Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 30-year-old man presents with 4 months of bloody diarrhea, tenesmus, and lower abdominal cramping. Vital signs show BP 128/82 mmHg, HR 92/min, RR 16/min, temperature 37.2°C, and …
A 72-year-old male with 30 years of occupational asbestos exposure installing shipyard insulation presents with progressive exertional dyspnea. Vital signs show BP 138/82 mmHg, HR …
A 68-year-old woman with peripheral artery disease and hypertension presents with severe crampy abdominal pain onset 30 minutes postprandially for 2 months. She has lost 8 kg due t…
A 19-year-old woman presents with abdominal pain and diarrhea. Colonoscopy reveals hundreds of adenomatous polyps throughout the colon. Vital signs show BP 118/76 mmHg, HR 88 bpm, …
A 32-year-old woman with ulcerative colitis presents with severe bloody diarrhea (15 stools/day) and cramping abdominal pain. Vital signs show temperature 38.5°C, heart rate 110 bp…
A 76-year-old man with severe aortic stenosis and stage 3 chronic kidney disease presents with recurrent episodes of painless maroon-colored stools and chronic iron deficiency anem…
A 19-year-old college student presents with acute-onset bloating, abdominal cramping, and watery diarrhea after consuming milkshakes. Vital signs: BP 118/76, HR 88, RR 16, Temp 98.…
A 42-year-old woman with a 10-year history of ulcerative colitis presents for surveillance colonoscopy. She reports well-controlled symptoms on mesalamine monotherapy with no abdom…
A 49-year-old male sandblaster presents with 3-month progressive dyspnea and dry cough. Vital signs: BP 128/82 mmHg, HR 92 bpm, RR 22/min, Temp 37.2°C, SpO2 88% on room air. Chest …
A 43-year-old woman with a history of gallstones presents with severe epigastric pain radiating to the back, nausea, and vomiting for 6 hours. Vital signs show BP 128/82 mmHg, HR 1…
A 4-month-old boy presents with an intermittent right groin bulge that becomes more prominent when crying. Vital signs show HR 140/min, RR 32/min, temperature 37.2°C, and normal ox…
A 3-day-old premature infant born at 28 weeks gestation presents with abdominal distension, feeding intolerance, and lethargy. Vital signs show temperature 36.8°C, heart rate 165/m…
A 44-year-old woman with chronic constipation has self-medicated with daily over-the-counter stimulant laxatives for 5 years. She presents with abdominal cramping and loose stools.…
A 28-year-old woman with a 5-year history of ulcerative colitis presents to the emergency department with acute onset severe abdominal pain, bloody diarrhea (8-10 stools daily), an…
A 39-year-old obese woman started orlistat 3 weeks ago for weight loss. She now presents with oily spotting, increased flatulence, and abdominal discomfort. Vital signs are BP 128/…
A 1-day-old female newborn presents with bowel loops visibly protruding through a defect to the right of the umbilicus. Vital signs show HR 145 bpm, RR 48/min, and temperature 36.8…
A 45-year-old woman with a 15-year history of ulcerative colitis presents to the clinic with progressive fatigue, dyspnea on exertion, and mild jaundice. She denies abdominal pain …
A 48-year-old man with a 10-year history of heartburn presents with epigastric pain (8/10) worsening postprandially and when supine. Vitals: BP 128/82, HR 88, RR 16, Temp 37.2°C, S…
A 24-year-old woman presents with a 6-month history of bloody diarrhea, abdominal cramping, and 8-pound weight loss. Vital signs show BP 118/76, HR 92, RR 16, and temperature 37.2°…
A 24-year-old woman presents with a 3-month history of chronic diarrhea, crampy abdominal pain, and 6-kg weight loss. Vital signs show BP 118/76, HR 92, RR 16, temperature 37.2°C, …
A 73-year-old man with diffuse atherosclerosis and hypertension controlled with lisinopril develops sudden crampy left-sided abdominal pain and hematochezia hours after severe hypo…
A 62-year-old man with a 3-year history of GERD managed with omeprazole presents with progressive dysphagia to solids, regurgitation of undigested food, and halitosis. Vital signs …
A full-term male newborn presents with progressive abdominal distention and bilious vomiting; meconium has not been passed by 48 hours of life. Vital signs show HR 145/min, RR 38/m…
A 16-year-old girl is evaluated for chronic fatigue, bloating, intermittent diarrhea, and poor weight gain. Laboratory studies show iron deficiency anemia. She has a pruritic vesic…