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Q3492052 Medicina
Homem de 63 anos, com histórico de diabetes mellitus tipo 2 e hipertensão arterial sistêmica há mais de 10 anos, comparece para consulta de seguimento. Está em uso de metformina, empagliflozina e losartana. Refere bom controle glicêmico, sem queixas clínicas atuais. Exames laboratoriais recentes mostram creatinina de 1,4 mg/dL e taxa de filtração glomerular estimada em 52mL/min/1,73m². A relação albumina/creatinina urinária é de 420 mg/g. Qual o estadiamento da doença renal crônica neste paciente?
Alternativas
Q3492051 Medicina
O lúpus eritematoso sistêmico (LES) é uma doença autoimune crônica multissistêmica que, se não tratada, pode levar à inflamação e danos aos órgãos. Possui diagnóstico desafiador devido à apresentação clínica variada, sendo importante conhecê-la. Assim, assinale a alternativa cujas manifestações clínicas são mais sugestivas da doença.
Alternativas
Q3492050 Medicina
Paciente feminina de 50 anos com história de transtorno depressivo, asma brônquica, dislipidemia e hipertensão arterial sistêmica vem à consulta devido controle inadequado de pressão arterial, apesar de boa aderência. Refere que toma os medicamentos corretamente e atualmente está em uso de losartana 50 mg duas vezes ao dia, hidroclorotiazida 25 mg uma vez ao dia, anlodipino 10 mg ao dia, fluoxetina 20 mg ao dia e formoterol 12 mcg + budesonida 400 mcg duas vezes ao dia. Contudo, sua pressão arterial permanece entre 140/90 mmHg e 150/95 mmHg. Dentre as alternativas a seguir, qual é a melhor opção farmacológica para otimização do controle pressórico da paciente neste momento?
Alternativas
Q3492049 Medicina
Um homem de 28 anos apresenta temperatura axilar de 38,5º, prostração e dor de garganta, bem como adenopatias cervicais palpáveis, dolorosas, móveis. Tem a orofaringe hiperemiada, com algumas placas esbranquiçadas nas amígdalas. Não há outras alterações no exame físico. Conclui- se que o diagnóstico mais provável é o de amigdalite bacteriana, especialmente após a verificação de um hemograma, que demonstrou:
Alternativas
Q3492048 Medicina
Na fisiopatogenia da asma, a estimulação das células B (linfócitos B) leva a liberação predominante de uma imunoglobulina do tipo: 
Alternativas
Q3492047 Medicina
Um paciente com hemorragia cerebral apresenta extensão dorsal do hálux quando sua sola do pé é estimulada com um objeto rombo, passado pela região lateral da sola no sentido do calcanhar para os dedos. Este sinal é conhecido como: 
Alternativas
Q3492046 Medicina
Na fisiopatologia da cetoacidose diabética, observam-se:
Alternativas
Q3492045 Medicina
A principal manifestação clínica, entre as listadas abaixo, na síndrome nefrótica, é:
Alternativas
Q3492044 Medicina
Um homem de 41 anos de idade se apresenta ao médico de cuidados primários após ter um teste de interferon-gama positivo. Há vários meses, ele teve contato com um indivíduo com tuberculose ativa, mas nunca apresentou nenhum sintoma. Ele é saudável e não toma nenhum medicamento. Posteriormente, o paciente é submetido à análise do escarro e à radiografia de tórax, ambas dentro dos limites da normalidade. Qual das alternativas a seguir é um dos regimes de tratamento mais adequados para a condição desse paciente?
Alternativas
Q3492040 Medicina
Paciente do sexo feminino, 24 anos, com diagnóstico de síndrome do intestino irritável, padrão misto, em tratamento com mebeverina, com ótima resposta, vai consultar com você para reavaliação. Qual queixa da paciente neste momento o preocuparia quanto a possibilidade de doença orgânica associada?
Alternativas
Q3492039 Medicina
Paciente do sexo masculino, 70 anos, relata que há 6 meses iniciou com aumento do volume abdominal associado a perda de peso importante. Fez exames laboratoriais com alteração de exames hepáticos. Histórico de esteatose hepática de longa data. DM tipo 2 e HAS há alguns anos em tratamento irregular. Cirurgia de varizes de membros inferiores prévia, sem intercorrências. Nega tabagismo. Nega etilismo. Ao exame físico está ictérico, com abdome ascítico e com edema de membros inferiores. Sem flapping. Ultrassom de abdome demonstra ascite moderada e sinais de hipertensão portal com esplenomegalia. Neste momento, a melhor conduta é:
Alternativas
Q3492038 Medicina
No diagnóstico diferencial de pacientes com sangramento, as hemofilias congênitas despontam como hipótese diagnóstica e devem ser suspeitadas em pacientes com episódios de hemartrose após início da deambulação. As hemofilias A e B alteram os seguintes exames, respectivamente: 
Alternativas
Q3492037 Medicina
Paciente de 28 anos, sexo feminino, com doença celíaca recém diagnosticada, refere que vinha apresentando diarreia, 8 episódios por dia, por 3 meses. Durante o período evoluiu com astenia, mas nega sangramentos. Exames laboratoriais evidenciam Hb 9,0g/dl Ht 27% VCM 114fl 6000 leucócitos 160 mil plaquetas, Ferro 80mcg/dL, capacidade total de ligação do ferro 240, Índice de saturação da transferrina 33% Ferritina 110ng/mL Vitamina B12 109ng/L Ácido fólico 6ng/mL. Qual a conduta correta para manejo desta paciente neste momento?
Alternativas
Q3492034 Inglês
Which sentence contains a correct use of the third conditional to express regret about a past event?
Alternativas
Q3492033 Inglês
According to modern ESL teaching approaches, which classroom activity best integrates the four skills: reading, writing, listening, and speaking?
Alternativas
Q3492032 Inglês
Which sentence is the correct passive voice transformation of: "The teacher explains the grammar rule"?
Alternativas
Q3492031 Inglês
Which sentence contains an incorrect use of the comparative form?
Alternativas
Q3492028 Inglês
O texto III refere-se à questão.


