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Q3520804 Medicina
Mulher de 31 anos, previamente saudável, procura atendimento no pronto-socorro com queixa de cefaleia intensa, progressiva, iniciada há 5 dias. Refere que a dor é holocraniana, piora ao deitar-se e está associada a náuseas, vômitos e episódios de turvação visual. Há dois dias, apresentou uma crise convulsiva tônico-clônica generalizada, seguida de confusão mental transitória. Nega febre ou sinais infecciosos recentes. Faz uso de anticoncepcional oral há 4 anos. Ao exame, encontra-se lúcida, sem déficits neurológicos focais, mas com papiledema bilateral. A tomografia de crânio sem contraste mostra discreto edema na região parietal esquerda, sem sinais de sangramento.

Diante do quadro clínico, a conduta inicial mais apropriada para diagnóstico e tratamento é:
Alternativas
Q3520803 Medicina
Uma mulher de 45 anos procura atendimento relatando episódios intermitentes de diplopia e ptose, que pioram ao final do dia e melhoram após repouso. Ela também descreve sensação de fraqueza em atividades que exigem esforço prolongado, como subir escadas ou manter a cabeça erguida. Durante o exame, observa-se ptose bilateral variável e redução da fadiga muscular após administração do teste de edrofônio, com melhora temporária dos sintomas.

Com base nesse quadro clínico, o diagnóstico mais provável é:
Alternativas
Q3520802 Medicina
Na meningite bacteriana aguda, qual das características do líquor está geralmente presente? 
Alternativas
Q3520801 Medicina
Paciente de 62 anos apresenta parestesias em “luva e bota”, perda da sensibilidade vibratória e diminuição de reflexos nos membros inferiores. História de diabetes mellitus tipo 2 há 15 anos, sem bom controle glicêmico. Qual é a forma de neuropatia periférica mais compatível com esse quadro?
Alternativas
Q3520800 Medicina
Uma senhora de 73 anos, previamente funcional e ativa, apresenta, há aproximadamente três anos, uma evolução insidiosa de alterações comportamentais. Seus familiares relatam que ela tem demonstrado impulsividade, desinibição, perda de interesse por atividades habituais e dificuldades marcadas na organização e no planejamento, embora as funções de memória recente tenham se mantido relativamente preservadas nos estágios iniciais. O exame neuropsicológico evidencia um comprometimento acentuado das funções executivas e alterações no comportamento, com preservação inicial da memória episódica.

Diante desse quadro, qual é a hipótese diagnóstica mais consistente?
Alternativas
Q3520799 Medicina
A esclerose múltipla é uma doença inflamatória crônica que afeta o sistema nervoso central, sendo caracterizada por surtos clínicos e acúmulo progressivo de incapacidade. Sobre os mecanismos fisiopatológicos e critérios diagnósticos da esclerose múltipla, assinale a alternativa correta.
Alternativas
Q3520798 Medicina
Homem de 54 anos, com histórico de hipertensão arterial sistêmica em uso irregular de medicação e índice de massa corporal (IMC) de 32 kg/m2, procura atendimento por queixas persistentes de fadiga, sonolência excessiva durante o dia, cefaleia matinal e queda de rendimento no trabalho. Sua companheira relata roncos intensos e episódios frequentes de pausas respiratórias durante o sono, seguidos de engasgos e despertares súbitos. Ao exame físico, observa-se circunferência cervical aumentada (42 cm) e hipertrofia de úvula. A polissonografia revela um índice de apneia-hipopneia (IAH) de 35 eventos por hora, com dessaturações frequentes.

Com base no quadro clínico e nos dados da polissonografia, a conduta inicial mais apropriada é:
Alternativas
Q3520797 Medicina
Segundo a Classificação Internacional das Epilepsias (ILAE, 2017), as crises epilépticas são classificadas com base no início (focal, generalizado ou desconhecido), na preservação ou prejuízo da consciência, e em manifestações motoras ou não motoras. Considerando essa classificação, assinale a alternativa que descreve corretamente uma crise focal com prejuízo de consciência.
Alternativas
Q3520796 Medicina
Com relação aos tumores cerebrais em adultos, assinale a alternativa correta.
Alternativas
Q3520795 Medicina
Homem de 68 anos, hipertenso e ex-tabagista, é levado ao pronto-socorro por familiares após início súbito de disartria, hemiparesia direita e desvio de rima labial há aproximadamente 1 hora e 45 minutos. Ao exame, encontra-se consciente, orientado, PA: 176/98 mmHg, sem febre, com NIHSS de 9. Não faz uso de anticoagulantes. A tomografia de crânio sem contraste (TC), realizada 20 minutos após a admissão, mostra ausência de hemorragia e sinais precoces de isquemia no território da artéria cerebral média esquerda, com um escore ASPECTS de 8. A glicemia capilar na triagem foi 132 mg/dL.

