Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 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 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 36-year-old man with HIV presents with progressive lower extremity edema and dyspnea. Vital signs: BP 128/82 mmHg, HR 98/min, RR 20/min, Temp 37.2°C, SpO2 98% on room air. Labora…
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 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 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 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 29-year-old African American woman presents with a 3-week history of dry cough, fatigue, and eye pain. Physical examination reveals tender erythematous nodules on the shins and b…
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 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 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 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 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 34-year-old man with recent streptococcal pharyngitis develops two weeks of progressive dyspnea, orthopnea, and lower extremity edema. Echocardiography shows a dilated left ventr…
A 22-year-old male presents to the emergency department with a 3-day history of severe colicky abdominal pain and bloody diarrhea that began 3 days after an upper respiratory infec…
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 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 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 54-year-old woman with septic shock from perforated diverticulitis is admitted and treated with broad-spectrum antibiotics and vasopressors. Two days later, she develops severe d…
A 19-year-old male college student presents to the emergency department with a 12-hour history of fever (39.4°C), severe headache, and photophobia. On examination, he has a petechi…
A 31-year-old woman with no prior abnormal Pap smears presents for routine cervical cancer screening. Vital signs are normal (BP 118/76, HR 78, RR 14, Temp 37°C). Pap testing revea…
A 63 year old man undergoes colonoscopy after a positive stool DNA screening test. A 2.5 cm pedunculated adenoma is removed from the sigmoid colon. Molecular analysis of the adenom…
A 51-year-old woman presents with vaginal bleeding and pelvic pain. Vital signs show BP 128/82 mmHg, HR 92/min, RR 16/min, temp 37.2°C. Pelvic ultrasound reveals a large heterogene…