Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 21-year-old man presents with intermittent scleral icterus exacerbated by fasting and stress. Vital signs: BP 118/76, HR 82, RR 16, Temp 37°C, SpO2 98%. He denies abdominal pain …
A 62-year-old woman presents with fever, jaundice, and right upper quadrant pain. Vital signs show BP 105/68 mmHg, HR 102 bpm, RR 20/min, temperature 38.9°C, and SpO2 98% on room a…
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 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 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 48-year-old woman presents with progressive pruritus and fatigue for 3 months. Vital signs: BP 118/76, HR 88, RR 16, Temp 98.6°F, SpO2 98% on room air. Laboratory studies reveal …
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 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 term newborn presents with bilious vomiting 6 hours after birth. Vital signs show HR 145/min, RR 48/min, and mild dehydration. Abdominal examination reveals distension without he…
A full-term newborn presents with abdominal distension and failure to pass meconium beyond 48 hours of life. Vital signs show HR 145/min, RR 48/min, temperature 37.2°C. Physical ex…
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 34-year-old woman with Wilson disease presents with acute liver failure, hemolytic anemia, and tremor. Vital signs show BP 92/58, HR 118, RR 22, temperature 37.2°C, SpO2 98% on r…
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 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 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 52-year-old man with cirrhosis secondary to hepatitis C presents with acute abdominal distention, confusion, and asterixis. Vital signs show BP 118/76, HR 92, RR 18, Temp 37.2°C.…
A 23-year-old woman presents 24 hours after acetaminophen overdose with nausea, right upper quadrant pain, and jaundice. Vital signs: BP 110/68, HR 102, RR 16, Temp 37.2°C, SpO2 98…
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 34-year-old man with Crohn disease presents to the emergency department with a 3-week history of fever, productive cough, and progressive dyspnea. He has been on infliximab monot…
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…
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 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 24-year-old woman presents with a 3-month history of chronic diarrhea, bloating, and fatigue. She reports a pruritic blistering rash on extensor surfaces of her elbows. Vital sig…