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NBME 17 Incorrects Guaranteed Success

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NBME 17 Incorrects Guaranteed Success Child Development - Month including pincer grasp, finger feeding, standing while holding onto a table, and playing peekaboo: - ️ 9 months Cardiology and Biochemistry - Continued CK-MB and troponin I increase after coronary stenting: - ️ Mechanism: M...

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  • September 8, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NBME 17 Guaranteed Success
  • NBME 17 Guaranteed Success
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NBME 17 Incorrects Guaranteed Success


Child Development

- Month including pincer grasp, finger feeding, standing while holding onto a table, and playing
peekaboo:

- ✔️ 9 months



Cardiology and Biochemistry

- Continued CK-MB and troponin I increase after coronary stenting:

- ✔️ Mechanism: Membrane lipid peroxidation (due to reperfusion injury causing free radicals)



Pharmacology

- Cyclophosphamide mechanism of action:

- ✔️ MOA: Alkylating agent → crosslinking of DNA → inhibits DNA replication.



Wound Healing

- Mechanism of wound healing after burn:

- ✔️ Enhanced cellular production of: TGF-B (transforming growth factor-beta).



Oncology and Infectious Disease

- 60-year-old peanut farmer with hepatocellular carcinoma (no alcohol, negative Hep B/C):

- ✔️ Cause: Aflatoxin (produced by Aspergillus, common in peanuts).



- Treatment of inflammatory bowel disease and their MOA:

- ✔️ Infliximab: TNF-alpha monoclonal antibody.

- ✔️ Mesalamine: 5-ASA (COX inhibitor).

- ✔️ Sulfasalazine: Combo of 5-ASA and sulfapyridine (suppress B cells).

, Pulmonary Medicine

- Resolution of pneumonia after 8 weeks:

- ✔️ Mechanism: Maintenance of basement membrane integrity.



Genetics and Immunology

- 35-year-old man with recurrent sinusitis and bronchitis, nasal polyps:

- ✔️ Disease: Primary ciliary dyskinesia/Kartagener syndrome.

- ✔️ Structure missing on electron microscopy: Dynein arms (resulting in non-functional cilia).



Puberty

- First sign of puberty:

- ✔️ Females: Breast bud development.

- ✔️ Males: Testicular enlargement.



Pathology and Virology

- 44-year-old woman with atypical squamous cells and HPV E6 protein:

- ✔️ Degradation mechanism: Ubiquitin ligase protein degradation of p53.



Drug Interactions

- Omeprazole effect on itraconazole absorption:

- ✔️ Cause: Omeprazole reduces stomach acidity, leading to decreased absorption of itraconazole,
which requires an acidic pH.



Immunology

- Rash after camping with poison ivy exposure:

- ✔️ Cell activation: T-lymphocytes (Type IV hypersensitivity reaction).



- Blood agglutination caused by:

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