Questões de USMLE

A 45-year-old woman recovering from influenza develops recurrent fever (39.2°C), progressive dyspnea, and productive cough with purulent sputum. Vital signs show BP 128/82 mmHg, HR…

A 32-year-old woman with HIV presents to the emergency department with a 2-week history of progressive dyspnea, fever, and nonproductive cough. She reports no antiretroviral therap…

A 42-year-old woman with rheumatoid arthritis treated with methotrexate presents to the hospital with a 3-week history of productive cough, fever (38.5°C), and progressive dyspnea.…

A 68-year-old man with type 2 diabetes mellitus presents to the hospital with a 3-day history of fever, productive cough with purulent sputum, and progressive dyspnea. He was hospi…

A 28-year-old previously healthy woman presents to the emergency department with a 3-day history of fever, productive cough, and sharp pleuritic chest pain. She reports mild dyspne…

A 19-year-old previously healthy male college student presents to the emergency department with a 2-day history of fever, severe headache, and neck stiffness. He reports that this …

A 34-year-old man with HIV infection presents to the emergency department with a 3-week history of progressive dyspnea and nonproductive cough. He reports subjective fever and nigh…

A 28-year-old male spelunker from Ohio presents one week after exploring bat-infested caves with fever (38.9°C), productive cough, and pleuritic chest pain. Vital signs show BP 128…

A 6-year-old boy with no significant past medical history presents to the emergency department with a 3-day history of fever (39.5°C), productive cough, and right-sided pleuritic c…

A 73-year-old woman with chronic systolic heart failure presents with gradually worsening dyspnea over 3 days. Vital signs show BP 158/92 mmHg, HR 108, RR 22, SpO2 92% on room air.…

A 63-year-old man presents with a 3-day history of high fever, confusion, watery diarrhea, and nonproductive cough following attendance at a hotel conference. Vital signs show temp…

A 32-year-old woman at 28 weeks gestation presents to the emergency department with a 3-day history of fever, productive cough with purulent sputum, and progressive dyspnea. She re…

A 19-year-old college student presents with 4 days of low-grade fever, headache, dry cough, and malaise. Vital signs show temperature 38.2°C, heart rate 92/min, respiratory rate 18…

A 35-year-old construction worker in Arizona presents with fever (38.9°C), productive cough, and pleuritic chest pain. Examination reveals erythema nodosum on bilateral shins. Vita…

A 40-year-old woman with a history of splenectomy presents with fever, productive cough, and dyspnea. Vital signs show temperature 39.2°C, heart rate 102/min, respiratory rate 22/m…

A 49-year-old male sandblaster presents with progressive dyspnea and dry cough over 6 months. Vital signs show BP 128/82, HR 94, RR 22, SpO2 88% on room air. High-resolution CT rev…

A 45-year-old man is admitted to the ICU following complicated abdominal surgery with anastomotic repair. On hospital day 5, he develops fever (38.9°C), tachycardia (heart rate 110…

A 68-year-old retired construction worker presents with 6 months of progressive exertional dyspnea. Vital signs show BP 138/82, HR 98, RR 22, SpO2 88% on room air. Pulmonary functi…

A 42-year-old male presents to the emergency department with a 5-day history of productive cough, fever, and acute right-sided pleuritic chest pain. He reports dyspnea on exertion.…

A 45-year-old man with poorly controlled type 2 diabetes mellitus presents to the emergency department with a 3-day history of fever, productive cough with purulent sputum, and pro…

A 66-year-old man presents with abrupt onset fever (39.2°C), pleuritic chest pain, and productive cough with rust-colored sputum. He denies recent antibiotic use. Vital signs show …

A 72-year-old man with COPD presents with acute dyspnea and productive cough with rusty sputum. Vital signs show temperature 39.2°C, heart rate 108/min, blood pressure 142/88 mmHg,…

A 65-year-old man with a history of chronic obstructive pulmonary disease is hospitalized following elective abdominal surgery. On postoperative day 8, he develops fever (38.9°C), …

A 34-year-old pet store employee presents with fever, severe headache, dry cough, and myalgias for 5 days. Vital signs show temperature 39.2°C, heart rate 102/min, respiratory rate…