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NBME FINAL EXAM NEWEST VERSION ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!$28.49
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NBME FINAL EXAM NEWEST VERSION ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!
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Course
NBME
Institution
NBME
NBME FINAL EXAM NEWEST VERSION
ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW
VERSION!!
NBME FINAL EXAM NEWEST VERSION
2024-2025 ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW
VERSION!!
65yo M emigrated from Brazil with 8-month history of
shortness of breath and fatigue, edema of lower ext. CXR shows
cardiomegaly. endomyocardial biopsy specimen shows myofiber
necrosis with a mixed inflammatory infiltrate of PMNs, T
lymphos, m.phages, and eosinophils. Causal org? - ANSWER-
Trypanosoma cruzi
40yo F with mole on her back that has increased in size during
past 4 months. PE shows raised irregular lesion with variegated
black-tan pigmentation and ill-defined margins. Pleomorphic,
hyperchromatic cells within clear islands that tend to collapse.
Extends from epidermis into papillary dermis. Dx? - ANSWER-
melanoma
,2|Page
42yo farmer has a 7-mm red scaly plaque on helical rim of left
ear. Photomicrograph shown. Dx? - ANSWER- actinic keratosis
30yo F training for a marathon, running 20 miles/day. Fasting
glucose is 60. After her glucose stores have been depleted,
which organ, in addition to liver, releases glucose? - ANSWER-
kidney
Male newborn at 28 weeks'. Given ventilatory support with up
to 80% oxygen for the next 72 hours, but dies of resp. failure.
Cause is inadequate secretion from which labeled cell types? -
ANSWER- D. type II pneumocyte (produces surfactant)
9yo girl with poor growth during the past year. < 3rd %ile for
height and at 10th percentile for weight. PE normal. Visual field
testing shows bitemporal hemianopia. Labs show GH
deficiency. MRI shows calcified cystic mass in suprasellar
region. Tumor derived from? - ANSWER- Diverticulum of the
roof of the embryonic oral cavity
28yo F G1P1 with 2-day history of a painful mass in her right
breast. Delivered healthy female newborn 3 weeks ago, and
been breast-feeding since. T 37C, PE shows 3-cm tender mass
surrounded by an area of erythema beneath the right areola.
Causal org? - ANSWER- staph aureus
,3|Page
3yo boy with bacterial colitis caused by Salmonella enterica
serovar arizonae. Which factor accounts for recruitment of
PMNS to inflammatory site by intestinal epithelial cells? -
ANSWER- IL-8
27yo F with fever, malaise, abdominal pain, and vaginal d/c for
4 days. LMP 5 days ago. Had ectopic 1 year ago. T 38.3 C,
bilateral lower quadrant tenderness with rebound and guarding.
Pelvic exam with cervical motion tenderness and bilateral
adnexal tenderness WBC 18k. Pregnancy test neg. Dx? -
ANSWER- Gonorrhea (PID)
20M with 3-month hx of progressive thirst (drinking a lot of
fluids) and urinary frequency during past 3 days. U/A shows
specific gravity less than 1.006. Most likely has dysfunction of
which endocrine structure? - ANSWER- posterior pituitary
gland (ADH)
21yo M in ED with excruciating anal pain for 4 hours. Exam
shows 15-mm, blue tinged rounded mass at anal margin.
Represents thrombus in a tributary of which blood vessel? -
ANSWER- inferior rectal vein
, 4|Page
6-week-old girl with 6-day hx of vomiting small amount of milk
2 to 3 times daily. 50%ile for length and weight. Cause? -
ANSWER- Immature lower esophageal sphincter
37yo M with 4-day hx of diarrhea and abdominal pain, worse in
past 24h, with watery-brown stools. Completed a 10-day course
of amoxicillin for a sinus infection 5 days ago. Stool shows:
Fecal fat negative; ova and parasites negative; Cx for infx
negative; C. Diff toxin positive. Which pathologic findings
present in intestinal tract? - ANSWER- Pseudomemnbranes of
fibrin and inflammatory debris
28yo M in ED 30 minutes after SOB. 3-year hx of cocaine
abuse. T 38.1, P 100/min, BP 150/45. PE: diminished pulses in
left upper extremity. Crackles heard over all lung fields. 2/6
diastolic murmur at left sternal border. CXr shows a widened
aortic arch. Dx? - ANSWER- Dissecting aneurysm
1-week-old girl. screening showed a possible defect in fatty acid
oxidation. PE normal. Next step? - ANSWER- Measurement of
serum acylcarnitine concentrations
79yoM 30 minutes after LOC for 30 seconds. Alert, but dizzy.
No urinary or fecal incontinence. Pulse 40/min, BP 92/56. PE
shows no tongue biting. Lungs clear, Variable intensity S1.
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