Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 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 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…
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 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 73-year-old woman is admitted for septic shock due to pyelonephritis. Blood pressure is 78/40 mm Hg despite fluid resuscitation. She is cool and confused. Arterial blood gas show…
A 58-year-old woman presents with recurrent nephrolithiasis and progressive diffuse bone pain. Vital signs: BP 138/82, HR 88, RR 16, Temp 37.2°C, SpO2 98%. Laboratory studies revea…
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 72-year-old woman with bipolar disorder and hypertension presents to her primary care physician for evaluation of fatigue and new-onset flank pain. She has been on lithium carbon…
A 57-year-old man with poorly controlled type 2 diabetes mellitus for 20 years presents with bilateral ankle edema. Vital signs: BP 156/94 mmHg, HR 88, RR 16, Temp 37°C. Urinalysis…
A 26-year-old man travels from Boston to a ski resort at 3500 meters elevation. On the second day he develops lightheadedness and paresthesias but is otherwise healthy. Arterial bl…
A 32-year-old woman presents 2 weeks after pharyngitis with gross hematuria, periorbital edema, and hypertension (BP 148/92 mmHg, HR 88, RR 16, Temp 37.2°C, SpO2 98%). Urinalysis r…
A 48-year-old woman presents with progressive bilateral leg edema and frothy urine for 6 weeks. Vital signs show BP 138/88 mmHg, HR 82/min, RR 16/min, temp 37°C. Laboratory studies…
A 34-year-old woman presents with sudden-onset gross hematuria, periorbital edema, and hypertension (BP 158/96). Vital signs show HR 88, RR 16, temperature 37.2°C, SpO2 98% on room…
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 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 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 38-year-old woman presents to the clinic with a 3-month history of progressive headaches, polyuria, and muscle weakness. Her blood pressure is 162/98 mmHg. Laboratory studies sho…
A 3-year-old boy presents with periorbital and pedal edema. Vital signs show BP 95/60 mmHg, HR 102/min, RR 22/min, temperature 37.2°C, and SpO2 98% on room air. Urinalysis demonstr…
A 35-year-old man with systemic lupus erythematosus presents with hematuria and dysuria. Vital signs show BP 145/92 mmHg, HR 88/min, RR 16/min, temperature 37.2°C, SpO2 98%. Urinal…
A 19-year-old woman with a history of generalized anxiety disorder presents to the emergency department with acute onset palpitations, dizziness, and tingling around her mouth and …
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 62-year-old woman with a history of systemic sclerosis presents with acute kidney injury, hypertension (200/120 mmHg), and microangiopathic hemolytic anemia. Serum creatinine inc…
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…