Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 10-year-old boy presents with short stature, round facies, and shortened fourth and fifth metacarpals. Vital signs show BP 102/68 mmHg, HR 78/min, RR 18/min, temperature 37°C. La…
A 51-year-old woman presents with a 2-week history of severe anxiety, palpitations, and tremor. She was started on amiodarone for atrial fibrillation 2 weeks ago. Vital signs show …
A 45-year-old woman presents with progressive fatigue, weight gain of 8 kg over 3 months, constipation, and cold intolerance. Vital signs show BP 128/82 mmHg, HR 58 bpm, RR 14/min,…
A 49-year-old woman presents with perioral numbness and carpopedal spasm 2 days following total thyroidectomy. Vital signs show BP 128/82, HR 88, RR 16, temperature 37.2°C. Physica…
A 35-year-old woman at 12 weeks gestation presents with thyroid eye disease, tremor, and palpitations. Vital signs show HR 102 bpm, BP 138/88 mmHg, RR 18, temp 37.2°C. Labs reveal …
A 37-year-old woman develops anterior neck pain radiating to the jaw 2 weeks after an upper respiratory infection. She has palpitations and tremor. Examination shows a tender enlar…
A 70-year-old man is admitted to the ICU with severe sepsis secondary to pneumonia. Vital signs show BP 92/58, HR 118, RR 28, temp 39.2°C, SpO2 88%. Thyroid function tests reveal l…
A 34 year old woman develops anterior neck pain radiating to the jaw several weeks after an upper respiratory infection. She has palpitations and mild fever. The thyroid gland is e…
A 63-year-old man with stage 4 chronic kidney disease presents with progressive diffuse bone pain and muscle weakness. Vital signs: BP 148/92 mmHg, HR 88/min, RR 16/min, temp 37.2°…
A 41-year-old man presents with a 3-month history of chronic watery diarrhea and is found to have a thyroid nodule on examination. Vital signs show BP 148/92 mmHg, HR 102 bpm, RR 1…
A 28-year-old woman presents with a 6-month history of amenorrhea, tremor, heat intolerance, and palpitations. On examination, her thyroid is diffusely enlarged and nontender. Vita…
A 54-year-old man presents to clinic with progressive fatigue, weight gain, and decreased libido over the past 6 months. He has a history of Hodgkin lymphoma treated with mediastin…
A 6-year-old girl is brought to the clinic by her parents who report that she has not grown well since infancy despite adequate nutrition. On examination, she is at the 3rd percent…
A 67-year-old woman presents to clinic with a 3-month history of fatigue, weight gain, constipation, and cold intolerance. Her past medical history is significant for atrial fibril…
A 58-year-old man with newly diagnosed acute myeloid leukemia presents with fatigue, petechiae, and bleeding gums. Laboratory studies show WBC 87,000/μL and hemoglobin 7.2 g/dL. Hi…
A 34-year-old woman with untreated Graves disease is brought to the emergency department with fever, agitation, vomiting, and palpitations 1 day after emergency abdominal surgery. …
A 70-year-old woman with limited sun exposure and poor nutritional intake presents with diffuse bone pain and proximal leg weakness. Vital signs: BP 138/82, HR 88, RR 16, Temp 37°C…
A 63-year-old woman with type 2 diabetes is started on a drug that binds the nuclear receptor PPAR gamma to improve insulin sensitivity. Three months later she reports lower extrem…
A 55-year-old woman with hypothyroidism on levothyroxine 75 mcg daily presents with persistent fatigue and weight gain. Vital signs: BP 128/82, HR 58, RR 14, Temp 36.8°C. TSH is el…
A 56-year-old woman presents with constipation, depressed mood, and a history of recurrent kidney stones. Vital signs: BP 138/88 mmHg, HR 58 bpm, RR 14, Temp 36.8°C, SpO2 98%. Labo…
A 39 year old woman has weight gain, proximal muscle weakness, easy bruising, facial rounding, and purple abdominal striae. Testing shows elevated 24 hour urinary free cortisol tha…
A 29-year-old woman presents with 6 months of irregular menses and bilateral milky nipple discharge. She takes risperidone for schizophrenia. Vital signs: BP 118/76, HR 82, RR 16, …
A 19-year-old man with marfanoid habitus presents with multiple mucosal neuromas on his lips and tongue. Vital signs show BP 156/94 mmHg, HR 108 bpm, RR 16, temp 37°C. He denies we…
A 62-year-old man with newly diagnosed hypothyroidism started levothyroxine 50 mcg daily. Six weeks later, he presents with palpitations and irregular heartbeat. Vital signs show H…