Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 3-year-old girl from consanguineous parents presents to the emergency department with severe abdominal pain and recurrent pancreatitis. Vital signs show HR 120/min, BP 95/60, RR …
A 28-year-old woman at 20 weeks gestation presents with severe epigastric pain and nausea. Vital signs show BP 128/82 mmHg, HR 102 bpm, RR 18, temp 37.2°C. Serum triglycerides are …
A 29 year old woman comes to the clinic because of 6 months of amenorrhea and intermittent milky nipple discharge. She takes risperidone for schizophrenia. Pregnancy test is negati…
A previously healthy 18 month old boy is brought to the emergency department for lethargy and a seizure after a viral gastroenteritis with poor oral intake. Laboratory studies show…
A 35-year-old woman with poorly controlled type 2 diabetes presents with acute abdominal pain and eruptive xanthomas. Vital signs: BP 138/82, HR 102, RR 18, Temp 37.2°C, SpO2 98%. …
A 36-year-old man presents with recurrent acute pancreatitis, eruptive xanthomas, and lipemia retinalis. Vital signs show BP 138/88, HR 92, RR 18, temp 37°C, SpO₂ 98% on room air. …
A 38-year-old woman presenting for routine screening has a total cholesterol of 680 mg/dL and LDL of 520 mg/dL despite never taking statins. Physical examination reveals tendon xan…
A 52 year old man comes to the office because his wedding ring and shoes no longer fit. He also reports headaches, increased sweating, and hand numbness at night. Examination shows…
A 28-year-old man with acromegaly and elevated IGF-1 (680 ng/mL) undergoes transsphenoidal resection of a growth hormone-secreting pituitary adenoma. Postoperatively, he develops p…
A 33-year-old woman presents with hypertension (BP 158/96), tachycardia (HR 102), and progressive central obesity with proximal muscle weakness. Laboratory studies show elevated 24…
A 45-year-old man presents with progressive frontal headaches, bitemporal hemianopsia, and erectile dysfunction for 3 months. Vital signs: BP 138/88 mmHg, HR 76/min, RR 14/min, Tem…
A 19-year-old man with Marfan syndrome presents with acute-onset polyuria (10 L/day) and polydipsia. Vital signs: BP 118/76, HR 88, RR 16, temp 37°C, SpO2 98%. Labs show serum osmo…
A 48-year-old woman with a history of prolactinoma managed with cabergoline presents with acute severe headache, bitemporal hemianopsia, and confusion. Vital signs show BP 148/92, …
A 62-year-old man with history of pituitary macroadenoma treated with transsphenoidal surgery 3 months ago presents with acute confusion, severe frontal headache, and nuchal rigidi…
A 32 year old woman presents 2 weeks after delivery because she has been unable to breastfeed and feels profoundly fatigued. She had severe postpartum hemorrhage requiring transfus…
A 68-year-old man with metabolic syndrome presents with BP 148/92 mmHg, HR 88/min, and fasting glucose 118 mg/dL despite metformin 1000 mg daily. Labs show triglycerides 280 mg/dL,…
A 48-year-old woman presents with progressive memory loss, peripheral neuropathy, and ataxia. Vital signs are stable (BP 118/76, HR 72, RR 14, Temp 37°C). MRI demonstrates cerebell…
A 3-year-old boy with consanguineous parents presents with failure to thrive, developmental delay, and progressive ataxia with nystagmus. Vital signs show HR 92/min, RR 20/min, BP …
A 3-year-old boy presents with failure to thrive, hepatosplenomegaly, and developmental delay. Vital signs show HR 102/min, RR 24/min, temp 37.8°C. Laboratory analysis reveals trig…
A 6-year-old boy presents with severe growth retardation, steatorrhea, and progressive neurodegeneration. Vital signs show BP 95/60, HR 102, RR 20, temperature 37.2°C, and SpO2 98%…
A 42-year-old woman presents with progressive jaundice and hepatosplenomegaly (liver 4 cm below costal margin). She reports ataxia and vertical supranuclear gaze palsy. Vital signs…
A 55-year-old woman with type 2 diabetes and hypertension presents with fatigue. Vital signs: BP 142/88 mmHg, HR 88/min, RR 16/min, temp 37°C, SpO2 98% on room air. Lipid panel sho…
A 46-year-old man presents with progressive exertional chest pain. Vital signs show BP 158/94 mmHg, HR 92/min, RR 16/min, SpO2 98% on room air. Physical examination reveals yellow …
A 22-year-old female presents with a fusiform swelling of the Achilles tendon, which, when biopsied, shows cholesterol-laden macrophages (foam cells) dispersed among the collagen f…