Questões de USMLE

A 68-year-old man with a 50-pack-year smoking history, hypertension, and hyperlipidemia presents to the emergency department with acute lower abdominal and pelvic pain. On examinat…

A 20-year-old man presents with a 6-month history of progressive left groin swelling. He reports the swelling increases noticeably when he coughs or strains. Physical examination r…

A 28-year-old man presents to the emergency department with a 5-day history of symmetric, ascending lower extremity weakness that began in his feet and has progressively worsened. …

A 6-hour-old male newborn presents with bilious vomiting and abdominal distension. Vital signs show HR 145 bpm, RR 42/min, BP 65/40 mmHg, and temp 37.2°C. Prenatal ultrasound docum…

A 45-year-old obese man wearing a heavy tool belt at work develops burning pain and numbness over the anterolateral thigh. Vital signs are stable (BP 138/88, HR 82, RR 16, Temp 98.…

A 19-year-old male soccer player plants his foot and pivots suddenly, hearing a pop followed by rapid knee swelling. Vital signs: BP 118/76, HR 92, RR 16, Temp 37°C, SpO₂ 98% RA. P…

A 28-year-old man undergoes surgical extraction of an impacted mandibular third molar under local anesthesia. Intraoperatively, the surgeon notes close proximity of the tooth root …

A 52-year-old woman presents with severe pain beneath her left index fingernail. Vital signs show BP 128/82 mmHg, HR 88/min, RR 16/min, temperature 37.2°C, and SpO2 98% on room air…

A 45-year-old woman with metastatic breast cancer to the brain presents to the emergency department with a 2-day history of progressive headache, confusion, and nausea. Vital signs…

A 22-year-old male football player presents to the team physician with a shoulder injury sustained during tackle. Vital signs: BP 128/82, HR 98, RR 16, Temp 37.2°C, SpO2 98%. Preli…

A 22-year-old man sustains a laceration to the dorsolateral wrist on broken glass. Vital signs: BP 118/76, HR 92, RR 16, Temp 37°C, SpO2 98%. Brisk bleeding occurs from a vessel no…

A 35-year-old man is brought to the emergency department after blunt head trauma to the right temporal region during a motor vehicle accident. He was initially unconscious for appr…

A 20-year-old male college athlete presents for a sports physical examination. Vital signs: BP 118/76 mmHg, HR 82 bpm, RR 16/min, Temp 37.2°C, SpO2 98% on room air. He reports noti…

A 42-year-old man presents with a gunshot wound to the left neck at C3 level. Vital signs: BP 145/92, HR 98, RR 16, temp 37.2°C, SpO2 98%. He develops right-sided weakness below th…

A 52-year-old man with hypertension presents 2 hours after acute onset of right facial weakness and left-sided hemiparesis. Vital signs: BP 168/94 mmHg, HR 88, RR 16, temp 37°C, Sp…

A 47-year-old man presents to the emergency department 1 hour after a straddle injury sustained when he fell across a fence rail while trimming branches. He reports acute perineal …

A 16-year-old girl presents with primary amenorrhea and is found to have absent uterus and fallopian tubes on pelvic ultrasound, but normal ovarian function with appropriate second…

A 67-year-old man with hypertension presents with acute-onset right facial droop and arm weakness. Vital signs: BP 158/92, HR 88, RR 16, Temp 37°C, SpO2 98%. Neurologic exam reveal…

A 27-year-old woman presents with sudden-onset severe pelvic pain, vaginal bleeding, and hemodynamic instability (BP 92/58, HR 118). She reports amenorrhea for 6 weeks. Vital signs…

A 36-year-old woman with a history of chronic NSAID use presents to the emergency department with acute onset epigastric pain and hemodynamic instability. Vital signs show blood pr…

A 72-year-old man with a history of poorly controlled hypertension presents to the emergency department with acute-onset right facial droop, right arm weakness, and slurred speech.…

A 62-year-old man with hypertension and hyperlipidemia presents to the emergency department with acute onset facial drooping on the right side. On examination, he is unable to clos…

A 17-year-old boy undergoes middle ear surgery for cholesteatoma. Postoperatively, he presents with BP 118/76, HR 88, RR 16, temp 37.2°C, SpO2 98%. He reports reduced taste on the …

A 46-year-old woman presents three days after tonsillectomy with severe throat pain and dysphagia. Vital signs: BP 128/82, HR 92, RR 16, Temp 37.2°C, SpO2 98%. Physical examination…