NBME Test Bank Exam Questions with 100% Correct Answers

Best statistical analysis for qualitative dependent and independent variables? Qualitative independent and quantitative dependent variable? Correct Answer chi-squared - qualitative independent and dependent t-test - qualitative independent and quantitative dependent Management of sleep terrors C...

What is the common bug that causes post transplant lymphoproliferative disorder? Correct Answer Epstein Barr How do you diagnose Botulism? Correct Answer Repetitive nerve stimulation study What if first line therapy for the treatment of mild to moderate acne vulgaris? Correct Answer topical re...

Methotrexate anticancer effects? Correct Answer Inhibition of Thymidilate Synthase Methotrexate anticancer effects? Correct Answer Inhibition of Thymidilate Synthase Optimal diagnostic cut point for results of test Correct Answer need to include all of the "infected" Optimal diagnostic cu...

A 21-year-old man presents with auditory hallucinations and the delusion that federal narcotics agents are monitoring his telephone calls. He was dealing methamphetamine and using large amounts of the substance daily until about 1 week ago, when he exhausted his supply and was too frightened to...

Methotrexate anticancer effects? Correct Answer Inhibition of Thymidilate Synthase Optimal diagnostic cut point for results of test Correct Answer need to include all of the "infected" Best likelihood of survival of colorectal carcinoma? Correct Answer Poorly differentiated carcinoma confine...

Statistical measures affected by prevalance Correct Answer PPV, NPV Findings suggestive of empyema Correct Answer thoracocentesis w/ pus, organisms on gram stain, ph <7.2, glucose <40, inc WBC Empyema management Correct Answer chest tube Risk factors for in-hospital mortality w/ DVT/P...

60 y/o man develops pain, erythema, and swelling of the right great toe + Serum uric acid concentration is 3x normal; What finding is most common in patients with this condition Correct Answer No specific enzyme or renal defect; "90% of patients are idiopathic b/c of underexcretion of uric acid" ...

Male with erectile dysfunction with spontaneous nocturnal erections? Correct Answer Psychological problem Male with erectile dysfunction without spontaneous nocturnal erections? causes? *associated pathology that can cause erectile dysfunction? Correct Answer Organic (internal problem) - meds ...

Ureter route Correct Answer under ovarian vessels Over common iliac Under uterine vessels Bosentan Correct Answer blocks endothelin receptor Used for pulmonary HTN Digoxin poisoning Correct Answer can be reversed with atropine 3rd degree AV nodal block Lung lobes Correct Answer right mi...

Absence of the gamma region on SPEP indicates Correct Answer immunodeficiency with hypogammaglobulinemia or agammaglobulienmia increased left atrial pressure during ventricular systole on the pressure-time graph indicates Correct Answer mitral regurgitation, likely from rupture of the chordae ten...

Paresthesias Correct Answer abnormal sensation (e.g., tingling, prickling, "pins and needles") false positives and false negatives Correct Answer placenta accreta Correct Answer A rare disorder in which the placenta is directly adherent to the myometrium (without penetrating) instead of the...

Serum electrophoresis Correct Answer First peak is albumin Alpha 1 globulins = alpha antitrypsin, alpha 1 antichymotrypsin, TBG, Alpha 2 globulins = haptoglobulin, macroglobulin, ceruloplasmin, TBG, protein C, angiotensinogen Beta = beta 2 microglobin, plasminogen, angiostatins, SHBG, transferri...

12 y.o. boy admitted to hospital / lethargy hip pain serum electropohresis shows Correct Answer "D" Lesch- Nylan Salvage of what bases? Correct Answer B Guanine / Hypoxthanine 42 y.o struck by MV/ Closed fracture ofprox tibia parathesis in dorsal space btwn 1st/2nd toe passes dark urine / ol...

HGPRT function (Purine salvage pathway Correct Answer converts hypoxanthine to IMP converts guanine to GMP acute tubular necrosis Correct Answer ischemia or nephrotoxic substances compartment syndrome -> muscle necrosis -> rhabdomyolysis -> acute tubular necrosis destruction of hem...

11-year-old girl presents With tanner stage one of the pubic hair, she has a flat left breast and the right breast is tender and a small mass What is the best next step? Correct Answer Reassurance This is normal thelarche and can be asymmetric Order of maturation in female Correct Answer Thelar...

If 13 year old patients concern is excess vaginal spotting do yu need to measure FSH or LH Correct Answer No Patients with wiskott aldrich syndrome are particularly susceptible to (3) infections Correct Answer Strep pneumo, neisseria, h flu Patients with wiskott aldrich syndrome are particular...

UC/Crohn's that isn't responsive to initial treatment Correct Answer Consider infliximab, need to test for TB cause it can be reactivated Mgt of sickle cell crisis Correct Answer IV fluids, O2 and pain control Roux en y bypass patient does not follow diet recs post op. Correct Answer At risk...

Respiratory distress, fever/inflammation, triglycerides in milky fluid following breastfeeding Correct Answer Chylothorax d/t damage to thoracic duct, chyle accumulate in thoracic space. Thoracic duct carries triglycerides from GI system to central vasculature. Causes: -Congenital malformat...

Wiskott-Aldrich syndrome Correct Answer Eczema, recurrent respiratory infections, thrombocytopenia, all caused by X-linked B and T lymphocyte deficiency, Caucasian stroke outside of tpa window Correct Answer ASA, not anticoagulant how long after last known normal can thrombectomy be performed ...

Presentation of ABO incompatibility Correct Answer abdominal or flank pain, fever, and dark urine within minutes of starting transfusion Common presentation of TACO (transfusion associated cardiac overload) Correct Answer respiratory distress from volume overload in a patient with underlying card...

A 15-year-old boy is brought to the physician because of headaches for 3 months. The headaches occur most often in the morning and are associated with vomiting. Over the past month, he also has had increasing visual difficulty. During this period, he has had a 4.5-kg (10-lb) weight gain, and his sch...

Night incontinence without urge = Correct Answer overflow incontinence (T2DM) Alcoholic cirrhosis AST/ALT, ALkPhos, GGT, bili, PT, albumin Correct Answer AST/ALT 2:1 (not >500) AlkPhos mildly elevated GGT very elevated bilirubin elevated (conjugated > unconjugated) +/- bandemia, thrombo...

Riboflavin (B2) deficiency symptoms (5) Correct Answer angular cheilosis, stomatitis, glossitis, normocytic anemia, seborrheic dermatitis What deficiency leads to beriberi? Correct Answer thiamine What is beriberi? Correct Answer peripheral neuropathy, heart failure Pyridoxine deficiency sy...