Questões de USMLE

A 29-year-old woman with a 12-year history of type 1 diabetes mellitus presents to her endocrinologist for a follow-up visit regarding persistent postprandial glucose excursions, w…

A 19-year-old college student presents with fever (38.9°C), dry cough, and dyspnea. Vital signs show HR 102/min, RR 22/min, BP 118/76 mmHg, SpO2 94% on room air. Chest X-ray reveal…

A 49-year-old obese man presents to his primary care physician for a routine follow-up after being diagnosed with type 2 diabetes mellitus three weeks ago during an employee health…

A 60-year-old man with type 2 diabetes mellitus presents with a fasting glucose of 118 mg/dL but postprandial glucose of 320 mg/dL due to irregular meal timing. Vital signs: BP 138…

A 52-year-old woman with type 2 diabetes mellitus presents with a fasting blood glucose of 187 mg/dL, BP 128/82 mmHg, HR 78/min, and BMI 31 kg/m². Her recent HbA1c is 8.2% despite …

A 62-year-old woman with a 12-year history of type 2 diabetes mellitus comes to the clinic because of progressive fatigue, weakness, and numbness and tingling of her feet over the …

A 43-year-old man presents to his endocrinologist with a 3-year history of progressively enlarging hands and feet, coarsening of facial features, and excessive sweating that soaks …

A 31-year-old woman with generalized seizure disorder and pulmonary tuberculosis presents with a positive pregnancy test despite consistent use of combined oral contraceptives for …

A 30-year-old pregnant woman with HIV infection started on zidovudine (AZT) for vertical transmission prophylaxis presents with progressive fatigue and dyspnea on exertion. Vital s…

A 62-year-old postmenopausal woman with osteoporosis presents with progressive lower back pain for three months. Vital signs: BP 128/76, HR 78, RR 16, Temp 37°C, SpO2 98%. Recent D…

A 17-year-old boy with mild hemophilia A presents for elective dental extraction. His hematologist administers an intranasal medication to increase von Willebrand factor and factor…

A 34-year-old man with HIV infection (CD4 count 175 cells/μL) presents with a 3-week history of productive cough, fever, and night sweats. Chest X-ray reveals bilateral upper lobe …

A 38-year-old woman with chronic migraine headaches takes topiramate 100 mg daily for prophylaxis. She presents with progressive cognitive slowing, memory impairment, and difficult…

A 55-year-old man with a 20-year history of chronic hepatitis C and compensated cirrhosis (Child-Pugh class A) develops a 4.2 cm hepatocellular carcinoma on surveillance imaging an…

A 34-year-old woman with HIV infection (CD4 count 45 cells/μL) on antiretroviral therapy presents with a 3-day history of fever (39.2°C), severe headache, and neck stiffness. Cereb…

A 28-year-old man presents to the emergency department with a 2-day history of fever, severe headache, neck stiffness, and photophobia. Vital signs show temperature 39.8°C, blood p…

A 72-year-old man with chronic kidney disease stage 3 (baseline creatinine 2.8 mg/dL, eGFR 22 mL/min/1.73m²) presents with fever, dysuria, and suprapubic pain for 3 days. Temperatu…

A 34-year-old woman without significant past medical history presents with a 3-day history of fever, dyspnea, and productive cough. She reports rust-colored sputum. Vital signs sho…

A 45-year-old woman with a history of rash following amoxicillin 10 years ago presents to the emergency department with a 3-day history of productive cough with purulent sputum, pl…

A 36-year-old man with acute myelogenous leukemia undergoing induction chemotherapy develops persistent fever to 39.4°C despite seven days of broad-spectrum antibiotics, including …

A 58-year-old woman is brought to the emergency department with fever, rigors, and altered mental status for the past 12 hours. Her temperature is 39.4°C, blood pressure is 88/60 m…

A 34-year-old man with HIV/AIDS and a CD4 count of 45 cells/μL presents to the emergency department with a 5-day history of progressive dyspnea, nonproductive cough, and fever to 3…

A 32-year-old woman with no significant past medical history presents with community-acquired pneumonia characterized by fever (38.5°C), productive cough, and hypoxia (SpO2 92% on …

A 45-year-old man with a history of orthotopic lung transplantation 3 years ago presents to the hospital with a 2-week history of progressive dyspnea, fever, and nonproductive coug…