Considerando as recomendações atualizadas para trombólise no AVC isquêmico agudo, assinale a alternativa que apresenta a conduta mais adequada. 
Alternativas
Q3520794 Medicina
Paciente de 67 anos apresenta disartria, hemiparesia direita e sinal de Babinski à direita. A lesão mais provável está localizada no
Alternativas
Q3520793 Medicina
A substância negra, localizada no mesencéfalo, possui grande relevância na regulação dos movimentos voluntários. Qual é a principal via afetada na doença de Parkinson, relacionada à degeneração dessa estrutura? 
Alternativas
Q3520552 Inglês

Read the sentence and choose the option which brings the correct meaning for the phrasal verb underlined.



“Can you look after my dog while I’m away?”

Alternativas
Q3520548 Inglês
Read the sentences and fill in the blank spaces with the right prepositions. Then, choose the correct alternative.

“I don’t study chemistry ___ Monday.”
“David and Clara have been married ___ 2001.”
“She will arrive at the airport ___ 9 pm.”
“He lives ___ New York.”
“John and Carol have been married ___ three years.”
Alternativas
Q3520545 Inglês

Read the text and answer the question.


One man in a boat


L.G. Alexander


Fishing is my favourite sport. I often fish for hours without catching anything. But this does not worry me. Some fishermen are unlucky. Instead of catching fish, they catch old boots and rubbish. I am even less lucky. I never catch anything ‐ not even old boots. After having spent whole mornings on the river, I always go home with an empty bag. “You must give up fishing!” my friends say. “It’s a waste of time.” But they don’t realize one important thing. I’m not really interested in fishing. I am only interested in sitting in a boat and doing nothing at all!


PRACTICE AND PROGRESS ‐ An Integrated Course for Pre‐Intermediate Students, L.G Alexander, Longman Group Limited, London.

Which alternative can replace the modal verb in the sentence “You must give up fishing!” without changing the meaning? Choose the correct option.
Alternativas
Q3520543 Inglês

Read the text and answer the question.


One man in a boat


L.G. Alexander


Fishing is my favourite sport. I often fish for hours without catching anything. But this does not worry me. Some fishermen are unlucky. Instead of catching fish, they catch old boots and rubbish. I am even less lucky. I never catch anything ‐ not even old boots. After having spent whole mornings on the river, I always go home with an empty bag. “You must give up fishing!” my friends say. “It’s a waste of time.” But they don’t realize one important thing. I’m not really interested in fishing. I am only interested in sitting in a boat and doing nothing at all!


PRACTICE AND PROGRESS ‐ An Integrated Course for Pre‐Intermediate Students, L.G Alexander, Longman Group Limited, London.

According to the text, write T for true or F for false. Then, choose the alternative with the correct sequence.



( ) The fisherman is often fishing, but he only catches old boots and rubbish.


( ) His friends support him to keep trying fishing.


( ) Fishing is only an excuse to stay sitting in boat doing nothing.


( ) He always goes home without any fish, old boot or rubbishinside his bag.

Alternativas
Q3520541 Inglês

Read the text and answer the question.


One man in a boat


L.G. Alexander


Fishing is my favourite sport. I often fish for hours without catching anything. But this does not worry me. Some fishermen are unlucky. Instead of catching fish, they catch old boots and rubbish. I am even less lucky. I never catch anything ‐ not even old boots. After having spent whole mornings on the river, I always go home with an empty bag. “You must give up fishing!” my friends say. “It’s a waste of time.” But they don’t realize one important thing. I’m not really interested in fishing. I am only interested in sitting in a boat and doing nothing at all!


PRACTICE AND PROGRESS ‐ An Integrated Course for Pre‐Intermediate Students, L.G Alexander, Longman Group Limited, London.

The underlined pronoun in the text is correctly related to
Alternativas
Q3520539 Inglês

Read the text and answer the question.


Why man’s best friend is still a four‐legged substitute parent?


Márcio Paulo Barbosa Pena Mascarenhas


Man’s best friends is actually a substitute parent, fulfilling deep emotional needs that humans fail to meet, according to a leading dog expert. People bond with dogs as much as babies do with mothers, and reap unconditional love, security and protection from the relationship.


