100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NBME CBSE Form 1-10 Latest Version/ NBME CBSE Form 1-10 Actual Exams and Study Guides/ NBME CBSE Form 1-10 (20+ Versions) (1500+ Questions and Answers)/ NBME CBSE EXAM $18.99   Add to cart

Exam (elaborations)

NBME CBSE Form 1-10 Latest Version/ NBME CBSE Form 1-10 Actual Exams and Study Guides/ NBME CBSE Form 1-10 (20+ Versions) (1500+ Questions and Answers)/ NBME CBSE EXAM

 13 views  1 purchase
  • Course
  • NBME CBSE Form 1-10
  • Institution
  • NBME CBSE Form 1-10

NBME CBSE Form 1-10 Latest Version/ NBME CBSE Form 1-10 Actual Exams and Study Guides/ NBME CBSE Form 1-10 (20+ Versions) (1500+ Questions and Answers)/ NBME CBSE EXAM

Preview 4 out of 249  pages

  • April 6, 2023
  • 249
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers
  • NBME CBSE Form 1-10
  • NBME CBSE Form 1-10
avatar-seller
premiumessay
NBME CBSE Form 1 -10 Latest Version / NBME CBSE Form 1 -10 Actual Exams and Study Guide s/ NBME CBSE Form 1 -10 (20+ Version s) (1500+ Questions and Answers )/ NBME CBSE EXAM 32 yo - routine exam last office visit - 5 yrs ago appendectomy 8 yrs ago no PMHx or FHx for serious illnesses most app screening test for pt? --------- CORRECT ANSWER --------- measurement of serum cholesterol concentration according to USPTF: should screen this dude for HIV, BP, syphillis, alcohol misuse, depression, diet, hep B/C, TB, obesity, and other STDs 37 yo - 3 months of int fever and nonproductive cough > 30 lb weight loss 2 months ago: ophthalmologist tx him for L.ant uveiti s PE: gucci labs: WBC WNL; inc AST 100; inc alk phos 200 CXR: hilar adenopathy DLCO: 70% PPD neg most likely dx? --------- CORRECT ANSWER --------- sarcoidosis AI disorder - very common in African American women restrictive lung dz w/ *classic CXR patt ern - BL hilar LND* dx: biopsy of lung tissue - noncaseating granulomas common manifestations: uveitis; heart block; Bells palsy; erythema nodosum tx: steroids 37 yo - 2 days of painful bumps on R.index finger > similar episode 3 yrs ago - resolved w/o tx no PMHx; no meds SHx: resp therapist PE: tendern lesions on distal phalanx of R.index finger photo shows most app tx? --------- CORRECT ANSWER --------- oral a cyclovir therapy homegirl has herpetic whitlow HSV infection of finger caused by inoculation into open skin surface > *common in healthcare workers* painful vesicular lesions at fingertip can cause fever and axillary LND dx: Tzanck smear (multinucleate g iant cells); cx - gold standard tx: acyclovir; DO NOT DO I&D 37 yo - mult episodes of HoTN during hemodialysis PMHx: CRF PE: distended neck veins; lungs clear; distant heart tones w/o murmur/gallop echo: large pericardial effusion what physical sign is associated w/ cause of HoTN episode? --------- CORRECT ANSWER --------- paradoxical pulse Beck's triad: distant heart sounds; JVD; HoTN pericardial effusion prevents normal distension of the heart w/ filling inspiration: inc VR in RV pushes IV septum in to LV > prevents LV from filling the same > dec stroke volume for that moment = dec in sys BP symptoms similar to CHF: dyspnea on exertion, orthopnea, and PND can lead to tamponade > if effusion is rapid or if there's ventricular hemorrhage > Beck's tria d, clear lungs, and pulsus paradoxus (>10 mmHg) > tx: EMERGENT PERICARDIOCENTESIS; if can't get pt into surgery - IVF + pericardial window (make a gd hole in the pericardium) 37 yo - F/U after BP was 152/110 mmHg PMHx: mild asthma (albuterol MDI prn); levonorgestrel IUD no FHx of CVD or HTN SHx: no drugs BMI: 22 BP: 155/108 mmHg in R.upper ext; 154/106 mmHg in L. labs: WNL Na, HCO3, BUN, Cr, glucose (72); dec K, Mg; inc Cl most likely mechanism of pt's inc BP? --------- CORRECT ANSWER --------- mineralocorticoid excess homegirl has FMD renal artery stenosis = MC cause of secondary HTN > old guys will have atherosclerosis > young girls will have FMD features: sudden onset of HTN w/o FHx; dec renal function; abd br uit (RUQ/LUQ/epigastrium) dx: renal arteriogram; MRA; doppler US tx: revascularization w/ PRTA; surgery; anti -HTN (typically don't work tho) 37 yo - mole on L.leg > has it for 15 yrs FHx: uncle recently dx w/ widely met melanoma PE: 0.5 cm, slightly raised, young, brown nevus w/ symmetric borders on L.lower ext; 4 mm, smooth, moveable R.inguinal LN palp next step in dx? --------- CORRECT ANSWER --------- observation remember ABCDE for malignant melanoma I have no clue what is