Questões de USMLE
3.602 questões com gabarito e explicação.
Fazer o diagnóstico grátisA 29-year-old woman with mild persistent asthma presents with acute-onset bronchospasm, nasal congestion, and urticaria 30 minutes after taking ibuprofen for menstrual cramps. Vita…
A 35-year-old woman has progressive exertional dyspnea, fatigue, and one episode of syncope while climbing stairs. Examination shows a loud P2 and signs of right ventricular strain…
A 39 year old woman with chronic hepatitis C infection presents with edema, hypertension, and dark urine. Urinalysis shows proteinuria and hematuria. Serum complement levels are lo…
A 58 year old woman with long standing diabetes mellitus and chronic back pain presents with gross hematuria. She reports daily use of multiple over the counter pain medications fo…
A 74 year old man presents with suprapubic discomfort, nocturia, and weak urinary stream. Over the last day he has had difficulty voiding. Laboratory studies show rising BUN and cr…
A 35-year-old male presents with severe dehydration following prolonged exercise without fluid intake. Vital signs show BP 95/60, HR 118, RR 20, and serum osmolality 310 mOsm/kg. U…
A 54-year-old man receiving induction chemotherapy for acute leukemia presents with sudden left flank pain and gross hematuria. Vital signs: BP 138/82, HR 92, RR 18, Temp 37.2°C, S…
A 35-year-old man with membranous nephropathy presents with sudden left flank pain and gross hematuria. Vital signs show BP 158/96 mmHg, HR 102/min, RR 18/min, temperature 37.2°C, …
A 26 year old man comes to the emergency department with hemoptysis, fatigue, and decreased urine output for 5 days. Examination shows mild bibasilar crackles and hypertension. Ser…
A 9 year old boy is brought to the emergency department because of dark urine and facial swelling. Two weeks ago he had a sore throat that resolved without treatment. Blood pressur…
A 41-year-old man with a 6-month history of poorly controlled hypertension presents to the emergency department with severe frontal headache, dyspnea, and blurred vision that began…
A 48 year old man comes to the office because of several weeks of lower extremity edema. He recently underwent evaluation for a solid renal mass. Urinalysis shows marked proteinuri…
A 32 year old man presents with progressive leg swelling and frothy urine for 2 months. He has a history of HIV infection and intermittent heroin use. Examination shows bilateral p…
A 58-year-old man undergoes elective abdominal aortic aneurysm repair. Postoperatively, he develops oliguria with BP 102/64 mmHg, HR 98/min, and serum creatinine 2.9 mg/dL (baselin…
A 5-year-old girl develops bloody diarrhea after consuming undercooked beef at a picnic. Three days later, she presents with pallor, decreased urine output, and petechiae. Vital si…
A 28-year-old woman on oral contraceptives presents 3 days after starting trimethoprim-sulfamethoxazole for a urinary tract infection. She has fever (38.5°C), BP 128/82 mmHg, HR 10…
A 34-year-old woman with systemic lupus erythematosus presents with acute onset hematuria and flank pain. Vital signs: BP 152/96 mmHg, HR 98/min, RR 18/min, Temp 37.2°C, SpO2 98% o…
A 2-day-old male presents with severe generalized edema and oliguria. Vital signs show BP 65/42 mmHg, HR 145/min, RR 38/min, and temperature 37.2°C. Urinalysis reveals massive prot…
A 68-year-old man with a history of congestive heart failure presents with worsening dyspnea and lower extremity edema. He recently stopped taking his medications. Physical examina…
A 10-year-old boy presents with a 3-day history of abdominal pain, arthralgia, and a palpable purpuric rash on the lower extremities. Vital signs show BP 128/82 mmHg, HR 98/min, RR…
A 45-year-old woman with no prior medical history presents to the emergency department 4 hours after a motor vehicle accident with crush injuries to both lower extremities. On exam…
A 72-year-old man with a 10-year history of hypertension and type 2 diabetes mellitus presents to the emergency department with acute dyspnea, confusion, and oliguria 2 days after …
A 52-year-old woman with a history of recurrent urinary tract infections presents to the emergency department with concern for acute kidney injury. She started trimethoprim-sulfame…
A 28-year-old woman presents 5 days after starting ibuprofen for menstrual cramps with fever (39.2°C), diffuse maculopapular rash, and arthralgias. Vital signs: HR 102/min, BP 128/…