Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 15-year-old girl presents to your clinic with primary amenorrhea. She reports normal pubertal development with breast development beginning at age 12 and pubic hair development a…
A 23 year old woman comes to the clinic because of recurrent sinus infections and 3 episodes of bacterial pneumonia over the past 2 years. She has chronic diarrhea and notes that i…
A 28-year-old man returns from Southeast Asia 3 weeks ago with severe cramping abdominal pain, profuse watery diarrhea, and diffuse myalgia. Vital signs show temperature 38.9°C, he…
A 23-year-old female with sickle cell disease presents with fever (39.2°C), severe left tibial pain, and tachycardia (HR 108/min). Blood pressure is 118/76 mmHg, respirations 18/mi…
A couple comes to the physician for advice about contraception and family planning. The physician provides advice about various methods of birth control. While discussing the optio…
A 3-year-old male presents with recurrent pharyngitis and fever (temperature 38.5°C, heart rate 110/min). Physical examination reveals enlarged lymphoid masses on each side of the …
While examining a newborn baby in the nursery, a physician notes that urine is draining from the umbilicus. Contrast dye is introduced into the bladder through the urethra, and it …
During anatomy lab, a medical student notes a fibrous band that runs on the visceral surface of the liver. It is attached on one end to the inferior vena cava and on the other end …
A 34-year-old woman presents with a 3-month history of progressive polyarticular joint pain and morning stiffness lasting more than 2 hours. Physical examination reveals symmetric …
A 38-year-old man presents with progressive testicular enlargement over 3 months. He reports a painless, firm mass on self-examination. Vital signs are stable. Physical examination…
A 7-year-old boy is evaluated for short stature. His height is at the 3rd percentile for age, and radiographs show delayed epiphyseal closure in long bones. Serum growth hormone, i…
A 19-year-old female college student presents with a 2-day history of fever (39.2°C), petechial rash on her lower extremities and trunk, and progressive confusion. Vital signs: HR …
A 45-year-old man with a 20-year history of heavy alcohol consumption presents to the clinic with progressive jaundice and right upper quadrant discomfort. He reports increased abd…
A 52-year-old man with a 30-year history of occupational asbestos exposure presents to clinic with progressive dyspnea and pleuritic chest pain over the past 6 months. Vital signs …
A 72-year-old man presents with progressive nocturia (×4 per night) and a diminished urinary stream over 3 years. He reports incomplete emptying but denies dysuria, hematuria, or f…
A 36-year-old woman presents with a palpable thyroid nodule discovered on routine examination. Vital signs are normal (BP 118/76 mmHg, HR 72 bpm, RR 16, Temp 37°C). TSH is normal a…
A 61-year-old woman with a positive fecal occult blood test undergoes colonoscopy. Vital signs are BP 128/82 mmHg, HR 76/min, RR 14/min, and temperature 37°C. Hemoglobin is 10.2 g/…
A 28-year-old woman presents with amenorrhea for 8 months and galactorrhea. Vital signs show BP 118/76, HR 82, RR 16, Temp 37°C. Laboratory studies reveal prolactin 285 ng/mL (norm…
A 55-year-old man with cirrhosis presents with jaundice, ascites, and hepatic encephalopathy. Vital signs show BP 110/70, HR 92, RR 18, temp 37°C, SpO2 98%. Laboratory studies reve…
A 23-year-old man sustains a deep laceration across the palm while cooking. Vital signs are stable: BP 118/76 mmHg, HR 88/min, RR 16/min. During surgical repair, the surgeon observ…
A 63-year-old woman presents with recurrent nephrolithiasis and fatigue. Vital signs: BP 138/88 mmHg, HR 92/min, RR 14/min, temperature 37.2°C. Serum calcium is 11.2 mg/dL (normal …
A 67-year-old man with a 40 pack-year smoking history presents with progressive dysphagia and unintentional 12-lb weight loss over 2 months. Endoscopy reveals an irregular, ulcerat…
A 46-year-old man with a 15-year history of heavy alcohol use presents with acute pancreatitis (BP 128/82, HR 102, RR 20, Temp 38.2°C). Serum lipase is elevated at 850 U/L; abdomin…
A 35-year-old woman with a known pituitary adenoma undergoes surgery. Histologic examination of the resected tissue reveals polygonal cells with eccentric nuclei and basophilic cyt…