NBME 9 Questions And Answers 2022 - With Complete Solution Rated A
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NBME
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NBME
NBME 9 Questions And Answers
Kid with bed wetting problems + constipation
tx? –
administration of an osmotic laxative
Multiple myeloma is marked by proliferation of ______ B cells –
monoclonal
In patients with bipolar disorder that are suffering from acute depression + stopped...
nbme 9 questions and answers 2022 with complete solution rated a
nbme 9 questions and answers 2022
nbme 9
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NBME 9 Questions And Answers 2022 - With
Complete Solution Rated A
Kid with bed wetting problems + constipation
tx? Correct Answer: administration of an osmotic laxative
Multiple myeloma is marked by proliferation of ______ B cells Correct Answer: monoclonal
In patients with bipolar disorder that are suffering from acute depression + stopped taking meds, what
do you give them? Correct Answer: bipolar medication like lithium, lamotrigine, quetiapine, and
lurasidone
SSRIs in bipolar patients can be bad because? Correct Answer: it can precipitate mania or convert
depression to mania
Patient with afib with a history of TIA or stroke
Tx? Correct Answer: warfarin
Patient without afib with history of TIA or stroke
Tx? Correct Answer: aspirin
T/F: Aspirin and clopidogrel are anticoagulants Correct Answer: false
1st line therapy for mild to moderate acne vulgaris
Tx? Correct Answer: topical retinoids
Patient with juvenile idiopathic arthritis may present with what extraarticular manifestation? Correct
Answer: uveitis (screen with slit-lamp exam)
In adults, the presence of a destructive bone lesion is more commonly caused by ______ disease rather
than primary bone malignancy Correct Answer: metastatic
T/F: Osteosarcoma is most common in patients ____ years of age Correct Answer: <30
Patients with severe AS with symptoms or systolic dysfunction (EF <50%) should receive what tx?
Correct Answer: aortic valve replacement
Patients with HF (EF < 50%) who have AS + asymptomatic in terms of SOB on exertion, should receive
what treatment? Correct Answer: Afterload reduction
32 yo woman with bcg vaccine as a child + emigrated from China + PPD skin test of 12 mm
, risk status and next step? Correct Answer: High risk; isoniazid
92 yr old with left mandibular mass that has enlarged + x ray is normal + smoker + normal VS
next step? Correct Answer: biopsy
77 yr old woman with 1 day hx of nausea + vomiting + confusion + has HTN + on diltiazem + BP 160/70 +
ox 84% + JVD borderline high + crackles in lungs + S3 + edema + signs of kidney injury
Dx and next step? Correct Answer: fluid overload; hemodialysis
In diabetic patients, foot injuries can be prevented with? Correct Answer: wearing shoes when standing
or walking
In diabetic patients, worsening of foot injuries can be prevented with? Correct Answer: daily foot checks
37 yr old woman with no hx of abnormal pap smears + current visit shows pap smear with atypical
glandular cells
potential dx and next step? Correct Answer: endometrial malignancy; colposcopy with endocervical
curettage
37 yr old woman with no hx of abnormal pap smears + current visit shows pap smear with atypical
glandular cells
After colposcopy with endocervical curettage, what can be considered as a next step? Correct Answer:
hysteroscopy
T/F: Neonate that improved with PPV can be taken off of PPV immediately after Correct Answer: true
If there is suspected FSGS, what is the next step? Correct Answer: renal biopsy
If there is suspected FSGS, what is the next step after confirming it with renal biopsy? Correct Answer:
prednisone therapy
1st line tx for Merniere's disease Correct Answer: antihistamines (e.g. Meclizine)
2nd line tx for refractory Merniere's disease Correct Answer: methylprednisolone
T/F: Initial step to controlling allergic rhinitis can include use of pillow and mattress covers Correct
Answer: true
COPD exacerbations can be treated with? Correct Answer: supplemental oxygen, SABA, steroids,
antibiotics, and nebulizers
COPD daily management should include? Correct Answer: LABA, tiotropioum, steroids
T/F: Oral steroids are the main daily treatment for chronic COPD patients. Correct Answer: false
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