TEXTO III - How the Minnesota Shootings Suspect Was Caught12


   After an intense two-day manhunt, Minnesota police captured Vance Boelter, 57, the suspect accused of shooting two state lawmakers and their spouses. The arrest took place on Sunday evening in a rural field near Minneapolis. Despite being armed at the time, Mr. Boelter was taken into custody without the use of force, according to official reports.

   The case began early Saturday morning when police responded to a shooting at the home of State Senator John Hoffman. Concerned that the suspect might target other political figures, officers quickly went to the residence of Representative Melissa Hortman. Upon their arrival, Mr. Boelter opened fire on them before escaping on foot through a golf course located behind the house. This incident marked the beginning of what authorities called the largest manhunt in Minnesota's history.

   Throughout the weekend, more than 100 officers and nearly 20 SWAT teams were deployed across Sibley County, a largely rural area southwest of Minneapolis. Law enforcement agencies worked together, setting up a temporary command center in a nearby parking lot to coordinate search operations.

   The breakthrough in the search came on Sunday afternoon when officers discovered Mr. Boelter’s car and hat abandoned on a remote stretch of road. This discovery significantly narrowed the search area. Later, an officer reported seeing someone, believed to be the suspect, running into a wooded area nearby.

   Further confirmation came when a local resident provided footage from a trail camera installed on private property. The image captured on the camera showed a person matching Mr. Boelter’s description. Acting on this evidence, police established a one-square-mile perimeter, deploying drones and police dogs to assist in tracking the suspect’s movements.

   Using aerial surveillance, officers spotted Mr. Boelter crawling through thick shrubs. Drones tracked him from above, allowing SWAT teams to converge on his location without engaging in a violent confrontation. Authorities emphasized that despite the suspect being armed, the arrest was made peacefully and without incident.

  Following the capture, a photo was released showing Mr. Boelter standing in the field where he was apprehended. The image was edited to obscure the faces of the arresting officers for privacy and security reasons. At the command center, law enforcement officials celebrated the successful end to the operation.

  Investigators later praised the rapid response and coordination among different police departments. Officials noted that the quick decision by Brooklyn Park officers to check Representative Hortman’s home shortly after the first shooting may have prevented further violence and shortened the duration of the manhunt.


1 Fonte: https://www.nytimes.com/2025/06/16/us/minnesota-shooting-suspect-caught-how.html

Acesso em: 16 de junho de 2025

2 (Adapted from: "How the Minnesota Shootings Suspect Was Caught", The New York Times, June 16, 2025)
Which sentence contains a clear example of a direct object following the verb?
Alternativas
Q3492027 Inglês
O texto III refere-se à questão.


TEXTO III - How the Minnesota Shootings Suspect Was Caught12


   After an intense two-day manhunt, Minnesota police captured Vance Boelter, 57, the suspect accused of shooting two state lawmakers and their spouses. The arrest took place on Sunday evening in a rural field near Minneapolis. Despite being armed at the time, Mr. Boelter was taken into custody without the use of force, according to official reports.

   The case began early Saturday morning when police responded to a shooting at the home of State Senator John Hoffman. Concerned that the suspect might target other political figures, officers quickly went to the residence of Representative Melissa Hortman. Upon their arrival, Mr. Boelter opened fire on them before escaping on foot through a golf course located behind the house. This incident marked the beginning of what authorities called the largest manhunt in Minnesota's history.

