Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 67-year-old man with a 40 pack-year smoking history presents with progressive painless jaundice, weight loss, and epigastric discomfort over 8 weeks. Vital signs: BP 138/82, HR 9…
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 56-year-old woman with a history of cholecystitis presents with jaundice and severe pruritus for 3 days. Vital signs: BP 128/82, HR 92, RR 16, Temp 37.2°C, SpO2 98%. Laboratory s…
A 34-year-old man with 8-year history of ulcerative colitis presents with progressive fatigue and jaundice. Vital signs: BP 118/76, HR 88, RR 16, Temp 37.2°C, SpO2 98% on room air.…
A full-term newborn presents with visible loops of small bowel protruding through a defect in the anterior abdominal wall just lateral to the umbilicus without membranous coverage.…
A 45-year-old woman presents to clinic with a 10-year history of primary biliary cholangitis (PBC) diagnosed by positive anti-mitochondrial antibody and liver biopsy. She reports p…
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, …
An 11-month-old boy presents with sudden onset intermittent episodes of severe crying and leg-drawing posture. He has vomited twice and passed bloody, mucus-laden stools. Vital sig…
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 2-day-old boy presents with bilious vomiting shortly after feeding attempts. Vital signs show HR 145 bpm, RR 32, temperature 37.2°C, BP 65/40. Prenatal ultrasound demonstrated po…
A 48-year-old man with a 10-year history of nonalcoholic fatty liver disease complicated by cirrhosis presents to the clinic with progressive dyspnea, lower extremity edema, and ab…
A 35-year-old woman with polycythemia vera presents with acute right upper quadrant pain and abdominal distension. Vital signs show BP 128/82 mmHg, HR 98/min, RR 16/min, temp 37.2°…
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 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 9-month-old boy is brought to the pediatrician for pallor, poor feeding, and failure to thrive. He has required two prior blood transfusions. Examination shows frontal bossing an…
A 62-year-old woman with hereditary hemochromatosis and biopsy-proven cirrhosis presents for screening upper endoscopy. She reports no prior variceal bleeding or hematemesis. Vital…
A 58-year-old man with chronic hepatitis B and cirrhosis presents with progressive weight loss and right upper quadrant discomfort. Vital signs show BP 128/76, HR 92, RR 16, Temp 3…
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 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 35-year-old woman with polycythemia vera presents with acute onset right upper quadrant pain and abdominal distension. Vital signs show BP 128/82 mmHg, HR 98/min, RR 16/min, temp…
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 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 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…