Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 24-year-old woman with photosensitivity, oral ulcers, and polyarthritis presents with hematuria and proteinuria. Vital signs show BP 138/88 mmHg, HR 92/min, RR 16/min, temperatur…
A 16-year-old girl presents with facial edema and cola-colored urine for 2 weeks. Vital signs show BP 148/92 mmHg, HR 88 bpm, RR 16, temp 37°C, SpO2 98%. Serum creatinine is 1.2 mg…
Two weeks after undergoing an emergency cardiac catheterization for unstable angina pectoris, a 65-year-old man has decreased urinary output. He takes naproxen for osteoarthritis a…
A 43-year-old woman presents with progressive generalized edema and weight gain. Vital signs show BP 138/88 mmHg, HR 88 bpm, RR 16, temperature 37°C, SpO2 98% on room air. Urinalys…
A 28-year-old man presents with a 3-week history of gross hematuria following an upper respiratory infection. He reports mild flank discomfort but denies arthralgia, abdominal pain…
A 42-year-old woman presents to the emergency department with a 10-day history of progressive dyspnea, hemoptysis, and productive cough. She reports no prior medical history and ta…
A 35-year-old woman with systemic lupus erythematosus presents with edema and dyspnea. Vital signs show BP 148/92 mmHg, HR 98/min, RR 20/min, and SpO2 98% on room air. Urinalysis d…
A 63-year-old man with a 45 pack-year smoking history presents with nephrotic syndrome. Vital signs show BP 142/88 mmHg, HR 88/min, RR 16/min, temperature 37.2°C, and SpO2 98% on r…
A 32-year-old man presents with progressive bilateral sensorineural hearing loss and progressive vision changes. Laboratory evaluation reveals persistent hematuria, proteinuria of …
A 6-year-old boy presents with a 1-week history of abdominal pain, arthralgia, and palpable purpura on his buttocks and lower extremities. Vital signs show BP 118/76 mmHg, HR 98/mi…
A 27-year-old man presents with hemoptysis and cola-colored urine. Vital signs show BP 148/92 mmHg, HR 102/min, RR 20/min, SpO2 94% on room air. Chest imaging reveals diffuse alveo…
A 7-year-old boy presents with sudden-onset nephrotic syndrome. Vital signs show BP 128/82 mmHg, HR 98 bpm, RR 20/min, temp 37°C, SpO2 98% on room air. Laboratory studies reveal pr…
A 35-year-old man presents with gross hematuria and flank pain one week after an upper respiratory infection. Vital signs: BP 128/82 mmHg, HR 88/min, RR 16/min, Temp 37.2°C, SpO2 9…
A 36-year-old man with HIV presents with progressive bilateral lower extremity edema and frothy urine. Vital signs: BP 128/82 mmHg, HR 92/min, RR 16/min, Temp 37°C, SpO2 98%. Labor…
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 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 14-year-old boy presents with persistent hematuria and progressive high-frequency sensorineural hearing loss. Ophthalmologic examination reveals anterior lenticonus. Vital signs …
A 5-year-old girl presents with periorbital and lower extremity edema and frothy urine 2 weeks after viral upper respiratory infection. Vital signs: BP 118/76 mmHg, HR 98/min, RR 2…
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,…
A 22-year-old woman with a family history of benign hematuria presents with persistent microscopic hematuria on routine urinalysis. Vital signs are normal (BP 118/76, HR 72, RR 16,…
A 34-year-old man with type 1 diabetes presents with Kussmaul respirations, confusion, and fruity breath. Vital signs show BP 102/68, HR 118, RR 24, temp 37.2°C. Labs reveal glucos…
A 76-year-old man with small cell lung carcinoma is admitted for lethargy and unsteady gait. He is euvolemic on examination. Laboratory studies show sodium 118 mEq/L, serum osmolal…
A 19-year-old college student presents with gross hematuria one day after acute pharyngitis onset. He reports three similar episodes over two years, each resolving spontaneously wi…
A 75-year-old woman with heart failure on furosemide and ibuprofen presents with acute confusion. Vital signs show BP 92/58, HR 108, RR 20. Labs reveal Na+ 124 mEq/L, serum osmolal…