Questões de USMLE

3.602 questões com gabarito e explicação.

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A 64-year-old hypertensive diabetic man presents with acute onset diplopia, right ptosis, and right medial rectus weakness. Pupillary responses remain intact. Vital signs show BP 1
A 63-year-old man with a large pleural effusion (BP 138/82, HR 92, RR 22, SpO2 92% on room air) and chest imaging showing fluid layering posteriorly undergoes thoracentesis. The ne
A 55-year-old woman comes to the physician because of a 5-month history of weakness of the left side of her face, loss of taste, as well as dryness and redness of her left eye. She
A 71-year-old man with hypertension presents with sudden-onset vertigo and falls to the left. Vital signs show BP 168/94 mmHg, HR 78/min, RR 16/min, SpO2 98%. Examination reveals l
A 45-year-old woman undergoes resection of a left parietal lobe tumor. Postoperatively, vital signs are stable (BP 128/82, HR 82, RR 16, Temp 37.2°C, SpO2 98%). MRI shows expected
A 45-year-old woman presents with sudden-onset weakness of the right lower extremity and loss of pain and temperature sensation on the left side of her body below the neck. Vital s
A 48-year-old woman presents with sudden-onset bilateral leg weakness and loss of pain and temperature sensation in both legs and lower trunk. Vital signs show BP 128/82, HR 92, RR
A 68-year-old man with a 10-year history of poorly controlled hypertension presents to the emergency department with sudden onset severe headache, nausea, and vomiting. On examinat
A 56-year-old woman with metastatic breast cancer presents with progressive bilateral leg weakness and hyperreflexia. Vital signs show BP 128/82, HR 88, RR 16, temp 37°C, SpO2 98%.
A 49-year-old Vietnamese male is diagnosed with tuberculosis. On physical examination, large flocculent masses are noted over the lateral lumbar back, and a similar mass is located
A 36-year-old competitive cyclist presents with numbness affecting the palmar aspect of the fifth digit and weakness when abducting his fingers. Vital signs are normal (BP 118/76,
A 34-year-old male is examined in the prison infirmary after sustaining a superficial stab wound to the superolateral aspect of the thoracic wall at the level of the third rib. The
A 34-year-old male presents to the emergency department with a deep laceration of the first web space of his hand sustained during a rock-climbing accident. Vital signs show BP 128
A 50-year-old man presents with acute dysphagia and substernal chest pain after swallowing a large piece of meat. Vital signs: BP 128/82, HR 92, RR 18, Temp 37.2°C, SpO2 98% on roo
A 36-year-old man presents with blunt abdominal trauma and hemodynamic instability (BP 88/52, HR 128, RR 22). CT imaging reveals hepatic laceration with active bleeding. During eme
A 49-year-old woman undergoes axillary lymph node dissection for breast cancer. Postoperatively, she presents with inability to forcefully extend and adduct her right arm, limiting
A 22-year-old male football player sustains a valgus stress injury to his weight-bearing knee after a lateral blow during competition. He presents with severe pain (8/10), inabilit
A 64-year-old man presents to the emergency department 5 days after open reduction and internal fixation of a femoral neck fracture. He reports sudden onset of dyspnea and pleuriti
A 38-year-old man with a history of Crohn disease presents with severe perianal pain and fever (39.2°C). Vital signs show BP 128/82, HR 102, RR 18, SpO2 98% on room air. Examinatio
A 42-year-old male sustains a cervical spine injury during a motor vehicle collision. He presents with acute respiratory distress, BP 89/54, HR 118, RR 28, and SpO2 78% on room air
A 67-year-old man with a history of stage IIIB lung cancer presents to the emergency department with acute onset dyspnea and hemoptysis. He underwent chemotherapy 2 weeks ago. Vita
A 45-year-old male comes into the emergency department with abdominal pain that has progressively worsened since the previous night. He also notes nausea and vomiting, but is afebr
A 2-day-old male presents with micrognathia, malformed malleus and incus, and underdeveloped muscles of mastication causing feeding difficulty. Vital signs show HR 145 bpm, RR 48,
A 34-year-old woman is admitted to the hospital after sustaining a displaced right femoral fracture in a motor vehicle accident. She undergoes open reduction and internal fixation
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