Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 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 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 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 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 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 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 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 45-year-old man presents with progressive dysphagia to solids over the past 3 months. He has had chronic heartburn and regurgitation for 12 years, managed with omeprazole 20 mg d…
A 23-year-old woman with a 2-year history of abdominal pain and nonbloody diarrhea presents with 8-pound weight loss. Vital signs: BP 118/76, HR 88, RR 16, Temp 37.2°C, SpO2 98%. L…
A 19-year-old woman presents with a 6-week history of bloody diarrhea, fecal urgency, and lower abdominal cramping. She reports 4-6 bowel movements daily with visible blood. Vital …
A 35-year-old woman with rheumatoid arthritis presents with acute epigastric pain, nausea, and hematemesis. She began taking ibuprofen 800 mg three times daily 3 weeks ago for join…
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 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 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 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 65-year-old man with a 12-year history of ulcerative colitis presents with fever (38.5°C), left lower quadrant pain, and nausea. Vital signs show BP 128/76 mmHg, HR 92/min, RR 18…
A 27-year-old woman with a 5-year history of ulcerative colitis presents to the emergency department with a 3-day history of crampy abdominal pain, bloody diarrhea 8-10 times daily…
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 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 52-year-old man with 15 years of Crohn disease affecting multiple bowel segments presents with acute onset of severe back pain and progressive morning stiffness lasting 2 hours. …
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 29-year-old woman with a 4-year history of Crohn disease presents to clinic for follow-up evaluation. She reports persistent loose stools (4-5 per day) and intermittent crampy ab…
A 29-year-old man with newly diagnosed Crohn disease limited to the terminal ileum presents with abdominal pain, bloody diarrhea, and fever (38.2°C). Vital signs: BP 118/76, HR 92,…
A 55-year-old man with a 3-month history of chronic diarrhea and 12-lb weight loss presents with migratory arthralgias and progressive confusion. Vital signs show BP 128/76, HR 92,…