FREE USMLE AND STUDY GAMES ABOUT NBME ALL

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FREE USMLE AND STUDY GAMES ABOUT NBME (ALL)

REVIEW EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -2060 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: Adrenal hemorrhage, hypotension, DIC

Answer:

Waterhouse-Friderichsen syndrome (meningococcemia) Question 2: 45 YO male with BP 160/90 on right arm and 170/92 on the left arm. No pulse in feet or ankle. What is the diagnosis?

Answer:

Coarctation of the Aorta (adult type) Question 3: Sleep Rxs: ADDICTIVE med that should only be used short-term

Answer:

benzodiazepines Question 4: 24yo M with small tender blisters on his penis 3 days after unprotected sex.Photograph shown. Causal agent?

Answer:

Herpes simplex virus type 2

Question 5: Corticospinal tract is located in the

Answer:

medial aspects of the pons Question 6: An adolescent presents with cough and rust colored sputum. What does gm stain show?

Answer:

Strep. Pneumo -> Gm (+) diplococci

Question 7: 1,25-Dihydroxycholecaciferol

Answer:

active form of vitamin D

Question 8: Connects liver to the anterior abdominal wall

Answer:

Falciform ligament Question 9: Neuro Embyology: Holoprosencephaly occurs when the hemispheres

Answer:

of the brain fail to separate Question 10: 40 YO female tells you she is in love with you. You refer her (which you should never do during USMLE) and she attempts suicide. What is this personality disorder?

Answer:

Splitting (Borderline )

Question 11: PAS (-) acute leukemia

Answer:

AML

Question 12: Leukemia with more mature cells and less than 5% blasts

Answer:

Chronic leukemia

Question 13: Which bones in adults synthesize RBCs (7)?

Answer:

Adults:Vertebrae, Sternum, Pelvis, Ribs, cranial bones, and tibia & femur

Question 14: Mutation HOXD-13 genes will result in

Answer:

synpolydactyly (fused 3rd and 4th digit)

Question 15: Next step in TX of otitis if resistant to amoxicillin

Answer:

Augmentin

Question 16: Rice-water stool

Answer:

Vibrio cholera Question 17: Ten human subjects given new oral drug to monitor drug effect and toxicity. Blood analyzed for human pharmacokinetics of drug for first time. Which trial type?

Answer:

Phase I Question 18: A gardener presents with SOB, salivation, miosis, and diarrhea. What is the cause/ MOA?

Answer:

Organophosphate poison, anticholinesterase Question 19: Neuro Embyology: Bracial Apparatus Pouch #2 will give rise to

Answer:

epithelial lining of the tonsils

Question 20: Cranial nerve 9 (Glossopharynageal)

Site of exit from the skull?Function?Lesions?How to test the function?

Answer:

Jugular foramen

Parasym: Parotid gland, stylopharyngeus m

Sensory: pharynx, middle ear, auditory tube, carotid body and sinus, external ear, posterior 1/3 of tongue

Lesions: PICA infarct

Test: Gag relfex

Question 21: 5-year-old-boy with mental retardedation is grossly obese and has facial features of Prader-Willi syndrome. Karytoyping and flourescent in situ hybridization studies do not show deletion in the usual site. Which to confirm PWS?

Answer:

Maternal Origin of Chromosome 15

Question 22: HALLMARK Apple core" lesion on barium enema

Answer:

Colon Cancer Question 23: 68yo M with 6-month hx of erectile dysfunction. PE and labs normal. If pharmacotherapy is indicated, drug with which MOA?

Answer:

Inhibition of phophodiesterase

Question 24: Found in rural Latin America

Answer:

Paracoccidiomyces

Question 25: Alendronate MOA

Answer:

inhibition of osteoclast-mediation bone resorption

Question 26: Mucor and Rhizopus diagnosis

Answer:

Broad Irregular shaped, nonseptate hyphae branching at WIDE angles (90 degrees) -Ribbon-like Penetrate cribiform plate to enter bloodstream