NBME 9 Questions And Answers
Kid with bed wetting problems + constipation
tx? –
administration of an osmotic laxative
Multiple myeloma is marked by proliferation of ______ B cells –
monoclonal
In patients with bipolar disorder that are suffering from acute depression + stopped
taking meds, what do you give them? –
bipolar medication like lithium, lamotrigine, quetiapine, and lurasidone
SSRIs in bipolar patients can be bad because? –
it can precipitate mania or convert depression to mania
Patient with afib with a history of TIA or stroke
Tx? –
warfarin
Patient without afib with history of TIA or stroke
Tx? –
aspirin
T/F: Aspirin and clopidogrel are anticoagulants –
false
1st line therapy for mild to moderate acne vulgaris
Tx? –
topical retinoids
Patient with juvenile idiopathic arthritis may present with what extraarticular
manifestation? –
uveitis (screen with slit-lamp exam)
In adults, the presence of a destructive bone lesion is more commonly caused by
______ disease rather than primary bone malignancy –
metastatic
T/F: Osteosarcoma is most common in patients ____ years of age –
<30
, Patients with severe AS with symptoms or systolic dysfunction (EF <50%) should
receive what tx? –
aortic valve replacement
Patients with HF (EF < 50%) who have AS + asymptomatic in terms of SOB on exertion,
should receive what treatment? –
Afterload reduction
32 yo woman with bcg vaccine as a child + emigrated from China + PPD skin test of 12
mm
risk status and next step? –
High risk; isoniazid
92 yr old with left mandibular mass that has enlarged + x ray is normal + smoker +
normal VS
next step? –
biopsy
77 yr old woman with 1 day hx of nausea + vomiting + confusion + has HTN + on
diltiazem + BP 160/70 + ox 84% + JVD borderline high + crackles in lungs + S3 +
edema + signs of kidney injury
Dx and next step? –
fluid overload; hemodialysis
In diabetic patients, foot injuries can be prevented with? –
wearing shoes when standing or walking
In diabetic patients, worsening of foot injuries can be prevented with? –
daily foot checks
37 yr old woman with no hx of abnormal pap smears + current visit shows pap smear
with atypical glandular cells
potential dx and next step? –
endometrial malignancy; colposcopy with endocervical curettage
37 yr old woman with no hx of abnormal pap smears + current visit shows pap smear
with atypical glandular cells
After colposcopy with endocervical curettage, what can be considered as a next step? –
hysteroscopy
Kid with bed wetting problems + constipation
tx? –
administration of an osmotic laxative
Multiple myeloma is marked by proliferation of ______ B cells –
monoclonal
In patients with bipolar disorder that are suffering from acute depression + stopped
taking meds, what do you give them? –
bipolar medication like lithium, lamotrigine, quetiapine, and lurasidone
SSRIs in bipolar patients can be bad because? –
it can precipitate mania or convert depression to mania
Patient with afib with a history of TIA or stroke
Tx? –
warfarin
Patient without afib with history of TIA or stroke
Tx? –
aspirin
T/F: Aspirin and clopidogrel are anticoagulants –
false
1st line therapy for mild to moderate acne vulgaris
Tx? –
topical retinoids
Patient with juvenile idiopathic arthritis may present with what extraarticular
manifestation? –
uveitis (screen with slit-lamp exam)
In adults, the presence of a destructive bone lesion is more commonly caused by
______ disease rather than primary bone malignancy –
metastatic
T/F: Osteosarcoma is most common in patients ____ years of age –
<30
, Patients with severe AS with symptoms or systolic dysfunction (EF <50%) should
receive what tx? –
aortic valve replacement
Patients with HF (EF < 50%) who have AS + asymptomatic in terms of SOB on exertion,
should receive what treatment? –
Afterload reduction
32 yo woman with bcg vaccine as a child + emigrated from China + PPD skin test of 12
mm
risk status and next step? –
High risk; isoniazid
92 yr old with left mandibular mass that has enlarged + x ray is normal + smoker +
normal VS
next step? –
biopsy
77 yr old woman with 1 day hx of nausea + vomiting + confusion + has HTN + on
diltiazem + BP 160/70 + ox 84% + JVD borderline high + crackles in lungs + S3 +
edema + signs of kidney injury
Dx and next step? –
fluid overload; hemodialysis
In diabetic patients, foot injuries can be prevented with? –
wearing shoes when standing or walking
In diabetic patients, worsening of foot injuries can be prevented with? –
daily foot checks
37 yr old woman with no hx of abnormal pap smears + current visit shows pap smear
with atypical glandular cells
potential dx and next step? –
endometrial malignancy; colposcopy with endocervical curettage
37 yr old woman with no hx of abnormal pap smears + current visit shows pap smear
with atypical glandular cells
After colposcopy with endocervical curettage, what can be considered as a next step? –
hysteroscopy
