Questões de USMLE

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 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 28-year-old woman with a 4-year history of systemic lupus erythematosus (SLE) presents to the emergency department with acute onset dyspnea and pleuritic chest pain that began th…

A 52-year-old man with a 10 pack-year smoking history presents to the emergency department with acute onset dyspnea and pleuritic chest pain for 3 hours. He reports no leg swelling…

A 42-year-old woman with a history of provoked pulmonary embolism 8 months ago presents to the emergency department with acute onset dyspnea and hemoptysis. She has been on warfari…

A 65-year-old man with a 40 pack-year smoking history and GOLD stage 4 COPD presents to the emergency department with acute dyspnea. His wife reports he has had progressive exercis…

A 70-year-old man with a history of hypertension and stage 3b chronic kidney disease (eGFR 28 mL/min/1.73m²) presents to the emergency department with acute dyspnea and pleuritic c…

A 31-year-old male runner sustains an inversion ankle injury while running. He presents with numbness over the dorsum of the foot and weak foot eversion. Vital signs: BP 118/76, HR…

A 34-year-old woman with a history of migraine without aura is evaluated in the emergency department for acute dyspnea and pleuritic chest pain. She has been on combined oral contr…

A 52-year-old man undergoes coronary artery bypass grafting with a sensory nerve harvested from his leg for graft material. Postoperatively, vital signs are stable (BP 128/82, HR 7…

A resident physician is performing a pelvic examination on a young female. The fingers of one of the physician's hands are in the patient's vagina, palpating the cervix. The other …

A 26-year-old male is stabbed in the left chest during a bar brawl. Several days after he is treated, he returns to the physician complaining of decreased function in his left arm.…

A 42-year-old male with chronic epigastric discomfort undergoes upper endoscopy revealing mild gastritis. Gastric biopsy shows normal cuboidal-to-columnar cells with apical membran…

A 47-year-old female with rheumatic fever history presents with dyspnea on exertion. Vital signs show BP 128/76 mmHg, HR 92/min, RR 18/min, temp 37.2°C, SpO2 98% on room air. Cardi…

A 68-year-old man with COPD and hypertension presents to the emergency department with acute dyspnea, tachycardia, and hypoxemia two days after undergoing open reduction and intern…

A 48-year-old woman presents with acute dyspnea, tachycardia (HR 112/min), and tachypnea (RR 22/min). CT pulmonary angiography confirms pulmonary embolism. Vital signs: BP 128/82 m…

A 38-year-old woman presents with acute dyspnea and pleuritic chest pain after a 12-hour international flight. Vital signs: BP 128/82, HR 102, RR 22, SpO2 91% on room air, temperat…

A 1-day-old boy presents with severe respiratory distress, tachypnea (RR 62/min), and tachycardia (HR 168/min). Physical examination reveals a scaphoid abdomen and diminished breat…

A 39-year-old man sustains a skull base fracture involving the foramen ovale after blunt head trauma. Vital signs show BP 128/82 mmHg, HR 88/min, RR 16/min, temp 37.2°C, SpO2 98% o…

A 72-year-old man with a 15-year history of COPD (baseline FEV1 28% predicted) presents to the emergency department with acute dyspnea and pleuritic chest pain that began 2 hours a…

A 52-year-old woman undergoes total thyroidectomy for papillary carcinoma. Postoperatively, she develops facial twitching and paresthesias around her mouth. On examination, blood p…

A 58-year-old man undergoes carotid endarterectomy for severe left carotid stenosis. Postoperatively, he is hemodynamically stable (BP 138/82, HR 78, RR 16, SpO2 98% on room air). …

A 69 year old man with metastatic colon cancer suddenly collapses. Blood pressure is 76 over 44 mm Hg, pulse is 132 per minute, and jugular venous pressure is elevated. Lungs are c…

A 32-year-old woman on oral contraceptives presents with acute dyspnea and pleuritic chest pain. Vital signs show HR 112 bpm, BP 128/82 mmHg, RR 22/min, SpO2 88% on room air, and t…