Questões de USMLE

A 55-year-old man with a 3-year history of sarcoidosis presents to clinic with progressive dyspnea on exertion over the past 6 months. He denies fever, night sweats, or weight loss…

A 45-year-old woman with a 10-year history of rheumatoid arthritis presents to clinic with progressive dyspnea on exertion and a dry cough over the past 8 months. She reports no fe…

A 52-year-old man with a 20-year history of occupational asbestos exposure presents with progressive dyspnea and pleuritic chest pain. Vital signs: BP 138/82, HR 92, RR 22, SpO2 88…

A 36-year-old bird breeder presents with subacute dyspnea, fever (38.2°C), and malaise after cleaning bird cages. Vital signs show HR 102/min, RR 24/min, BP 118/76 mmHg, SpO2 91% o…

A 28-year-old woman with a 3-year history of progressive dyspnea undergoes bronchoscopic lung biopsy showing non-caseating granulomas in multiple lobes without evidence of mycobact…

A 42-year-old woman with rheumatoid arthritis presents with progressive dyspnea and dry cough for 3 months. Vital signs: BP 128/82, HR 92, RR 22, SpO2 88% on room air, afebrile. Pu…

A 35-year-old grain silo worker presents 4 hours after occupational exposure with acute fever (38.9°C), productive cough, and dyspnea. Vital signs show HR 102/min, RR 24/min, BP 12…

A 41-year-old man with a 6-year history of systemic sclerosis presents to clinic with progressive dyspnea on exertion over the past 8 months. He denies orthopnea or paroxysmal noct…

A 74-year-old retired shipyard worker presents with progressive dyspnea and recurrent unilateral pleural effusions. Vital signs show BP 138/82 mmHg, HR 92/min, RR 22/min, SpO2 88% …

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 41-year-old aerospace engineer presents with 6 months of progressive dyspnea, fatigue, and nonproductive cough. Vital signs show BP 128/82, HR 102, RR 22, SpO2 88% on room air. C…

A 34-year-old man with untreated HIV presents with 3 weeks of progressive dyspnea, nonproductive cough, and chest tightness. He reports fever to 38.5°C. Vital signs show HR 102/min…

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 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 35-year-old man on mechanical ventilation for pneumonia suddenly develops severe dyspnea and hypotension. Vital signs show BP 85/50, HR 128, RR 32, SpO2 78% on FiO2 1.0. Physical…

A 22-year-old tall, thin man develops acute pleuritic right-sided chest pain and dyspnea while playing basketball. Vital signs show BP 118/76 mmHg, HR 102/min, RR 22/min, temperatu…

A 72-year-old man presents with progressive exertional dyspnea. He worked for 30 years installing insulation in shipyards. Vital signs: BP 138/82, HR 98, RR 22, SpO2 88% on room ai…

A 58-year-old underground coal miner with 30 years of occupational exposure presents with progressive dyspnea and nonproductive cough. Vital signs show HR 92/min, RR 22/min, BP 138…

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 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 27-year-old woman presents with 6 months of progressive exertional dyspnea and near syncope. Vital signs show BP 118/76 mmHg, HR 108 bpm, RR 24/min, SpO2 88% on room air. Examina…

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 54-year-old woman with septic shock from perforated diverticulitis is admitted. Two days post-admission, she develops acute dyspnea and hypoxemia requiring intubation. Current vi…

A 28-year-old previously healthy woman presents with abrupt onset of fever, pleuritic chest pain, and a productive cough. She has no sick contacts. Chest X-ray shows a lobar consol…