NBME CBSE LATEST ALL EXAMS (usmle step1 and Step 2) ACTUAL EXAM QUESTIONS WITH 550 QUESTIONS AND ANSWERS (MEDICAL EXAMINATION)
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Course
NBME CBSE
Institution
NBME CBSE
NBME CBSE LATEST ALL EXAMS (usmle
step1 and Step 2) ACTUAL EXAM QUESTIONS WITH
550 QUESTIONS AND ANSWERS (MEDICAL
EXAMINATION)
32yo F G2P1 at 7 weeks' gestation with vaginal bleeding for 3
days and increasingly severe left abdominal pain for 18 hours.
Direct and rebound tenderness with ...
32yo F G2P1 at 7 weeks' gestation with vaginal bleeding for 3
days and increasingly severe left abdominal pain for 18 hours.
Direct and rebound tenderness with guarding in left lower
quadrant. Cervical os is closed. serum beta-hCG is 6000. U/S
shows empty - ANSWER-Ectopic pregnancy
26yo F 5 weeks after birth of first child. Worries constantly that the
infant is ill and wakes up to make sure he is well. Washes her
hands 30 times per day. Worried about people braking into her
house, checks lock 3-4 times a night. Not breast feeding. R -
ANSWER-Sertraline
10yo boy has had anemia since birth. Spleen is five times normal.
Splenectomy is indicated if anemia is caused by which? -
ANSWER-Hereditary spherocytosis
,2|Page
62yo F in ED for 2-day hx of fever, abdominal tenderness, and
painful urination. Agitated. T 38.8C, Labs show WBC 14k.
Admitted to hospital, nurses note she has torn up four breakfast
menus because she is confused. Cause? - ANSWER-Delirium
60yo F with 3-year Hx of hyperlipidemia. Low-cholesterol diet and
exercise program ineffective after 1 year. Lovastatin initiated, but
unable to tolerate greater than 20 mg daily. Additional drug is
added that inhibits transport of cholesterol through int - ANSWER-
Ezetimibe
48yo M with bronzing of his skin, weakness, and fatigue during
the past 3 months. PE shows hepatomegaly, and small testes.
Serum: AST INCREASED, ALT INCREASED, iron INCREASED,
transferrrin sat INCREASED, ferritin INCREASED, testosterone
DECREASED, LH DECR - ANSWER-Increased intestinal iron
absorption
45yo M with intermittent bloody diarrhea and abd pain.
Sigmoidoscopy and rectal biopsy show IBD. Monoclonal antibody
is begun, which is directed against what components? -
ANSWER-Tumor necrosis factor
,3|Page
"string of beads" sign Dx? - ANSWER-Fibromuscular dysplasia
55yo M with sepsis. Appears anxious and confused. Rx with
vancomycin and ceftriaxone initiated in ED. T 39.8, P 132/min, BP
85/48. PE shows warm, flushed skin. No aedema. Administrer
which solutions? - ANSWER-0.9% Saline
36yo M undergoes elective liposuction under general anesthesia.
Operation is terminated when patient develops hyperthermia,
tachycardia, and marked muscle rigidity. MOA of drug that should
be administered? - ANSWER-Decreases release of Ca from the
sarcoplasmic reticulum
In a survey of 100 households (average three residents per
household), 45 with asthma are detected. Prevalence? -
ANSWER-15%
While lifting weights, 24yo M swelling in right inguinal region.
Photograph shown of small intestine resected. Dx? - ANSWER-
Strangulation
, 4|Page
24yo with second-degre burn. Two weeks after, tissue shows
increased fibroblast migration and proliferatoin, increased
collagen and fibronectin, and decreased metalloproteinases.
Caused by production of which? - ANSWER-Transorming growth
factor-beta
Protein found in brown adipose tissue of mice causes leak of H
ions inward across inner mitochondrial membrane. Effect of this
protein on oxidative phosphorylation and energy metabolism? -
ANSWER-Increased ratio of oxygen consumption to ATP
generation
57yo M with alcoholism has distended abdomen with shifting
dullness, fluid wave, caput medusae, palmar erythema, spider
angiomata. Additional finding? - ANSWER-Gynecomastia
16yo girl with 2-year hx of fainting; increased in frequency during
past 6 months. BP 110/80 supine and 60/40 standing. Neuro
exam normal. Plasma shows undetectable noreipinephrine and
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