Surgery nbme 2 Study guides, Class notes & Summaries

NBME Surgery 2023/2024 Question 1 Answer to the Previous Question -B -SOB, elevated pulse, low BP, JVD (elevated CVP) , crackles. ---> Cardiogenic shock. Question 2 Answer to the Previous Question -G -sphenopalatine artery (MCC of posterior nosebleeds) -Kiesselbach's plexus (MCC of anterior nosebleeds) Question 3 Answer to the Previous Question -B -Carotid duplex. Pt has symptoms of TIA. Question 4 Answer to the Previous Question -B -He is about to have a surgery,for resect...

NBME -OB/Gyn F4 (2023/ 2024 Update) Questions and Verified Answers|100% Correct| Grade A Q: 57 yo - G3P3 - loss of urine for 2 wks kids delivered vaginally PMHx: 3 yrs ago: radiation therapy for cervical ca, cancer free since no meds PE: gucci GU exam: thin, atrophic, moist vaginal mucosa; pool of fluid in vag canal post void residual volume < 10 mL most likely dx? Answer: vesicovaginal fistula consequence of ext prolonged labor or gyn surgery presents w/ continuous lea...

Surgery NBME Form 4 - Questions and Answers obese 72 yo - ED 15 min after collapsed at home > wife reports he's had upper abd pain, n/v for past 24 hrs PMHx: HTN and CAD diaphoretic 97.7 F P: 115/min, irr irregular RR: 22/min palp sys BP: 80 mmHg PE: no JVD; lungs clear; no murmurs/gallops; abd tender/rigid pulm art cath: dec CI, mean pulm art pressure, PCWP; inc SVR predominant type of shock in this pt? hypovolemic shocks vs swan-ganz Cath parameters (cardiac index (CI), CVP, PCWP, SVR) 1...

Peds NBME Form 3 - Questions and Answers 18 month - 2 wks of URI PMHx: past 15 months - several episodes of AOM PE: L.TM bluish gray w/ visible landmarks; air-fluid level present behind inf 1/2 of TM; minimal movement on pneumatic otoscopy; R.ext ear, ear canal, and TM gucci most likely dx? serous otitis media pt prone to this considering they have had multiple AOM in the past air-fluid level = serous tx: probably tympanoplasty 6 month boy - difficulty breathing for 2 hrs low-grade fever, nasa...

NBME -OB/Gyn F1 (2023/ 2024 Update) Questions and Verified Answers|100% Correct| Grade A Q: 57 yo - routine exam PMHx: HTN, T2DM, gen anxiety disorder great aunt: hx of breast cancer tx: hormone therapy w/ estrogen and medroxyprogesterone daily since menopause 5 yrs ago meds: HCTZ, metformin, herbal meds breasts: no masses/nipple discharge what historical finding is greatest risk factor for breast cancer in this pt? Answer: hormone therapy pt has been taking estrogen and medrox...

NBME -OB/Gyn F2 (2023/ 2024 Update) Questions and Verified Answers|100% Correct| Grade A Q: 28 yo - G2P1 LMP: 10 wks ago 1st child: 10 lb male newborn - born by C-section due to arrest of descent during this pregnancy, she's at an inc risk for what? Answer: gestational diabetes since her first child was clearly had macrosomia (10 lb) - there had to be a reason why the baby got this big aka DM macrosomia - birth weight > 4500 g *most classically associated risk factor: preex...

Surgery NBME Form 3 - Questions and Answers 3 wk old - 18 days of inc yellow skin/eyes born to 24 yo woman, G2P2, uncomplicated preg/delivery > 3175g at birth breast-fed exclusively today weights 3345g BR = 15 (direct - 13) most likely dx? biliary artesia suspected in 6-8 wk old babies - persistent, prog inc jaundice (more conj) dx: 1 wk of phenobarbital > HIDA scan if no bile reaches duodenum w/ phenobarbital > surgical exploration 22 yo - pain/edema of R.upper ext > 10 days after...

Step 2 CK NBME 8 42 YO male presents with SOB for 3 weeks -Breath sounds decreased over left hemithorax -CXR shows mass involving the left upper and lower lobe -Biopsy shows uniform small round cells with darkly staining nuclei What is initial tx? Small cell lung cancer -initial therapy is chemotherapy bc surgery has limited role given that these tumors are nonresectable 27 YO male with cough , SOB, weight loss in 6 mons. PE shows A/P Cervical LAD and white plaques over buccal mucosa...

USMLE Step 2 CK NBME 4 High YieldFirst step in infective endocarditis? - correct answer Do blood cultures which confirms the disease. Do not treat empirically first. Differential loss to follow up. - correct answer Bias that occurs when you lose follow up long term. Affects Validity Next step in management with a patient that has neutropenic fever? - correct answer Broad spectrum antibiotic therapy. 15 month baby that had a pneumonia as a kid, and now has fatty stools. What is the ...

Surgery shelf NBME 2023 new guide "47 YOW comes in with a BMI of 67 , chafed skin on inner thighs, under breasts, twice requiring admission for abtx for panniculitis. Also has thick curdy vaginal discharge.Best long term management for this pt?", "37 YOw bruising on arms and abdomen x3w. ibuprofen for HA. afebrile. PE:eccymoses over upper extremities and trunk. Lungs CTAB, Labs: norm Hb, 6.8k WBC, 45k plt, Bleeding time is high,PT normal. Bone marrow shows megakayocytes. Explanation fo...