Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 61-year-old woman presents with progressive fatigue, constipation, and diffuse bone pain for 3 months. Vital signs: BP 138/88, HR 92, RR 16, Temp 37°C, SpO2 98%. Hand radiographs…
A 45-year-old woman with a 15-year history of type 2 diabetes presents with nephrotic syndrome. Vital signs: BP 154/92 mmHg, HR 88 bpm, RR 16, Temp 37°C, SpO2 98%. Labs reveal prot…
A 13-year-old boy presents with periorbital and lower extremity edema. Vital signs reveal BP 142/88 mmHg, HR 88/min, RR 18/min, and Temp 37.2°C. Urinalysis shows hematuria and prot…
A 35-year-old woman with no past medical history presents with muscle cramps and perioral paresthesias. Vital signs show BP 118/76 mmHg, HR 88/min, RR 16/min, temperature 37.2°C. S…
A 41-year-old man with MEN1 presents for evaluation of primary hyperparathyroidism. Vital signs are normal (BP 128/82, HR 72, RR 14, Temp 37°C). Laboratory studies show ionized cal…
A 57-year-old woman with symptomatic primary hyperparathyroidism presents with muscle weakness and cognitive changes. Vital signs: BP 138/88, HR 92, RR 16, Temp 37°C. Labs show ser…
A 19-year-old man with MEN1 syndrome undergoes parathyroidectomy with cryopreservation for recurrent primary hyperparathyroidism. Postoperatively, he presents with tetany, paresthe…
A 7-year-old boy presents with muscle cramps, paresthesias, and positive Chvostek sign. Vital signs show HR 102 bpm, BP 118/76 mmHg, RR 18, temp 37°C, SpO2 98%. Serum calcium is 6.…
A 28-year-old woman with systemic lupus erythematosus presents to the clinic with a 3-week history of progressive muscle weakness, polyuria, and polydipsia. She has been on prednis…
A 64-year-old man with multilobar pneumonia and sepsis presents with hypoxemic respiratory failure requiring intubation. Vital signs: BP 92/58, HR 118, RR 32, Temp 39.2°C, SpO2 88%…
A 7-year-old boy presents to the emergency department with a 5-day history of severe watery diarrhea. His mother reports he has been increasingly lethargic and refusing to drink. O…
A 39-year-old woman with resistant hypertension (BP 168/102 mmHg) presents with frequent muscle cramps and polyuria. Vital signs show HR 88/min, RR 16/min, temperature 37.2°C. Labo…
A 42-year-old woman with poorly controlled type 2 diabetes mellitus presents to the emergency department with a 2-day history of polyuria, polydipsia, and progressive dyspnea. She …
A 20-year-old college student comes to the emergency department because of chest tightness, dizziness, and tingling in both hands that began during an exam. She is visibly anxious …
A 36-year-old woman presents with chronic watery diarrhea due to inflammatory bowel disease. She has pH 7.30 and serum bicarbonate 16 mEq/L. Her physician wants to distinguish extr…
A 70-year-old man with systolic heart failure presents with dyspnea and orthopnea. He receives aggressive loop diuretic therapy and becomes euvolemic within 48 hours. Vitals: BP 12…
A 63-year-old man with long-standing diabetes mellitus comes to the clinic because of fatigue. Medications include lisinopril and ibuprofen as needed for back pain. Laboratory stud…
A 61-year-old man with advanced chronic kidney disease presents with fatigue and anorexia. Vital signs show BP 158/92 mmHg, HR 88/min, RR 22/min, temperature 37.1°C, and SpO2 98% o…
A 46-year-old man presents with 3 days of weakness and lightheadedness following broad-spectrum antibiotic initiation. He reports profuse watery diarrhea. Vital signs: BP 118/76 mm…
A 34-year-old woman presents with 2 days of profuse diarrhea after returning from a camping trip. Vital signs show BP 98/62 mm Hg, HR 108 bpm, RR 22/min, temperature 37.2°C, and Sp…
A 14-year-old girl presents with progressive muscle cramps and perioral paresthesias. Vital signs: BP 118/76, HR 88, RR 16, Temp 37°C, SpO2 98%. Physical examination reveals short …
A 31-year-old man is found unresponsive with pinpoint pupils and shallow respirations next to an empty oxycodone bottle. Vital signs show BP 92/58, HR 52, RR 8, SpO2 88%. Arterial …
A 28-year-old woman with a 6-month history of Crohn's disease presents with persistent diarrhea. She reports approximately 4-6 loose stools daily but denies vomiting or recent anti…
A 68-year-old woman with no significant past medical history presents with confusion, nausea, and nephrolithiasis. Vital signs show BP 138/82 mmHg, HR 88/min, RR 16/min, temperatur…