Questões de USMLE

A 62-year-old man with a history of hypertension presents to the emergency department with a 3-week history of progressive dyspnea on exertion, orthopnea, and lower extremity edema…

A 67-year-old man with a history of metastatic prostate cancer and known thoracic spinal cord compression presents to the emergency department with acute onset paraplegia and urina…

A 74-year-old man is brought to the intensive care unit following emergency exploratory laparotomy for perforated diverticulitis with fecal peritonitis. He has a history of hyperte…

A 55-year-old woman with chronic stable angina presents with fatigue, difficulty concentrating, and depressed mood that began 2 weeks after her cardiologist started metoprolol succ…

A 61-year-old woman with a 12-year history of Sjogren syndrome presents to her rheumatologist reporting severe dry mouth, difficulty swallowing crackers and dry foods, and persiste…

A 72-year-old man with a 5-year history of benign prostatic hyperplasia and hypertension presents to the emergency department with syncope that occurred 30 minutes after taking his…

A 72-year-old woman with systolic heart failure and newly diagnosed atrial fibrillation presents with dizziness and two episodes of syncope upon standing over the past week. Two we…

A 57-year-old woman with type 2 diabetes and hypertension is started on lisinopril 10 mg daily. Two weeks later, she presents with a persistent dry cough, dyspnea, and wheezing. Vi…

A 59 year old man with hypertension forgot to refill one of his medications and stopped it abruptly 2 days ago. He now presents with severe headache, agitation, blood pressure of 2…

A 22-year-old man is brought to the emergency department because of agitation after ingesting an unknown amount of jimson weed at a party. His temperature is 39.8°C, heart rate is …

A 19-year-old college student presents to the ED with agitation and altered mental status after ingesting homemade tea from ornamental plant seeds. Vital signs show BP 158/92, HR 1…

A 62-year-old man presents to the clinic with a 6-month history of hesitancy, weak urinary stream, and nocturia 3-4 times per night. He denies dysuria, hematuria, or abdominal pain…

A 4-year-old boy presents to the emergency department after ingesting multiple tablets from his grandfather's pill organizer. He is lethargic with BP 70/45 mmHg, HR 42 bpm, RR 18, …

A 19-year-old male college student is brought to the emergency department by his roommate after intentionally ingesting an entire bottle of aspirin approximately 2 hours ago follow…

A 32-year-old woman with newly diagnosed Graves disease presents with tremor, palpitations, and anxiety. Vital signs show BP 148/92 mmHg, HR 112 bpm, RR 18, temperature 37.8°C, and…

A 73-year-old man with a large intracerebral hemorrhage (CT head shows 40-mL hematoma) is given mannitol to rapidly decrease intracranial pressure. Currently, BP 165/95 mmHg, HR 98…

A 64-year-old woman with hypertension initiated a calcium channel blocker one month ago. She now presents with bilateral ankle edema, facial flushing, and headache. Vital signs sho…

A 69-year-old man with COPD presents with exertional dyspnea and chronic productive cough for the past 8 months. Vital signs show BP 148/92 mmHg, HR 88/min, RR 22/min, SpO2 88% on …

A 62-year-old man presents to his primary care physician with a 2-year history of progressive urinary symptoms including hesitancy, weak urinary stream, and nocturia (3-4 times per…

A 68-year-old man with decompensated systolic heart failure is admitted for cardiogenic shock after a large myocardial infarction. His blood pressure is 82/50 mmHg, heart rate is 1…

A 29-year-old woman with a mechanical mitral valve prosthesis becomes pregnant while taking an oral anticoagulant. Her obstetrician warns that continued use during the first trimes…

A 52-year-old man with Parkinson's disease is started on benztropine 2 mg daily to manage his motor symptoms. Two weeks later, he presents to clinic complaining of difficulty initi…

A 35-year-old woman with myasthenia gravis treated with pyridostigmine presents to the emergency department with acute onset of generalized weakness, diplopia, and respiratory dist…

A 19-year-old woman is brought to the emergency department by her roommate because of acute confusion that developed approximately 2 hours after ingesting several tablets from a fr…