Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 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 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 7-month-old infant presents with episodes of cyanosis worsening during feeding and crying. Parents note the infant instinctively assumes a squatting position during play. Vital s…
A 48-year-old woman presents with progressive bilateral leg edema and dyspnea on exertion. Vital signs show BP 148/92 mmHg, HR 88/min, RR 18/min, temp 37°C, SpO2 98% on room air. U…
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 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…
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 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 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 46-year-old woman with severe rheumatoid arthritis presents with progressive bilateral lower extremity edema and heavy proteinuria (4.2 g/day). Vital signs show BP 142/88 mmHg, H…
A 7-year-old boy develops acute swelling of his face and extremities after eating shellfish. Within 15 minutes, he becomes short of breath with audible wheezing. His tongue is swol…
A 66-year-old man with hypertension presents with abrupt fever (39.2°C), pleuritic chest pain, productive cough with rust-colored sputum, and dyspnea. Vital signs show BP 148/92 mm…
A 58-year-old woman presents with nephrotic syndrome (proteinuria 8 g/day, serum albumin 2.1 g/dL) and normal complement levels. Vital signs: BP 148/92, HR 88, RR 16, Temp 37°C, Sp…
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 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…
A 72-year-old man with a 10-year history of hypertension (previously on no medications) presents to the emergency department with acute severe flank pain, gross hematuria, and dysp…
A premature newborn (32 weeks gestation) presents with tachypnea (RR 68/min), poor weight gain, and feeding intolerance. Vital signs show BP 55/35 mmHg, HR 165/min, SpO2 98% on roo…
A 68-year-old woman presents to rheumatology clinic with a 4-month history of symmetric polyarticular pain and swelling affecting her hands, wrists, and knees. She reports morning …
A 32-year-old woman presents to rheumatology clinic with a 4-month history of symmetric polyarthritis affecting her hands, wrists, and knees. She reports morning stiffness lasting …
A 54-year-old man with a 20-year history of alcohol use disorder presents with massive hematemesis. Vital signs show BP 92/58, HR 118, RR 22, and SpO2 98% on room air. Upper endosc…
A 6-year-old boy presents to the emergency department with epistaxis and diffuse petechiae on his lower extremities and trunk. His mother reports he had an upper respiratory infect…
A 55-year-old male with a 30 pack-year smoking history presents with a 3-month history of progressive dyspnea and dry cough. He denies fever, night sweats, or weight loss. Vital si…
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 …