Surgery nbme 2 - Study guides, Class notes & Summaries

Internal Medicine - NBME Shelf Questions and Complete solutions Updated Acute Migraine Headache Therapy Subcu triptans and Iv antiemetics (prochlorperazine, metoclopramide that block D2 receptors and serotonin receptors at higher doses), shown to be efficacious in treating acute migraine, especially when associated with nausea/vomiting. contraind: ergotamine and triptans in persons with heart conditions--ergotamine (vasoconstriction of coronary artery); sumatriptan (trigger coronary vasospa...

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...

Ob-Gyn NBME Form 2 - Questions and Answers 37 yo - G8P8 - inc vag bleeding over last 5 hrs abd exam: gucci bimanual/rectal exams: 8 cm mass of upper cervix and R.parametrium no ovary palpated separately CT: R.hydroureter above level of mass most likely dx? squamous cell carcinoma of the cervix mass is clearly big and has spread due to ability to palpate mass and hydroureter present involvement of bowel/bladder (a) or distant mets (b) > stage 4 tx: surgery or chemo parametrium = fibrous/fatt...

Step 2 CK NBME Form 12specific subtype of peripheral arterial disease that presents with claudication, ED, and decreased lower extremity arterial pulses Aortoiliac occlusion, iliac occlusive disease (Leriche syndrome) leading cause of mortality in the US and the risk increases for postmenopausal women as a result of the loss of cardioprotective benefits from estrogen Modifiable risk factors: diet, activity levels, management of comorbidities, and smoking cessation Cardiovascular diseas...

Peds NBME Form 2 - Questions and Answers 1 hr after delivery - newborn in resp distress 28 wks gest mom: prenatal care; intrapartum AB ppx APGAR: 8, 8 PE: grunting, nasal flaring, and intercostal retractions CXR: granular appearance of parenchyma w/ air bronchograms most likely dx? RDS of newborn path: surfactant def > atelectasis infant - premature, presents w/ grunting CXR: low long volumes (hypoextended), uniform granular pattern tx: surfactant and mech ventilation if severe VS TTN path:...

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...

Step 2 NBME Form 10Respiratory distress, fever/inflammation, triglycerides in milky fluid following breastfeeding - correct answer Chylothorax d/t damage to thoracic duct, chyle accumulate in thoracic space. Thoracic duct carries triglycerides from GI system to central vasculature. Causes: -Congenital malformation of lympathic system or trauma during delivery or procedural intervention - Congenital: Hydrops fetalis, Down syndrome, Turner syndrome, Noonan syndrome Tx: chest tube, su...

Surgery shelf NBME Exam Updated Questions and Answers 2024 "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?", gastric bypass "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 marr...

Ob-Gyn NBME Form 3 - Questions and Answers 47 yo PSHx: TAH + BOS for leiomyomata uteri (6 wks ago) no hx of abnormal Paps PE: well-healing incision next step regarding future Paps? no longer indicated can stop screening at 65-70 yo, 3+ normal Pap tests in a row w/o CIN2/3 or higher in past 20 yrs, or if woman had TAH for benign indications and no hx of CIN2/3 or higher hx of CIN2/3 w/ TAH + 3 consecutive neg screening tests can stop 32 yo - 2 days of vag bleeding and lower abd cramps LMP: 7 wk...

Peds NBME Form 1 - Questions and Answers 14 yo girl w/ Down Hgb - 16.8 PE: mild-mod cyanosis; digital clubbing; S2 inc in intensity echo: large VSD, dilated main pulm artery cause of polycythemia? pulm artery HTN Down kids are at a higher risk of getting this - upper airway obstruction and congenital heart dz Down is associated w/ inc in anti-angiogenic factors > impairs fetal lung vessel growth > leading to pulm art HTN due to the L>R shunt and inc flow in the R.heart > pulmHTN oc...