Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 27 year old man comes to the emergency department with hemoptysis, dark urine, and fatigue for 5 days. He has blood pressure of 168/98 mm Hg and mild periorbital edema. Urinalysi…
A 35-year-old woman presents with medullary thyroid carcinoma discovered on biopsy. Her brother underwent adrenalectomy for pheochromocytoma (plasma metanephrines elevated at 450 p…
A 70 year old man with severe systolic heart failure presents with progressive dyspnea, bibasilar crackles, and lower extremity edema. He is being considered for an osmotic diureti…
A 38-year-old woman comes to the clinic because of progressive weight gain, easy bruising, proximal muscle weakness, and irregular menses. Physical examination shows moon facies, a…
A 19 year old college student develops cola colored urine 1 day after the onset of sore throat and fever. He has had two similar episodes after respiratory infections in the past. …
A 61-year-old man with a 50 pack year smoking history presents with severe proximal muscle weakness, hypertension, edema, and new hyperglycemia. He has marked hypokalemic metabolic…
A 3-year-old boy is brought to the pediatrician because of abdominal distention, weight loss, and decreased appetite. Examination reveals an irregular abdominal mass that crosses t…
A 7 year old boy is brought to the clinic because of facial puffiness and dark urine. Three weeks ago he had impetigo that was treated symptomatically at home. He now has blood pre…
A 5 year old boy is evaluated for generalized edema that began 4 days after a viral upper respiratory infection. Urinalysis shows 4+ protein with no blood. Serum albumin is low and…
A 33 year old man with untreated HIV presents with worsening edema and frothy urine. Laboratory studies show hypoalbuminemia and heavy proteinuria. Kidney biopsy demonstrates scler…
A 62-year-old woman with stage 3b CKD on lisinopril presents with volume depletion following aggressive diuresis. Vitals show BP 98/62, HR 102, RR 18, temp 37°C. Serum creatinine i…
A 60-year-old man with type 2 diabetes mellitus and heart failure presents with fatigue. Vitals: BP 128/76 mmHg, HR 92/min, RR 16/min, Temp 37°C, SpO2 98% on room air. Recent fasti…
A 58 year old man with a 15 year history of type 2 diabetes mellitus is found to have persistent albuminuria on repeated testing. He also has diabetic retinopathy. His physician st…
A 45-year-old man presents with episodic severe headaches, diaphoresis, and palpitations. Vital signs show BP 168/102 mmHg, HR 118 bpm, RR 16/min, temp 37.2°C. Physical examination…
A 29-year-old woman presents with 6 months of amenorrhea and bilateral galactorrhea. Pregnancy test is negative. She reports decreased libido and mild headaches. Vital signs show B…
A full-term newborn presents with severe respiratory distress within 2 hours of birth. Vital signs show tachypnea (RR 68/min), tachycardia (HR 168/min), and hypoxemia (SpO2 88% on …
A 36-year-old woman presents with progressive facial puffiness and bilateral ankle edema over 3 weeks. Vital signs: BP 142/88 mmHg, HR 88/min, RR 16/min, temp 37°C, SpO2 98%. Urina…
A 66-year-old woman with stage 3 chronic kidney disease presents with progressive fatigue and decreased exercise tolerance. Vital signs: BP 148/92, HR 88, RR 16, Temp 37.2°C, SpO2 …
A 75 year old nursing home resident is brought in for confusion after several days of poor oral intake. Blood pressure is 88/54 mm Hg. Creatinine is mildly elevated. His urine sodi…
A 14-year-old boy presents with progressive muscle cramps and lightheadedness. Vital signs show BP 96/58 mmHg, HR 102/min, RR 18/min. Labs reveal hypokalemic metabolic alkalosis wi…
A 6-year-old boy presents with growth failure, polyuria, bone pain, and generalized weakness. Vital signs show BP 118/76 mmHg, HR 92/min, RR 20/min, temperature 37°C, and SpO2 98% …
A 68-year-old man with stage 3b chronic kidney disease (eGFR 34 mL/min/1.73m²) presents for research study participation. Vital signs: BP 142/88 mmHg, HR 76/min, RR 14/min, Temp 37…
A 34-year-old woman with Sjogren syndrome presents with fatigue and recurrent nephrolithiasis. Vital signs: BP 132/88 mmHg, HR 92 bpm, RR 16/min, Temp 37.2°C, SpO2 98% on room air.…
A 58-year-old man with poorly controlled diabetes mellitus (HbA1c 9.2%) and chronic NSAIDs use presents with gross hematuria and colicky left flank pain. Vital signs: BP 156/92, HR…