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NBME CBSE latest 2026 ACTUAL EXAM T WITH
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS)||VERIFIED
EXAM!! (USMLE STEP 1) MEDICAL
EXAMINATION|ALREADY GRADED A |
||BRANDNEW!!!|| ||VERIFIED EXAM!!!||
62 year old woman - osteoporosis - a bisphosphonate is
prescribed. The expected beneficial effect of the drug is
due to which of the following? - Answer-Decreased
Osteoclast Activity
Cohot Study of elderly women - relative risk ratio for hip
fractures among those who exercise regularly is 1.2 (95%
confidence interval of 1.1 to 1.8). Which of the following is
the conclusion about the effect of exercise on the risk of
hip fracture? - Answer-Statistically Significant Overall
Increase Risk
52 year old man goes to ER with chest pain radiating to
his jaw while shoveling snow. Pulse is 80/min and blood
pressure is 130/70. The most immediate treatment
mechanism of action? - Answer-Increased nitric oxide
concentration
,2|Page
24 year old woman - spilled hot grease on her left leg
while working at a fast-food restaurant. Exam of leg shows
7cm pink, soft, granular, edematous wound. The formation
of this tissue was most likely caused by increased activity
of which? - Answer-a. Vascular Endothelial Growth Factor
VEGF - stimulates angiogenesiss.
TYPE III Collagen = Blood Vessels - early wound repair
27 year old man- MVC - skull x-ray shows a linear,
nondepressed basal skull fracture - increased serum osm
and decreased urin osm. Following desmopressin urine
osm increases. Desmopressin's effect is due to the
activation of which of the following? - Answer-a. Adenylyl
Cyclase
Adenylate Cyclase - ATP - CAMP -- PROTEKINASE A --
Ca
v2
A 10 month old boy - 4 day history of fever and cough. He
attends day care center. Chest exam shows intercostal
retractions along with bilateral, diffuse wheezes and
expiratory rhonchi. The infectious agent most likely has
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which of the following properties? - Answer-Mediation of
Cell Entry via a fusion protein
A 17 year old girl in ED - 15 minutes after being stung by a
bee. Mild light headedness but no difficulty swallowing-
Bilateral wheezing - Which is most appropriate
pharmacotherapy for this patient? - Answer-B2- Agonist
14 year old boy - 2 day history of sore throat and fever that
peaks in late afternoon. 1 week of fatigue. He recentaly
had sex with one partner. Physical exam show cervical
lymphadenopathy and pharyngeal erythema with a creamy
exudate. DX? - Answer-Infectious Mononucleosis
57 year old man - radiation therapy for squamous cell
carcinoma of the lung. Despite therapy, tumor increases in
size and he dies 6 months later. The progressive tumor
growth is due to a defect in cell cycle arrest in which of the
following phases of cell cycle? - Answer-G1
28 year old - lived in sub-Saharan Africa - until he came to
the US. Temp of 100.4 - imaging shows bilateral
hydroureter and hydronephrosis. Biopsy shows marked
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fibrosis and scattered granulomas. DX? - Answer-
Schistosomiasis
A couple with a family history of a-thalassemia. Woman
has one gene deletion and man has two gene deletion. If
the two gene is trans - what percentage of offspring will
have a two gene deletion? - Answer-50%
previously healthy 40 year brought to emergency
department by her husband - 2 day history of fever,
lethargy, confusion. PE shows scattered petechiae and
ecchymoses over the lower extremities - 3+ polychromasia
and 3+ schistocytes and Low platelets Dx? - Answer-
Thrombotic Thrombocytopenia Purpura
16 year old boy - is admitted to the ER because of a knife
wound to the left side of his chest. An X-ray of the chest
shows an air-fluid level in the left side of the chest, partial
collapse of the left lung, and the elevation of the stomach
bubble. The mediastinum is midline. DX? - Answer-
Hemopneumpothorax under tension
49 year old woman - coronary artery disease - BP 140/90 -
