IM NBME Form 2 Exam Practice Questions and Answers
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Course
2024/2025
Institution
2024/2025
IM NBME Form 2 Exam Practice Questions and Answers
62 yo - L.hemiparesis resolves completely in 2 hrs
BP: 140/90 mmHg
PE: R.carotid bruit
ECG, CBC, head CT - gucci
next step in dx? - Ans:-duplex ultrasonography of the carotid arteries
probably had TIA
> lasts bet few minutes - 24 hrs
>...
> pleural fluid LDH > 2/3x upper limit of normal for serum
42 yo - 1 month of prog SOB
> no fever, cough productive of purulent/blood-tinged sputum
> receiving chronic O2 for tx of dyspnea
SHx: no smoking
FHx: younger bro - single lung transplant for COPD (1 yr ago)
BMI: 20
RR: 24/min
PE: breath sounds dec; BL basilar crackles
CXR: hyperlucent lung fields most prominent at bases; flattened diaphragms
most likely explanation for findings? - Ans:✔✔-abnormality of antiprotease resulting in destruction of
alveolar supporting structures
alpha1 antitrypsin def
CXR: flattened diaphragms = COPD
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