{"id":117868,"date":"2023-09-01T14:45:16","date_gmt":"2023-09-01T14:45:16","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=117868"},"modified":"2023-09-01T14:45:18","modified_gmt":"2023-09-01T14:45:18","slug":"nbme-cbse-real-exam-200-questions-and-answers-latest-2023-2024-usmle-step-1medical-examination-latest-updatesjune-2023-a-grade","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/01\/nbme-cbse-real-exam-200-questions-and-answers-latest-2023-2024-usmle-step-1medical-examination-latest-updatesjune-2023-a-grade\/","title":{"rendered":"NBME CBSE REAL EXAM 200 QUESTIONS AND ANSWERS LATEST 2023-2024 (usmle step 1)MEDICAL EXAMINATION LATEST UPDATESJUNE 2023 A GRADE"},"content":{"rendered":"\n<p>3-day hx of fever, nonproductive cough, and fatigue. T<br>BP 102-70. PE shows pale conjunctivae. CXR shows<br>titial infiltrates. Blood spontaenously agglutinates while<br>ort to the laboratory. Antibody isotypes causing<br>NBME CBSE REAL EXAM 200 QUESTIONS AND<br>ANSWERS LATEST 2023-2024 (usmle step 1)MEDICAL<br>EXAMINATION LATEST UPDATESJUNE 2023 A<br>GRADE.<br>70yo M dies in a motor vehicle collision. Was undergoing evaluation for<br>occult blood in the stool. Photo of transverse colon shown. Dx? &#8211;<br>ANSWER- Tubular adenoma<br>38yo M with 1-week hx of watery, itchy eyes and a runny nose. Physical<br>shows inflamed nasal mucosa. No congestion in lower lung.<br>Pharmacotherapy? &#8211; ANSWER- Loratadine<br>16yo girl with<br>38.3, P 88\/min,<br>bilateral inters<br>awaiting transp<br>agglutination? &#8211; ANSWER- IgM<br>24yo M with small tender blisters on his penis 3 days after unprotected<br>sex. Photograph shown. Causal agent? &#8211; ANSWER- HSV-2<br>42yo F with 3-year hx of an intermittent facial rash, including the<br>forehead, eyelids, nose, and cheeks. Rash seems to be getting worse<br>since she moved from New York to Florida last year. Spicy foods<\/p>\n\n\n\n<p>NBME CBSE REAL EXAM 200 QUESTIONS AND<br>ANSWERS LATEST 2023-2024 (usmle step 1)MEDICAL<br>EXAMINATION LATEST UPDATESJUNE 2023 A<br>GRADE.<br>ANSWER- cerebellum<br>proprioception normal. Metastatic tumor in which location? &#8211;<br>precipitate a flushing reaction that seems to exacerbate the rash. PE<br>shows erythema over the nose and cheeks, with scattered telangiectasias<br>and a few papules. Dx? &#8211; ANSWER- Rosacea<br>53yo M returned from Africa, has fever, headache, and abdominal<br>discomfort. Received appropriate vaccinations prior to the trip. T 39.4C.<br>A wright-stained peripheral smear shown. Dx? &#8211; ANSWER- Malaria<br>59yo F with gradual onset of lack of muscle control in her left arm and<br>leg. Sx 1 mo ago after dx with metastatic breast cancer. PE shows ataxia<br>of left upper and lower extremities. Muscle strength, DTR, sensation,<\/p>\n\n\n\n<p>NBME CBSE REAL EXAM 200 QUESTIONS AND<br>ANSWERS LATEST 2023-2024 (usmle step 1)MEDICAL<br>EXAMINATION LATEST UPDATESJUNE 2023 A<br>GRADE.<br>min. PE shows a bulging, fluod0filled mass approximately 5 cm in<br>diameter in the midline over the lumbosacral region. No spontaneous<br>movements of the lower extremities. Abnormality most likely occurred<br>because of abnormal development during which periods of<br>6 hours? &#8211; ANSWER- torsades de pointes<br>Newborn delivered at 38 weeks&#8217; gestation weighs 1800 g. PE shows<br>petechial rash, microcephaly, and hepatosplenomegaly. Serologic test<br>for CMV: IgG + in mother, + in newborn; IGM &#8211; in mother, + in<br>newborn. Explanation? &#8211; ANSWER- Congenital cytomegalovirus<br>infection<br>Female newborn is delivered at 38 weeks&#8217; gestation. Apgar 8 and 8 at 1\/5<br>postconception (in days)? &#8211; ANSWER- 15 to 40<br>64yo M in ED 3 hours after SOB with exertion and extreme fatigue. Has<br>ischemic heart disease. P 125\/min, BP 105\/60. ECG shows atrial<br>fibrillation. Intravenous ibutilide is administered. Ten minutes later,<br>ECG shows normal sinus rhythm. Risk for which drug effect in the next<br>65yo F with 20-year hx of osteoarthritis of the hands now has pain<br>radiating down the distal anterior thigh, knee, medial leg, and food.<br>Bony outgrowth of vertebrae compressing one of the spinal nerves is<br>suspected. Nerve root in which intervertebral foramina is effected? &#8211;<br>ANSWER- L3 to L4<br>38yo M with 3-year hx of T2DM. Taking an oral antihyperglycemic<br>agent, he has tried diet and exercise. BMI 32. PE normal. Hb A1c is<br>10%. Physician recommends initiation of insulin injections. Responds,<br>&#8220;I know that insulin would help control my blood sugar. But a lot of<br>people in my family have diabetes, and insulin made them really sick at<br>times. Patient is at which stage of change? &#8211; ANSWER- contemplation<br>24yo M with 2-day history of an itchy rash on his arms and legs.<br>Returned from a camping trip in the woods 5 days ago. PE show<\/p>\n","protected":false},"excerpt":{"rendered":"<p>3-day hx of fever, nonproductive cough, and fatigue. TBP 102-70. PE shows pale conjunctivae. CXR showstitial infiltrates. Blood spontaenously agglutinates whileort to the laboratory. Antibody isotypes causingNBME CBSE REAL EXAM 200 QUESTIONS ANDANSWERS LATEST 2023-2024 (usmle step 1)MEDICALEXAMINATION LATEST UPDATESJUNE 2023 AGRADE.70yo M dies in a motor vehicle collision. Was undergoing evaluation foroccult blood in [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-117868","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117868","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=117868"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117868\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=117868"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=117868"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=117868"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}