NBME 10 EXAM - LATEST ACTUAL EXAM 200

NBME 10 EXAM - LATEST ACTUAL EXAM 200

QUESTIONS AND CORRECT ANSWERS (VERIFIED

ANSWERS) |AGRADE

68 yr old man with watery diarrhea post hemicolectomy and chemotherapy + platelets low + hgb low + leukocytes high + x-ray shows nondilated bowels Dx and next step?

• diff; stool testing

68 yr old man with watery diarrhea post hemicolectomy and chemotherapy + platelets low + hgb low + leukocytes normal + x-ray shows nondilated bowels Dx and next step?chemotherapy induced diarrhea; supportive Most common valvular cause of IE Mitral regurgitation Second most common valvular cause of IE Aortic regurgitation Patient with unusual behavior and said "he was a superhero with the ability to fly" is most likely to be suffering from _____ toxicity PCP Patient with euphoric behavior and said "he feels like he is on top of the world" is most likely to be suffering from _____ toxicity methamphetamine What do you give patient with stroke signs and an unknown last known normal?aspirin T/F: Heparin, dabigatran, and warfarin are given to acute stroke patients who are past the 4.5 hr time requirement.false 1 / 3

T/F: Heparin, dabigatran, and warfarin are given to stroke patients for long term prevention of recurrent strokes true

• yr old girl with swelling of right side of neck + small lump that grew large + firm

mobile mass on right anterior cervical chain + biopsy shows multiple granuloma + purplish hue over the mass

Dx?Mycobacterium avium lymphadenitis

T/F: Blood cultures are the test to confirm osteomyelitis

false

T/F: MRI is the test to confirm osteomyelitis

true 55 yr old woman with diabetic ulcer + now has point tenderness over T12 spinous process + febrile

cause of fever and back pain?osteomyelitis d/t staph aureus 22 yr old woman with 6 week hx of mild pain and swelling in front of right ankle + began after stepping off curb + mild ecchymosis over anterolateral aspect of right ankle + sensation intact, strength intact + afebrile + no ankle joint pain on ROM + warmth and swelling + x ray shows sunburst Dx and next step?Osteosarcoma; MRI of right tibia

22 yr old woman with 6 week hx of mild pain and swelling in front of right ankle + began after stepping off curb + mild ecchymosis over anterolateral aspect of right 2 / 3

ankle + sensation intact, strength intact + febrile + erythma + ankle joint pain elicited on ROM + warmth and swelling + Dx and next step?septic arthritis; joint aspiration Most common type of primary bone cancer?osteosarcoma?Osteosarcoma frequently occurs where?above and below the knee Laxatives can typically cause what type of electrolyte abnormality that is responsible for generalized weakness?hypokalemia You see this in alcoholic patients.hypomagnesemia HIV patient with PPD test that is 6 mm + x-ray is normal

Risk stage and Next step?High risk; treatment of latent TB now with 9 months of isoniazid therapy 18 yr old woman with 3 day hx of fever, SOB, and productive cough + asthma diagnosis + currently acute respiratory distress + pulse 120 + resp 30 + 90% oxygen + breath sounds are decreased bilaterally + 18k leukocytes + x-ray shows hyperinflation + temp 99.1 dx of current condition?asthma exacerbation with severe respiratory distress driven by bronchospasm 18 yr old woman with 3 day hx of fever, SOB, and productive cough + asthma diagnosis + currently acute respiratory distress + pulse 120 + resp 30 + 90% oxygen + breath sounds are decreased bilaterally + 18k leukocytes + x-ray shows consolidation + temp 104.2 dx of current condition?pneumonia and asthma exacerbation

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