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Exam (elaborations)

NBME 9 TEST WITH COMPLETE SOLUTION

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NBME 9 TEST WITH COMPLETE SOLUTION /NBME 9 TEST WITH COMPLETE SOLUTION /NBME 9 TEST WITH COMPLETE SOLUTION

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  • June 7, 2023
  • 13
  • 2022/2023
  • Exam (elaborations)
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NBME 9 TEST WITH COMPLETE SOLUTION 2023-2024
_______ stage of labor (latent + active) occcurs until cervical dilaton and effacement
completion. - ✔First

1st line therapy for mild to moderate acne vulgaris

Tx? - ✔topical retinoids

1st line tx for Merniere's disease - ✔antihistamines (e.g. Meclizine)

1st line tx for pulseless sustained (>30 seconds) VT? - ✔defibrillation

1st line tx for STABLE sustained (>30 seconds) VT? - ✔Class I or III anti-arrhythmics
(lidocaine, amiodarone)

1St line tx for UC? - ✔meSalamine

1st line tx for unstable sustained (>30 seconds) VT? - ✔synchronized cardioversion

2nd line tx for refractory Merniere's disease - ✔methylprednisolone

2nd line tx for UC? - ✔azathioprine and infliximab

4 yr old boy with 2 day hx of increasingly severe pain in right leg with limp + 1 week ago
was treated with amoxicillin for middle ear infection + right hip flexed and externally
rotated + passive ROM of right hip limited by pain + xray normal + no history of falls or
trauma

likely dx and next step? - ✔transient synovitis; measurement of serum inflammatory
markers

4 yr old boy with 3 day hx of fever, cough, runny nose + no chest congestion, sputum,
chest discomfort or SOB

Likely dx? - ✔upper respiratory tract infection

4 yr old boy with 5 day hx of increasingly severe pain in right leg with limp + 1 year ago
was treated with amoxicillin for middle ear infection + right hip flexed and externally
rotated + passive ROM of right hip limited by pain + xray normal (not as sensitive) + fell
7 days ago

likely dx and next step? - ✔fracture; CT scan of right hip

8AM serum cortisol is used for diagnosing? - ✔adrenal insufficiency

, NBME 9 TEST WITH COMPLETE SOLUTION 2023-2024
22 yr old woman with 1 week hx of increasingly severe left knee pain + history of injury
during basketball game 8 days ago + knee effusion + tenderness over medial joint line

dx? - ✔medial meniscus tear

22 yr old woman with 1 week hx of increasingly severe left knee pain + works as a
cleaning lady + acute pain + erythema + swelling over anterior knee + pain on knee
flexion

dx? - ✔prepatellar bursitis

22 yr old woman with 6 month hx of increasingly severe left knee pain + history of injury
during basketball game a year ago + giving away sensation while walking + worse when
walking up stairs or sitting in car + tenderness to palpation along patella + sensation
decreased over left hallux + BMI 46

dx? - ✔ACL tear

24 hour urinary cortisol is used for diagnosing? - ✔Cushing disease

24 yr old college student with 20 day hx of constant heavy vaginal bleeding with
passage of clots + fatigue and lightheadedness with no visual changes or headaches +
hx of brusing + regular menstruation

most likely cause of heavy menses? - ✔VWD

24 yr old college student with 20 day hx of intermittent heavy vaginal bleeding with
passage of clots + fatigue and lightheadedness with no visual changes or headaches +
no hx of brusing + irregular menses

most likely cause of heavy menses? - ✔anovulation

24 yr old woman who has fever + diffuse tenderness on bimanual + tender uterus + 28
hours post vaginal delivery

potential dx and next step? - ✔endometritis; IV abx

27 yr old with 5 day hx of headache, severe diffuse abdominal pain and N/V +
exacerbated by eating and relived by vomiting + hx of Crohn disease + did not taper
dosage 2 weeks ago + distended abdomen + BP low + bowel sonds decreased +
vomitous semi solid -->liquid (after bowels emptied) + LMP 7 weeks ago

dx? - ✔SBO d/t Crohn flare up

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