NBME CBSE EXAM WITH QUESTIONS AND WELL VERIFIED ANSWERS[ACTUAL EXAM 100%] GRADED A +
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Course
NBME CBSE
Institution
NBME CBSE
NBME CBSE EXAM WITH QUESTIONS
AND WELL VERIFIED
ANSWERS[ACTUAL EXAM 100%]
GRADED A +
38yo M truck driver with 1-week hx of watery, itchy eyes and a runny nose.
Physical shows inflamed nasal mucosa. No congestion in lower lung.
Pharmacotherapy? - ANS---Loratadine--> less sedating anti...
NBME CBSE EXAM WITH QUESTIONS
AND WELL VERIFIED
ANSWERS[ACTUAL EXAM 100%]
GRADED A +
38yo M truck driver with 1-week hx of watery, itchy eyes and a runny nose.
Physical shows inflamed nasal mucosa. No congestion in lower lung.
Pharmacotherapy? - ANS✔✔---Loratadine--> less sedating antihistamine
70yo M dies in a motor vehicle collision. Was undergoing evaluation for
occult blood in the stool. Photo of transverse colon shown. Dx? -
ANS✔✔---Tubular adenoma or villous polyp. GI blood loss suggests a
risk for malignancy
16yo girl with 3-day hx of fever, nonproductive cough, and fatigue. T 38.3,
P 88/min, BP 102-70. PE shows pale conjunctivae. CXR shows bilateral
interstitial infiltrates. Blood spontaenously agglutinates while awaiting
,transport to the laboratory. Antibody isotypes causing agglutination? -
ANS✔✔---IgM (mono and mycoplasma)
24yo M with small tender blisters on his penis 3 days after unprotected sex.
Photograph shown. Causal agent? - ANS✔✔---HSV-2
53yo M returned from Africa, has fever, headache, and abdominal
discomfort. Received appropriate vaccinations prior to the trip. T 39.4C. A
wright-stained peripheral smear shown (ring forms in RBCs). Dx? -
ANS✔✔---Malaria
68yo F with T2DM and hypertension that has been poorly controlled
despite hydrochlorothiazide treatment. BP 150/96, Labs show serum
glucose concentration of 130 and proteinuria. In addition to current Rx,
which is most appropriate pharmacotherapy? - ANS✔✔---ACE I
(Lisinopril)
66yo M with stage IV colon cancer with 3-day hx of severe diarrhea after
receiving chemotherapy with flourouracil, leucovorin, and irinotecan.
Prescribed opioid antidiarrheal agent with no CNS effects. Which med? -
ANS✔✔---Loperamide
35yo M in ED with 2-hour hx of sever fatigue and dizziness. Had profuse,
watery diarrhea for 8 hours despite a lack of oral intake. Recently returned
from a medical relief trip to a remove village in Honduras. T 36.7 C, P
122/min, BP 90/50. PE shows dry skin and decreased capillary refill. Stool
for occult blood is negative; stool is gray and turbid. Gram stain shows
gram-negative, comma-shaped bacteria; no erythrocytes of leukocytes.
MOA of toxin? - ANS✔✔---V. Cholerae--> activates AC
59yo F with gradual onset of lack of muscle control in her left arm and leg.
Sx 1 mo ago after dx with metastatic breast cancer. PE shows ataxia of left
upper and lower extremities. Muscle strength, DTR, sensation,
proprioception normal. Metastatic tumor in which location? - ANS✔✔---
Cerebellum
Newborn delivered at 38 weeks' gestation weighs 1800 g. PE shows
petechial rash, microcephaly, and hepatosplenomegaly. Serologic test for
, CMV: IgG + in mother, + in newborn; IGM - in mother, + in newborn.
Explanation? - ANS✔✔---Congenital CMV infection
Female newborn is delivered at 38 weeks' gestation. Apgar 8 and 8 at 1/5
min. PE shows a bulging, fluod0filled mass approximately 5 cm in diameter
in the midline over the lumbosacral region. No spontaneous movements of
the lower extremities. Abnormality most likely occurred because of
abnormal development during which periods of postconception (in days)? -
ANS✔✔---15-40; neutral tube closes at about 4 week
42yo F with 3-year hx of an intermittent facial rash, including the forehead,
eyelids, nose, and cheeks. Rash seems to be getting worse since she
moved from New York to Florida last year. Spicy foods precipitate a
flushing reaction that seems to exacerbate the rash. PE shows erythema
over the nose and cheeks, with scattered telangiectasias and a few
papules. Dx? - ANS✔✔---Rosacea
64yo M in ED 3 hours after SOB with exertion and extreme fatigue. Has
ischemic heart disease. P 125/min, BP 105/60. ECG shows atrial
fibrillation. Intravenous ibutilide is administered. Ten minutes later, ECG
shows normal sinus rhythm. Risk for which drug effect in the next 6 hours?
- ANS✔✔---Torsades de pointes
65yo F with 20-year hx of osteoarthritis of the hands now has pain radiating
down the distal anterior thigh, knee, medial leg, and food. Bony outgrowth
of vertebrae compressing one of the spinal nerves is suspected. Nerve root
in which intervertebral foramina is effected? - ANS✔✔---L3 to L4
38yo M with 3-year hx of T2DM. Taking an oral antihyperglycemic agent,
he has tried diet and exercise. BMI 32. PE normal. Hb A1c is 10%.
Physician recommends initiation of insulin injections. Responds, "I know
that insulin would help control my blood sugar. But a lot of people in my
family have diabetes, and insulin made them really sick at times. Patient is
at which stage of change? - ANS✔✔---Contemplation
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