NBME 9 Exam Test with Answers
1. Kid with bed wetting problems + constipation administration of
an osmotic laxa-
tx? tive
2. Multiple myeloma is marked by proliferation of monoclonal
B cells
3. In patients with bipolar disorder that are suffering bipolar medication
from acute depression + stopped taking meds, what like lithium, lamot-
do you give them? rigine, quetiapine,
and lurasidone
4. SSRIs in bipolar patients can be bad because? it can precipitate
mania or convert
depression to ma-
nia
5. Patient with afib with a history of TIA or stroke warfarin
Tx?
6. Patient without afib with history of TIA or stroke aspirin
Tx?
7. T/F: Aspirin and clopidogrel are anticoagulants false
8. 1st line therapy for mild to moderate acne vulgaris topical retinoids
Tx?
9. Patient with juvenile idiopathic arthritis may present uveitis (screen
with what extraarticular manifestation? with slit-lamp
exam)
10. In adults, the presence of a destructive bone lesion metastatic
is more commonly caused by disease rather
than primary bone malignancy
11. <30
, NBME 9 Exam Test with Answers
T/F: Osteosarcoma is most common in patients
years of age
12. Patients with severe AS with symptoms or systolic aortic valve re-
dysfunction (EF <50%) should receive what tx? placement
13. Patients with HF (EF < 50%) who have AS + asymp- Afterload reduc-
tomatic in terms of SOB on exertion, should receive tion
what treatment?
14. 32 yo woman with bcg vaccine as a child + emigrated High risk; isoni-
from China + PPD skin test of 12 mm azid
risk status and next step?
15. 92 yr old with left mandibular mass that has enlarged biopsy
+ x ray is normal + smoker + normal VS
next step?
16. 77 yr old woman with 1 day hx of nausea + vomiting + fluid overload; he-
confusion + has HTN + on diltiazem + BP 160/70 + ox modialysis
84% + JVD borderline high + crackles in lungs + S3 +
edema + signs of kidney injury
Dx and next step?
17. In diabetic patients, foot injuries can be prevented wearing shoes
with? when standing or
walking
18. In diabetic patients, worsening of foot injuries can be daily foot checks
prevented with?
19. 37 yr old woman with no hx of abnormal pap smears + endometrial ma-
current visit shows pap smear with atypical glandular lignancy; col-
cells poscopy with en-
docervical curet-
potential dx and next step? tage
, NBME 9 Exam Test with Answers
20. 37 yr old woman with no hx of abnormal pap smears + hysteroscopy
current visit shows pap smear with atypical glandular
cells
After colposcopy with endocervical curettage, what
can be considered as a next step?
21. T/F: Neonate that improved with PPV can be taken off true
of PPV immediately after
22. If there is suspected FSGS, what is the next step? renal biopsy
23. If there is suspected FSGS, what is the next step after prednisone thera-
confirming it with renal biopsy? py
24. 1st line tx for Merniere's disease antihistamines
(e.g. Meclizine)
25. 2nd line tx for refractory Merniere's disease methylpred-
nisolone
26. T/F: Initial step to controlling allergic rhinitis can in- true
clude use of pillow and mattress covers
27. COPD exacerbations can be treated with? supplemental oxy-
gen, SABA,
steroids, antibi-
otics, and nebuliz-
ers
28. COPD daily management should include? LABA, tiotropi-
oum, steroids
29. T/F: Oral steroids are the main daily treatment for false
chronic COPD patients.
30. T/F: LABA are the main daily treatment for chronic true
COPD patients.
31. sorbitol
1. Kid with bed wetting problems + constipation administration of
an osmotic laxa-
tx? tive
2. Multiple myeloma is marked by proliferation of monoclonal
B cells
3. In patients with bipolar disorder that are suffering bipolar medication
from acute depression + stopped taking meds, what like lithium, lamot-
do you give them? rigine, quetiapine,
and lurasidone
4. SSRIs in bipolar patients can be bad because? it can precipitate
mania or convert
depression to ma-
nia
5. Patient with afib with a history of TIA or stroke warfarin
Tx?
6. Patient without afib with history of TIA or stroke aspirin
Tx?
7. T/F: Aspirin and clopidogrel are anticoagulants false
8. 1st line therapy for mild to moderate acne vulgaris topical retinoids
Tx?
9. Patient with juvenile idiopathic arthritis may present uveitis (screen
with what extraarticular manifestation? with slit-lamp
exam)
10. In adults, the presence of a destructive bone lesion metastatic
is more commonly caused by disease rather
than primary bone malignancy
11. <30
, NBME 9 Exam Test with Answers
T/F: Osteosarcoma is most common in patients
years of age
12. Patients with severe AS with symptoms or systolic aortic valve re-
dysfunction (EF <50%) should receive what tx? placement
13. Patients with HF (EF < 50%) who have AS + asymp- Afterload reduc-
tomatic in terms of SOB on exertion, should receive tion
what treatment?
14. 32 yo woman with bcg vaccine as a child + emigrated High risk; isoni-
from China + PPD skin test of 12 mm azid
risk status and next step?
15. 92 yr old with left mandibular mass that has enlarged biopsy
+ x ray is normal + smoker + normal VS
next step?
16. 77 yr old woman with 1 day hx of nausea + vomiting + fluid overload; he-
confusion + has HTN + on diltiazem + BP 160/70 + ox modialysis
84% + JVD borderline high + crackles in lungs + S3 +
edema + signs of kidney injury
Dx and next step?
17. In diabetic patients, foot injuries can be prevented wearing shoes
with? when standing or
walking
18. In diabetic patients, worsening of foot injuries can be daily foot checks
prevented with?
19. 37 yr old woman with no hx of abnormal pap smears + endometrial ma-
current visit shows pap smear with atypical glandular lignancy; col-
cells poscopy with en-
docervical curet-
potential dx and next step? tage
, NBME 9 Exam Test with Answers
20. 37 yr old woman with no hx of abnormal pap smears + hysteroscopy
current visit shows pap smear with atypical glandular
cells
After colposcopy with endocervical curettage, what
can be considered as a next step?
21. T/F: Neonate that improved with PPV can be taken off true
of PPV immediately after
22. If there is suspected FSGS, what is the next step? renal biopsy
23. If there is suspected FSGS, what is the next step after prednisone thera-
confirming it with renal biopsy? py
24. 1st line tx for Merniere's disease antihistamines
(e.g. Meclizine)
25. 2nd line tx for refractory Merniere's disease methylpred-
nisolone
26. T/F: Initial step to controlling allergic rhinitis can in- true
clude use of pillow and mattress covers
27. COPD exacerbations can be treated with? supplemental oxy-
gen, SABA,
steroids, antibi-
otics, and nebuliz-
ers
28. COPD daily management should include? LABA, tiotropi-
oum, steroids
29. T/F: Oral steroids are the main daily treatment for false
chronic COPD patients.
30. T/F: LABA are the main daily treatment for chronic true
COPD patients.
31. sorbitol