   Throughout the weekend, more than 100 officers and nearly 20 SWAT teams were deployed across Sibley County, a largely rural area southwest of Minneapolis. Law enforcement agencies worked together, setting up a temporary command center in a nearby parking lot to coordinate search operations.

   The breakthrough in the search came on Sunday afternoon when officers discovered Mr. Boelter’s car and hat abandoned on a remote stretch of road. This discovery significantly narrowed the search area. Later, an officer reported seeing someone, believed to be the suspect, running into a wooded area nearby.

   Further confirmation came when a local resident provided footage from a trail camera installed on private property. The image captured on the camera showed a person matching Mr. Boelter’s description. Acting on this evidence, police established a one-square-mile perimeter, deploying drones and police dogs to assist in tracking the suspect’s movements.

   Using aerial surveillance, officers spotted Mr. Boelter crawling through thick shrubs. Drones tracked him from above, allowing SWAT teams to converge on his location without engaging in a violent confrontation. Authorities emphasized that despite the suspect being armed, the arrest was made peacefully and without incident.

  Following the capture, a photo was released showing Mr. Boelter standing in the field where he was apprehended. The image was edited to obscure the faces of the arresting officers for privacy and security reasons. At the command center, law enforcement officials celebrated the successful end to the operation.

  Investigators later praised the rapid response and coordination among different police departments. Officials noted that the quick decision by Brooklyn Park officers to check Representative Hortman’s home shortly after the first shooting may have prevented further violence and shortened the duration of the manhunt.


1 Fonte: https://www.nytimes.com/2025/06/16/us/minnesota-shooting-suspect-caught-how.html

Acesso em: 16 de junho de 2025

2 (Adapted from: "How the Minnesota Shootings Suspect Was Caught", The New York Times, June 16, 2025)
Which option contains an adverb?
Alternativas
Q3492026 Inglês
O texto III refere-se à questão.


TEXTO III - How the Minnesota Shootings Suspect Was Caught12


   After an intense two-day manhunt, Minnesota police captured Vance Boelter, 57, the suspect accused of shooting two state lawmakers and their spouses. The arrest took place on Sunday evening in a rural field near Minneapolis. Despite being armed at the time, Mr. Boelter was taken into custody without the use of force, according to official reports.

   The case began early Saturday morning when police responded to a shooting at the home of State Senator John Hoffman. Concerned that the suspect might target other political figures, officers quickly went to the residence of Representative Melissa Hortman. Upon their arrival, Mr. Boelter opened fire on them before escaping on foot through a golf course located behind the house. This incident marked the beginning of what authorities called the largest manhunt in Minnesota's history.

   Throughout the weekend, more than 100 officers and nearly 20 SWAT teams were deployed across Sibley County, a largely rural area southwest of Minneapolis. Law enforcement agencies worked together, setting up a temporary command center in a nearby parking lot to coordinate search operations.

   The breakthrough in the search came on Sunday afternoon when officers discovered Mr. Boelter’s car and hat abandoned on a remote stretch of road. This discovery significantly narrowed the search area. Later, an officer reported seeing someone, believed to be the suspect, running into a wooded area nearby.

   Further confirmation came when a local resident provided footage from a trail camera installed on private property. The image captured on the camera showed a person matching Mr. Boelter’s description. Acting on this evidence, police established a one-square-mile perimeter, deploying drones and police dogs to assist in tracking the suspect’s movements.

   Using aerial surveillance, officers spotted Mr. Boelter crawling through thick shrubs. Drones tracked him from above, allowing SWAT teams to converge on his location without engaging in a violent confrontation. Authorities emphasized that despite the suspect being armed, the arrest was made peacefully and without incident.

  Following the capture, a photo was released showing Mr. Boelter standing in the field where he was apprehended. The image was edited to obscure the faces of the arresting officers for privacy and security reasons. At the command center, law enforcement officials celebrated the successful end to the operation.

  Investigators later praised the rapid response and coordination among different police departments. Officials noted that the quick decision by Brooklyn Park officers to check Representative Hortman’s home shortly after the first shooting may have prevented further violence and shortened the duration of the manhunt.


1 Fonte: https://www.nytimes.com/2025/06/16/us/minnesota-shooting-suspect-caught-how.html

Acesso em: 16 de junho de 2025

2 (Adapted from: "How the Minnesota Shootings Suspect Was Caught", The New York Times, June 16, 2025)
Which sentence from the text contains a verb in the past perfect tense?
Alternativas
Respostas
4901: B
4902: D
4903: A
4904: E
4905: B
4906: C
4907: E
4908: D
4909: A
4910: D
4911: A
4912: D
4913: B
4914: B
4915: C
4916: B
4917: D
4918: A
4919: A
4920: D