Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 46-year-old man with poorly controlled hypertension (BP 168/102 mmHg) reports progressive enlargement of his hands and feet requiring larger shoe sizes over 3 years, along with i…
A 42-year-old man with bipolar disorder presents with persistent polyuria and polydipsia. Vital signs show BP 128/82 mmHg, HR 88 bpm, RR 16/min, temp 37°C. Labs reveal serum sodium…
A 35-year-old woman presents with a 3-month history of chronic fatigue, progressive weight loss, and orthostatic dizziness. She reports intense salt cravings. Vital signs show BP 9…
A 59-year-old man presents with chronic steatorrhea, mild diabetes, and recurrent abdominal pain. Vital signs show BP 128/82 mmHg, HR 92/min, RR 16/min, temp 37.2°C, and SpO2 98%. …
A 44-year-old woman with a 3-year history of hypertension poorly controlled on lisinopril presents with progressive muscle cramps and fatigue. Vital signs show BP 168/102 mmHg, HR …
A 31-year-old woman with schizophrenia started olanzapine 3 months ago and now presents with galactorrhea, amenorrhea, and weight gain. Vital signs: BP 118/76, HR 82, RR 16, Temp 3…
A 52-year-old man with type 2 diabetes mellitus presents with hypertension (BP 168/104 mmHg, HR 92/min, RR 16/min). Laboratory studies show serum glucose 287 mg/dL and elevated ald…
A 58-year-old woman with metastatic lung cancer presents with confusion and nausea. Vital signs show BP 128/76 mmHg, HR 88/min, RR 14/min, temperature 37°C. Serum sodium is 118 mEq…
A newborn girl with ambiguous genitalia presents on day 8 of life with vomiting and dehydration. Vital signs show BP 55/32 mmHg, HR 158/min, RR 32/min, temperature 36.8°C. Laborato…
A 30-year-old woman presents 4 months postpartum with amenorrhea, fatigue, and galactorrhea cessation despite attempting breastfeeding. She experienced severe postpartum hemorrhage…
A 9-year-old boy presents with progressive headaches, growth failure, and visual field defects. Vital signs show BP 98/62, HR 88, RR 18, temp 37°C, SpO2 98%. He denies polyuria and…
A 24-year-old woman with central obesity and acanthosis nigricans presents with irregular menses, infertility, acne, and progressive hirsutism. Vital signs: BP 138/88 mmHg, HR 82/m…
A 46-year-old man presents with progressive hand and jaw enlargement, frontal headaches, and visual field defects. Vital signs show BP 158/92 mmHg, HR 88/min, RR 16/min, temperatur…
A 14-year-old boy presents with polyuria, polydipsia, weight loss, and fatigue for 2 weeks. Vital signs show BP 118/72 mmHg, HR 102 bpm, RR 20/min, temperature 37.2°C, and SpO2 98%…
A 47-year-old woman with type 2 diabetes presents with 4 months of large-volume watery diarrhea persisting during fasting. Vital signs show BP 118/76, HR 102, RR 18, temp 37°C. Lab…
A 66-year-old man with newly diagnosed small cell lung carcinoma presents with confusion and nausea. Vital signs show BP 128/76 mmHg, HR 88/min, RR 16/min, temperature 37.2°C, and …
A 48-year-old obese woman with type 2 diabetes presents with a 3-month history of improved glycemic control and 8-pound weight loss after initiating a new antidiabetic agent. Vital…
A 35-year-old woman presents with episodic severe headaches and diaphoresis. Vital signs show BP 168/104 mmHg, HR 102 bpm, RR 16, temperature 37.2°C. Physical examination reveals a…
A 52-year-old man with central obesity, hypertension, and acanthosis nigricans presents with polyuria and polydipsia. Vital signs show BP 148/92 mmHg, HR 88/min, RR 16/min, tempera…
A 60-year-old male with a 40-pack-year smoking history presents with severe right shoulder pain radiating to the medial forearm and fourth and fifth digits. Physical examination re…
A premature infant born at 27 weeks gestation required prolonged mechanical ventilation and high concentration supplemental oxygen for severe neonatal respiratory distress syndrome…
A 63-year-old man with progressive exertional dyspnea has bibasilar crackles and clubbing. Pulmonary function tests show reduced total lung capacity and reduced DLCO. During treadm…
A 46-year-old woman with a body mass index of 43 kg per m2 has excessive daytime sleepiness, morning headaches, and exertional dyspnea. Arterial blood gas while awake shows PaO2 60…
A 57-year-old man with severe periodontal disease and alcohol use disorder has 2 weeks of fever, weight loss, pleuritic chest pain, and foul smelling sputum. Chest imaging shows a …