Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 58-year-old man presents with chest pain and dyspnea. Vital signs: BP 128/82 mmHg, HR 102/min, RR 18/min, temp 37.2°C, SpO2 98% on room air. He receives aspirin, clopidogrel, and…
A 63-year-old woman with hypertension (BP 152/94 mmHg, HR 78/min) develops angioedema of the lips and tongue 2 weeks after starting lisinopril. Laboratory studies show normal C1-es…
A 48-year-old man with no prior cardiac history presents to the emergency department with acute substernal chest pain radiating to his left arm. Vital signs: BP 142/88 mmHg, HR 102…
A 70-year-old man with heart failure (EF 35%) and Stage 3b chronic kidney disease presents with weakness and palpitations. Vitals: BP 128/76 mmHg, HR 92/min, RR 16/min, Temp 37°C, …
A 72-year-old woman with systolic heart failure (LVEF 30%) initiated on lisinopril and carvedilol presents after 1 month with dyspnea and fatigue. Vital signs: BP 98/62 mmHg, HR 58…
A 58-year-old man with chronic stable angina presents with chest pain during exertion despite 2 weeks of continuous long-acting nitrate patch use. Vital signs: BP 142/88 mmHg, HR 9…
A 67-year-old man with heart failure and atrial fibrillation on digoxin 0.25 mg daily and furosemide presents with nausea, palpitations, and visual halos. Vital signs: BP 128/76 mm…
A 73-year-old woman with systolic heart failure and chronic atrial fibrillation presents with dyspnea. Vitals: BP 98/62, HR 102, RR 20, SpO2 92%. She is prescribed digoxin for symp…
A 70-year-old man with chronic atrial fibrillation on warfarin (INR stable at 2.5 for 3 weeks) is started on amiodarone for rate control. One week later, he presents with gross hem…
A 55-year-old woman with a 3-year history of systolic heart failure (ejection fraction 28%) presents to clinic for medication optimization. She reports persistent dyspnea on exerti…
A 55-year-old woman with a history of atrial fibrillation managed with digoxin presents to the emergency department with a 2-day history of progressive nausea, vomiting, confusion,…
A 65-year-old woman with heart failure on lisinopril and furosemide is started on spironolactone. Three weeks later, she presents with weakness and palpitations. Vital signs: BP 98…
A 48-year-old man with chronic hypertension on hydrochlorothiazide for 3 years presents with progressive muscle weakness and palpitations. Vital signs: BP 152/94 mmHg, HR 102/min, …
A 52-year-old woman with hypertension initiated on lisinopril presents 2 weeks later with a persistent dry cough. Vital signs show BP 128/82 mmHg, HR 76/min, RR 18/min, and normal …
A 52-year-old woman with atrial fibrillation for 2 years on digoxin presents with nausea, visual disturbances with yellow-green halos, and dizziness. Vital signs: BP 98/62 mmHg, HR…
A 65-year-old woman with atrial fibrillation presents to her cardiologist for rate control. She has been stable on warfarin (target INR 2-3) for 6 months for stroke prevention. Her…
A 55-year-old man with hypertension started on hydrochlorothiazide 25 mg daily presents with muscle weakness and fatigue. Vital signs: BP 138/82 mmHg, HR 92 bpm, RR 16/min, Temp 37…
A 72-year-old man with a history of hypertension and chronic kidney disease (stage 3) presents to his primary care physician complaining of a persistent dry, nonproductive cough th…
A 58-year-old woman with a 10-year history of hypertension and stage 3b chronic kidney disease secondary to diabetic nephropathy is started on lisinopril 10 mg daily. Her baseline …
A 68-year-old woman with heart failure with reduced ejection fraction and stage 3 chronic kidney disease presents with a 2-day history of nausea, vomiting, and yellow-green visual …
A 73-year-old man with a 10-year history of chronic kidney disease (GFR 25 mL/min) and hypertension presents to his primary care physician for a routine follow-up. He has been on l…
A 71-year-old man with hypertension and type 2 diabetes presents to the emergency department with inferior ST-elevation myocardial infarction (STEMI). His vital signs on arrival ar…
A 65-year-old man with a history of atrial fibrillation and normal renal function is prescribed digoxin 0.25 mg daily for rate control after inadequate response to metoprolol. His …
A 26-year-old woman with no significant past medical history presents to the emergency department after developing sudden onset palpitations, lightheadedness, and mild chest tightn…