Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 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 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 33-year-old woman with poorly controlled diabetes mellitus presents with epigastric discomfort, early satiety, and nausea. Vital signs: BP 118/76 mmHg, HR 88/min, RR 16/min, temp…
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 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 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 45-year-old man presents with a 3-month history of retrosternal burning pain that awakens him at night and worsens 30–60 minutes after eating spicy foods or large meals. He denie…
A 32-year-old man presents to the clinic with a 3-month history of epigastric pain and chronic diarrhea, along with an 8-pound weight loss. He denies NSAID use, alcohol abuse, or s…
A 50-year-old man presents with a 3-month history of chronic diarrhea, progressive weight loss, and migratory arthralgias. On examination, he is febrile (38.5°C), tachycardic (102 …
A 10-year-old boy presents with cola-colored urine and periorbital edema 2 weeks after streptococcal pharyngitis. Vital signs show BP 148/92 mmHg (elevated for age), HR 88/min, RR …
A 56-year-old man with a known pituitary macroadenoma presents with sudden severe frontal headache, vomiting, diplopia, and confusion. Vital signs show BP 156/92 mmHg, HR 78/min, R…
A 4-year-old boy presents with periorbital and ankle edema. Vital signs show BP 105/68 mmHg, HR 98 bpm, RR 22/min, temp 37.2°C, SpO2 98% on room air. Urinalysis reveals 4+ proteinu…
A 7-year-old girl presents with dark urine and facial puffiness two weeks after impetigo on her legs. Vital signs show BP 128/82 mmHg, HR 88 bpm, RR 20/min, temperature 37.2°C, and…
A 27-year-old woman presents with intermittent palpitations and atypical chest pain. Vital signs: BP 118/76 mmHg, HR 88 bpm, RR 16/min, temp 37°C, SpO2 98% on room air. Cardiac exa…
A 41-year-old man presents with an 8-month history of decreased libido, erectile dysfunction, and progressive headaches. Vital signs show BP 138/82, HR 78, RR 16, temp 37.2°C, SpO2…
A 14-year-old boy with progressive hepatomegaly and jaundice presents with chronic hepatitis. Vital signs: BP 118/76, HR 88, RR 16, Temp 37°C, SpO2 98%. Liver biopsy shows PAS-posi…
A 27-year-old man presents with hemoptysis and cola-colored urine. Vital signs show BP 145/92 mmHg, HR 98 bpm, RR 22, temp 37.2°C, SpO2 94% on room air. Chest X-ray demonstrates di…
A 27-year-old man presents with recurrent bloody diarrhea and urgency. Vital signs show HR 92/min, BP 118/76 mmHg, RR 16/min, Temp 37.2°C. Colonoscopy reveals continuous mucosal in…
An 81 year old man presents with progressive exertional dyspnea and lower extremity edema. Echocardiography shows concentric ventricular thickening with preserved ejection fraction…
A full-term male newborn presents with abdominal distention, bilious emesis, and failure to pass meconium by 48 hours of life. Vital signs show HR 145/min, RR 42/min, BP 65/40 mmHg…
A 62-year-old man with a 40-year smoking history presents to the emergency department with hemoptysis, chest pain, and progressive dyspnea over 3 weeks. He reports unintentional we…
A 49-year-old man with chronic alcohol use disorder presents for routine evaluation. Vital signs show BP 128/82 mmHg, HR 88/min, RR 16/min, temperature 37.2°C. Physical examination…
A 24-year-old woman presents with a 6-month history of chronic diarrhea, bloating, and progressive fatigue. Vital signs show BP 118/76 mmHg, HR 88/min, RR 16/min, and temperature 3…