Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 3 month old boy is brought to clinic for poor feeding, weak cry, constipation, and progressive lethargy. His parents recently began giving him small amounts of honey for cough. E…
A 49 year old man presents with chronic epigastric pain that improves with meals but recurs several hours later. He has no weight loss or vomiting. Endoscopy shows a duodenal ulcer…
A 61 year old man presents with fever and diffuse abdominal pain 5 days after emergency surgery for a perforated appendix. CT scan shows multiple intraabdominal abscesses. Aspirati…
A 58 year old man with a history of splenectomy after trauma presents with fever, productive cough, and pleuritic chest pain. Temperature is 39 C (102.2 F). Chest radiograph shows …
A 34 year old man who works processing imported animal hides presents with fever, dyspnea, and chest discomfort. Chest radiograph shows a widened mediastinum and pleural effusions.…
A 43 year old man with chronic granulomatous disease presents with headache and focal left arm weakness. MRI of the brain shows a ring enhancing lesion. He also has a chronic cough…
A 48-year-old homeless man presents with recurring fevers (38.9°C), headache, and shin pain for 2 weeks. Vital signs show BP 128/82, HR 102, RR 18, SpO2 98%. He reports poor hygien…
A 52 year old man comes to the emergency department with jaw stiffness and painful muscle spasms 8 days after stepping on a rusty nail while working on a farm. He has not received …
A 32-year-old man presents to the emergency department with a 2-week history of progressive fatigue, petechiae, and left upper quadrant abdominal pain. He denies fever, night sweat…
A 41-year-old woman presents to the emergency department with a 2-week history of progressive fatigue, spontaneous ecchymoses, and epistaxis. Her husband notes she has had several …
A 22-year-old man presents with 3 days of fever (38.9°C), abdominal cramping, and bloody diarrhea after consuming undercooked chicken. Stool culture grows Campylobacter jejuni. Gas…
A 58-year-old woman with recurrent urinary tract infections presents with acute left flank pain and gross hematuria. Vital signs show BP 138/82, HR 94, RR 18, temperature 37.8°C, S…
A 66-year-old woman hospitalized for pneumonia received clindamycin therapy. Five days into treatment, she develops watery diarrhea, lower abdominal cramping, and fever (38.5°C). V…
A 10-year-old boy presents to the emergency department with a 3-week history of progressive jaw swelling and pain. His mother reports he has had fever (38.2°C) and appears fatigued…
A 36 year old woman presents with several weeks of jaw pain and a slowly enlarging firm neck mass that began after a dental procedure. She also has a history of prolonged intrauter…
A 52-year-old man presents with progressive fatigue, early satiety, and unintentional 8-lb weight loss over 2 months. Vital signs: BP 138/82, HR 102, RR 18, Temp 37.2°C, SpO2 98% o…
A 9-year-old boy from equatorial Africa presents with a rapidly enlarging jaw mass and fever. Vital signs show temperature 38.5°C, HR 110/min, BP 105/68 mmHg, RR 22/min, SpO2 98% o…
A 68-year-old man with a 20 pack-year smoking history presents with hemoptysis, dyspnea, and constitutional symptoms. Chest imaging reveals a left upper lobe mass with mediastinal …
A 67-year-old man with severe COPD presents with increased sputum production, dyspnea, and wheezing. Vital signs show HR 102/min, RR 24/min, BP 138/86 mmHg, temperature 38.2°C, and…
A 33 year old woman comes to the clinic 12 hours after being bitten on the hand by her pet cat. The wound is erythematous, swollen, and very tender. She has no systemic symptoms. C…
A 57 year old man with cirrhosis presents with fever, vomiting, and rapidly progressive painful swelling of the right leg after eating raw oysters the previous evening. Examination…
A 72-year-old man presents with severe headaches, blurry vision, and spontaneous epistaxis. Vital signs show BP 168/94 mmHg, HR 88/min, RR 16/min, temp 37°C. Fundoscopy reveals dil…
A 41-year-old woman presents with progressive fatigue, spontaneous gingival bleeding, and easy bruising. Vital signs show BP 118/76, HR 102, RR 18, temperature 37.2°C, SpO2 98% on …
A 59-year-old man presents with headaches, dizziness, and intense pruritus after hot showers. Vital signs show BP 158/92 mmHg, HR 88/min, RR 16/min, temp 37.2°C. Examination reveal…