Exam (elaborations)
Nbme 10 Exam Questions and Answers
Nbme 10 Exam Questions and Answers
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Nbme 10 Exam Questions and Answers
11-year-old iigirl iipresents iiWith iitanner iistage iione iiof iithe iipubic iihair, iishe iihas iia iiflat
iileft iibreast iiand iithe iiright iibreast iiis iitender iiand iia iismall iimass
What iiis iithe iibest iinext iistep? ii- iiAnswers ii-Reassurance
This iiis iinormal iithelarche iiand iican iibe iiasymmetric
Order iiof iimaturation iiin iifemale ii- iiAnswers ii-Thelarche, iipubarcge, iigrowth iispurt,
iimenarche
27-year-old iiman iipresents iiwith iithrombocytopenia, iieczema iiand iirecurrent iiinfections ii-
iiAnswers ii-Wiskott-Aldrich, iiWAS iigene,
Patient iicomes iiin iiwith iiulcerative iicolitis iiTreated iiwith iiprednisone iimesalamine iiand
iimuch iimore iiand iithe iidoctor iidecides iito iiadd iia iiregimen, iidue iito iithe iiaddition iiof iithe
iiregimen iiwhat iishould iibe iitested iinext ii- iiAnswers ii-Tuberculosis iiscreening, iidue iito
iiinitiation iiof iiTNF iialpha iiinhibitor
Patient iiwith iisickle iicell iidisease iicomes iiin iiwith iivaso-occlusive iicrisis iiit iiis iigiven iipain
iicontrol iiwhat iielse iishould iibe iigiven iiwith iithe iipain iicontrol? ii- iiAnswers ii-Intravenous
iifluids
Patient iiwith iia iiMI ii10 iiyears iiago iiComes iito iithe iihospital iidue iito iivomiting. iiThe
iipatient iiends iiup iigetting iia iitransfusion iiand ii30 iiminutes iilater iistarts iideveloping
iishortness iiof iibreath, iiwhat iiis iithe iimost iilikely iicause? ii- iiAnswers ii-Transfusion
iiassociated iicirculatory iioverload
Remember: iipatience iiwith iiABO iiincompatibility iipresent iiwith iiflank iipain iiand
iihypotension
Treatment iiof iitransfusion iiassociate iicirculatory iioverload ii- iiAnswers ii-Oxygen iiand
iipositive iipressure iiventilation iiAnd iipossible iidirections
Can iilead iito iipsychosis, iibizarre iibehavior, iiagitation, iiaggression, iinystagmus iiand
iiataxia
iitreatment ii- iiAnswers ii-PCP iiintoxication
Treatment: iiIM iilorazepam iior iiMidazolam
, 38-year-old iiwoman iicomes iiin iidue iito iiseizures, iiMRI iidemonstrates iiunilateral iior
iibilateral iitemporal iilobe iiabnormalities, iiwhat iiis iithe iinext iibest iistep? ii- iiAnswers ii-
Lumbar iipuncture: iiHSV iiencephalitis
If iia iipatient iihas iistroke iilike iisymptoms iioccurring iiless iithan ii4 ii1/2 iihalf iihours iiWithout
iisigns iiof iihemorrhage iiwhat iiis iiadministered? ii- iiAnswers ii-Alteplase
If iithe iipatient iicomes iiin iiwith iia iistroke iiin iithe iiamount iiof iitime iiis iiunknown, iiwith iino
iievidence iiof iihemorrhage iiwhat iiis iiadministered? ii- iiAnswers ii-Aspirin iiinstead iiof
iialteplase
Bell's iipalsy iiPresents iiwith iifacial iinerve iipalsy iicausing iifacial iiparalysis iithat iidoesn't
iispread iithe iiforehead, iiwhat iiis iithe iinext iibest iistep?
Treatment: ii- iiAnswers ii-It's iidiagnose iiclinically, iino iifurther iitesting iiindicated
Treatment: iiglucocorticoids iiand iioccasionally iiantiviral iitherapy
Patient iiafter iigastric iibypass iipresents iiwith iiataxia, iialtered iimental iistatus iiand
iiopthalmoplegia iiincluding iinystagmus, iimost iilikely iicause? ii- iiAnswers ii-Vit iiB1 iidef
Immunocompetent iichild iiwith iicervical iilymphadenitis iipresents iiwith iia iipurpleish iihue,
iiAnd iipresence iiof iimultiple iigranulomas iion iiexcisional iibiopsy ii- iiAnswers ii-Purpleish
iihue: iimycobacterium iiinfection
Patient iipresents iiwith iia ii2 iicm iiulcer iion iithe iifoot iiand iinew iimid iiback iipain, iiwhat iiis
iithe iimost iilikely iicause iiand iiwhat iiis iithe iinext iibest iistep iito iiconfirm iithe iidiagnosis? ii-
iiAnswers ii-Vertebral iiosteomyelitis, iiMRI iiof iithe iilumbar iispine.
Can iioccur iithrough iihematogenous iispread
Patient iiwith iia iihistory iiof iiinflammatory iijoint iidisease iiare iiat iiincreased iirisk iifor ii-
iiAnswers ii-Septic iiarthritis
An iix-ray iishowing iiperiosteal iielevation iiis iidiagnostics iifor iiosteomyelitis, iiwhat iiis iithe
iinext iibest iistep? ii- iiAnswers ii-MRI iibefore iibone iibiopsy
Patient iipresents iiwith iigeneralized iiweakness iidue iito iia iistrict iidiet iiand iitaking
iilaxatives iiin iidiuretics iito iilose iiweight. iiWhat iiis iithe iicause iiof iiher iigeneralized iimuscle
iiweakness? ii- iiAnswers ii-Loss iiof iipotassium
EKG iidemonstrating iiST iielevations iiin iilead iito iiI iiIII iiand iia iiVF iiis iisignificant iifor iiright
iisided iiheart iiinfarction, iiadministration iiof iiwhat iiis iicontraindicated iiin iipatients? ii-
iiAnswers ii-Nitroglycerin
Patient iiwith iilong-standing iidiabetes iithat iiinitially iiwas iipoorly iicontrolled iipresents iiwith
iiurinalysis iishowing ii4+ iiproteins, iiasks iifor iiwhat iiis iithe iimechanism iiof iithe iipatients
iiincrease iiblood iipressure ii- iiAnswers ii-Renal iiparenchymal iidisease