NBME 17NBME CBSE REAL EXAM 200 QUESTIONS
AND ANSWERS LATEST 2026/2027 COMPLETE EXAM
70yo M dies in a motor vehicle collision. Was undergoing
evaluation for occult blood in the stool. Photo of transverse
colon shown. Dx? - ANSWERTubular adenoma or villous
polyp. GI blood loss suggests a risk for malignancy
38yo M truck driver with 1-week hx of watery, itchy eyes
and a runny nose. Physical shows inflamed nasal mucosa.
No congestion in lower lung. Pharmacotherapy? -
ANSWERLoratadine--> less sedating antihistamine
16yo girl with 3-day hx of fever, nonproductive cough, and
fatigue. T 38.3, P 88/min, BP 102-70. PE shows pale
conjunctivae. CXR shows bilateral interstitial infiltrates.
,Blood spontaenously agglutinates while awaiting transport
to the laboratory. Antibody isotypes causing agglutination?
- ANSWERIgM (mono and mycoplasma)
24yo M with small tender blisters on his penis 3 days after
unprotected sex. Photograph shown. Causal agent? -
ANSWERHSV-2
42yo F with 3-year hx of an intermittent facial rash,
including the forehead, eyelids, nose, and cheeks. Rash
seems to be getting worse since she moved from New
York to Florida last year. Spicy foods precipitate a flushing
reaction that seems to exacerbate the rash. PE shows
erythema over the nose and cheeks, with scattered
,telangiectasias and a few papules. Dx? -
ANSWERRosacea
53yo M returned from Africa, has fever, headache, and
abdominal discomfort. Received appropriate vaccinations
prior to the trip. T 39.4C. A wright-stained peripheral smear
shown (ring forms in RBCs). Dx? - ANSWERMalaria
68yo F with T2DM and hypertension that has been poorly
controlled despite hydrochlorothiazide treatment. BP
150/96, Labs show serum glucose concentration of 130
and proteinuria. In addition to current Rx, which is most
appropriate pharmacotherapy? - ANSWERACE I
(Lisinopril)
, 66yo M with stage IV colon cancer with 3-day hx of severe
diarrhea after receiving chemotherapy with flourouracil,
leucovorin, and irinotecan. Prescribed opioid antidiarrheal
agent with no CNS effects. Which med? -
ANSWERLoperamide
35yo M in ED with 2-hour hx of sever fatigue and
dizziness. Had profuse, watery diarrhea for 8 hours
despite a lack of oral intake. Recently returned from a
medical relief trip to a remove village in Honduras. T 36.7
C, P 122/min, BP 90/50. PE shows dry skin and
decreased capillary refill. Stool for occult blood is negative;
stool is gray and turbid. Gram stain shows gram-negative,
comma-shaped bacteria; no erythrocytes of leukocytes.
MOA of toxin? - ANSWERV. Cholerae--> activates AC
AND ANSWERS LATEST 2026/2027 COMPLETE EXAM
70yo M dies in a motor vehicle collision. Was undergoing
evaluation for occult blood in the stool. Photo of transverse
colon shown. Dx? - ANSWERTubular adenoma or villous
polyp. GI blood loss suggests a risk for malignancy
38yo M truck driver with 1-week hx of watery, itchy eyes
and a runny nose. Physical shows inflamed nasal mucosa.
No congestion in lower lung. Pharmacotherapy? -
ANSWERLoratadine--> less sedating antihistamine
16yo girl with 3-day hx of fever, nonproductive cough, and
fatigue. T 38.3, P 88/min, BP 102-70. PE shows pale
conjunctivae. CXR shows bilateral interstitial infiltrates.
,Blood spontaenously agglutinates while awaiting transport
to the laboratory. Antibody isotypes causing agglutination?
- ANSWERIgM (mono and mycoplasma)
24yo M with small tender blisters on his penis 3 days after
unprotected sex. Photograph shown. Causal agent? -
ANSWERHSV-2
42yo F with 3-year hx of an intermittent facial rash,
including the forehead, eyelids, nose, and cheeks. Rash
seems to be getting worse since she moved from New
York to Florida last year. Spicy foods precipitate a flushing
reaction that seems to exacerbate the rash. PE shows
erythema over the nose and cheeks, with scattered
,telangiectasias and a few papules. Dx? -
ANSWERRosacea
53yo M returned from Africa, has fever, headache, and
abdominal discomfort. Received appropriate vaccinations
prior to the trip. T 39.4C. A wright-stained peripheral smear
shown (ring forms in RBCs). Dx? - ANSWERMalaria
68yo F with T2DM and hypertension that has been poorly
controlled despite hydrochlorothiazide treatment. BP
150/96, Labs show serum glucose concentration of 130
and proteinuria. In addition to current Rx, which is most
appropriate pharmacotherapy? - ANSWERACE I
(Lisinopril)
, 66yo M with stage IV colon cancer with 3-day hx of severe
diarrhea after receiving chemotherapy with flourouracil,
leucovorin, and irinotecan. Prescribed opioid antidiarrheal
agent with no CNS effects. Which med? -
ANSWERLoperamide
35yo M in ED with 2-hour hx of sever fatigue and
dizziness. Had profuse, watery diarrhea for 8 hours
despite a lack of oral intake. Recently returned from a
medical relief trip to a remove village in Honduras. T 36.7
C, P 122/min, BP 90/50. PE shows dry skin and
decreased capillary refill. Stool for occult blood is negative;
stool is gray and turbid. Gram stain shows gram-negative,
comma-shaped bacteria; no erythrocytes of leukocytes.
MOA of toxin? - ANSWERV. Cholerae--> activates AC
