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Rapid Fire NBME Path Study Latest Update 2024-
2025 600 Questions and 100% Verified Correct
Answers Actual Exam Guaranteed A+
"Hearld patch" that lead to "Christmas tree" rash in kids - CORRECT ANSWER:
pityriasis rosea
"itch-scratch" lesion on vulva that is white and scaly with hyperkeratosis - CORRECT
ANSWER: Lichen simplex chronicus
"left shift" - CORRECT ANSWER: immature neutrophils - acute infection
"pasted on" plaque-like lesion - CORRECT ANSWER: Seborrheic Keratosis
"pulseless disease" → thickening of arotic arch with increased ESR in young asian
females - CORRECT ANSWER: Takayasu's arteritis
"punched out" bone lesions with M-spike on electrophoresis, hypercalcemia, Ig in urine -
CORRECT ANSWER: Multiple Myeloma
↑ Estrogen with PTEN mutation - CORRECT ANSWER: Endometroid Adenocarcinoma
↓ Factor 8 - CORRECT ANSWER: Hemophilia A
↓ Factor 9 - CORRECT ANSWER: Hemophilia B
22q11 heart defects - CORRECT ANSWER: Truncus or Tetralogy
,30 yo with recurrent infections, diarrhea, pneumonia, and inflammatory bowel -
CORRECT ANSWER: Common variable Immunodeficiency (either T or B cells affected)
3rd-4th pharyngeal pouch - Chromosome 22 - CORRECT ANSWER: DiGeorge
Syndrome
5-8 month male with recurrent RTI (pyogenic infections) - CORRECT ANSWER:
Bruton's X-linked Agammaglobulinemia
6 month old with multiple bacterial, viral, fungal, and protozoal infections - CORRECT
ANSWER: SCID - No Complement-Mediated Immunity
60 yo patient with smudge cells in blood or lymphnodes - CORRECT ANSWER:
CLL/SLL
Accutane - CORRECT ANSWER: Vitamin A toxicity
Achilles Tendon Xanthoma - CORRECT ANSWER: Familial Hypercholesterolemia
Acromegaly - CORRECT ANSWER: Adult with growth hormone adenoma
Actinic Keratosis Cancer - CORRECT ANSWER: Skin Squamous Cell Carcinoma
Activation of both classical and alternative complement pathway; tram-tracking of
glomerulus - CORRECT ANSWER: MPGN Type1
Acute adrenal insufficiency due to N. menigitidis and DIC induced infarction -
CORRECT ANSWER: Waterhouse-Friderichsen Syndrome
Acute endometritis, sepsis, ad hemorrhage postpartum - CORRECT ANSWER:
Retained placenta
,Acute hepatitis with no chronic state - CORRECT ANSWER: HAV
acute inflammation - CORRECT ANSWER: neutrophils and IgM
Acute prostatitis in elderly (bug) - CORRECT ANSWER: E. coli, pseudomonas,
klebsiella
Acute Prostatitis in young men (bug) - CORRECT ANSWER: Chlamydia/Gonorrhea
ADAMTS 13 deficiency (mental status, fever, oligouria, schistocytes, platelet
aggregation) - CORRECT ANSWER: Thrombotic thrombocytopenia purpura
Adolescent with no uterus, fallopian tubes or ovaries - CORRECT ANSWER: Androgen
insensitivity syndrome ("testicular feminization")
Afib, CHF, apathy, muscle weakness, and thyromegaly in elderly - CORRECT
ANSWER: Elderly presentation of Grave's dx
Aflatoxin - CORRECT ANSWER: Hepatocellular carcinoma
Alcoholic and elderly nursing home pts. pulmonary infection - CORRECT ANSWER:
Klebsiella
Alcoholic presenting with altered mental status - CORRECT ANSWER: Hepatic
encephalopathy
Alk-phos - CORRECT ANSWER: Bone disease, bone tumor, biliary obstruction
Aminoglycoside, contrast, or heavy metal induced kidney injury - CORRECT ANSWER:
Nephrotoxic ATN → pigmented casts
, Amniotic fluid imbalance (Oligohydramnios) - CORRECT ANSWER: Fetal deformation
(e.g. club feet)
Amoeba that infects frontal lobes and is fatal - CORRECT ANSWER: Naegleria fowleri
Amyloid deposits and burn out of islets - CORRECT ANSWER: DM II
Anemia in Adolescent (2) - CORRECT ANSWER: Vegan diet or Menstruation
Anemia in child (3) - CORRECT ANSWER: Aplastic (viral), neoplastic (ALL), toxic (lead)
Anemia in old people (5) - CORRECT ANSWER: Chronic Dz, Immune mediated, Diet,
Colon cancer, Renal failure
Anemia of baby - CORRECT ANSWER: Hemolytic disease of newborn
Anemia, low platelets, liver failure, DIC - CORRECT ANSWER: HELLP
Anti-apoptotic protein - CORRECT ANSWER: BCL2
Anti-basement membrane IgG in lungs and kidneys - CORRECT ANSWER:
Goodpasture's
Anti-centromere antibodies - CORRECT ANSWER: CREST
Anti-dsDNA/anti-SM Antibodies - CORRECT ANSWER: SLE
Anti-GBM antibodies with linear IgG of glomerulus - CORRECT ANSWER: Type 1
RPGN (Goodpasture's)