High Cholesterol, High LDL (190), High triglycerides (350)
NBME CBSE latest 2026 ACTUAL EXAM T WITH
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS)||VERIFIED
EXAM!! (USMLE STEP 1) MEDICAL
EXAMINATION|ALREADY GRADED A |
||BRANDNEW!!!|| ||VERIFIED EXAM!!!||
62 year old woman - osteoporosis - a bisphosphonate is
prescribed. The expected beneficial effect of the drug is
due to which of the following? - Answer-Decreased
Osteoclast Activity
Cohot Study of elderly women - relative risk ratio for hip
fractures among those who exercise regularly is 1.2 (95%
confidence interval of 1.1 to 1.8). Which of the following is
the conclusion about the effect of exercise on the risk of
hip fracture? - Answer-Statistically Significant Overall
Increase Risk
52 year old man goes to ER with chest pain radiating to
his jaw while shoveling snow. Pulse is 80/min and blood
pressure is 130/70. The most immediate treatment
mechanism of action? - Answer-Increased nitric oxide
concentration
,2|Page
24 year old woman - spilled hot grease on her left leg
while working at a fast-food restaurant. Exam of leg shows
7cm pink, soft, granular, edematous wound. The formation
of this tissue was most likely caused by increased activity
of which? - Answer-a. Vascular Endothelial Growth Factor
VEGF - stimulates angiogenesiss.
TYPE III Collagen = Blood Vessels - early wound repair
27 year old man- MVC - skull x-ray shows a linear,
nondepressed basal skull fracture - increased serum osm
and decreased urin osm. Following desmopressin urine
osm increases. Desmopressin's effect is due to the
activation of which of the following? - Answer-a. Adenylyl
Cyclase
Adenylate Cyclase - ATP - CAMP -- PROTEKINASE A --
Ca
v2
A 10 month old boy - 4 day history of fever and cough. He
attends day care center. Chest exam shows intercostal
retractions along with bilateral, diffuse wheezes and
expiratory rhonchi. The infectious agent most likely has
,3|Page
which of the following properties? - Answer-Mediation of
Cell Entry via a fusion protein
A 17 year old girl in ED - 15 minutes after being stung by a
bee. Mild light headedness but no difficulty swallowing-
Bilateral wheezing - Which is most appropriate
pharmacotherapy for this patient? - Answer-B2- Agonist
14 year old boy - 2 day history of sore throat and fever that
peaks in late afternoon. 1 week of fatigue. He recentaly
had sex with one partner. Physical exam show cervical
lymphadenopathy and pharyngeal erythema with a creamy
exudate. DX? - Answer-Infectious Mononucleosis
57 year old man - radiation therapy for squamous cell
carcinoma of the lung. Despite therapy, tumor increases in
size and he dies 6 months later. The progressive tumor
growth is due to a defect in cell cycle arrest in which of the
following phases of cell cycle? - Answer-G1
28 year old - lived in sub-Saharan Africa - until he came to
the US. Temp of 100.4 - imaging shows bilateral
hydroureter and hydronephrosis. Biopsy shows marked
, 4|Page
fibrosis and scattered granulomas. DX? - Answer-
Schistosomiasis
A couple with a family history of a-thalassemia. Woman
has one gene deletion and man has two gene deletion. If
the two gene is trans - what percentage of offspring will
have a two gene deletion? - Answer-50%
previously healthy 40 year brought to emergency
department by her husband - 2 day history of fever,
lethargy, confusion. PE shows scattered petechiae and
ecchymoses over the lower extremities - 3+ polychromasia
and 3+ schistocytes and Low platelets Dx? - Answer-
Thrombotic Thrombocytopenia Purpura
16 year old boy - is admitted to the ER because of a knife
wound to the left side of his chest. An X-ray of the chest
shows an air-fluid level in the left side of the chest, partial
collapse of the left lung, and the elevation of the stomach
bubble. The mediastinum is midline. DX? - Answer-
Hemopneumpothorax under tension
49 year old woman - coronary artery disease - BP 140/90 -
High Cholesterol, High LDL (190), High triglycerides (350)
