Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 25-year-old woman at 6 weeks gestation presents requesting medical abortion. Vital signs are stable (BP 118/76, HR 82, RR 16, Temp 37.0°C). She receives a progesterone receptor a…
A 66-year-old woman with type 2 diabetes mellitus presents with fasting glucose of 156 mg/dL and HbA1c of 8.2%. Vital signs show BP 138/82 mmHg, HR 78/min, RR 16/min, and temperatu…
A 70-year-old man with small cell lung carcinoma presents with severe headache and confusion. Vital signs show BP 128/76 mmHg, HR 88/min, RR 16/min, temperature 37.2°C. Laboratory …
A 14-year-old boy presents with polyuria and polydipsia following a traumatic brain injury. Vital signs show HR 88/min, BP 118/76 mmHg, RR 16/min. Serum sodium is 148 mEq/L; urine …
A 39-year-old woman with Cushing disease presents for pituitary ACTH reserve testing. Vital signs show BP 148/92, HR 88, RR 14, Temp 37°C. She has central obesity and proximal musc…
A 57-year-old man with type 2 diabetes mellitus started an oral antihyperglycemic agent two months ago. He now presents with polyuria and recurrent candidal balanitis. Vital signs …
A 59-year-old woman with type 2 diabetes mellitus and a history of compensated heart failure with reduced ejection fraction (last echocardiogram showing EF of 40%) presents to her …
A 21-year-old woman presents to the ED confused and agitated 3 hours after taking MDMA at a nightclub. Vital signs show temperature 39.2°C, heart rate 128/min, blood pressure 148/9…
A 37-year-old man with small cell lung carcinoma presents with ectopic ACTH production causing severe hypercortisolism. Vital signs show BP 168/98 mmHg, HR 102/min, RR 18/min, temp…
A 73-year-old woman with severe osteoporosis presents with acute back pain. Vital signs: BP 138/82, HR 88, RR 16, Temp 37.2°C, SpO2 98% on room air. She has sustained three vertebr…
A 64-year-old woman with type 2 diabetes mellitus presents with predominantly postprandial hyperglycemia (fasting glucose 118 mg/dL, postprandial glucose 285 mg/dL). She initiates …
A 31-year-old woman with Graves disease presents with fever (38.9°C), severe pharyngitis, and malaise 6 weeks after initiating antithyroid therapy. Vital signs show tachycardia (10…
A 27-year-old woman with a 12-year history of type 1 diabetes mellitus presents to her endocrinologist for a routine follow-up. She currently uses a basal bolus insulin regimen wit…
A 46-year-old woman with a 22-year history of type 1 diabetes mellitus presents to her endocrinologist for a routine follow-up, reporting episodes of nocturnal diaphoresis, palpita…
A 62-year-old woman with a 10-year history of type 2 diabetes mellitus comes to the clinic because of progressive fatigue, generalized weakness, and numbness of her feet over the p…
A 64-year-old woman with a 9-year history of type 2 diabetes mellitus presents to her primary care physician for a routine follow-up. Her HbA1c is 7.8%, fasting plasma glucose is 1…
A 38-year-old woman with a history of migraine with aura and a one pack-per-day smoking history for the past 12 years presents to her gynecologist requesting oral contraception for…
A 31-year-old woman with Graves disease started antithyroid therapy 6 weeks ago. She now presents with fever (38.9°C), severe pharyngitis, and malaise. Vital signs show tachycardia…
A 49-year-old woman with acromegaly treated with somatostatin analog therapy demonstrates improved headaches and soft tissue swelling. Six months into treatment, she presents with …
A 54-year-old woman with lymphoma receiving high-dose cyclophosphamide presents with dysuria and gross hematuria. Vital signs show BP 128/82, HR 92, RR 18, Temp 37.2°C, SpO2 98% on…
A 47-year-old woman with myasthenia gravis self-increased her pyridostigmine dose. She now presents with BP 138/82, HR 108, RR 18, temp 37.2°C, SpO2 98% on room air. She reports se…
A 58-year-old man with a 2-year history of exertional chest pain presents with acute substernal pressure. Vital signs: BP 165/95 mmHg, HR 102 bpm, RR 16, SpO2 98% on room air. He t…
A 70-year-old man with acute decompensated heart failure presents with dyspnea, orthopnea, and bilateral ankle edema. Vital signs show BP 165/95 mmHg, HR 102 bpm, RR 22/min, temp 3…
A 29-year-old man with a history of intravenous drug use is found unresponsive in a public restroom. Vital signs show BP 88/56, HR 52, RR 5, temperature 36.2°C, and SpO2 78% on roo…