Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 41-year-old aerospace engineer presents with several months of progressive dyspnea, fatigue, and nonproductive cough. Vital signs show BP 128/82 mmHg, HR 92/min, RR 18/min, tempe…
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 29-year-old woman presents with hematemesis following repeated forceful vomiting during acute viral gastroenteritis. Vital signs: BP 118/76 mmHg, HR 92 bpm, RR 18/min, temp 37.8°…
A 3-year-old boy presents with painless maroon-colored rectal bleeding and abdominal pain. Vital signs show BP 95/60, HR 102/min, RR 22/min, temperature 37.2°C, and SpO2 98% on roo…
A 55-year-old woman receiving cisplatin-based chemotherapy for ovarian cancer presents with nausea. She is started on a medication blocking substance P signaling at neurokinin-1 re…
A full term male newborn is noted immediately after delivery to have loops of bowel protruding through the umbilical ring into a translucent membrane covered sac. The pregnancy was…
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 13-year-old boy presents with periorbital edema, hematuria, and declining renal function. Vital signs show BP 145/92 mmHg, HR 88 bpm, RR 16, temperature 37.2°C, SpO2 98%. Serum c…
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 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 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 28-year-old male with a 3-year history of chronic lower back pain presents to the emergency department with sudden-onset severe epigastric pain that began 2 hours ago while he wa…
A 58-year-old multiparous woman presents with acute groin pain and a tender, nonreducible bulge inferior to the inguinal ligament. She reports nausea and abdominal distension. Vita…
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 42-year-old man presents to your clinic with a 6-month history of progressive epigastric pain and chronic diarrhea refractory to treatment with omeprazole 20 mg daily. He complet…
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 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 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 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 54-year-old man with alcoholic cirrhosis and portal hypertension presents with hematemesis and melena. Vital signs show BP 90/55, HR 118, RR 20, SpO2 98% on room air. Endoscopy r…
A 58-year-old obese man with a 10-year history of GERD presents with worsening dysphagia and 8-kg unintended weight loss over 3 months. He takes omeprazole daily but remains sympto…
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 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 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°…