Questões de USMLE

A 30-year-old woman is brought to the emergency department because of severe headache and vomiting that started after she was hiking in the mountains at high altitude. She normally…

A 41-year-old man with hyperlipidemia and hypertension presents to the emergency department with severe diffuse myalgias, dark urine, and tea-colored urine for 3 days. He started a…

A 71-year-old woman with atrial fibrillation on warfarin presents with melena and dizziness. Vital signs show BP 92/58, HR 108, RR 20, temp 36.8°C, SpO2 98% on room air. Laboratory…

A 27-year-old woman is brought to the emergency department after ingesting an unknown amount of amitriptyline 2 hours ago. She is confused and disoriented. Vital signs show BP 85/5…

A 25-year-old woman taking sertraline 100 mg daily develops agitation, diaphoresis, and diarrhea shortly after starting linezolid for pneumonia. Vital signs show BP 148/92, HR 118,…

A 19-year-old woman presents to the emergency department after intentional propranolol overdose. Vital signs show BP 78/52 mmHg, HR 38 bpm, RR 16, temperature 37°C, and SpO2 98% on…

A 17-year-old boy develops rapidly increasing core temperature (40.2°C), generalized muscle rigidity, and tachycardia (HR 142/min) shortly after induction of general anesthesia wit…

A 34-year-old woman arrives at the emergency department with somnolence after ingesting excessive diazepam. Vital signs show BP 118/76, HR 88, RR 10, temperature 37°C, and SpO2 98%…

A 17-year-old girl presents to the emergency department after ingesting an entire bottle of aspirin two hours ago. She is tachypneic (RR 28/min), tachycardic (HR 118/min), and febr…

A 23-year-old woman presents 12 hours after intentional acetaminophen overdose. She reports nausea and vomiting but denies abdominal pain. Vital signs: BP 118/76, HR 102, RR 16, Te…

A 40-year-old man is found unresponsive in his garage next to an open antifreeze container. He presents with BP 102/68, HR 118, RR 22, temperature 36.8°C, and SpO2 98% on room air.…

A 19-year-old college student is brought to the emergency department after intentionally ingesting a bottle of aspirin tablets. He presents with tinnitus, nausea, and tachypnea (RR…

A 7-year-old boy is brought to the emergency department after ingesting unknown berries from a garden 2 hours ago. He is agitated and hallucinating, with flushed skin, temperature …

A 72-year-old man with a 3-year history of coronary artery disease presents with complaints of chest pain that occurs predictably when climbing stairs or walking briskly, but resol…

A 36-year-old pregnant woman at 34 weeks gestation is hospitalized after presenting with a blood pressure of 168/112 mmHg, headache, and bilateral lower extremity edema. Laboratory…

A 38-year-old woman undergoes peripheral nerve block before surgery. Minutes after injection, she develops circumoral numbness, tinnitus, and generalized seizures followed by ventr…

A 58 year old man is brought to the emergency department after taking a large amount of propranolol in a suicide attempt. He is lethargic. Pulse is 36 per minute and blood pressure…

A 56-year-old woman with a known history of heart failure with reduced ejection fraction (EF 28%) and hypertension presents to her cardiologist for a follow-up visit. She was initi…

A 55-year-old man with a history of myocardial infarction two years ago presents to the emergency department complaining of palpitations and mild shortness of breath that began app…

A 62-year-old man with a 10-year history of hypertension presents to his primary care physician 4 weeks after starting a new antihypertensive medication. He reports improved urinar…

A 62-year-old man with a 10-year history of hypertension and type 2 diabetes mellitus presents to clinic for routine follow-up. He reports dyspnea on exertion over the past 2 weeks…

A 68-year-old man with hypertension presents to the emergency department 2 hours after taking his first dose of a newly prescribed antihypertensive medication. He reports a sudden …

A 2-year-old boy presents to the emergency department with vomiting, abdominal pain, and lethargy after ingesting his mother's prenatal vitamins. Vital signs show HR 128/min, BP 95…

A 5-year-old boy from an older home with peeling paint presents with developmental delay, abdominal pain, and constipation. Vital signs: BP 102/68 mmHg, HR 98/min, RR 20/min, temp …