NBME 9 QUESTIONS AND ANSWERS LATEST
UPDATE.
Kid with bed wetting problems + constipation
tx? - Correct Answer administration of an osmotic laxative
Multiple myeloma is marked by proliferation of ______ B cells - Correct Answer
monoclonal
In patients with bipolar disorder that are suffering from acute depression + stopped
taking meds, what do you give them? - Correct Answer bipolar medication like lithium,
lamotrigine, quetiapine, and lurasidone
SSRIs in bipolar patients can be bad because? - Correct Answer it can precipitate
mania or convert depression to mania
Patient with afib with a history of TIA or stroke
Tx? - Correct Answer warfarin
Patient without afib with history of TIA or stroke
Tx? - Correct Answer aspirin
T/F: Aspirin and clopidogrel are anticoagulants - Correct Answer false
1st line therapy for mild to moderate acne vulgaris
Tx? - Correct Answer topical retinoids
Patient with juvenile idiopathic arthritis may present with what extraarticular
manifestation? - Correct Answer 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 - Correct Answer metastatic
T/F: Osteosarcoma is most common in patients ____ years of age - Correct Answer <30
Patients with severe AS with symptoms or systolic dysfunction (EF <50%) should
receive what tx? - Correct Answer aortic valve replacement
Patients with HF (EF < 50%) who have AS + asymptomatic in terms of SOB on exertion,
should receive what treatment? - Correct Answer 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? - Correct Answer High risk; isoniazid
92 yr old with left mandibular mass that has enlarged + x ray is normal + smoker +
normal VS
next step? - Correct Answer 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? - Correct Answer fluid overload; hemodialysis
In diabetic patients, foot injuries can be prevented with? - Correct Answer wearing
shoes when standing or walking
In diabetic patients, worsening of foot injuries can be prevented with? - Correct Answer
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? - Correct Answer 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? -
Correct Answer hysteroscopy
T/F: Neonate that improved with PPV can be taken off of PPV immediately after -
Correct Answer true
If there is suspected FSGS, what is the next step? - Correct Answer renal biopsy
If there is suspected FSGS, what is the next step after confirming it with renal biopsy? -
Correct Answer prednisone therapy
1st line tx for Merniere's disease - Correct Answer antihistamines (e.g. Meclizine)
2nd line tx for refractory Merniere's disease - Correct Answer methylprednisolone
UPDATE.
Kid with bed wetting problems + constipation
tx? - Correct Answer administration of an osmotic laxative
Multiple myeloma is marked by proliferation of ______ B cells - Correct Answer
monoclonal
In patients with bipolar disorder that are suffering from acute depression + stopped
taking meds, what do you give them? - Correct Answer bipolar medication like lithium,
lamotrigine, quetiapine, and lurasidone
SSRIs in bipolar patients can be bad because? - Correct Answer it can precipitate
mania or convert depression to mania
Patient with afib with a history of TIA or stroke
Tx? - Correct Answer warfarin
Patient without afib with history of TIA or stroke
Tx? - Correct Answer aspirin
T/F: Aspirin and clopidogrel are anticoagulants - Correct Answer false
1st line therapy for mild to moderate acne vulgaris
Tx? - Correct Answer topical retinoids
Patient with juvenile idiopathic arthritis may present with what extraarticular
manifestation? - Correct Answer 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 - Correct Answer metastatic
T/F: Osteosarcoma is most common in patients ____ years of age - Correct Answer <30
Patients with severe AS with symptoms or systolic dysfunction (EF <50%) should
receive what tx? - Correct Answer aortic valve replacement
Patients with HF (EF < 50%) who have AS + asymptomatic in terms of SOB on exertion,
should receive what treatment? - Correct Answer 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? - Correct Answer High risk; isoniazid
92 yr old with left mandibular mass that has enlarged + x ray is normal + smoker +
normal VS
next step? - Correct Answer 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? - Correct Answer fluid overload; hemodialysis
In diabetic patients, foot injuries can be prevented with? - Correct Answer wearing
shoes when standing or walking
In diabetic patients, worsening of foot injuries can be prevented with? - Correct Answer
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? - Correct Answer 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? -
Correct Answer hysteroscopy
T/F: Neonate that improved with PPV can be taken off of PPV immediately after -
Correct Answer true
If there is suspected FSGS, what is the next step? - Correct Answer renal biopsy
If there is suspected FSGS, what is the next step after confirming it with renal biopsy? -
Correct Answer prednisone therapy
1st line tx for Merniere's disease - Correct Answer antihistamines (e.g. Meclizine)
2nd line tx for refractory Merniere's disease - Correct Answer methylprednisolone
