytic anemia, and tremor. Vital signs show BP 92/58, HR 118, RR 22, temperature 37.2°C, SpO2 98% on r…
A 45-year-old woman with a 15-year history of primary biliary cholangitis presents with progressive fatigue, pruritus, and jaundice. Laboratory studies show elevated alkaline phosp…
A 14-year-old boy presents with chronic hepatitis and progressive dyspnea. Vital signs show HR 92 bpm, RR 22/min, BP 118/76 mmHg, and SpO2 92% on room air. Laboratory studies revea…
A 58-year-old man with cirrhosis presents with confusion, sleep reversal, and asterixis. Vital signs show BP 128/76 mmHg, HR 92 bpm, RR 18/min, temperature 37.2°C, and SpO2 98% on …
A 34-year-old man with a 10-year history of ulcerative colitis presents with progressive pruritus and fatigue. Vital signs show BP 128/82, HR 88, RR 16, temperature 37.2°C, and SpO…
A 17-year-old boy presents with tremor, dysarthria, and behavioral changes. Vital signs show BP 118/76 mmHg, HR 88/min, RR 16/min, temperature 37°C, and SpO2 98% on room air. He ha…
A 42-year-old woman presents with jaundice, pruritus, and pale stools for 3 weeks. She reports right upper quadrant pain and acholic (clay-colored) stools. Ultrasound shows dilated…
A 19-year-old man presents to the emergency department with a 3-day history of bloody diarrhea (12-15 stools/day), severe left lower abdominal cramping, and fever. He has no recent…
A 52-year-old man with recently diagnosed diabetes mellitus presents with progressive fatigue, arthralgias, and decreased libido. Vital signs: BP 128/82 mmHg, HR 88/min, RR 16/min,…
A 57-year-old woman with Hashimoto thyroiditis presents with progressive fatigue and intense generalized pruritus for 3 months. Vital signs: BP 128/82 mmHg, HR 76/min, RR 14/min, t…
A 34-year-old man with Crohn disease presents to the emergency department with a 3-week history of fever, productive cough, and progressive dyspnea. He has been on infliximab monot…
A 55-year-old man with a 30-year history of heavy alcohol use presents to the emergency department with abdominal distension and hematemesis. On examination, he has ascites, spider…
A 42-year-old woman presents with abnormal uterine bleeding. Vital signs show BP 128/82, HR 88, RR 16, Temp 37.2°C, SpO2 98% on room air. Endometrial biopsy confirms adenocarcinoma…
A 10-month-old boy presents with episodic severe colicky abdominal pain and leg flexion, followed by bilious vomiting and lethargy. Vitals show HR 128/min, RR 26/min, BP 95/60 mmHg…