NBME FORM 10 ACTUAL EXAM 200

NBME FORM 10 ACTUAL EXAM 200

QUESTIONS WITH CORRECT DETAILD AND

VERIFIED ANSWERS |A+GRADE

If 13 year old patients concern is excess vaginal spotting do yu need to

measure FSH or LH Correct Answer ------------------------------------------------------ No

Patients with wiskott aldrich syndrome are particularly susceptible to (3)

infections Correct Answer ------- Strep pneumo, neisseria, h flu

Patients with wiskott aldrich syndrome are particularly susceptible to

what disease (2) -------- --- Correct AnswerAutoimmune disease,

leukemia 1 / 4

Which ig values are normal in wiskott aldrich? Which are low -----------

Correct Answer Low IgM, IgG. Normal IgA, IgE

Patient with UC is becoming less responsive to prednisone, what is the next step in management and what test do you do before initiating pharmacotherapy – Correct Answer -TNF alpha. TB test

If stroke is >4.5 hours what treatment Correct Answer Aspirin

If stroke was <24 hours ago and stroke demonstrates anterior circulation

stroke what treatment Correct AnswerMechanical thrombectomy if a thrombus was visualized

Unilateral cervical LAD with overlying purplish hue ----------------------- Correct

Answer ---------- Mycobacterium avium intracellulare

Treatment for mac infection Correct Answer Surgical

excision or combination of macrolide and ethambutol +/- rifampin

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Is there point tenderness in vertebral osteomyelitis Correct AnswerYes

What cultures for osteomyelitis? What is required for diagnosis (2) ------

----- Correct Answer ------- Blood culture for the organism. Bone biopsy

because blood culture is negative 50% of the time, MRI confirms

presence If RA patient has joint swelling do you do x ray or arthrocentesis ---------

-- Correct Answer ------- Arthrocentesis, do x ray if there is history of

trauma to the joint to determine fracture

Hypokalemia presentation ----------- Correct Answer ------------------ Muscle

weakness, ileus, paresthesia, hyporeflexia, long QT

Hypocalcemia presentation ----------- Correct Answer ------------------ Carpopedal

spasm, laryngospasm, long QT

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Hypochloridria presentation ----------- Correct Answer -------

Asymptomatic

Hypomagnesemia presentation ----------- Correct Answer ------------------- Cardia

arrhythmia, seizures, tetany

Hyponatremia presentation --- Correct AnswerNausea,

malaise, lethargy, coma, cerebral edema

Laxative abuse causes what electrolyte deficiency ----------------------- Correct

Answer ---------- Hypokalemia

Example of renal parenchymal disease ----------- Correct Answer -------

Diabetic nephropathy

Diagnosis of RAS (2 ----------- Correct Answer ----------------- Abdominal bruit,

renal artery doppler ultrasound or MRA

If a 25 year old patient has increased total cholesterol, decreased HDL and increased LDL what further workup ----------- Correct Answer ------- None, women under the age of 40 do not require screening for

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