Questões de USMLE

A 55-year-old man with poorly controlled diabetes and chronic alcoholism presents with fever (39.2°C), productive cough with foul-smelling purulent sputum, and dyspnea. Vital signs…

A 23-year-old man presents with a 5-day history of low-grade fever, dry cough, and malaise. Vital signs show temperature 38.2°C, heart rate 92 bpm, respiratory rate 18/min, blood p…

A 42-year-old man from Wisconsin presents with a 3-week history of productive cough, fever (38.5°C), and 8-pound weight loss. He has verrucous skin lesions on his face and arms. Vi…

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 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 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 …

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 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 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 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 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 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 62-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 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 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 68-year-old man with a history of systolic heart failure (ejection fraction 32%) presents to the clinic with a 3-day history of progressive fatigue, mild confusion, and headache.…

A 68-year-old woman with membranous nephropathy presents with nephrotic syndrome, new-onset atrial fibrillation, and dyspnea. Vital signs show BP 156/94, HR 118, RR 22, SpO2 88%. S…

A 14-year-old boy presents with persistent hematuria and progressive high-frequency sensorineural hearing loss. Ophthalmologic examination reveals anterior lenticonus. Vital signs …

A 55-year-old man with a 10-year history of type 2 diabetes and hypertension presents with nephrotic-range proteinuria and progressive renal dysfunction. Current vitals: BP 158/92 …

A 7-year-old girl presents with dark urine and facial puffiness for 3 days. Two weeks prior, she had impetigo on her legs treated with antibiotics. Vital signs: BP 128/82 mmHg, HR …

A 46-year-old man with type 2 diabetes and diabetic nephropathy presents with persistent albuminuria despite HbA1c of 6.8%. Vital signs: BP 148/92 mmHg, HR 88/min, RR 16/min, Temp …

A 51-year-old man with biopsy-confirmed membranous nephropathy presents with sudden left flank pain and gross hematuria. Vital signs: BP 156/94, HR 102, RR 18, Temp 37.2°C, SpO2 98…

A 44-year-old man with chronic hepatitis B infection presents with progressive bilateral lower extremity edema and frothy urine for 3 weeks. Vital signs: BP 148/92 mmHg, HR 88/min,…