NBME Exam Questions with 100% Correct
Answers | Latest Version 2024 | Verified
47 YOW comes in with a BMI of 67 , chafed skin on inner thighs, under breasts, twice requiring
admission for abtx for panniculitis. Also has thick curdy vaginal discharge.Best long term management
for this pt? - ✔✔gastric bypass
37 YOw bruising on arms and abdomen x3w. ibuprofen for HA. afebrile. PE:eccymoses over upper
extremities and trunk. Lungs CTAB, Labs: norm Hb, 6.8k WBC, 45k plt, Bleeding time is high,PT normal.
Bone marrow shows megakayocytes. Explanation for findings? - ✔✔forumulation of antiplatelet
antibodies (idiopathic thrombocytopenic purpura)
87 YOM has sudden onset of SOB after emergent colon resection for obstructing Ca. T 100, HR 104, RR
32, BP 88/50. PE: JVD, crackles over midlungfields. NMRG.Liver span is 13. ECG shoews ST elevation.
Mostlikely Dx? - ✔✔Cardiogenic schock (MI)
A 13 YOB has increasingly severe left thigh pain and knee pain and limp for 2 days. No Hx of trauma, BMI
=20, Passive motion of hip elicits pain, Most likely Dx? - ✔✔slipped capital femoral epiphysis
12 hours after rod stabilization of a femoral fracture, 27 YO homeless ,an has sudden onset of
combativeness and disorientation. HR 120, RR 24, BP 140/85. Exam shows petichiae over axila. Most
likely cause? - ✔✔fat embolism
A previosuly healthy 47 YOM comes in with 2 weeks of progressive abd swelling. PE shows distention and
shifting dullness, bowel sounds are normal. There is no tenderness, masses or organomegaly.
Paracentesis: 50ml milky chylous fluid. Most likely cause? - ✔✔Lymphoma
52 YOW has back pain with hx of treatment for breast cancer 5 years ago. Decreases sensitivity below
nipples. Hyperreflexive and decr strength with + babinski in legs, arms are normal. Where is the lesion? -
✔✔Thoracic spinal cord: T10 is nipples
Previously healthy *YOB has intermittent pain in the right anterior thigh for the past 3 w.activity level is
high.mother notes he limps. 25th percentile ht and wt. Vitals normal. Atalgic gait. Abduction and internal
rotation of the feur is limited. Dx? - ✔✔avascular necrosis of the femoral head
, ASX 72 YOW comes in with decreased renal fx. Elevation in Cr over last 3 days. got 2nd renal transplant
from 65 YO donor 1 m ago. Most likely explanation for decr renal fxx? - ✔✔failure to surpress class II
antigen recognition in the host ( rjection)
For 4 hours, a 55 YOM has acute intermittent pain that begins in right flank and radiates to right testicle.
Most likely finding on UA? - ✔✔microscopic hematuria (30 /hpf in sediment)
36 hours after admission for evaluation of diffuse abd pain, a 42 YOw is still obstipated. She has a 9yr
history of scleroderma. Current temp is 100, P 110, RR22, BP 110/60. Abd is distended with colon
dilation and WBC 14k. Next step? - ✔✔laparotomy (toxic megacolon)
The driver of an automobile is brought into ED after head on MVC at 50 mph. He has mid chest
tenderness. All diagnostic tests are norma, except an XR of the chest which shows a widened
mediatinum. NExt step? - ✔✔aortic arch arteriogram ( I guess they are assuming CT is neg)
A 68 YOM is broguht to the ED because of recurrent vomiting of bright red blood, and near syncope x 3
hours. He is afebrile, pulse 110, respirations are 16, BP 90/60 mm Hg and he has mild epigastric
tenderness. Next step? - ✔✔rapid infusion of 0.9% saline. Fluids, then you can figure out the bleeding
source
a 62 YOW comes to the physisics with 3 w of progressive SOB, mild pain in right chest, and
nonproductive cough. 12 lb wt loss in last 3 m. She had br ca 6 years ago s/p mastectomy. She appears
cyanotic and cachectic. friction rub is heard on the right.Dx? - ✔✔malignant pleural effusion (lung mets)
A 67 YOW, 8m bilateral calf pain with walking. initially only after long walk, now only after 300 ft. pain is
relieved with rest. She has hypertension and hypercholesterol. She is on atherscler drugs and smokes.
pulses decr bil.elevated BUN. Next step? - ✔✔ABI is first before duplex. arteriogram is a preop test
Following diganosis of ectopic pregnancy in a 25 YOW, an abdominal operation is performed. Exam of
the abdomen shows a normal uterine pregnancy but an inflamed appendix. An appy is performed
despite the fact the consented only ectopic removal. Is that ok? - ✔✔inappropriate because the patient
had not been previously infomred of the risks of an appendectomy
Answers | Latest Version 2024 | Verified
47 YOW comes in with a BMI of 67 , chafed skin on inner thighs, under breasts, twice requiring
admission for abtx for panniculitis. Also has thick curdy vaginal discharge.Best long term management
for this pt? - ✔✔gastric bypass
37 YOw bruising on arms and abdomen x3w. ibuprofen for HA. afebrile. PE:eccymoses over upper
extremities and trunk. Lungs CTAB, Labs: norm Hb, 6.8k WBC, 45k plt, Bleeding time is high,PT normal.
