NBME 9 Questions and Answers Already Graded A

NBME 9 Questions and Answers Already Graded A 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 T/F: Neonate that improved with PPV can be taken off of PPV immediately after true If there is suspected FSGS, what is the next step? renal biopsy If there is suspected FSGS, what is the next step after confirming it with renal biopsy? prednisone therapy 1st line tx for Merniere's disease antihistamines (e.g. Meclizine) 2nd line tx for refractory Merniere's disease methylprednisolone