Exam (elaborations)
NBME PATHOLOGY EXAM 1 2024/2025 VERIFIED QUESTIONS AND ANSWERS GRADED A+
- Course
- Institution
NBME PATHOLOGY EXAM 1 2024/2025 VERIFIED QUESTIONS AND ANSWERS GRADED A+
[Show more]
Content preview
NBME PATHOLOGY EXAM 2024NBME PATHOLOGY EXAM 1 2024/2025
VERIFIED QUESTIONS AND ANSWERS GRADED
A+
25 yo F at 27 weeks w/ severe contractions x6 hours, vaginal spotting, contractions
every 2-3 mins w/ FHR 130 and no decels, cervic 1-2 cm and 70% effaced, GBS is
positive. next step?
IM beclamethasone THEN later can give penicillin
man w/ 15 yr hx of difficult relaxing hands after tightly gripping objects or shaking
hands, difficulty releasing after gripping w/ hands. dx?
myotonic muscular dystrophy
pt unable to see out of R eye since awakening 2 hrs ago. visual acuity 20/200 in R
eye and 20/20 in L. R pupil poorly reactive to light. where is site of lesion?
R optic nerve
6 mo old w/ poor feeding, labored breathing, to and fro murmur in 2nd L
itnercostal space, loud S2, bounding peripheral pulses, widened pulse pressure. dx?
patent ductus arteriosus
,NBME PATHOLOGY EXAM 2024
recurrent lymph node infxns w/ staph a in a kid. what is dx and mechanism?
chronic granulomatous dz --> impaired phagocytic oxidative metabolism
pt hyperkalemic bc missed 2 dialysis appointments. EKG w/ peaked t waves. next
step?
IV calcium gluconate --> THEN can give insulin but this works within minutes
hyaline casts vs WBC casts?
-WBC casts: interstitial nephritis and pyelonephritis
-hyaline casts: AKI
4 yo M in MVC, RR 32 w/ grunting and restractions, hypoxic on ABG, CXR 4 hrs
later shows diffuse infiltrates on R side. dx?
pulmonary contusion
asymptomatic 57 yo M smoker, bruit in RUQ, no masses, BUN 23, Cr 1.4. what is
cause of bruit?
accumulation of lipids in arterial wall --> renal artery stenosis
,NBME PATHOLOGY EXAM 2024
52 yo F w/ decreased libido, underwent TAH and bilateral salpingo-oophorectomy
for leiomyomata uteri and menorrhagia. on hormone replacement + estrogen since
sx. exam w/ moist, rugated vagina. what is cause?
decreased androgens/testosterone --> due to oophoreectomy = decreased
androstenedione and DHEA = aka hypergonadotropic hypogonadism ant pituitary
works ovaries don't
67 yo F w/ afib on warfarin, INR 6 so meds stopped, next day she had abdominal
pain and vomiting x24 hours, Hgb 13 --> 7.8. cause?
intramural hematoma of proximal small bowel --> rare complication of warfarin
67 yo M w/ 1 hours of vertigo, nausea, imbalance, small R pupil, mild R ptosis,
nystagmus, weakness of R palate, sensation to pinprick is decreased over R face
and L extremities + incoordination of finger to nose and heel-shin. where is
occlusion?
R vertebral
77 yo F w/ cramping abdominal pain and distention w/ n/v. no hx of abdominal sx.
afebrile, tachy. distended abdomen w/ mild diffuse tenderness. BS are high
pitched. x-ray of abdomen shows air fluid levels in SB and liver but no gas in
colon or free air. dx?
gallstone ileus --> air in billiary tree/liver even though all other signs sound like
SBO
, NBME PATHOLOGY EXAM 2024
18 mo old has not used L arm since he fell while walking & holding hands w/
sister. he is holding LUE at side w/ forearm pronated. no tenderness of LLE,
restricted movement of elbow. next step?
passive hypersupination of forearm --> nurse maid elbow aka radial head
dislocation (can also hyperpronate)
asthmatic teen w/ asthma attack, she hast not been taking her meds. what is best
way to get her to be compliant
negotiate a contract regarding med compliance
5 mo old w/ persistent wheezing since birth, well-nourished, wheezing w/
extension of neck. what is cause?
compression of airway by vascular ring --> malformation of aorta so wraps around
trachea, improves w/ neck extension --> sx
largyngomalacia improves in prone position not extension
heavy cigarette smoker w/ hiccups. Na+ 120. CXR w/ R hilar mass. next step?
fluid restriction --> SIADH from small cell lung CA
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller SHANEDOE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75632 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now