Questões de USMLE

A 29-year-old woman presents with intense vulvar pruritus and thick white vaginal discharge following a 2-week course of amoxicillin-clavulanate for sinusitis. Vital signs are norm…

A 31-year-old man with advanced HIV presents with profuse watery diarrhea for 3 weeks and 12-pound weight loss. Vital signs: BP 104/68, HR 102, RR 18, Temp 37.2°C, SpO2 98% on room…

A 32-year-old woman with systemic lupus erythematosus presents to the hospital with a 2-week history of progressive dyspnea, nonproductive cough, and low-grade fever. She has been …

A 41 year old man from Ohio presents with fever, cough, fatigue, and weight loss. He recently helped clean an old chicken coop. Chest imaging shows bilateral hilar lymphadenopathy …

A 55-year-old man with HIV presents to the emergency department with a 5-day history of dysphagia, odynophagia, and fever. He reports oral thrush that began 2 weeks ago. Medical hi…

A previously healthy 11 month old infant is brought to clinic for a rash that appeared this morning. For the previous 3 days he had a fever to 40 C but now seems playful and well. …

A 54 year old man who emigrated from Bolivia presents with progressive dysphagia, constipation, and exertional dyspnea. Examination reveals an irregular pulse, and echocardiography…

A 35 year old man with AIDS presents with headache, confusion, and a new onset seizure. CD4 count is 54 cells per microliter. MRI of the brain shows multiple ring enhancing lesions…

A 52 year old kidney transplant recipient presents with fever, dyspnea, and nonproductive cough 6 weeks after transplantation. CT scan shows diffuse bilateral interstitial infiltra…

A 28-year-old man from Brazil presents with oral lesions, difficulty swallowing, and lymphadenopathy. Examination shows painful nodules and ulcers on his lip. He works as a farmer …

A 28-year-old woman with HIV/AIDS (CD4 <50 cells/μL) presents with severe headache, fever, and neck stiffness. Vital signs show temperature 39.2°C, blood pressure 98/62 mmHg, and h…

A 32-year-old woman presents with fever, pharyngitis, and exudative tonsils for 3 days. She reports contact with her roommate who had similar symptoms 1 week ago. Rapid strep test …

A 28-year-old man with a history of pulmonary tuberculosis treated 3 years ago presents to the emergency department with a 3-week history of progressive hemoptysis, low-grade fever…

A 57 year old man with poorly controlled diabetes mellitus is admitted with diabetic ketoacidosis. Two days later he develops facial pain, headache, fever, and a black necrotic les…

A pregnant 24 year old woman who did not receive prenatal care develops a mild febrile illness with posterior auricular lymphadenopathy and a faint rash during the first trimester.…

A 6-year-old boy is brought to the emergency department with a 3-day history of progressive cough and dyspnea. His mother reports he has been wheezing and has had low-grade fevers.…

A 45-year-old man from Southeast Asia presents with fever, severe headache, neck stiffness, and photophobia for 4 days. CSF shows lymphocytic pleocytosis (180 WBC, 70% lymphocytes)…

A 56-year-old man with type 2 diabetes mellitus presents to the emergency department with a 3-day history of severe facial pain, right-sided nasal congestion, and fever. On examina…

A 32-year-old woman presents with progressive dyspnea, fever, and bilateral interstitial infiltrates on chest X-ray. She is HIV-positive with a CD4 count of 45 cells/μL and has not…

A 60 year old man who emigrated from rural Cambodia years ago is started on high dose prednisone for severe asthma. One month later he develops abdominal pain, cough, fever, and gr…

A 49 year old man presents with progressive fatigue and numbness in his feet. He frequently eats raw freshwater fish that he catches while camping. Laboratory studies show hemoglob…

A 32 year old woman undergoes colposcopy after a Pap test shows high grade squamous intraepithelial lesion. Biopsy reveals koilocytosis and dysplastic squamous epithelium. She has …

A 45-year-old man from the Southwest presents with fever, cough, and erythema nodosum. Chest X-ray shows hilar lymphadenopathy and a cavitary lesion in the left upper lobe. Sputum …

A 43-year-old man presents 10 days after consuming undercooked bear meat during a hunting trip with fever (38.9°C), myalgias, and diarrhea. On examination, he has periorbital edema…