happening w/ the LN classic: jet black, smooth lesion on sun -exposed skin dx: never do a shave biopsy > large lesion or low suspicion - punch biopsy > small lesion or high suspicion - wide excisional biopsy tx: no tx if it has met 38 yo - low grade fever and gen rash for 4 days > cefazolin therapy for chronic osteomyelitis 100.8 F P: 100/min BP: 150/108 mmHg PE: faint diffuse maculopapular rash; back - no CVA tenderness; cardiac/pulm - gucci labs: WBC WNL (inc bands, eosinophils, m onocytes; dec lymphocytes); inc BUN, Cr UA: inc WBC (12), inc RBC (8), no RBC casts, rare WBC casts urine sediment: eosinophils most likely location of pt's lesion? --------- CORRECT ANSWER --------- renal tubule homegirl has AIN > acute int renal inf pyuria (classically eosinophils) and azotemia > occurs after administration of certain drugs (diuretics, PCN derivatives, PPIs, sulfonamides, rifampin, NSAIDs) less commonly 2/2 other processes like systemic infections or AI dz features: fever, rash, hematur ia, pyuria, and CVA tenderness; can be asymptomatic P's: Pee (diuretics), Pain -free (NSAIDs), PCNs and cephalosporins, PPIs, rifamPin 40 yo - F/U exam after PPD skin pos SHx: health -care worker current test: 17 mm after erythema and 11 mm of induration at max measurement points annual PPD over last 5 yrs - neg CXR: gucci most app next step in mgnt? --------- CORRECT ANSWER --------- administration of isoniazid +PPD screen if: > 5 mm - "immunosuppressed" (HIV/AIDs, organ transplant, steroids, close co ntacts of TB) > 10 mm - "exposed" (incarcerated/homeless, health care provider, travel to endemic areas) > 15 mm - "shouldn't be screened" pt symptomatic, pos PPD, or pos IFNy - get CXR to assess for active dz > CXR will be annual screen > if CXR neg + never been tx = INH + B6 x 9 months > if CXR pos = rule out active dz w/ AFB smears; isolate pt ~ tx w/ RIPE if AFB pos ~ tx INH + B6 x 9 m onths if AFB neg 42 yo - 6 months of mild bloating/diarrhea > 8 large, foul -smelling stools daily - difficult to flush > last 3 months - 25 weight loss; no changes in diet/appetite no PMHx; no meds no distress BMI: 17 vitals stable PE: mild temporal wast ing and beefy red tongue; abd - gucci; scattered ecchymoses and trace edema over lower ext labs: dec Hct, MCV, WBC, albumin; inc PT (INR 1.5); pos endomysial IgA Ab most likely dx? --------- CORRECT ANSWER --------- gluten -sensitive enteropathy celiac d z associated w/ IgA def HSN to gluten features: diarrhea, weight loss, abdominal distention, bloating, weakness, and fatigue can suffer via def 2/2 fat malabsorption > osteoporosis (vit D), easy bleeding (vit K), megaloblastic anemia (folate and vit B12) > beefy red tongue (aka glossitis) - Fe, folate, vit B12 def dermatitis herpetiformis = papulovesicular lesion on extensor surfaces bx in prox small bowel: flattening of villi tx: gluten -free diet 42 yo - 4 months of weakness in R.hand and 2 months of weakness in L.leg > occasional twitching of muscles in all 4 ext - thinks this is nervousness PMHx: migraines (sumatriptan) no FHx of neuro dz PE: atrophy/weakness of hands R> L, freq twitching in shoulder girdle muscles, and L.foot drop; DTR inc in all ext; Babinski pos on R.; jaw reflex brisk; speech slurred; sens exam gucci labs: inc CK 335 nerve conduction studies: gucci EMG: acute/chronic denervation in several muscles of BL upper ext and L.lower ext most likely dx? --------- CORRECT ANSWER --------- amyotrophic lateral sclerosis ALS: UMN + LMN; no sens deficit features: *prog muscle weakness*, muscle cramps/spasticity, fasciculations, impaired speech/swallowing; resp musc le weakness; weight loss/fatigue tx: riluzole other answer choices: cervical myelopathy: UMN + LMN + sens loss from degenerated area of spine; dx w/ MRI inclusion body myositis: insidious onset of weakness (can be anywhere - often quads/arm flexors); dx w / muscle bx (rimmed vacuoles, mononuclear infiltrate, no necrosis); inc CK MS: disseminated time/space; dx MRI; eyes; fatigue polymyositis: prox muscle weakness; inc CK; muscle bx (muscle necrosis w/ re+degeneration) 46 yo - mech ventilated since surgery tx of bleeding duodenal ulcer 3 wks ago 103.6F P: 110/min

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller premiumessay. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $18.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

82871 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$18.99  1x  sold
  • (0)
  Add to cart