Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 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 63-year-old woman presents with progressive painless generalized lymphadenopathy over 6 months. Vital signs: BP 128/82, HR 88, RR 16, Temp 37.2°C, SpO2 98%. She denies night swea…
A 19 year old college freshman is brought to the emergency department with fever, headache, vomiting, and confusion. He is hypotensive and has a diffuse petechial rash. Lumbar punc…
A 65 year old man develops fever, dry cough, watery diarrhea, and confusion 5 days after staying at a hotel. Temperature is 39.2 C (102.6 F). Chest radiograph shows patchy unilater…
A 46 year old man with a history of mitral valve prolapse presents with 3 weeks of low grade fevers, fatigue, and weight loss. He underwent a dental extraction 1 month ago. Examina…
An 18-year-old female with a pet cat presents to clinic with a 3-week history of fever (38.5°C), malaise, and tender left axillary lymphadenopathy. She recalls a cat scratch on her…
A 42 year old man recently immigrated from a high prevalence country and presents with months of cough, weight loss, evening fevers, and night sweats. Chest radiograph shows upper …
A 21 year old sexually active woman comes to clinic with dysuria, urinary frequency, and suprapubic discomfort for 2 days. She has no fever or flank pain. Urinalysis shows positive…
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…
A 35-year-old shepherd with chronic right upper quadrant pain presents with vital signs: BP 128/82, HR 88, RR 16, temp 37.2°C, SpO2 98% on room air. Ultrasound demonstrates a large…
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 61-year-old woman develops acute dyspnea, fever, and hypoxemia within 2 hours of plasma transfusion. Vital signs show BP 128/82 mmHg, HR 118 bpm, RR 28/min, temperature 38.5°C, a…
A 37-year-old woman with iron deficiency anemia (hemoglobin 6.2 g/dL) receives a packed red blood cell transfusion. Thirty minutes later, she develops fever (38.9°C), chills, and t…
A 47-year-old woman with metastatic breast cancer who is undergoing chemotherapy comes to the physician for a follow-up exam. She reports extreme fatigue since beginning her chemot…
A 21-year-old male college student presents with a 3-day history of jaundice, dyspnea on exertion, and fatigue. He reports a sore throat and malaise for the past 2 weeks. Vital sig…
A 28 year old woman presents with fatigue, frequent nosebleeds, and recurrent infections. She recently completed chloramphenicol therapy abroad. Examination shows scattered petechi…
A 34-year-old pregnant woman with alcohol use disorder presents with fatigue and glossitis. Vital signs show BP 118/76 mmHg, HR 88/min, RR 16/min, temperature 37.2°C, and SpO2 98% …
A 4 year old girl is brought to the emergency department with reduced urine output and pallor 5 days after an episode of bloody diarrhea at a petting zoo. Laboratory studies show t…
A 29 year old woman with sickle cell disease presents with sudden severe fatigue after her child had a viral illness with a slapped cheek rash. Laboratory studies show hemoglobin 5…
A 21-year-old college student presents with fatigue and dark urine one week after recovering from atypical pneumonia. He reports Raynaud phenomenon with painful, pale fingers in co…
A 71-year-old woman presents with progressive fatigue, paresthesias, and gait imbalance over 3 months. Vital signs: BP 128/76, HR 88, RR 16, temp 37°C, SpO2 98%. Examination reveal…
A 23-year-old man with no prior medical history presents with jaundice, dark urine, and severe back pain 2 days after starting trimethoprim-sulfamethoxazole for cellulitis. Vital s…
A 19 year old woman with sickle cell disease presents with pleuritic chest pain, fever, and shortness of breath 1 day after admission for a pain crisis. Pulse oximetry is 88 percen…
A 4-year-old boy presents with chronic hemolytic anemia, scleral icterus, and splenomegaly. Vital signs: HR 110/min, RR 22/min, BP 95/60 mmHg, temperature 37.2°C. Laboratory studie…