NBME CBSE Exam ACTUAL TEST QUESTION
n n n n n
n BANK QUESTIONS AND ANSWERS
n n n
LATEST UPDATED 2023-2024 GRADED A+
n n n n
,26 year old woman - ED - 2 day history of runny nose -
n n n n n n n n n n n n n
n Patient has to wait 6 hours before she is seen. In addition to apologizing, which of
n n n n n n n n n n n n n n n
e following is the most appropriate remark? -
n n n n n n n
Answer= Thank you for waiting. How can I help you today?
n n n n n n n n n n
A 26 year old man - ER -m 30 minutes after being shot in the leg -
n n n n n n n n n n n n n n n n
n Pulse is 120/min, respirations are 16 /min -
n n n n n n n
n blood pressure is 80/60. Findings compared with healthy adult? -
n n n n n n n n n
Answer= Baroreceptor Firing decreased n n n
SVR increased n
Pulmonary Vascular Resistance Increased Absorption Increasedn n n n n
e. BARORECPTOR - stretch receptors - mirror BP -
n n n n n n n n
n decreased in hemorrhagic shock n n n
A 36 year old man -
n n n n n
n fluid is presenting adbomen in which of the following areas as indicated by the arro
n n n n n n n n n n n n n n
? -Answer= Omental Bursa (lesser sac)
n n n n n
What is the positive predictive value (refer to chart)? Answer= .67 Probability that a p
n n n n n n n n n n n n n n
ent with a positive test has a disease A/(A+B)
n n n n n n n n
A 75 year old woman with T2DM and HTN - Emigrated from Argentina -
n n n n n n n n n n n n n
n Which of the following is the most appropriate person to serve as an interpreter
n n n n n n n n n n n n n n
for this patient encounter? -Answer= Telephone Interpreter
n n n n n n
During a study of renal glomeruli - if efferent arteriole is constricted -
n n n n n n n n n n n n
n which starling forces are likely to change in the glomeruli? -
n n n n n n n n n n
,Answer= Increased Hydrostatic Pressure
n n n
, 2 year old with neurocognitive dysfunction - fine during birth -
n n n n n n n n n n
n both parents have learning disabilities -
n n n n n
n maternal uncle with cognitive disabilities -n n n n n
n Irritable making eye contact with flapping his hands? -
n n n n n n n n
Answer= Trinucleotide Repeat Expansion n n n
b. Fragile X - intellectual disability - trinucleotide repeat in FMR1 gene
n n n n n n n n n n n
A 33 year old man - undergoes radical thyroidectomy - postop serum calcium is
n n n n n n n n n n n n n
7.5 and albumin concentration of 4g/dl - PTH concentration of 200 -
n n n n n n n n n n n
n damage to which vessel causes finding? -
n n n n n n
n Answer= Branch of Thyrocervical Trunk n n n n
b. inferior thyroid arteries, which arise from the thyrocervical trunk. c. External c
n n n n n n n n n n n n
arotid - superior thyroid
n n n
46 year old woman - 2 month history of fatigue and muscle weakness -
n n n n n n n n n n n n n
n 10 year history of hypertension - treated with thiazide diurectics -
n n n n n n n n n n
n measured hypokalemia, hypotension and decreased BP- brisk reflexes.
n n n n n n n
Likely cause? -Answer= Adverse Drug Effect
n n n n n
b. Treated with a thiazide diuretic for HTN with measured hypokalemia, hypotensio
n n n n n n n n n n n
n and decreased Hg
n n n
55- year old man - nice to nurses - mean to youngest child-
n n n n n n n n n n n n
n Which is the most likely explanation of patient's behavior? -
n n n n n n n n n
Answer= Splitting b. Cluster B - borderline personality (BANH)
n n n n n n n n
A Study designed to evaluate the feasibility of acupuncture in children with chronic
n n n n n n n n n n n n
n headache - 60 children recruited - In addition to their usual therapy -
n n n n n n n n n n n n
n all children are treated with acupuncture three times per week for 2 months -
n n n n n n n n n n n n n
n Describe findings? -Answer= Case-Series n n n
n n n n n
n BANK QUESTIONS AND ANSWERS
n n n
LATEST UPDATED 2023-2024 GRADED A+
n n n n
,26 year old woman - ED - 2 day history of runny nose -
n n n n n n n n n n n n n
n Patient has to wait 6 hours before she is seen. In addition to apologizing, which of
n n n n n n n n n n n n n n n
e following is the most appropriate remark? -
n n n n n n n
Answer= Thank you for waiting. How can I help you today?
