Questões de USMLE

A 61-year-old male with poor dentition and alcohol use disorder presents with fever, copious foul-smelling sputum, and weight loss over 3 weeks. Vital signs show temperature 38.9°C…

A 37-year-old man with untreated HIV presents with progressive dyspnea, dry cough, and fever for 2 weeks. Vital signs: BP 118/76, HR 102, RR 28, Temp 38.5°C, SpO2 88% on room air. …

A 28-year-old woman with limited cutaneous systemic sclerosis presents with a 6-month history of progressive dyspnea on exertion. She denies orthopnea, peripheral edema, or chest p…

A 42-year-old pigeon breeder presents with acute onset of fever (38.9°C), chills, and dyspnea 4 hours after cleaning his loft. Vitals show HR 110, RR 28, SpO2 88% on room air. Ches…

A 62-year-old man with a 40-pack-year smoking history presents with progressive dyspnea and a nonproductive cough over 8 months. He reports no occupational exposures, recent infect…

A 67 year old man comes to the clinic because of 18 months of progressive shortness of breath and dry cough. He has never smoked and has no known occupational exposures. Examinatio…

A 2-year-old boy is brought to the emergency department by his mother who reports he was playing with his older brother's toy collection when he suddenly began coughing and develop…

A 48-year-old woman with newly diagnosed hypercalcemia presents with progressive dyspnea. Vital signs show BP 128/82, HR 102, RR 22, SpO2 88% on room air. Chest X-ray reveals bilat…

A 36 year old farmer develops episodic fever, cough, and dyspnea several hours after cleaning a moldy barn. Lung examination reveals fine crackles. CT scan shows diffuse ground gla…

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 33-year-old man hospitalized for severe pancreatitis develops acute dyspnea on hospital day 3. Vital signs: BP 128/82 mmHg, HR 112/min, RR 28/min, SpO2 88% on room air. Chest X-r…

A 62-year-old man with a history of stage IB seminoma treated with chemotherapy (including bleomycin and etoposide) 3 months ago presents to clinic with progressive dyspnea on exer…

A 28-year-old woman presents with progressive dyspnea, erythema nodosum, and arthralgia. Vital signs show BP 118/76, HR 92, RR 20, SpO2 92% on room air. Chest X-ray demonstrates bi…

A 42-year-old woman with a 15-year history of rheumatoid arthritis presents with progressive dyspnea on exertion over 6 months. Chest X-ray shows bilateral lower lobe interstitial …

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 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 48 year old man with a body mass index of 47 kg per m2 presents with morning headaches, daytime somnolence, and progressive dyspnea. Arterial blood gas shows chronic hypercapnia.…

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…

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 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 67-year-old man with prior mediastinal radiation for lymphoma 15 years ago presents with progressive dyspnea. Vital signs: BP 142/88, HR 98, RR 22, SpO2 88% on room air. Chest X-…

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 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 35-year-old immunocompromised man with CD4 count of 45 cells/μL presents with progressive dyspnea, fever (38.8°C), and dry cough for 2 weeks. Vital signs show BP 118/76 mmHg, HR …