Questões de USMLE

A 39 year old refugee presents with high fever, severe headache, and a maculopapular rash that began on the trunk and spread outward. He has been living in crowded conditions with …

A 41-year-old woman presents to the emergency department with a 2-week history of progressive fatigue, spontaneous ecchymoses, and epistaxis. Her husband notes she has had several …

A 22-year-old man presents with 3 days of fever (38.9°C), abdominal cramping, and bloody diarrhea after consuming undercooked chicken. Stool culture grows Campylobacter jejuni. Gas…

A 68-year-old man with a 20 pack-year smoking history presents with hemoptysis, dyspnea, and constitutional symptoms. Chest imaging reveals a left upper lobe mass with mediastinal …

A 58-year-old woman with recurrent urinary tract infections presents with acute left flank pain and gross hematuria. Vital signs show BP 138/82, HR 94, RR 18, temperature 37.8°C, S…

A 32-year-old man presents to the emergency department with a 2-week history of progressive fatigue, petechiae, and left upper quadrant abdominal pain. He denies fever, night sweat…

A 67-year-old man with severe COPD presents with increased sputum production, dyspnea, and wheezing. Vital signs show HR 102/min, RR 24/min, BP 138/86 mmHg, temperature 38.2°C, and…

A 6-year-old unvaccinated girl presents with severe paroxysmal coughing spells followed by inspiratory whooping and posttussive vomiting for 3 weeks. Vital signs: BP 98/62, HR 112,…

A 38-year-old veterinarian presents with a 3-week history of fevers (38.9°C), night sweats, weight loss, and diffuse arthralgias. He recently returned from rural Greece where he co…

A 61-year-old woman from Wisconsin presents 5 days after hiking in wooded terrain with fever (39.2°C), malaise, and confusion. Vital signs show HR 102/min, BP 128/82 mmHg, RR 18/mi…

A 59-year-old man presents with headaches, dizziness, and intense pruritus after hot showers. Vital signs show BP 158/92 mmHg, HR 88/min, RR 16/min, temp 37.2°C. Examination reveal…

A 25 year old man presents with dysuria and urethral discharge 1 week after unprotected intercourse. Nucleic acid amplification testing for Neisseria gonorrhoeae and Chlamydia trac…

A 14 year old boy is brought to the emergency department with fever, diarrhea, and right lower quadrant abdominal pain. His parents are worried about appendicitis. He recently atte…

A 6-year-old boy presents with three weeks of progressive fatigue, fever, and bilateral leg pain. Vital signs: temperature 38.5°C, heart rate 118/min, blood pressure 95/60 mmHg, re…

A 31 year old aid worker in a refugee camp develops abrupt onset of profuse watery diarrhea and vomiting. He is dizzy, tachycardic, and has poor skin turgor, but he has no fever an…

A 67 year old man in the intensive care unit develops fever and worsening oxygenation 8 days after intubation. Sputum culture grows a motile gram negative rod that forms red pigmen…

A 62 year old man with long standing alcohol use disorder is admitted with fever, productive cough, and shortness of breath. He has poor dentition and often loses consciousness aft…

A 10-year-old boy presents to the emergency department with a 3-week history of progressive jaw swelling and pain. His mother reports he has had fever (38.2°C) and appears fatigued…

A 29 year old man presents with 1 week of progressively worsening fever, malaise, abdominal discomfort, and constipation that later became diarrhea. He recently returned from South…

A 4 year old boy from a crowded daycare center is brought in with fever, abdominal pain, and frequent small volume stools mixed with blood and mucus. His mother says he had a gener…

A 42 year old hunter presents with fever, painful axillary lymphadenopathy, and an ulcerated lesion on his right hand. He says he skinned several wild rabbits 5 days ago. Gram stai…

A 52-year-old man presents with progressive fatigue, early satiety, and unintentional 8-lb weight loss over 2 months. Vital signs: BP 138/82, HR 102, RR 18, Temp 37.2°C, SpO2 98% o…

A 71-year-old man presents with fever (38.9°C), malaise, and a new cardiac murmur. Vital signs show BP 128/76, HR 104, RR 18, SpO2 98% on room air. Blood cultures grow group D, gam…

A 24 year old woman returns from a trip to Mexico with 2 days of watery diarrhea, abdominal cramping, and mild nausea. She has no fever, no blood in the stool, and no leukocytes on…