Nbme 4 step 3 - Study guides, Class notes & Summaries

Ob-Gyn NBME Form 1 - Questions and Answers 42 yo - G3P3 menses irregular at 2-3 month intervals, last 7-21 days LMP: 6 wks ago PMHx: T2DM (metformin) BMI: 32 PE: no other abnormalities pelvic exam: irregular enlarged uterus (12x8x6 cm) endometrial biopsy: atypical complex hyperplasia strongest predisposing factor for this pt's condition? anovulation endometrial proliferation is normal part of menstrual cycle BMI: 32 aka this woman is obese > excess adipose tissue = inc peripheral conversio...

NBME QUESTIONS AND ANSWERS ALREADY GRADED A 25 yo F at 27 weeks w/ severe contractions x6 hours, vaginal spotting, contractions every 2-3 mins w/ FHR 130 and no decels, cervic 1-2 cm and 70% effaced, GBS is positive. next step? IM beclamethasone THEN later can give penicillin man w/ 15 yr hx of difficult relaxing hands after tightly gripping objects or shaking hands, difficulty releasing after gripping w/ hands. dx? myotonic muscular dystrophy pt unable to see out of R eye since awakening 2 h...

Peds NBME Form 4 - Questions and Answers 13 yo boy no hx of serious illness past 2 yrs - brown urine when he has a cold; no dysuria or urinary urgency/incontinence CMP: inc BUN; Cr and C3 WNL UA: blood 4+, protein 3+ most likely dx? IgA nephropathy classic: "cola-colored urine" along w/ cold recurrent painless gross hematuria + URI 4 yo boy - fatigue, dec appetite, and 2.3 kg weight loss over past 2 months P: 80/min when supine; 105/min when standing BP: 85/60 mmHg when supine; 75/45 mmHg wh...

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...

Surgery NBME Form 2 - Questions and Answers 37 yo - ED 30 min after MVA arrival: abd pain vitals stable PE: abd - diffuse tenderness; dec bowel sounds supine X-ray shown - herniation of abd contents into thorax most likely dx? ruptured diaphragm hx of blunt trauma/MVA, abnormal CXR, left lower lung opacity, elevated hemidiaphragm, and mediastinal deviation MC on the left bc there's no liver to protect it CXR: herniation of abd contents into thorax 42 yo - 2 days of RU abd pain and gen itching...

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...

Step 2CK NBME FINAL EXAM REVIEW 100+ QUESTIONS AND CORRECT ANSWERS 2023. Step 2CK NBME Review 1. NBME 4: 2. 2mo infant is exclusively breastfed. What nutritional supplement?: Oral VitD to prevent rickets 3. What HTN drug causes peripheral edema, flushing, dizziness?: CCB eg nifedipine 4. 15yo girl with recurrent candida infections of skin and mucous membranes since childhood. Dx?: Chronic mucocutaneous candidiasis (T cell dysfunction) 5. 57yoM with impotence for 1 year rand bronze co...

NBME -OB/Gyn F3 (2023/ 2024 Update) Questions and Verified Answers|100% Correct| Grade A Q: 23 yo - 3 days of pain and burning w/ urination PMHx: 2 yrs ago UTI tx w/ TMP-SMX sex active; OCP PE: no CVT UA: bacteria and pus advice about preventing future episodes most appropriate recommendation? Answer: voiding immediately after coitus doesn't need AB ppx if doesn't categorize under "recurrent UTI" (3+ w/in 6 months or 4+ w/in 12 months) cont nightly AB ppx - women w/ 2+ U...

NBME 9 2023 QUESTIONS WITH VERIFIED SOLUTIONS GRADED A+ 1. Kid with bed wetting problems + constipation tx?: administration of an osmotic laxative 2. Multiple myeloma is marked by proliferation of B cells: monoclonal 3. In patients with bipolar disorder that are suffering from acute depression + stopped taking meds, what do you give them?: bipolar medication like lithium, lamotrigine, quetiapine, and lurasidone 4. SSRIs in bipolar patients can be bad because?: it can precipitate mania o...

Step 2 CK NBME Form 7Impaired fertility in a man w/high-riding bilateral scrotal mass. Underlying cause? - correct answer Varicocele. 82 year old with decreased vision. Dilated veins, widespread retinal hemorrhages intermixed with white plaques on fundoscopic exam. Diagnosis? - correct answer Central retinal vein artery occlusion. 15 year old girl on chronic steroid therapy presents with acute back pain. Most likely cause? - correct answer Osteoporotic compression fracture. Patient w...