Bone marrow shows megakayocytes. Explanation for findings? - ✔✔forumulation of antiplatelet
antibodies (idiopathic thrombocytopenic purpura)
87 YOM has sudden onset of SOB after emergent colon resection for obstructing Ca. T 100, HR 104, RR
32, BP 88/50. PE: JVD, crackles over midlungfields. NMRG.Liver span is 13. ECG shoews ST elevation.
Mostlikely Dx? - ✔✔Cardiogenic schock (MI)
A 13 YOB has increasingly severe left thigh pain and knee pain and limp for 2 days. No Hx of trauma, BMI
=20, Passive motion of hip elicits pain, Most likely Dx? - ✔✔slipped capital femoral epiphysis
12 hours after rod stabilization of a femoral fracture, 27 YO homeless ,an has sudden onset of
combativeness and disorientation. HR 120, RR 24, BP 140/85. Exam shows petichiae over axila. Most
likely cause? - ✔✔fat embolism
A previosuly healthy 47 YOM comes in with 2 weeks of progressive abd swelling. PE shows distention and
shifting dullness, bowel sounds are normal. There is no tenderness, masses or organomegaly.
Paracentesis: 50ml milky chylous fluid. Most likely cause? - ✔✔Lymphoma
52 YOW has back pain with hx of treatment for breast cancer 5 years ago. Decreases sensitivity below
nipples. Hyperreflexive and decr strength with + babinski in legs, arms are normal. Where is the lesion? -
✔✔Thoracic spinal cord: T10 is nipples
Previously healthy *YOB has intermittent pain in the right anterior thigh for the past 3 w.activity level is
high.mother notes he limps. 25th percentile ht and wt. Vitals normal. Atalgic gait. Abduction and internal
rotation of the feur is limited. Dx? - ✔✔avascular necrosis of the femoral head
, ASX 72 YOW comes in with decreased renal fx. Elevation in Cr over last 3 days. got 2nd renal transplant
from 65 YO donor 1 m ago. Most likely explanation for decr renal fxx? - ✔✔failure to surpress class II
antigen recognition in the host ( rjection)
For 4 hours, a 55 YOM has acute intermittent pain that begins in right flank and radiates to right testicle.
Most likely finding on UA? - ✔✔microscopic hematuria (30 /hpf in sediment)
36 hours after admission for evaluation of diffuse abd pain, a 42 YOw is still obstipated. She has a 9yr
history of scleroderma. Current temp is 100, P 110, RR22, BP 110/60. Abd is distended with colon
dilation and WBC 14k. Next step? - ✔✔laparotomy (toxic megacolon)
The driver of an automobile is brought into ED after head on MVC at 50 mph. He has mid chest
tenderness. All diagnostic tests are norma, except an XR of the chest which shows a widened
mediatinum. NExt step? - ✔✔aortic arch arteriogram ( I guess they are assuming CT is neg)
A 68 YOM is broguht to the ED because of recurrent vomiting of bright red blood, and near syncope x 3
hours. He is afebrile, pulse 110, respirations are 16, BP 90/60 mm Hg and he has mild epigastric
tenderness. Next step? - ✔✔rapid infusion of 0.9% saline. Fluids, then you can figure out the bleeding
source
a 62 YOW comes to the physisics with 3 w of progressive SOB, mild pain in right chest, and
nonproductive cough. 12 lb wt loss in last 3 m. She had br ca 6 years ago s/p mastectomy. She appears
cyanotic and cachectic. friction rub is heard on the right.Dx? - ✔✔malignant pleural effusion (lung mets)
A 67 YOW, 8m bilateral calf pain with walking. initially only after long walk, now only after 300 ft. pain is
relieved with rest. She has hypertension and hypercholesterol. She is on atherscler drugs and smokes.
pulses decr bil.elevated BUN. Next step? - ✔✔ABI is first before duplex. arteriogram is a preop test
Following diganosis of ectopic pregnancy in a 25 YOW, an abdominal operation is performed. Exam of
the abdomen shows a normal uterine pregnancy but an inflamed appendix. An appy is performed
despite the fact the consented only ectopic removal. Is that ok? - ✔✔inappropriate because the patient
had not been previously infomred of the risks of an appendectomy