Dr. Valerie O’ Farrel ‐ a psychologist ‐ says that dogs can also compensate for an unhappy childhood. People perceive in their pets qualities lacking in their parents. According to him, most dogs perform remarkably well as “emotional sponges”, soaking up owners’ hang‐ups. “Dogs obviously cannot understand the nature of their owners’ predicaments in the way that a sympathetic human listener can. Because the dog does not get upset or angry or go away, the owner can imagine he understands”, states the doctor.


As well as protection, concern for our well‐being and unconditional love, we often assign to dogs a fourth parental function: providing a safe and welcoming base to come home to. Some canines take this duty very seriously, Dr. O’ Farrel reveals. She describes the experience of a 37‐year‐old beauty therapist with her faithfull mongrel. “He would follow me to the station each morning to see me off”. I would watch him from the carriage and see him about to turn and go home. Invariably, he would be there to meet me when I got off the train at night. And what’s more surprising ‐ we lived about a mile and a half from the station.


Grade 1, Student’s book, Belo Horizonte,14th edition.

According to the text it is not correct to affirm that
Alternativas
Q3520538 Inglês

Read the text and answer the question.


Why man’s best friend is still a four‐legged substitute parent?


Márcio Paulo Barbosa Pena Mascarenhas


Man’s best friends is actually a substitute parent, fulfilling deep emotional needs that humans fail to meet, according to a leading dog expert. People bond with dogs as much as babies do with mothers, and reap unconditional love, security and protection from the relationship.


Dr. Valerie O’ Farrel ‐ a psychologist ‐ says that dogs can also compensate for an unhappy childhood. People perceive in their pets qualities lacking in their parents. According to him, most dogs perform remarkably well as “emotional sponges”, soaking up owners’ hang‐ups. “Dogs obviously cannot understand the nature of their owners’ predicaments in the way that a sympathetic human listener can. Because the dog does not get upset or angry or go away, the owner can imagine he understands”, states the doctor.


As well as protection, concern for our well‐being and unconditional love, we often assign to dogs a fourth parental function: providing a safe and welcoming base to come home to. Some canines take this duty very seriously, Dr. O’ Farrel reveals. She describes the experience of a 37‐year‐old beauty therapist with her faithfull mongrel. “He would follow me to the station each morning to see me off”. I would watch him from the carriage and see him about to turn and go home. Invariably, he would be there to meet me when I got off the train at night. And what’s more surprising ‐ we lived about a mile and a half from the station.


Grade 1, Student’s book, Belo Horizonte,14th edition.

In the sentence: “He would follow me to the station each morning to see me off”, the verb in bold can be replaced by:
Alternativas
Q3520537 Inglês

Read the text and answer the question.


Why man’s best friend is still a four‐legged substitute parent?


Márcio Paulo Barbosa Pena Mascarenhas


Man’s best friends is actually a substitute parent, fulfilling deep emotional needs that humans fail to meet, according to a leading dog expert. People bond with dogs as much as babies do with mothers, and reap unconditional love, security and protection from the relationship.


Dr. Valerie O’ Farrel ‐ a psychologist ‐ says that dogs can also compensate for an unhappy childhood. People perceive in their pets qualities lacking in their parents. According to him, most dogs perform remarkably well as “emotional sponges”, soaking up owners’ hang‐ups. “Dogs obviously cannot understand the nature of their owners’ predicaments in the way that a sympathetic human listener can. Because the dog does not get upset or angry or go away, the owner can imagine he understands”, states the doctor.


As well as protection, concern for our well‐being and unconditional love, we often assign to dogs a fourth parental function: providing a safe and welcoming base to come home to. Some canines take this duty very seriously, Dr. O’ Farrel reveals. She describes the experience of a 37‐year‐old beauty therapist with her faithfull mongrel. “He would follow me to the station each morning to see me off”. I would watch him from the carriage and see him about to turn and go home. Invariably, he would be there to meet me when I got off the train at night. And what’s more surprising ‐ we lived about a mile and a half from the station.


Grade 1, Student’s book, Belo Horizonte,14th edition.

According to the text, which one of the functions below is not assigned to dogs? Choose the correct option.
Alternativas
Respostas
9521: C
9522: A
9523: E
9524: A
9525: A
9526: D
9527: B
9528: C
9529: C
9530: D
9531: E
9532: B
9533: C
9534: B
9535: B
9536: D
9537: A
9538: C
9539: B
9540: A