n n n n n n n n n n
A 26 year old man - ER -m 30 minutes after being shot in the leg -
n n n n n n n n n n n n n n n n
n Pulse is 120/min, respirations are 16 /min -
n n n n n n n
n blood pressure is 80/60. Findings compared with healthy adult? -
n n n n n n n n n
Answer= Baroreceptor Firing decreased n n n
SVR increased n
Pulmonary Vascular Resistance Increased Absorption Increasedn n n n n
e. BARORECPTOR - stretch receptors - mirror BP -
n n n n n n n n
n decreased in hemorrhagic shock n n n
A 36 year old man -
n n n n n
n fluid is presenting adbomen in which of the following areas as indicated by the arro
n n n n n n n n n n n n n n
? -Answer= Omental Bursa (lesser sac)
n n n n n
What is the positive predictive value (refer to chart)? Answer= .67 Probability that a p
n n n n n n n n n n n n n n
ent with a positive test has a disease A/(A+B)
n n n n n n n n
A 75 year old woman with T2DM and HTN - Emigrated from Argentina -
n n n n n n n n n n n n n
n Which of the following is the most appropriate person to serve as an interpreter
n n n n n n n n n n n n n n
for this patient encounter? -Answer= Telephone Interpreter
n n n n n n
During a study of renal glomeruli - if efferent arteriole is constricted -
n n n n n n n n n n n n
n which starling forces are likely to change in the glomeruli? -
n n n n n n n n n n
,Answer= Increased Hydrostatic Pressure
n n n
, 2 year old with neurocognitive dysfunction - fine during birth -
n n n n n n n n n n
n both parents have learning disabilities -
n n n n n
n maternal uncle with cognitive disabilities -n n n n n
n Irritable making eye contact with flapping his hands? -
n n n n n n n n
Answer= Trinucleotide Repeat Expansion n n n
b. Fragile X - intellectual disability - trinucleotide repeat in FMR1 gene
n n n n n n n n n n n
A 33 year old man - undergoes radical thyroidectomy - postop serum calcium is
n n n n n n n n n n n n n
7.5 and albumin concentration of 4g/dl - PTH concentration of 200 -
n n n n n n n n n n n
n damage to which vessel causes finding? -
n n n n n n
n Answer= Branch of Thyrocervical Trunk n n n n
b. inferior thyroid arteries, which arise from the thyrocervical trunk. c. External c
n n n n n n n n n n n n
arotid - superior thyroid
n n n
46 year old woman - 2 month history of fatigue and muscle weakness -
n n n n n n n n n n n n n
n 10 year history of hypertension - treated with thiazide diurectics -
n n n n n n n n n n
n measured hypokalemia, hypotension and decreased BP- brisk reflexes.
n n n n n n n
Likely cause? -Answer= Adverse Drug Effect
n n n n n
b. Treated with a thiazide diuretic for HTN with measured hypokalemia, hypotensio
n n n n n n n n n n n
n and decreased Hg
n n n
55- year old man - nice to nurses - mean to youngest child-
n n n n n n n n n n n n
n Which is the most likely explanation of patient's behavior? -
n n n n n n n n n
Answer= Splitting b. Cluster B - borderline personality (BANH)
n n n n n n n n
A Study designed to evaluate the feasibility of acupuncture in children with chronic
n n n n n n n n n n n n
n headache - 60 children recruited - In addition to their usual therapy -
n n n n n n n n n n n n
n all children are treated with acupuncture three times per week for 2 months -
n n n n n n n n n n n n n
n Describe findings? -Answer= Case-Series n n n
