Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 17-year-old boy presents with absent pubertal development. Vital signs show BP 110/70 mmHg, HR 82/min, RR 16/min, temperature 37°C. He has sparse facial hair, small testes (8 mL …
A 43-year-old woman presents with recurrent episodes of confusion, diaphoresis, and tremor that resolve within minutes of eating. During a symptomatic episode, vital signs show HR …
A 7-year-old girl presents with vaginal bleeding, café au lait macules with irregular borders, and polyostotic fibrous dysplasia on skeletal survey. Vital signs show BP 105/68, HR …
A 33-year-old man with poorly controlled type 2 diabetes presents with decreased libido and infertility. He has used metoclopramide chronically for severe gastroparesis. Vital sign…
A 53-year-old man presents with a 6-month history of fatigue, chronic diarrhea, and 8-kg weight loss. He reports a recurrent blistering rash that appears in crops on his lower extr…
A 40-year-old woman with no significant past medical history presents for evaluation of a thyroid nodule found incidentally on ultrasound performed for neck pain. She denies consti…
A 28-year-old woman presents with progressive weight loss despite increased appetite, heat intolerance, anxiety, and palpitations for 6 weeks. Vital signs show BP 148/82 mmHg, HR 1…
A 31-year-old woman presents with sudden-onset severe neck pain, fever (38.9°C), and malaise. Vital signs show tachycardia (HR 102/min) and tachypnea (RR 20/min). Laboratory studie…
A 32-year-old woman presents 3 months postpartum with fatigue, depression, and palpitations. Vital signs show HR 92 bpm, BP 128/82 mmHg, RR 16, temperature 37.2°C. TSH is elevated …
A 42-year-old woman presents with a 3-month history of fatigue, weight gain, cold intolerance, and constipation. Vital signs show HR 52 bpm, BP 128/82 mmHg, temperature 36.2°C. Phy…
A 38-year-old woman with untreated Graves disease presents with high fever (40.2°C), severe tachycardia (HR 158), altered mental status, and tremor. She admits to stopping her anti…
A 19-year-old woman with recent viral infection presents with fatigue, weight loss despite increased appetite, palpitations, and anxiety. Examination reveals tremor, warm skin, and…
A 34-year-old woman presents with palpitations, heat intolerance, and a 4-kg weight loss over 2 months. She has a diffuse thyroid enlargement without tenderness. Laboratory studies…
A 52-year-old man presents to his primary care physician with a 3-month history of progressive fatigue, weight gain of 8 kg, and cold intolerance. He denies palpitations, anxiety, …
A 42-year-old woman presents with progressive fatigue, weight gain, cold intolerance, and constipation over three months. Vital signs show HR 52 bpm, BP 138/88 mmHg, temperature 36…
A 35-year-old woman on levothyroxine 75 mcg daily for hypothyroidism reports persistent fatigue and myalgias despite a normal TSH of 2.1 mIU/L 6 weeks ago. She takes her medication…
A 29-year-old woman at 14 weeks gestation presents for prenatal care. She reports a 3-week history of palpitations, anxiety, and heat intolerance. Vital signs show heart rate 105 b…
A 58-year-old man with a history of papillary thyroid cancer treated with total thyroidectomy 5 years ago is on levothyroxine suppression therapy. His current free T4 is 1.9 ng/dL …
A 44-year-old woman presents to clinic with a 6-month history of progressive fatigue, difficulty concentrating, and cold intolerance. She reports a 3-kg weight gain despite no chan…
A 28-year-old woman at 8 weeks gestation presents for prenatal care. Her TSH is 6.2 mIU/L and free T4 is 0.9 ng/dL (low end of normal). She reports no symptoms. Thyroid peroxidase …
A 45-year-old woman with Hashimoto thyroiditis on levothyroxine 100 mcg daily presents with recurrent symptoms of fatigue and cognitive impairment despite a TSH of 1.5 mIU/L (withi…
A 29-year-old woman presents 3 months postpartum with palpitations, anxiety, and tremor (HR 108/min, BP 138/82, RR 18, T 37.2°C). Several weeks later, she develops fatigue and cold…
A 52-year-old man presents to the emergency department with a 2-week history of profuse watery diarrhea (8-10 bowel movements daily) and recurrent episodes of facial flushing and d…
A 35-year-old woman presents with palpitations, heat intolerance, and tremor for 3 months. Vital signs show HR 105 bpm, BP 138/72 mmHg, RR 18/min, temp 37.2°C. She denies recent ne…