Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 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 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 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 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 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 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 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 68-year-old man with nephrolithiasis history presents with progressive bone pain, constipation, and depression. Vital signs: BP 138/82 mmHg, HR 88/min, RR 16/min, temp 37.2°C. La…
A 74-year-old nursing home resident is brought to the hospital in July because of lethargy and decreased oral intake during a heat wave. Physical examination shows dry mucous membr…
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 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 65-year-old man with metastatic colon cancer presents with severe weakness, constipation, and polyuria. Vital signs: BP 92/58, HR 108, RR 18, Temp 37.2°C, SpO2 98% on room air. S…
A 52-year-old man with severe alcoholism and malnutrition presents with weakness and respiratory difficulty five days after initiating parenteral nutrition support. Vital signs: BP…
A 56-year-old woman with chronic kidney disease Stage 4 presents with diffuse muscle weakness and palpitations. Vital signs: BP 158/92, HR 104, RR 18, SpO2 98% on room air. ECG sho…
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 52-year-old woman with no past medical history presents with progressive fatigue and proximal muscle weakness. Vital signs: BP 138/88 mmHg, HR 92 bpm, RR 16/min, temp 37.2°C. Ser…
A 58-year-old man with schizophrenia is brought to the clinic because of fatigue and mild confusion. He reports drinking water almost continuously throughout the day. Laboratory st…
A 67-year-old man with metastatic squamous cell carcinoma of the lung presents with constipation, abdominal pain, polyuria, and confusion. Vital signs: BP 148/92 mmHg, HR 102 bpm, …
A 28-year-old woman with a 3-year history of systemic lupus erythematosus presents to the nephrology clinic for evaluation of progressive renal disease. She reports new-onset bilat…
A 38-year-old man with untreated type 1 diabetes mellitus presents with polyuria, abdominal pain, and deep rapid breathing. Laboratory studies show glucose 540 mg/dL, potassium 5.8…
A 58-year-old woman with recurrent sinusitis and hemoptysis presents with rapidly progressive renal failure. Vital signs: BP 152/94 mmHg, HR 102, RR 22, Temp 37.2°C, SpO2 94% on ro…
A 45-year-old woman presents to the emergency department with a 1-week history of hemoptysis, progressive dyspnea, and cola-colored urine. She denies recent infections, drug use, o…
A 70-year-old woman with heart failure is admitted for dyspnea and volume overload. She is treated aggressively with intravenous loop diuretics. On hospital day 3, she reports musc…