NBME CCSE QUESTIONS AND CORRECT DETAILED ANSWERS

NBME CCSE QUESTIONS AND CORRECT DETAILED ANSWERS ( ANSWERS)

Question 1: What is the treatment for a child with urinary
incontinence and hard stools?
CORRECT ANSWER: Osmotic laxative or
polyethylene glycol

Question 2: Pt with 10yr h/o schizo treated with
Olanzapine comes to ED with his arms held rigidly by his
side, mouth is open and eyes are at maximal upward
deviation. He says that he can't relax when asked. Last
week he was admitted for hallucinations and was given
Haloperidol. What is the NBSM?
CORRECT ANSWER: Anticholinergics
(Diphenhydramine OR Benztropine) for acute dystonia

Question 3: What is the NBSM for a 6 mos old who's
mom uses honey on her pacifier for calming and now has

s/s of Clostridium botulinum toxin mom puts honey on
the pacifier?
CORRECT ANSWER: Electromyography = Repetitive
nerve stimulation study. Will show low amplitude
response if (+) Floppy baby synd

Question 4: What are the S/S of vertebral artery
occulsion?
CORRECT ANSWER: Vestibulocerebellar dysfunx
(Vertigo, Nystagmus, Ataxia) + ipsilateral CN dysfunx +
Contralateral hemiparesis + contralateral loss of P/T
sensation

Question 5: What is the NBSM of vertebral artery
occlusion?
CORRECT ANSWER: If pt has A. Fib give
Anticoagulant (Warfarin) to prevent recurrent stroke
If pt DOES NOT have A.Fib give Anti-PLT (ASA +
Clopidogrel) to prevent stroke in pts w/o A.Fib

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